Question : The most cost-effective screening test for
determining HIV
status is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test
Viral load
Question 2.Question : Which blood test is a nonspecific
method and most helpful
for evaluating the severity and course of an inflammatory
process?
Erythrocyte sedimentation rate
White blood cell count
Polymorphonuclear cells
C-reactive protein (CRP)
C-reactive protein (CRP)
Question 3.Question : Cocaine acts as a stimulant by
blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
Serotonin
Question 4.Question : Mrs. Thomas was seen in the office
complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that differentiates the diagnosis and is
most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance
Question 5.Question : Which of the following statements
concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then
compared to the involved side.
The part of the body that is causing the patient pain
should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to avoid
causing pain.
Radiographs should always be obtained prior to
examination so as not to cause further injury to the
patient.
Question 6.Question : Which of the following signs or
symptoms indicate an
Question 6.Question : Which of the following signs or
symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain
Question 7.Question : Which causes the greatest percentage
of mammalian bites?
Dogs
Cats
Humans
Rodents
Question 8.Question : A 48-year-old woman is seen in the
clinic with complaints of
prolonged heavy menstrual periods. She is pale and states
she can no longer exercise. Pelvic exam reveals a single,
very large mass. Which of the following diagnostic tests
should the clinician order first?
Transvaginal ultrasound
Endometrial biopsy
MRI
Abdominal computed tomography scan
Question 9.Question : A diabetic patient asks the clinician
why he needs to check
his blood sugar at home even when he feels good. Which of
the following responses would be most appropriate?
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a
routine."
"Monitoring glucose will promote a sense of
control."
All of the above
Question 10.Question : A 25-year-old patient presents to the
clinic with fatigue, cold
Question 10.Question : A 25-year-old patient presents to the
clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular stiffness; coarse, dry hair; and
a
delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Serum calcium
TSH
Electrolytes
Urine specific gravity
Question 11.Question : Which of the following medications
for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
Precose
Question 12.Question : During a DRE on a 75-year-old man,
the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
A boggy gland
Question 13.Question : Eddie, age 4, presents to the ED with
a live insect trapped in
his ear canal causing a lot of distress. What should be your
first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
Shine a light in the ear for the insect to "find its
way out."
Question 14.Question : What is the most common cause of
microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
Thalassemia
Question 15.Question : An 82-year-old man is seen in the
primary care office with
complaints of dribbling urine and difficulty starting his
stream. Which of the following should be included in the
list
of differential diagnoses?
Benign prostatic hyperplasia (BPH)
Parkinson's disease
Prostate cancer
All of the above
Question 16.Question : Early rheumatoid disease is
characterized by:
Pain and swelling in both small and large peripheral
joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub or pulmonary friction rub
Question 17.Question : A 70-year-old female has fallen 2
weeks ago and developed
immediate pain in her left wrist. She thought she just
bruised
it but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No
crepitus is heard or felt. Her fingers are warm; her pulse
is
strong; and capillary refill is less than 2 seconds. What
should you do?
Make an immediate referral for an orthopedic evaluation
without further assessment.
Tell her that it takes time for these bruises to improve, so
she should be patient.
Obtain a wrist x-ray and place her wrist in a splint or
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint.
Send her to the emergency room for reduction of this
obvious wrist fracture.
Question 18.Question : The criteria for diagnosing
generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and
Statistical Manual of Mental Disorders, 5th edition (text
revision) state that excessive worry or apprehension must be
present more days than not for at least:
1 month
3 months
6 months
12 months
Question 19.Question : A 60-year-old man presents with an
enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In
a
patient with a hydrocele, what would the clinician expect to
find?
The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
The internal structures will be clearly visible.
Question 20.Question : According to Kübler-Ross, the stages
of grief occur in which
order?
Anger, denial, depression, bargaining, acceptance
Anger, denial, bargaining, acceptance, depression
Denial, anger, depression, bargaining, acceptance
Denial, anger, bargaining, depression, acceptance
Question 21.Question : Reuben, age 24, has HIV and just had
a routine viral load
test done. The results show a falling viral load. What does
this indicate?
A favorable prognostic trend
A favorable prognostic trend
Disease progression
The need to be more aggressive with Reuben's
medications
The eradication of the HIV
Question 22.Question : The exanthem of Lyme disease is:
Erythema infectiosum
Laterothoracic exanthem
Erythema migrans
Morbilli exanthem
Question 23.Question : You have detected the presence of
crepitus on examination
of a patient with a musculoskeletal complaint. Additionally,
there is limited range of motion (ROM) with both active and
passive movement. These findings suggest that the origin of
the musculoskeletal complaint is:
Articular
Inflammatory
Nonarticular
A and B
Question 24.Question : What is the recommended daily calcium
intake for adults
over the age of 50 with low bone mass?
1,200 mg/day
1,000 mg/day
1,300 mg/day
1,500 mg/day
Question 25.Question : When assessing a woman for
infertility, which of the
following tests should be done first?
Analysis of partner's sperm
Magnetic resonance imaging (MRI)
Hysterosalpingogram
Estrogen level
Question 26.Question : Which type of burn injury results in
destruction of the
epidermis with most of the dermis, yet the epidermal cells
lining hair follicles and sweat glands remain intact?
Superficial burns
Superficial partial-thickness burns
Deep partial-thickness burns
Full-thickness burns
Question 27.Question : A 23-year-old sexually active woman
presents for her first
Pap smear. Her history includes nulligravida, age at first
intercourse 14, and more than 10 sexual partners. Which of
the following conditions should the clinician be particularly
alert for during her examination?
Human papillomavirus (HPV)
Endometrial hyperplasia
Vagismus
Polycystic ovarian syndrome
Question 28.Question : As a rule of thumb, the estimated
level of hematocrit is how
many times the value of the hemoglobin?
Two
Three
Four
Five
Question 29.Question : Sam is a 25-year-old who has been
diagnosed with low
back strain based on his history of localized low back pain
and muscle spasm along with a normal neurological
examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of exclusion. Which of the
following
symptoms would alert the clinician to the more serious
finding of a herniated nucleus pulposus or ruptured disc?
Morning stiffness and limited mobility of the lumbar spine
Morning stiffness and limited mobility of the lumbar spine
Unilateral radicular pain symptoms that extend below the
knee and are equal to or greater than the back pain
Fever, chills, and elevated erythrocyte sedimentation rate
Pathologic fractures, severe night pain, weight loss, and
fatigue
Question 30.Question : A 30-year-old man is seen with a
chief complaint of loss of
libido. Which of the following laboratory tests would help
establish a diagnosis?
Testosterone level
Prostate-specific antigen
Nocturnal penile tumescence and rigidity
Prolactin level
Question 31.Question : The clinician prescribes glipizide
(Glucotrol) for a diabetic
patient. Which statement made by the patient would
indicate that your teaching has been effective?
"I'll take my pill at least 30 minutes before
breakfast."
"I'll take my Glucotrol before bedtime."
"It is important to take my medication right after I
eat."
"Since I only like to eat two meals a day, I can take
the pill
between my meals."
Question 32.Question : In the United States, what is the
second most common
connective tissue disease and the most destructive to the
joints?
Osteoarthritis
Systemic lupus erythematosus (SLE)
Rheumatoid arthritis
Sjögren's syndrome
Question 33.Question : The effectiveness of benzodiazepines
in treating anxiety
Question 33.Question : The effectiveness of benzodiazepines
in treating anxiety
disorders suggests that which of the following
neurotransmitters plays a role in anxiety?
Acetylcholine
Gamma-aminobutyric acid (GABA)
Dopamine
Serotonin
Question 34.Question : A 14-year-old male is seen with
complaints of severe
testicular pain. The clinician suspects testicular torsion.
Which of the following is the appropriate action?
Refer to a urologist immediately.
Obtain a computed tomography (CT) scan.
Instruct the patient to elevate the scrotum.
Prescribe ibuprofen.
Question 35.Question : Which of the following medications
can cause
hyperglycemia?
Prednisone
Metformin
Synthroid
Cephalexin
Question 36.Question : During treatment for anaphylaxis,
what site is used for the
initial injection of epinephrine?
IV
Abdomen
Upper lateral thigh
Deltoid
Question 37.Question : It is important to educate patients
with depression and their
family members about reporting signs of increasing
depression and suicidal thoughts. This is especially true
during which time period?
during which time period?
Before the initiation of treatment
1 to 2 weeks after the initiation of treatment
When switching to a different medication
1 to 2 weeks after tapering off medications
Question 38.Question : What is the most common cause of
secondary amenorrhea?
Pregnancy
Pituitary dysfunction
Inadequate estrogen levels
Genetic disorders
Question 39.Question : Which of the following is the only
drug for bulimia approved
by the U.S. Food and Drug Administration?
Sertraline
Fluoxetine
Citoprolam
Imipramine
Question 40.Question : The goals of the 15-minute hour
approach include:
Enhance self-esteem, expand behavioral repertoire,
prevent dire consequences, and reestablish premorbid
levels of functioning
Emerge with a higher level of functioning and
commitment to long-term psychotherapy
Accept need for antidepressant therapy and psychiatric
referral; share concerns with primary care clinician
Improve family functioning and sexual performance as
well as accept need for antidepressant medication
Question 41.Question : John is a 16-year-old boy who
presents to the emergency
room after hurting his knee in a football game. He described
twisting his knee and then being unable to extend it
completely. John tells the clinician that he heard a pop
when
completely. John tells the clinician that he heard a pop
when
the injury occurred and has been experiencing localized
pain. The clinician suspects a meniscal tear. Which test
would be most appropriate to assess for the presence of a
meniscal tear?
Valgus stress test
McMurray circumduction test
Lachman test
Varus stress test
Question 42.Question : The cardinal subjective symptom of
sickle cell crisis is which
of the following?
Pain
Nausea
Light-headedness
Palpitations
Question 43.Question : A 25-year-old woman is seen in the
clinic complaining of
painful menstruation. Which of the following pelvic
pathologies is the most common cause of dysmenorrhea?
Pelvic inflammatory disease
Endometriosis
Sexually transmitted infections
Ovarian cyst
Question 44.Question : Which arthropod bite can contain
cytotoxic and hemolytic
toxins that may destroy tissue?
Tick
Brown recluse spider
Wasp
Stinging caterpillar
Question 45.Question : Janet is a 30-year-old who has
recently been diagnosed with
a herniated disc at the level of L5-S1. She is currently in
the
a herniated disc at the level of L5-S1. She is currently in
the
emergency room with suspicion of cauda equina
compression. Which of the following is a sign or symptom of
cauda equina compression?
Gastrocnemius weakness
A reduced or absent ankle reflex
Numbness in the lateral foot
Paresthesia of the perineum and buttocks
Question 46.Question : A 21-year-old woman is seen in the
clinic requesting birth
control pills. Which of the following tests is essential
before
prescribing any oral contraceptive?
Pregnancy test
Complete blood cell count
Thyroid-stimulating hormone
Urine dip for protein
Question 47.Question : A patient with type 2 diabetes comes
to the clinic after
reading about metformin in a magazine. Which of the
following conditions that the patient also has would be a
contraindication to taking metformin?
Ketoacidosis
Cirrhosis
Hypoglycemic episodes
All of the above
Question 48.Question : The clinician has chosen to prescribe
an SSRI instead of a
tricyclic antidepressant (TCA) for a patient fitting the
diagnostic criteria for depression. Which of the following
is
not true concerning SSRIs in comparison to tricyclic
antidepressants?
SSRIs are more effective than TCAs.
SSRIs take less time to work than TCAs.
SSRIs have a more favorable side-effect profile than
TCAs.
SSRIs are not lethal in overdose.
Question 49.Question : Which type of bone marrow transplant
is obtained from an
identical twin?
Autogenic
Autologous
Allogeneic
Syngeneic
Question 50.Question : Pink, cherry red tissues and skin may
result from which type
of poisoning?
Arsenic
Lead
Carbon monoxide
Strychnine
Question 51.Question : Basic human needs are identified as:
Autonomy and feeling valued by others
Exhilaration and productivity
Spirituality
Career success and material rewards
Question 52.Question : The clinician sees a patient who is 5
feet tall and weighs 150
pounds. How would the clinician classify this patient?
Overweight
Mild obesity
Moderate obesity
Morbid obesity
Question 53.Question : A 22-year-old male is seen in the
clinic because he found a
hard lump in his testicle when performing testicular
selfexamination
(TSE). Which of the following should be
examination (TSE). Which of the following should be
included in the list of differential diagnoses?
Testicular cancer
Inguinal hernia
Varicocele
All of the above
Question 54.Question : What is the treatment of choice for a
patient diagnosed with
testicular cancer?
Radical orchidectomy
Lumpectomy
Radiation implants
All of the above
Question 55.Question : Which method is used to remove heavy
metals, such as
lead, that are ingested as poisons?
Chelation
Dialysis
Gastric lavage
Bowel irrigation
Question 56.Question : A 58-year-old woman presents with a
breast mass. Which of
the following responses by the clinician would be most
appropriate?
"It is probably just a cyst because that is the most
common breast mass."
"We will order a mammogram and ultrasound to help
establish a diagnosis."
"We will go ahead and schedule you for a biopsy because
that is the only way to know for sure."
"Because your lump is painful, it is most likely not
cancer."
Question 57.Question : A 36-year-old woman is seen with
complaints of vaginal
Question 57.Question : A 36-year-old woman is seen with
complaints of vaginal
itching, burning, and discharge. On potassium hydroxide
(KOH) wet mount of vaginal discharge, the clinician notices
hyphae. Which of the following treatments would be
appropriate?
Fluconazole
Estrogen vaginal cream
Metronidazole
Doxycycline
Question 58.Question : The clinician has instructed Sam, a
25-year-old patient with
low back strain, to use NSAIDs to manage his symptoms of
pain and discomfort. Which of the following statements
would be most appropriate when teaching Sam about the
use of NSAIDs?
"You should start with the lowest dose that is
effective in
managing your pain, because long-term use of NSAIDs can
result in gastrointestinal (GI) disorders such as ulcers and
hemorrhage."
"You should start with the lowest dose that is
effective in
managing your pain to avoid developing tolerance to the
medication."
"You should take the maximum recommended dose of
NSAIDs so that you will not need to take narcotics to
control
your pain."
"It is important to take NSAIDs on an empty stomach in
order to increase absorption."
Question 59.Question : A history of overuse or excessive
force, as opposed to a fall,
hyperextension, or the twisting of a joint, is more likely
related to which musculoskeletal injury?
A sprain
A strain
A partial fracture
A fracture
Question 60.Question : Which type of heat-related illness
involves a core body
temperature of at least 104.9°F, acute mental status
temperature of at least 104.9°F, acute mental status
changes, absent sweat, and tachypnea?
Heat cramps
Heat syncope
Heat exhaustion
Heat stroke
Question 61.Question : Which of the following may be used to
evaluate a person's
suicide risk?
CAGE
SANE
SAD PERSONAS
DIGFAST
Question 62.Question : One of the initial steps in assessing
patients with
musculoskeletal complaints is to determine whether the
complaint is articular or nonarticular in origin. Which of
the
following is an example of an articular structure?
Bone
Synovium
Tendons
Fascia
Question 63.Question : After returning from visiting his
grandchildren in England,
George, age 59, complains of a flulike illness, including
fever, chills, and myalgia. He reports having discovered a
rash or red spot that grew in size on his right leg. What
disease are you considering?
A viral syndrome
Lyme disease
Rocky Mountain spotted fever
Relapsing fever
Question 64.Question : A patient is diagnosed with
hypothyroidism. Which of the
Question 64.Question : A patient is diagnosed with
hypothyroidism. Which of the
following electrocardiogram changes should the clinician
expect as a manifestation of the disease?
Sinus bradycardia
Atrial fibrillation
Supraventricular tachycardia
U waves
Question 65.Question : Which of the following tests is
essential for a 46-year-old
woman who the clinician suspects is perimenopausal?
Pregnancy
Estrogen level
Progesterone level
LH level
Question 66.Question : After 6 months of Synthroid therapy,
the clinician should
expect which of the following in the repeat thyroid studies?
Elevated TSH
Normal TSH
Low TSH
Undetectable TSH
Question 67.Question : A patient is 66 inches in height,
weighing 200 pounds, and
newly diagnosed with type 2 diabetes mellitus (DM). Her
fasting plasma glucose level is 215 mg/dL. What is the best
initial treatment?
No treatment at this time
Diet and exercise for 6-week trial
Diet, exercise, and oral medication
Diet, exercise, and exogenous insulin
Question 68.Question : Which of the following should be
considered in a patient
presenting with erectile dysfunction?
Diabetes mellitus
Diabetes mellitus
Hypertension
Atherosclerosis
All of the above
Question 69.Question : Mrs. Anderson is a 35-year-old woman
who has been
recently diagnosed with carpal tunnel syndrome. She has
two young children and asks the clinician what the chances
are that they also will develop carpal tunnel syndrome.
Which of the following responses would be correct regarding
the risk of developing carpal tunnel syndrome?
Carpal tunnel syndrome commonly occurs in families.
Genetic factors are thought to account for about one-half
the risk of developing carpal tunnel.
Only people with occupations that require repeated
flexion extension of the wrist, use of hand tools that
require
forceful gripping, or use of hand tools that vibrate are at
risk
for developing carpal tunnel.
An underlying musculoskeletal disorder must be present
for a person to develop carpal tunnel.
Carpal tunnel syndrome only occurs in the presence of a
hormonal imbalance.
Question 70.Question : A 20-year-old woman is seen in the
clinic because her
boyfriend was found to have gonorrhea. Which of the
following is the treatment of choice for gonorrhea?
Ceftriaxone
Doxycycline
Acyclovir
Metronidazole
Question 71.Question : Which of the following statements is
true regarding the
treatment of carpal tunnel syndrome?
The goal of treatment is to prevent flexion and extension
movements of the wrist.
Splints are used in carpal tunnel syndrome, because they
allow for free movement of the fingers and thumb while
allow for free movement of the fingers and thumb while
maintaining the wrist in a neutral position.
Corticosteroid injections are discouraged in the treatment
of carpal tunnel syndrome because of the risks for median
nerve damage, scarring, and infection.
All of the above
Question 72.Question : Mr. S presents in the clinic with
pain, tenderness, erythema,
and swelling of his left great toe. The clinician suspects
acute gout. Which of the following should the clinician
expect in the initial test results for this patient?
Elevated uric acid level
Elevated blood urea nitrogen
Decreased urine pH
Decreased C-reactive protein
Question 73.Question : Which of the following data is
indicative of testicular torsion?
Absent cremasteric reflex
Pain relieved on testicular elevation
Testicle very low in the scrotum
Swollen scrotum with "red dot sign"
Question 74.Question : A patient with type 2 diabetes asks
the clinician why she
needs to exercise. In order to answer her, the clinician
must
understand that exercise has what effect on the patient with
type 2 diabetes?
Reduces postprandial blood glucose
Reduces triglycerides and increases high-density
lipoprotein (HDL)
Reduces total cholesterol
All of the above
Question 75.Question : A 26-year-old woman is seen with
complaints of irregular
vaginal bleeding. Which of the following tests should be the
vaginal bleeding. Which of the following tests should be the
first priority?
Pregnancy test
Pelvic ultrasound
Endometrial biopsy
Platelet count
Question 76.Question : What is the most common cause of
generalized
musculoskeletal pain in women ages 20 to 55?
Chronic fatigue syndrome (CFS)
Anemia
Fibromyalgia syndrome (FMS)
Sports-related injuries
Question 77.Question : If the international normalized ratio
(INR) result is above the
therapeutic range in a patient with atrial fibrillation on
warfarin, what might the clinician do?
Stop the warfarin for 1 week, and then repeat the INR.
Withhold one or more days of anticoagulant therapy.
Restart therapy at a lower dose immediately.
The prothrombin time and INR should be reevaluated
within 1 month of the dosage adjustments.
Question 78.Question : A 32-year-old woman is seen in the
clinic because she has
been unable to get pregnant after 12 months of unprotected
sex. In order to determine the cause of the infertility, the
clinician should question her about which of these possible
causes?
Pelvic inflammatory disease
Oral contraceptive use for 15 years
Early menarche
Diet high in soy protein
Question 79.Question : Which of the following statements
concerning the treatment
Question 79.Question : Which of the following statements
concerning the treatment
of fibromyalgia syndrome is true?
There is currently no cure for the disorder; however,
patients should be made aware that symptom relief is
possible.
Treatment is directed toward controlling discomfort,
improving sleep, and maintaining function.
Fibromyalgia syndrome can be difficult to manage,
requiring a variety of approaches and multiple medications.
All of the above
Question 80.Question : The clinician should prescribe an
antibiotic that covers
which of these organisms for a patient with acute
prostatitis?
Gram-positive cocci
Gram-negative cocci
Gram-positive bacillus
Gram-negative bacillus
Question 81.Question : Which household solution should be
used to clean a
bathroom if sharing with a friend who has HIV?
100% bleach
50% bleach and 50% vinegar
Nine parts H2O to one part bleach
The friend must have his or her own bathroom.
Question 82.Question : Sandra is 42 years old and has just
been diagnosed with
leukemia. She is complaining of bone and joint pain. Which
type of leukemia is most likely the culprit?
Acute lymphocytic leukemia
Acute myelogenous leukemia
Chronic myelogenous leukemia
Chronic lymphocytic leukemia
Question 83.Question : Which of the following is identified
as an eating disorder in
Question 83.Question : Which of the following is identified
as an eating disorder in
which a person craves food substitutes, such as clay, ice
chips, and cotton, and is considered an objective finding
associated with severe iron deficiency?
Ferritin
Porter's syndrome
Hypochromasia
Pica
Question 84.Question : The clinician suspects that a client
seen in the office has
hyperthyroidism. Which of the following tests should the
clinician order on the initial visit?
High sensitivity thyroid-stimulating hormone (TSH) and
free T4
Free T4 and serum calcium
Free T3 and T4
TSH and thyroxin antibodies
Question 85.Question : The clinician has been doing diabetic
teaching for a patient
with type 1 diabetes. Which of the following statements by
the patient would indicate that teaching has been effective?
"As long as I don't need glasses, I don't have to worry
about going blind."
"I know I need to have my eyes checked every
year."
"My optometrist checks my eyes."
"I will see my eye doctor when my vision gets
blurry."
Question 86.Question : Triggering factors for acute
exacerbations of which of the
following conditions include exposure to ultraviolet (UV)-B
and UV-A rays?
Rheumatoid arthritis
Scleroderma
SLE
Sjögren's syndrome
Question 87.Question : Which of the following
characteristics separates anaphylaxis
from a vasovagal reaction?
Bradycardia
Extreme diaphoresis
Severe bronchoconstriction
Hypotension
Question 88.Question : Mr. Jackson is a 65-year-old man
recently diagnosed with
osteoarthritis. The clinician has explained to Mr. Jackson
that the goals for managing osteoarthritis include
controlling
pain, maximizing functional independence and mobility,
minimizing disability, and preserving quality of life. Mr.
Jackson explains to the clinician that his first choice
would
be to use complementary therapies to control his condition
and asks what therapies are most effective in treating
osteoarthritis. What would be the most appropriate
response from the clinician?
"Complementary therapies should be considered only if
surgical interventions are not successful."
"I am unfamiliar with the available complementary
therapies for osteoarthritis and prefer to discuss more
mainstream treatments, such as NSAIDs and physical
therapy, to manage your condition."
"I would be happy to discuss all the treatment options
available to you. Complementary therapies, such as
acupuncture, acupressure, and tai-chi, are being studied for
use in the treatment of osteoarthritis and have shown
promise when used with standard medical therapy."
"It would be crazy to use complementary therapies to
treat such a serious condition."
Question 89.Question : One benefit of motivational
interviewing (MI) is:
It assumes that ambivalence is a normal part of the
change process.
It can be utilized during routine office visits.
It is a therapeutic technique which is not necessarily time
intensive.
All are benefits of MI.
Question 90.Question : What percentage of burns is involved
using the rule of nines
if both front legs are burned?
9%
18%
24%
36%
Question 91.Question : Women are at the highest risk for
developing postpartum
depression for up to how long after childbirth?
2 weeks
1 month
3 months
6 months
Question 92.Question : Which statement about HIV
postexposure prophylaxis (PEP)
for health-care workers is the most accurate?
PEP should be started within hours of exposure.
PEP should be started within 72 hours of exposure.
Renal and hepatic function tests should be done 6 weeks
after beginning PEP.
PEP will prevent potential hepatitis C infection if present.
Question 93.Question : The clinician is caring for Diane, a
22-year-old woman who
presents with an injured ankle. Diane asks the clinician if
she
will need an x-ray. The clinician explains to Diane that an
xray
is not always necessary for an injured ankle and that the
decision to obtain radiographs is dependent on the
examination and Diane's description of her injury. Which of
the following clues in Diane's examination or history would
alert the clinician to the need for obtaining radiographs?
Inability to bear weight immediately after the injury
Development of marked ankle swelling and discoloration
after the injury
Crepitation with palpation or movement of the ankle
All of the above
Question 94.Question : A vegetarian patient with gout asks
the clinician about food
he should avoid. The clinician should advise the patient to
avoid which of the following foods?
Rice
Carrots
Spinach
Potatoes
Question 95.Question : A patient with a basilar skull
fracture may experience an impaired downward gaze or diplopia from which
affected cranial nerve?
CN II
CN III
CN IV
CN V
Question 96.Question : A patient presents to the clinician
after experiencing four episodes in the last month of sweating, palpitations,
chest pain, nausea, and shaking. Each episode lasted about 10 minutes. The
patient is now becoming very fearful of future events and has been reluctant to
leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can
mimic the symptoms of a panic attack?
Pheochromocytoma
Hyperthyroidism
Cardiac arrhythmias
All of the above
Question 97.Question : Which test is used to confirm a
diagnosis of epididymitis?
Urinalysis
Gram stain of urethral discharge
Gram stain of urethral discharge
Complete blood cell count with differential
Ultrasound of the scrotum
Question 98.Question : BATHEing the patient refers to:
A technique used in primary care to get the patient to
accept the need for psychological or psychiatric referral
A technique used to facilitate cultural understanding
A technique used to perform psychotherapy
A technique that is a quick screen for psychiatric issues
and interventions for psychological problems
Question 99.Question : BATHEing the patient is an advanced
practice nursing
intervention that allows the practitioner to:
Develop a therapeutic relationship without
"owning" the patient's problem
Conduct psychological counseling within the context of
the primary care encounter
Focus on the "process" and not the assessment
Make the patient and family happier
Question 100.Question : A 45-year-old woman is seen in the
clinic with abnormal
uterine bleeding and pain during intercourse. The clinician
should consider which of the following diagnoses?
Leiomyoma
Pregnancy
Ovarian cancer
All of the above
