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DIFFERENTIAL DIAGNOSIS SCRIPT 2026
SOLVED QUESTIONS WITH FULL SOLUTION
โ Joyce is taking a long-acting beta agonist for her moderate persistent asthma. What additional medication should she be taking? a. Inhaled corticosteroid (Flovent) b. Leukotriene receptor antagonist c. Systemic corticosteroid (Prednisone) d. Methyl xanthenes (Theophylline. Answer: a. Inhaled corticosteroid (Flovent) โ 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: A. Articular B. Inflammatory C. Nonarticular D. A and B. Answer: A. Articular
โ Harvey has a rubbery, smooth, round mass on his chest which is compressible and has a soft to very firm texture. What do you diagnose this as? a. Lipoma b. Nevi c. skin tag d. Adenoma. Answer: a. Lipoma โ The patient with Gastroesophageal reflux disease (GERD) should be instructed to eliminate which of these activities? a. Swimming b. weight lifting c. Golfing d. Walking. Answer: b. weight lifting โ ...responded to antibiotic therapy. Which of the following actions should be taken next? a. send a urine specimen for microscopy looking for fungal colonies b. increase the dose of the antibiotic c. order a cystoscopy
a. anemia of chronic disease b. sideroblastic anemia c. iron deficiency anemia. Answer: c. iron deficiency anemia โ The clinical suspects that a client has patellar instability. In order to test for this, the client is seated with the quadriceps relaxed and the knee is placed in extension. NExt the patella is displaced laterally and the knee flexed to 30 degrees. IF instability is present, this maneuver displaces the patella to an abnormal position on the lateral femoral condyle, and the client will perceive pain. Testing for patellar instability in this way is known as: a. apprehension sign b. bulge sign c. thumb sign d. none of the above. Answer: a. apprehension sign โ 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. a. true a. false. Answer: a. false
โ Which of the following should be considered in a patient presenting with erectile dysfunction a. diabetes mellitus b. hypertension c. atherosclerosis d. all of the above. Answer: d. all of the above โ A 23 year old sexually active man is seen in the clinic with unilateral painful testicular swelling and diagnosed with epididymitis. In order to prescribe the correct drub, the clinician understands that which of these is them most common causative organism? a. escheichia coli b. staphylococcus aureus c. chlamydia trachomatis d. pseudomonas aerugonisa. Answer: c. chlamydia trachomatis โ The most common offending agents for medication induces resting tremor are:
โ Parkinsons disease is a progressive neurological disorder that is associated with which type of tremor? a. resting tremor b. postural tremor c. intention tremor d. medication induced tremor. Answer: a. resting tremor โ Which information should be included when you are teaching your patient about the use of nicotine gum? a. the gum must be correctly chewed to a softened state then placed in the buccal mucosa b. patients should not eat for 30 minutes prior to or during the use of the gum c. initially, one piece is chewed every 30 minutes while awake d. acidic foods and beverages should be encouraged during nicotine therapy. Answer: a. the gum must be correctly chewed to a softened state then placed in the buccal mucosa โ Severe pain associated with acute otitis media signifies perforation of the tympanic membrane. a. true
b. false. Answer: b. false โ Jason, aged 62, has obstructive sleep apnea. What do you think is one of his contributing factors? a. He is a recovering alcoholic of 6 years. b. His collar size is 19 inches. c. He is the only person in his family who has this. d. He is extremely thin.. Answer: b. His collar size is 19 inches. โ The "B" in the ABCDEs of assessing skin cancer represents: a. biopsy b. best practice c. boundary d. border irregularity. Answer: d. border irregularity โ The patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should question the patient about which of these contraindications to this medication? a. diarrhea
a. decreased C-reactive protein b. hyperalbuminemia c. morning stiffness. Answer: c. morning stiffness โ A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? a. very early b 3-4 hours after perforation c. late in inflammation d. appendicitis never presents with vague pain. Answer: a. very early โ A patiennt presents to the clinicians office with a sore throat, fever of 100.7 and tender anterior cervical lymphadenopathy. The clinican suspects strep throat and performs a rapid strep test that is negative. What would the next step be? a. the patient should be instructed to rest and increase fluid intake as the infection is most likely viral and resolve without antibiotic therapy
b. because the patient does not have strep throat, the clinican should start broad spectrum antibiotics in order to cover the offending pathogen c. a throat culture should be preformed to confirm the results of the rapid strep test. Answer: c. a throat culture should be preformed to confirm the results of the rapid strep test โ Which of the following statements is true regarding the treatment of carpel tunnel syndrome? a. the goal of treatment is to prevent flexion and extension movements of the wrist b. splints are used in carpal tunnel syndrome because the allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position c. corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring and infection d all of the above. Answer: d all of the above
a. gonorrhea b. mononucleosis c. influenza d. herpes zoster. Answer: b. mononucleosis โ In which of the following situations would referral to a specialist be needed for sinusitis a. recurrent sinusitis b. allergic sinusitis c. sinusitis that is refractory to antibiotic therapy d. all of the above. Answer: d. all of the above โ Heart valve damage resulting from acute rheumatic fever is a long-term sequelae resulting from infection with which of the following pathogens? a. coxsackievirus b. cytomegalovirus c. francisella tularensis d. group A streptococcus. Answer: d. group A streptococcus
โ What is the recommended calcium intake for adults over the age of 50 with low bone mass? a. 1200mg/day b 1000mg/day c. 1300mg/day d. 1500mg/day. Answer: d. 1500mg/day โ A 14 year old is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? a. obtain a scrotal ultrasound b. obtain a computed tomography scan (CT) c. instruct the patient to elevate the scrotum d. send the patient to the Emergency room. Answer: c. instruct the patient to elevate the scrotum d. send the patient to the Emergency room โ All students are subject to review of clinical logs to ensure that they have received a well-rounded experience
knee and then being unable to extend it completely. John tells the clinician that he heard a pop when the injury occurred and has been experiencing localized pain. The clinician suspects a meniscal tear. Which test would be most appropriate to assess for the presence of a meniscal tear? a. valgus stress test b. McMurray circumduction test c. Lachman's test d. Varus stress test. Answer: b. McMurray circumduction test โ Your patient has decided to give Chantix a try to quit smoking. YOu are discussing his quit date, and he will begin taking the medication starting tomorrow. When should he plan to quit smoking? a. he should stop smoking today b. he should stop smoking tomorrow c. his quit date should be in one week d. he will be ready to quit after the first 30 days. Answer: c. his quit date should be in one week
โ The patient is prescribed radioactive iodine (RAI) and asks the clinician how this drug works. The clinicans response should include which of the following data? a. RAI prevents the peripheral conversion of T4 to T b. RAI binds to free T c. RAI destroys thyroid tissue d. RAI reduces freely circulating iodine. Answer: c. RAI destroys thyroid tissue โ Not sure of the question...something about the oral mucosa membranes a. vincents stomatitis b. allergic stomatitis c. apthous stomatitis d. herpetic stomatitis. Answer: a. vincents stomatitis โ
