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?
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
Drug resistance mutations
Which medication is used as a first-line treatment in the management of bipolar disorder?
Gabapentin
Lamotrigine
Carbamazepine
Topiramate Carbamazepine
What is the essential feature of bipolar-I? Hyperactivity
Mania Depression
Anxiety
Which treatment would the clinician recommend for a patient who has relative polycythemia?
Rehydration
Antihistamines
Weekly phlebotomies
Rehydration
Referral to hematologist
Which phrase describes rheumatoid arthritis (RA)?
Localized synovial joint destruction
Chronic exocrine dysfunction
Systemic inflammatory disease
Antibody-mediated cellular cytotoxicity response
Which blood cell is excessively elevated in a person who has polycythemia?
Platelets
Neutrophils
Red blood cells
All types of blood cells
The stooped posture, motor slowness, and minor cognitive impairments of patients with major depressive disorders are similar to the signs of disorders of the basal ganglia, such as:
Parkinson’s disease Stevens-Johnson syndrome
Neurological disease
Huntington’s disease
It is important for the clinician to discuss the long-term effects of sexual assault with survivors. Which of the following is
the most common long-term effect of sexual assault?
Depression
Obsessive-compulsive disorder
Substance abuse
PTSD
The clinician is educating a patient about the effects of marijuana. The patient stated that she has been smoking for years and believes the use does not interfere with her life. What is the potential long- term sequelae of marijuana use that the clinician should educate this patient about?
Memory impairment Sexual dysfunction
Dry mouth
There are no long-term consequences of marijuana use
Which symptom is the cardinal subjective symptom of sickle cell crisis?
Pain Nausea
Light-headedness
Palpitations
What is the health impact of low-dose alcohol consumption?
Increased risk of developing alcohol addiction
Increased risk of coronary artery disease
Increased high-density lipoproteins
Increased excitation of critical ion channels
Increased high-density lipoproteins
Which classic rash should the clinician assess for in a patient with SLE?
Butterfly Bulls-eye
Ringworm
“Slapped” cheeks
Which finding from the bone marrow aspiration is typical in a patient with CML?
Schistocytes
Howell-Jolly bodies
Philadelphia chromosome
Hemoglobin S gene
Philadelphia chromosome
Each of the following antidepressants does NOT have significant liver CYP P450 interaction effects?
Paroxetine
Fluoxetine
Fluvoxamine
Olanzapine
Bipolar disorder requires differential diagnosis from all of the following except?
Substance abuse and medication effects
Medical and neurological disorders
Cluster B personality disorders and depression
Obsessive-compulsive disorder
After returning from visiting his grandchildren in Connecticut, 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. Which disease should the clinician be considering?
Rubella
Lyme disease
Fibromyalgia syndrome
Shingles Lyme disease
Spontaneous bruising may be seen with platelet counts below what level?
100,000 cells/mL
75,000 cells/mL
50,000 cells/mL
30,000 cells/mL Results for item 18. 18
All benzodiazepines are associated with:
Potential anterograde amnesia Dopamine-related movement disorders
Serotonin syndrome
Xerostomia and agitation
Which of the following disease-modifying antirheumatic drugs is a folic acid antagonist?
Methotrexate (Rheumatrex)
Etanercept (Enbrel)
Rituximab (Rituxan)
Anakinra (Kineret)
Which test should the clinician use to initially screen for HIV?
Western blot
Enzyme-linked immunosorbent assay
HIV-1/2 antigen/antibody combination immunoassay
HIV-1/2 antigen/antibody combination immunoassay
Nucleic acid amplification testing
Which of the following is considered first-line treatment for panic disorders?
Benzodiazepines
Selective serotonin reuptake inhibitors (SSRIs)
Cognitive behavioral therapy Tricyclic antidepressants
Cognitive behavioral therapy
HITS is a validated instrument used to identifying intimate partner violence. What does HITS stand for?
Hit, Injured, Threatened, Scared
Hurt, Insult, Threaten, Scream Humiliated, Isolated, Tortured, Scarred
Harm, Injury, Terror, Shame
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
Which of the following is a laboratory finding commonly found in patients with anorexia nervosa?
Hypophosphatemia Hypermagnesmia
Leukocytosis
Decreased TRH
Results for item 25. 25
Which of the following is the only drug used to treat bulimia that is approved by the U.S. Food and Drug Administration?
Sertraline
Fluoxetine Citalopram
Imipramine
A patient presents with symptoms of infectious mononucleosis. Which lab chemistry test should the clinician order?
Viral load
Hemoglobin A1c
Western blot assay
Heterophile antibody test
After discontinuing fluoxetine, how long must a person wait before starting a monoamine oxidase inhibitor?
2 weeks
3 weeks
4 weeks
5 weeks
How long would the clinician inform the patient to rest after onset of infectious mononucleosis?
4 days
10 days
2 weeks
4 weeks
What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia Pernicious anemia
Dryness of the eyes and mouth is typical of which condition?
Sjögren’s syndrome Allergic reaction
Hypothyroidism
Sideroblastic anemia
Which condition is the most common cause of generalized musculoskeletal pain in women ages 20 to 55?
Chronic fatigue syndrome
Anemia
Fibromyalgia syndrome Sports-related injuries
Which assessment finding presents with early rheumatoid disease?
Pain and swelling in both small and large peripheral joints
Joint swelling and immobility on rising
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
A cardiac rub with pulmonary friction rub
Which of the following may be used to evaluate a person’s suicide risk?
CAGE
SANE
SAD PERSONAS
SAD PERSONAS
DIGFAST
Suicide plans are assessed on all of the following, EXCEPT:
Specificity
Possibility Availability
Lethality
Infectious mononucleosis results from an acute infection with which of the following?
Epstein-Barr virus Acute HIV infection
Guillain-Barré
Hepatitis
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
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)
A patient is experiencing extrapyramidal side effects from his antipsychotic medications. The clinician would most likely take which of the following approaches to treating these side effects?
Give the patient a “drug holiday” until the symptoms resolve and then restart the medication.
Switch the patient to a different antipsychotic.
Treat the patient with anticholinergics. Treat the patient with anticonvulsants.
What is the likely result of the over-prescription, over-supply, and over-production of opioids?
Opioid use
Opioid abuse Opioid dependence
Opioid resistance
The clinician must differentiate chronic vitamin B12 deficiency anemia from folate deficiency anemia. Which action should the clinician take?
Obtain a complete blood count
Assess for peripheral neuropathy
Inspect for smooth surface on tongue
Determine the size of the red blood cell
Assess for peripheral neuropathy
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