1: which test is used to confirm a diagnosis of epididymitis?
Ans: Ultrasound of the scrotum.
2: Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
Ans; High fiber die
...
1: which test is used to confirm a diagnosis of epididymitis?
Ans: Ultrasound of the scrotum.
2: Which of the following is part of the treatment plan for the
patient with irritable bowel syndrome?
Ans; High fiber diet
3: Reuben, age 24 years old has HIV and just had a routine viral
load test done. The results show a falling viral load. What does
this indicates?
Ans: A favorable diagnostic trend
4: The patient with gastro esophageal reflux disease (GERD)
should be instructed to eliminate which of these activities?
Ans: Weight lifting
5: you have detected the presence of crepitus on examination of
a patient with a musculoskeletal complaint. Additionally, there is
limited range of motion with both active and passive movement.
These findings suggest that the origin of the musculoskeletal
complaint is
Ans: Articular
6: A 25 years old patient presents to the clinic with fatigue, cold
intolerance, weight gain and constipation for the past 3 months.
On physical exam, the clinician notice a sinus bradycardia,
muscular stiffness, coarse, dry hair, and a delay in relaxation in
deep tendon reflexes (DTRs). Which of the following test should
be ordered next?
Ans: Thyroid Stimulating Hormone (TSH)
7: Sam is a 25years old man who has been diagnosis with low
back stain based on his history of localized low back pain and
muscle spasm along with a normal numerological 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?
Ans: Unilateral radicular pain symptoms that extend below
the knee and are equal to or greater than the back pain.
8: Which of the following data is indication of testicular torsion?
Ans: Asecnt cremasteric reflex
9: What is the recommended daily calcium intake for adults over
the age of 50 with low bone mass?
Ans: 1500mg /day
10: A 14 years old is seen with complaint of severe testicular pain.
The clinician suspect testicular torsion. Which of the following is
the appropriate action?
Ans: Send the patient to the emergency room
11: Which of the following data are indicative of testicular torsion?
Ans: Absent cremasteric reflex
12: 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?
Ans: Pancreatitis, peptic ulcer disease, diverticulitis, All of
the above
13: The patient is seen in the office complaining flank pain. The
clinician should assess this patient for which risk factor for kidney
stones?
Ans: Hypertension14: A 76 years old man is seen in the office for complaint of
urinary incontinence. The clinician should suspect which causes of
incontinence in men?
Ans; Urinary Tract Infection (UTI)
14: Harvey has a rubbery smooth, round mass on his chest which
is compressible and has a soft to to very firm texture. What do
you diagnose this as?
Ans: Lipoma
15: The patient is prescribed radioactive iodine (RA) and asks the
clinician how this drug works. The clinician’s response should
include which of the following data?
Ans: RAI destroys thyroid tissue.
16: Most nosocomial pneumonias are caused by
Ans: Gram-negative bacteria
17: Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Ans: Morning stiffness.
18: A patient presents to the clinician with a sore throat, fever, of
100.7f and tender anterior cervical lymphadenopathy. The
clinician suspect strep throat and performed a rapid strep test
that is negative. What would the nest step be?
Ans: A throat culture should be performed to confirm the
result of the rapid strep test.
19:Most Nosocomial pneumonias are caused by…….
Ans: ?20: A patient is diagnosed with Giardia after a backpacking trip in
the mountains. Which of the following would be the appropriate
treatment?
Ans: Metrinidazole.
21: Which causes the greatest percentage of mammalian bites?
Ans: Dog
22: One of the initial steps in assessing patient with
musculoskeletal complaints is to determine whether the
complaint is articular or non-articular in origin. Which of the
following is an example of an articular structure?
Ans: Synovium
23: Cat bites are commonly associated with which of the following
pathogens?
Ans: Pasteurella Multocida
24:Which of the following should be considered in a patient
presenting with erectile dysfunction?
Ans: DM, HTN, Atherosclerosis All of the above
25: Tori is on systemic antifungals for a tines infect. You
understand that serum labs monitored for
Ans: Hepatotoxicity
26:Fluctuation and reductions in estrogen may be a contributing
factor in which type of rhinitis?
Ans: Vasomotor rhinitis
27: Severe pain associated with acute otitis media signifies
perforation of the tympanic membrane
Ans: False28: The Patient is diagnosed with overactive bladder (OAB).Which
of the following instructions should be given to the woman?
Ans: Eliminate caffeine from your diet
29: Sally aged 25, present with impetigo that has been diagnosed
as infected with staphylococcus. The clinical presentation in
pruritic, tender, red vesicles surrounded y erythema with a rash
that is ulcerating. Which types of impetigo is this?
Ans: Ecthyma
30: Which of the following instructions should be given to the
patient with nephrolithiasis?
Ans: Take Ibuprofen 600mg every 8 hours
31: A 63 years old man is seen in the clinic with a chief complaint
of nocturia . Which of the following should be included in the
differential diagnosis?
Ans: Benign prostatic hypertrophy
32: Which of the following are predisposing factors for
pyelonephritis?
Ans: Pregnancy
33: Which of the following statements is true regarding the
treatment of carpal tunnel syndrome?
Ans: All of the above
===34: A patient is diagnosed with Giardia after a backpacking
trip in the mountains. Which of the following would be the
appropriate treatment?
Ans: ?35; Sinusitis is considered chronic when there are episodes of
prolonged inflammation with repeated or inadequately treated
acute infection lasting greater than
Ans: 12 weeks
36: A patient is seen in the clinic with right upper quadrant (RUQ)
pain that is radiating to the middle of the back. The clinician
suspects acute cholelithiasis. The clinician should expect which of
the following laboratory findings?
Ans; Elevated alkaline phosphatase
37: SNAPPS is pneumonic used to described a technique in orally
presenting a patient
Ans; True
38; The clinician is caring for Diane a 22 years 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 X-ray is not
always necessary for an injured ankle and that the decision to
obtain radiographs is dependent on the exam and Diane’s
description of her injury. Which of the following clues in Diane’s
exam or history would alert the clinician to the need for obtaining
radiography?
Ans; All of above
39; The 56 years old man with chronic prostatitis should be
treated with trimethoprim 80mg sulfamethoxazole 400mg (TMPSMX. Actrim) for how long?
Ans: 6-12 weeks
40; A 23 years old sexually active man is seen in the clinic with
unilateral painful testicular swelling and diagnosed with
epididymitis in order to prescribe the correct drug the clinicianunderstands that which of these is the most common causative
organism?
Ans: Chlamydia trachomatis
41; A 30 years old patient presents with pain on urination. The
urine microscopy of unspun urine showed greater than
leukocytes/ml and a dipstick was positive for nitrites> What is
probable diagnosis?
Ans; Lower urinary tract infection
42: Acute angl-closure glaucoma involves a sudden severe rise in
intraocular pressure. Which of the following ranges represents
normal intraocular pressure?
Ans: 8 to 21mmHg
43: Joyce is taking a long-acting beta agonist for moderate
persistent asthma. Which additional medication should she be
taking?
Ans; Inhaled corticosteroid (ie Flovent).
44: A patient is seen in the clinic with a chief complaint of
hematuria. Which of the following data should be collected in
order to make a differential diagnosis?
Ans; What medications are you currently taking?
45; Which information should be included when you are teaching
your patient about the use of nicotine gum?
Ans; the gum must be correctly chewed to a softened
state and then place in the buccal mucosa
46; Parkinson’s disease is a progressive neurological disorder that
is associated with which type of tremor
Ans; Resting tremor47; If your preceptor is out ill on a day that you are scheduled to
be in the clinical setting, another preceptor can supervise you as
long as they are willing to take you on as a student and they meet
the minimum preceptor qualifications
Ans; False
48; A 42 years old woman is seen in the clinic with fever, chills
vomiting, and severe dysuria. She is diagnosed with acute
pyelonephritis. How should this patient be manged?
Ans; Hospitalization
49; The “B” in the ABCDE’s of assessing skin cancer represents
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