The correct treatment for ankle sprain during the first 48 hours after injury includes
• Question 1 The correct treatment for ankle sprain during the first 48 hours after injury includes: a. Alternating heat and ice, and ankle exercises.
b. Resistive ankle exercises, ankle support, and pain relief.
c. Rest, elevation, compression, ice and pain relief.
d. Referral to an orthopedist after x-rays to rule out fracture.
• Question 2 Which of the following statements about multiple sclerosis (MS) is correct? a. MS is a chronic, untreatable illness that is almost always fatal.
b. MS is a disease of steadily progressive and unrelenting neurologic deterioration.
c. MS is a chronic, treatable illness with unknown cause and a variable course.
d. Patients with MS who take active steps to improve their health have the best cure rate.
• Question 3 A positive drawer sign supports a diagnosis of:
a. Sciatica
b. Cruciate ligament injury
c. Meniscal injury
d. Patellar ligament injury
• Question 4 The 4 classic features of Parkinson’s disease are:
a. Mask-like facies, dysarthria, excessive salivation, and dementia.
b. Tremor at rest, rigidity, bradykinesia, and postural disturbances.
c. Depression, cognitive impairment, constipation and shuffling gait.
d. Tremor with movement, cogwheeling, repetitive movement, and multi-system atrophy.
• Question 5 A typical description of a tension headache is:
a. Periorbital pain, sudden onset, often explosive in quality, and associated with nasal stuffiness, lacrimation, red eye, and nausea.
b. Bilateral, occipital, or frontal tightness or fullness, with waves of aching pain.
c. Hemicranial pain that is accompanied by vomiting and photophobia.
d. Steadily worsening pain that interrupts sleep, is exacerbated by orthostatic changes, and may be preceded by nausea and vomiting.
• Question 6 The most effective treatment of non-infectious bursitis includes:
a. Systemic antibiotic therapy effective against penicillin resistant Staphylococcus areus.
b. Rest, an intra-articular corticosteroid injection, and a concomitant oral NSAID.
c. A tapering regimen of oral corticosteroid therapy.
d. Frequent active range of joint motion.
• Question 7 A 72 year old patient exhibits sudden onset of fluctuating restlessness, agitation, confusion, and impaired attention. This is accompanied by visual hallucinations and sleep disturbance. What is the most likely cause of this behavior?
a. Dementia
b. Delirium
c. Medication reaction
d. Depression
• Question 8 A 26 year old female presents with elbow pain that is described as aching and burning. There is point tenderness along the lateral aspect of the elbow and painful passive flexion and extension. She reports she has been playing tennis almost daily for the past month. The most likely diagnosis is:
a. Radial tunnel syndrome
b. Ulnar collateral ligament sprain
c. Olecranon bursitis
d. Lateral epicondylitis
• Question 9 Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
a. Ulnar tunnel syndrome
b. Carpal tunnel syndrome
c. Tarsal tunnel syndrome
d. Myofascial pain syndrome
• Question 10 A patient taking levothyroxine is being over-replaced. What condition is he at risk for? a. Osteoporosis
b. Constipation
c. Depression
d. Exopthalmia
• Question 11 Which of the following symptoms suggests a more serious cause of back pain? a. Pain associated with coughing or sneezing
b. Pain associated with muscle spasm
c. Pain associated with lying down at night
d. Pain associated with negative straight leg raise
• Question 12 The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
a. Migraine headache
b. Subarachnoid hemorrhage
c. Glaucoma
d. Meningitis
• Question 13 Successful management of a patient with attention deficit hyperactivity disorder (ADHD) may be achieved with:
a. Stimulant medication along with behavioral and family intervention.
b. Methylphenidate (Ritalin) in conjunction with diet changes.
c. Treatment by a psychiatrist.
d. Discipline and removal of offending foods from the diet.
• Question 14 Which of the following set of symptoms should raise suspicion of a brain tumor? a. Recurrent, severe headaches that awaken the patient and are accompanied by visual disturbances.
b. Vague, dull headaches that are accompanied by a reported sense of impending doom.
c. Periorbital headaches occurring primarily in the evening and accompanied by pupillary dilation and photophobia.
d. Holocranial headaches present in the morning and accompanied by projective vomiting without nausea.
• Question 15 The most common symptoms of transient ischemic attack (TIA) include:
a. Nausea, vomiting, syncope, incontinence, dizziness, and seizure.
b. Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes.
c. Headache and visual symptoms such as bright spots or sparkles crossing the visual field.
d. Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
• Question 16 The most reliable indicator(s) of neurological deficit when assessing a patient with acute low back pain is(are):
a. Patient report of bladder dysfunction, saddle anesthesia, and motor weakness of limbs.
b. History of significant trauma relative to the patient’s age.
c. Decreased reflexes, strength, and sensation in the lower extremities.
d. Patient report of pain with the crossed straight leg raise.
• Question 17 Diagnostic radiological studies are indicated for low back pain:
a. Routinely after 3 weeks of low back pain symptoms.
b. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain.
c. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
d. As a part of a pre-employment physical when heavy lifting is included in the job description.
• Question 18 The most commonly recommended pharmacological treatment regimen for low back pain (LBP) is:
a. Acetaminophen or an NSAID
b. A muscle relaxant as an adjunct to an NSAID
c. An oral corticosteroid and diazepam (Valium)
d. Colchicine and an opioid analgesic
• Question 19 A 60 year old female patient complains of sudden onset unilateral, stabbing, surface pain in the lower part of her face lasting a few minutes, subsiding, and then returning. The pain is triggered by touch or temperature extremes. Physical examination is normal. Which of the following is the most likely diagnosis? a. Trigeminal neuralgia
b. Temporal arteritis
c. Parotiditis
d. Bell’s palsy
• Question 20 The most effective intervention(s) to prevent stroke is (are):
a. 81 mg of aspirin daily
b. Carotid endarterectomy for patients with high-grade carotid lesions
c. Routine screening for carotid artery stenosis with auscultation for bruits
d. Smoking cessation and treatment of hypertension
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