The most cost-e?ective screening test for determining HIV
Question : The most cost-e?ective screening test for determining HIV
status is which of the following?
Western blot
Enzyme-linked immunosorbent assay
Venereal Disease Research Laboratory test
: Viral load
Comments:
Question 2.Question : 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)
:
Comments:
Question 3.Question : Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?
GABA
Acetylcholine
Dopamine
: Serotonin
Comments:
Question 4.Question : Mrs. Thomas was seen in the o?ce complaining of pain and
point tenderness in the area of her elbow. The pain has
increased following a day of gardening one week ago. A
physical finding that di?erentiates the diagnosis and is most
consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral
epicondyle
Pain at the elbow with resisted movements at the wrist
and forearm
Inability to supinate and pronate the arm
: Inability to flex or extend the elbow against resistance
Comments:
Question 5.Question : Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then
compared to the involved side.
The part of the body that is causing the patient pain
should be examined first.
When possible, the patient should not be asked to
perform active range-of-motion (ROM) exercises to avoid
causing pain.
Radiographs should always be obtained prior to
: examination so as not to cause further injury to the patient.
Comments:
Question 6.Question : Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning sti?ness
: Weight gain
Comments:
Question 7.Question : Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
: Rodents
Comments:
Question 8.Question : A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states
she can no longer exercise. Pelvic exam reveals a single,
very large mass. Which of the following diagnostic tests
should the clinician order first?
Transvaginal ultrasound
Endometrial biopsy
MRI
: Abdominal computed tomography scan
Comments:
Question 9.Question : A diabetic patient asks the clinician why he needs to check
his blood sugar at home even when he feels good. Which of
the following responses would be most appropriate?
“Control of glucose will help postpone or delay
complications.”
“Regularly checking blood sugar will help establish a
routine.”
“Monitoring glucose will promote a sense of control.”
: All of the above
Comments:
Question 10.Question : A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3
months. On physical examination, the clinician notices a
sinus bradycardia; muscular sti?ness; coarse, dry hair; and a
delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Serum calcium
TSH
Electrolytes
: Urine specific gravity
Comments:
Question 11.Question : Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
Insulin
Metformin
Glucotrol
: Precose
Comments:
Question 12.Question : During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding
should make the clinician suspicious?
An enlarged rubbery gland
A hard irregular gland
A tender gland
: A boggy gland
Comments:
Question 13.Question : Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your
first step?
Remove the insect with tweezers.
Immobilize the insect with 2% lidocaine.
Sedate Eddie with diazepam.
: Shine a light in the ear for the insect to “find its way out.”
Comments:
Question 14.Question : What is the most common cause of microcytic anemia?
Anemia of chronic disease
Sideroblastic anemia
Iron-deficiency anemia
: Thalassemia
Comments:
Question 15.Question : An 82-year-old man is seen in the primary care o?ce with
complaints of dribbling urine and di?culty starting his
stream. Which of the following should be included in the list
of di?erential diagnoses?
Benign prostatic hyperplasia (BPH)
Parkinson’s disease
Prostate cancer
: All of the above
Comments:
Question 16.Question : Early rheumatoid disease is characterized by:
Pain and swelling in both small and large peripheral
joints
Rigid joints with diminished range of motion
Joint swelling and immobility on rising
: A cardiac rub or pulmonary friction rub
Comments:
Question 17.Question : A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised
it but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and
ecchymosis but no overtly obvious deformity. Her ROM is
uncomfortable and severely diminished due to the pain. No
crepitus is heard or felt. Her fingers are warm; her pulse is
strong; and capillary refill is less than 2 seconds. What
should you do?
Make an immediate referral for an orthopedic evaluation
without further assessment.
Tell her that it takes time for these bruises to improve, so
she should be patient.
Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint.
Send her to the emergency room for reduction of this
: obvious wrist fracture.
Comments:
Question 18.Question : 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
Comments:
Question 19.Question : A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a
patient with a hydrocele, what would the clinician expect to
find?
The scrotum will be dark.
The scrotum will appear light pink or yellow.
The scrotum will appear milky white.
: The internal structures will be clearly visible.
Comments:
Question 20.Question : According to Kübler-Ross, the stages of grief occur in which
order?
Anger, denial, depression, bargaining, acceptance
Anger, denial, bargaining, acceptance, depression
Denial, anger, depression, bargaining, acceptance
: Denial, anger, bargaining, depression, acceptance
Comments:
Question 21.Question : 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
: The eradication of the HIV
Comments:
Question 22.Question : The exanthem of Lyme disease is:
Erythema infectiosum
Laterothoracic exanthem
Erythema migrans
: Morbilli exanthem
Comments:
Question 23.Question : You have detected the presence of crepitus on examination
of a patient with a musculoskeletal complaint. Additionally,
there is limited range of motion (ROM) with both active and
passive movement. These findings suggest that the origin of
the musculoskeletal complaint is:
Articular
Inflammatory
Nonarticular
: A and B
Comments:
Question 24.Question : What is the recommended daily calcium intake for adults
over the age of 50 with low bone mass?
1,200 mg/day
1,000 mg/day
1,300 mg/day
: 1,500 mg/day
Comments:
Question 25.Question : When assessing a woman for infertility, which of the
following tests should be done first?
Analysis of partner’s sperm
Magnetic resonance imaging (MRI)
Hysterosalpingogram
: Estrogen level
Comments:
Question 26.Question : Which type of burn injury results in destruction of the
epidermis with most of the dermis, yet the epidermal cells
lining hair follicles and sweat glands remain intact?
Lead
Carbon monoxide
: Strychnine
Comments:
Question 51.Question : Basic human needs are identified as:
Autonomy and feeling valued by others
Exhilaration and productivity
Spirituality
: Career success and material rewards
Comments:
Question 52.Question : The clinician sees a patient who is 5 feet tall and weighs 150
pounds. How would the clinician classify this patient?
Overweight
Mild obesity
Moderate obesity
: Morbid obesity
Question 100.Question : A 45-year-old woman is seen in the clinic with abnormal
uterine bleeding and pain during intercourse. The clinician
should consider which of the following diagnoses?
Leiomyoma
Pregnancy
Ovarian cancer
: All of the above
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