Which of the following is a crucial element of developing a guideline?
Question 1. 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. 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. 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 spreadto 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. 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
Promethazine
Question 5. 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. Inattention and a sleep-wake cycle disturbance are the hallmark symptoms of?
Dementia
Alzheimer’s disease
Parkinson’s disease
Delirium
Question 7. 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. 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?
NSAIDs
Beets
Vitamin A
Red meat
Question 9. 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. Which of the following conditions is associated with cigarette smoking?
Glaucoma
Increased sperm quality
Bladder cancer
Eczema
Question 11. A chronic cough lasts longer than:
3 weeks
1 month
6 months
1 year
Question 12. The ‘freezing phenomenon’ is a cardinal feature of?
Parkinson’s disease
Alzheimer’s disease
A CVA
Bell’s palsy
Question 13. When administered at the beginning of an attack, oxygen therapy may help this kind of headache?
Tension
Migraine
Cluster
Stress
Question 14. 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. The most significant precipitating event leading to otitis media with e?usion is:
Pharyngitis
Allergies
Viral upper respiratory infection (URI)
Perforation of the eardrum
Question 16. 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. 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 di?erent antibiotic.
Question 18. 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. 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. 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. 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. 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.
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