Final Exam
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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 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)
Question 3 Cocaine acts as a stimulant by blocking the reuptake of which neurotransmitter?
GABA Acetylcholine Dopamine Serotonin
Question 4 Mrs. Thomas was seen in the o?ce 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 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 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 Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents
Question 8 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 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 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 Which of the following medications for type 2 diabetes mellitus should not be prescribed during pregnancy?
Insulin Metformin Glucotrol Precose
Question 12 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 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 What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia Iron-deficiency anemia Thalassemia
Question 15 An 82-year-old man is seen in the primary care o?ce with complaints of dribbling urine and di?culty 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 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 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
prescribe a splint.
Send her to the emergency room for reduction of this obvious wrist fracture.
Question 18 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 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 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 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
Disease progression
The need to be more aggressive with Reuben's medications
The eradication of the HIV
Question 22 The exanthem of Lyme disease is: Erythema infectiosum
Laterothoracic exanthem Erythema migrans Morbilli exanthem
Question 23 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 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 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 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 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 As a rule of thumb, the estimated level of hematocrit is how any times the value of the hemoglobin?
Two Three Four Five
Question 29 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
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 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 The clinician prescribes glipizide (Glucotrol) for a diabeticpatient. 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 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 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 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 Which of the following medications can cause hyperglycemia?
Prednisone Metformin Synthroid Cephalexin
Question 36 During treatment for anaphylaxis, what site is used for the initial injection of epinephrine?
IV
Abdomen
Upper lateral thigh Deltoid
Question 37 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?
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 What is the most common cause of secondary amenorrhea?
Pregnancy
Pituitary dysfunction Inadequate estrogen levels Genetic disorders
Question 39 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 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 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 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 The cardinal subjective symptom of sickle cell crisis is which of the following?
Pain Nausea
Light-headedness Palpitations
Question 43 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 Which arthropod bite can contain cytotoxic and hemolytic toxins that may destroy tissue?
Tick
Brown recluse spider Wasp
Stinging caterpillar
Question 45 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 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 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 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 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 Which type of bone marrow transplant is obtained from an identical twin?
Autogenic Autologous Allogeneic Syngeneic
Question 50 Pink, cherry red tissues and skin may result from which type of poisoning?
Arsenic Lead
Carbon monoxide Strychnine
Question 51 Basic human needs are identified as:
Autonomy and feeling valued by others
Exhilaration and productivity Spirituality
Career success and material rewards
Question 52 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 A 22-year-old male is seen in the clinic because he found a
hard lump in his testicle when performing testicular self-
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 What is the treatment of choice for a patient diagnosed with testicular cancer?
Radical orchidectomy
Lumpectomy Radiation implants All of the above
Question 55 Which method is used to remove heavy metals, such as lead, that are ingested as poisons?
Chelation Dialysis Gastric lavage
Bowel irrigation
Question 56 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 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 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 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 Which type of heat-related illness involves a core body 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 Which of the following may be used to evaluate a person's suicide risk?
CAGE SANE
SAD PERSONAS DIGFAST
Question 62 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 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 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 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 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 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 Which of the following should be considered in a patient presenting with erectile dysfunction?
Diabetes mellitus
Hypertension Atherosclerosis All of the above
Question 69 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 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 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 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 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 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 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 A 26-year-old woman is seen with complaints of irregular vaginal bleeding. Which of the following tests should be the first priority?
Pregnancy test Pelvic ultrasound Endometrial biopsy Platelet count
Question 76 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 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 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 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 di?cult to manage,
requiring a variety of approaches and multiple medications. All of the above
Question 80 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 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 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 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 The clinician suspects that a client seen in the o?ce 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 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 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 Which of the following characteristics separates anaphylaxis
from a vasovagal reaction?
Bradycardia
Extreme diaphoresis
Severe bronchoconstriction Hypotension
Question 88 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 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 o?ce visits.
It is a therapeutic technique which is not necessarily time intensive.
All are benefits of MI.
Question 90 What percentage of burns is involved using the rule of nines if both front legs are burned?
9%
18%
24%
36%
Question 91 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 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 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 x- ray 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 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 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 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 Which test is used to confirm a diagnosis of epididymitis?
Urinalysis
Gram stain of urethral discharge
Complete blood cell count with differential Ultrasound of the scrotum
Question 98 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 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 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
