Question 1.Question : Which of the following is a crucial
element of developing a
guideline?
Creating a physician expert panel
Reviewing the literature with ratings of available evidence
Conducting an external review of a guideline
Developing evidence-based tables
Question 2.Question : African American patients seem to have
a negative reaction
to which of the following asthma medications?
Inhaled corticosteroids
Long-term beta-agonist bronchodilators
Leukotriene receptor agonists
Oral corticosteroids
Question 3.Question : Jolene has breast cancer that has been
staged as T1, N0,
M0. What might this mean?
The tumor size cannot be evaluated; the cancer has not
spread to the lymph nodes; and the distant spread cannot
be evaluated.
The cancer is in situ; it is spreading into the lymph nodes,
but the spread cannot be evaluated otherwise.
The cancer is less than 2 cm in size and has not spread
to the lymph nodes or other parts of the body.
The cancer is about 5 cm in size; nearby lymph nodes
cannot be evaluated; and there is no evidence of distant
spreading.
Question 4.Question : Sondra's peripheral vestibular disease
causes dizziness and
vertigo. Which of the following medications will help to
decrease edema in the labyrinth of the ear?
Meclizine
Diphenhydramine
Diamox
Diamox
Promethazine
Question 5.Question : Mandy presents with a cauliflower-like
wart in her anogenital
region. You suspect it was sexually transmitted and
document this as a:
Filiform/digitate wart
Dysplastic cervical lesion
Condyloma acuminata
Koilocytosis
Question 6.Question : Inattention and a sleep-wake cycle
disturbance are the
hallmark symptoms of?
Dementia
Alzheimer's disease
Parkinson's disease
Delirium
Question 7.Question : You have taught Jennifer, age 15,
about using a flow meter
to assess how to manage her asthma exacerbations. She
calls you today because her peak expiratory flow rate is
65%. What would you tell her?
"Take your short-acting beta-2 agonist, remain quiet,
and
call back tomorrow."
"Use your rescue inhaler, begin the prescription of
oral
glucocorticoids you have, and call back tomorrow."
"Drive to the emergency room now."
"Call 911."
Question 8.Question : A patient is seen in the clinic with
hematuria confirmed on
microscopic examination. The clinician should inquire about
the ingestion of which of these substances that might be the
cause of hematuria?
Student Answer:
NSAIDs
NSAIDs
Beets
Vitamin A
Red meat
Question 9.Question : Which of the following is an example
of tertiary prevention in
a patient with chronic renal failure?
Fluid restriction
Hemodialysis 4 days a week
High-protein diet
Maintenance of blood pressure at 120/80
Question 10.Question : Which of the following conditions is
associated with
cigarette smoking?
Glaucoma
Increased sperm quality
Bladder cancer
Eczema
Question 11.Question : A chronic cough lasts longer than:
3 weeks
1 month
6 months
1 year
Question 12.Question : The 'freezing phenomenon' is a
cardinal feature of?
Parkinson's disease
Alzheimer's disease
A CVA
Bell's palsy
Question 13.Question : When administered at the beginning of
an attack, oxygen
therapy may help this kind of headache?
Tension
Migraine
Cluster
Stress
Question 14.Question : Which ethnic group has the highest
lung cancer incidence
and mortality rates?
African American men
Scandinavian men and women
Caucasian women
Asian men
Question 15.Question : The most significant precipitating
event leading to otitis
media with effusion is:
Pharyngitis
Allergies
Viral upper respiratory infection (URI)
Perforation of the eardrum
Question 16.Question : Samuel is going to the dentist for
some work and must take
endocarditis prophylaxis because of his history of:
Severe asthma
A common valvular lesion
Severe hypertension
A prosthetic heart valve
Question 17.Question : A 34-year-old patient was treated for
a UTI and has not
responded to antibiotic therapy. Which of the following
actions should be taken next?
Send a urine specimen for microscopy and evaluate for
fungal colonies.
fungal colonies.
Increase the dose of antibiotic.
Order a cytoscopy.
Order a different antibiotic.
Question 18.Question : Which statement best describes a
carotid bruit?
It is felt with the middle three fingers over the carotid
artery.
A bruit becomes audible when the lumen is narrowed to 1
mm or less.
A low-pitched bruit is a medical emergency.
The higher the pitch of the bruit, the higher the degree of
stenosis.
Question 19.Question : Which statement is true regarding
chloasma, the 'mask of
pregnancy'?
It is caused by a decrease in the melanocyte-stimulating
hormone during pregnancy.
This condition only occurs on the face.
Exposure to sunlight will even out the discoloration.
It is caused by increased levels of estrogen and
progesterone.
Question 20.Question : Simon presents with alopecia areata
with well-circumscribed
patches of hair loss on the crown of his head. How do you
respond when he asks you the cause?
"You must be under a lot of stress lately."
"It is hereditary. Did your father experience this
also?"
"The cause is unknown, but we suspect it is due to an
immunologic mechanism."
"We'll have to do some tests."
Question 21.Question : A blood pressure (BP) of 150/90 is
considered:
Stage 2 hypertension
Stage 2 hypertension
Hypertensive
Normal in healthy older adults
Acceptable if the patient has DM
Question 22.Question : When teaching post MI patients about
their NTG tablets, the
clinician should stress that the tablets should remain in
the
light-resistant bottle in which they are packaged and should
not be put in another pill box or remain in areas that are
or
could become warm and humid. Once opened, the bottle
must be dated and discarded after how many months?
1 month
3 months
6 months
As long as the tablets are kept in this special bottle, they
will last forever.
Question 23.Question : Your patient has decided to try to
quit smoking with Chantix.
You are discussing his quit date, and he will begin taking
the
medicine tomorrow. When should he plan to quit smoking?
He should stop smoking today.
He should stop smoking tomorrow.
His quit date should be in 1 week.
He will be ready to quit after the first 30 days.
Question 24.Question : When looking under the microscope to
diagnose an
intravaginal infection, you see a cluster of small and oval
to
round shapes. What do you suspect they are?
Spores
Leukocytes
Pseudohyphae
Epithelial cells
Question 25.Question : The hallmark of an absence seizure
is:
Question 25.Question : The hallmark of an absence seizure
is:
No activity at all
A blank stare
Urine is usually voided involuntarily
The attack usually lasts several minutes
Question 26.Question : Which medication used for scabies is
safe for children 2
months and older?
Permethrin cream
Lindane
Crotamiton lotion and cream
Ivermectin
Question 27.Question : The clinician is seeing a patient
complaining of red eye. The
clinician suspects conjunctivitis. The presence of
mucopurulent discharge suggests which type of
conjunctivitis?
Viral conjunctivitis
Keratoconjunctivitis
Bacterial conjunctivitis
Allergic conjunctivitis
Question 28.Question : Gabby, aged 22, has Bell's palsy on
the right side of her
face. Her mouth is distorted, and she is concerned about
permanent paralysis and pain. What do you tell her?
"Most patients have complete recovery in 3 to 6
months."
"Unfortunately, you'll probably have a small amount of
residual damage."
"Don't worry, I'll take care of everything."
"You may have a few more episodes over the course of
your lifetime but no permanent damage."
Question 29.Question : How often should drug levels be
monitored when a seizure
Question 29.Question : How often should drug levels be
monitored when a seizure
medication has controlled the seizures, and the drug level
is
adequate?
Every 3 months
Every 6 months
Annually
Whenever there is a problem
Question 30.Question : Immunizations are an example of which
type of prevention?
Primary
Secondary
Tertiary
Question 31.Question : The result of the patient's 24-hour
urine for protein was 4.2
g/day. The clinician should take which of the following
actions?
Repeat the test.
Refer to a nephrologist.
Measure the serum protein.
Obtain a blood urea nitrogen (BUN) and creatinine.
Question 32.Question : Which cranial nerve is affected in a
patient with a
cerebrovascular accident who has difficulty chewing?
CN V
CN VII
CN IX
CN X
Question 33.Question : Which of the following diagnostic
tests should be ordered
for a patient suspected of having bladder cancer?
Kidneys, ureter, bladder x-ray
Cystoscopy with biopsy
Magnetic resonance imaging
Urine tumor marker (NMP22)
Urine tumor marker (NMP22)
Question 34.Question : The "B" in the ABCDEs of
assessing skin cancer represents:
Biopsy
Best practice
Boundary
Border irregularity
Question 35.Question : Which statement is true regarding
driving and patients with a
seizure disorder?
Once diagnosed with a seizure disorder, patients must
never drive again.
After being seizure free for 6 months, patients may drive.
Each state has different laws governing driving for
individuals with a seizure disorder.
These persons may drive but never alone.
Question 36.Question : Which high-density lipoprotein (HDL)
level is considered
cardioprotective?
Greater than 30
Greater than 40
Greater than 50
Greater than 60
Question 37.Question : The most common cause of CAP is?
Streptococcus pneumoniae
Klebsiella pneumoniae
Legionella pneumoniae
Pseudomonas aeruginosa
Question 38.Question : Sandra has palpitations that occur
with muscle twitching,
Question 38.Question : Sandra has palpitations that occur
with muscle twitching,
paresthesia, and fatigue. What specific diagnostic test
might
help determine the cause?
Serum calcium
Electrocardiogram (ECG)
Thyroid-stimulating hormone test
Complete blood cell count
Question 39.Question : A patient presents to the clinician
with a sore throat, fever of
100.7?F, and tender anterior cervical lymphadenopathy. The
clinician suspects strep throat and performs a rapid strep
test that is negative. What would the next step be?
The patient should be instructed to rest and increase fluid
intake as the infection is most likely viral and will
resolve
without antibiotic treatment.
Because the patient does not have strep throat, the
clinician should start broad spectrum antibiotics in order
to
cover the offending pathogen.
A throat culture should be performed to confirm the
results of the rapid strep test.
The patient should be treated with antibiotics for strep
throat as the rapid strep test is not very sensitive.
Question 40.Question : Patients with acute otitis media
should be referred to a
specialist in which of the following situations?
Concurrent vertigo or ataxia
Failed closure of a ruptured tympanic membrane
If symptoms worsen after 3 or 4 days of treatment
All of the above
Question 41.Question : Which of the following tests is most
useful in determining
renal function in a patient suspected of CRF?
BUN and creatinine
Electrolytes
Creatinine clearance
Urinalysis
Question 42.Question : Marci has a wart on her hand. She
says she heard
something about "silver duct tape therapy." What
do you tell
her about his?
It is an old wives' tale.
It is used as a last resort.
Salicylic acid is more effective.
It is a simple treatment that should be tried first.
Question 43.Question : What is the first-line recommended
treatment against Group
A ?-hemolytic streptococci (GABHS), the most common
cause of bacterial pharyngitis?
Penicillin
Quinolone
Cephalosporin
Macrolide
Question 44.Question : Which of the following is an example
of sensorineural
hearing loss?
Perforation of the tympanic membrane
Otosclerosis
Cholesteatoma
Presbycusis
Question 45.Question : Which of the following is "a
linear crack extending from the
epidermis to the dermis?"
An ulcer
A fissure
Lichenification
An excoriation
Question 46.Question : A 65-year-old man presents to the
clinician with complaints
Question 46.Question : A 65-year-old man presents to the
clinician with complaints
of increasing bilateral peripheral vision loss, poor night
vision, and frequent prescription changes that started 6
months previously. Recently, he has also been seeing halos
around lights. The clinician suspects chronic open-angle
glaucoma. Which of the following statements is true
concerning the diagnosis of chronic open-angle glaucoma?
The presence of increased intraocular pressure measured
by tonometry is definitive for the diagnosis of open-angle
glaucoma.
The clinician can definitively diagnosis open-angle
glaucoma based on the subjective complaints of the
patient.
Physical diagnosis relies on gonioscopic evaluation of the
angle by an ophthalmologist.
Early diagnosis is essential in order to reverse any
damage that has occurred to the optic nerve.
Question 47.Question : The majority of HSV-1 and HSV-2
infections are
asymptomatic so that only which elevated antibody titer
shows evidence of previous infection?
IgA
IgE
IgG
IgM
Question 48.Question : A patient is seen with a sudden onset
of flank pain
accompanied by nausea, vomiting, and diaphoresis. In
addition to nephrolithiasis, which of the following should
be
added to the list of differential diagnoses?
Pancreatitis
Peptic ulcer disease
Diverticulitis
All of the above
Question 49.Question : Which of the following is abundant in
the heart and rapidly
rises in the bloodstream in the presence of heart failure,
making it a good diagnostic test?
making it a good diagnostic test?
B-type natriuretic peptide
C-reactive protein
Serum albumin
Erythrocyte sedimentation rate
Question 50.Question : You are doing a cerumen extraction
and touch the external
meatus of your patient's ear. He winces and starts coughing.
What is the name of this reflex?
Baker phenomenon
Arnold reflex
Cough reflex
Tragus reflex
