Medical Terminology and Concepts, Exams of Biomedicine

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NCCAOM Biomed review

Which of the following nerves innervates the deltoid muscle? A. Ulnar nerve. B.Radial nerve C. Median nerve D. Axillary nerve - ANS D. Axillary nerve Each of the following is a member of rotator cuff muscles EXCEPT:A. Teres major.B.Infraspinatus. C. Subscapularis. D.Supraspinatus. - ANS A. Teres major Inability to flex the thigh over the body trunk is most likely caused by paralysis of. A. Iliopsoas. B.Quadriceps. C.Hamstrings. D.Gluteus maximus. - ANS a. Iliopsoas The most abundant white blood cells in the circulating blood are: A.Monocytes. B. Eosinophils C. Neutrophils. D. Lymphocytes. - ANS C.Neutrophils The majority of the fluid leave the body as: A. Sweat through the skin. B. Feces through the GI tract. C. Urine through the kidneys. D.Water in expired air through the lungs. - ANS C. Urine through the GI tract A child is immune to certain infectious diseases after being properly vaccinated. This represents a type of: A. Naturally acquired active immunity. B. Naturally acquired passive immunity. C. Artificially acquired active immunity. D. Artificially acquired passive immunity. - ANS C. Artificially acquired active immunity Which of the following is NOT a communicable infectious disease? A. Tetanus. B.Leprosy. C. Hepatitis. D. Tuberculosis. - ANS A. Tetanus A value of 28 in the body mass index {BMI} is interpreted as being A. Normal.B. Overweight. C. Stage I obese. D.Stage II obese. - ANS B. Overweight A male patient has suffered from shooting sciatic pain with radiation down to both legs. The pain is worsened by spinal movement and by sneezing or coughing. A positive straight leg-raising sign and decreased ankle jerks are found. These symptoms and signs are highly suggestive of:

A. Ankylosing spondylitis. B. Degenerative joint disease. C. Paravertebral muscle spasm. D. Herniated intervertebral disc. - ANS D. Herniated intervertebral disc Which drug affecting blood interferes with the function of platelets? A. Aspirin. B. Heparin. C. Warfarin. D. Alteplase. - ANS A. Aspirin Which drug affecting blood interferes with the function of platelets? A. Aspirin. B. Heparin. C. Warfarin. D. Alteplase. - ANS A. Aspirin Which endogenous neurotransmitter resembles opiates in their abilities to produce pain relief and a feeling of well-being?A. Endorphin. B. Epinephrine. C. Acetylcholine. D. Norepinephrine. - ANS A. Endorphin b-Lactam antibiotics, such as penicillins and cephalosporins, are used to treat bacterial infections by: A. Inhibiting the bacterial protein synthesis. B. Disrupting the bacterial DNA replication. C. Preventing the synthesis of bacterial folic acid. D. Interfering with the bacterial cell wall synthesis. - ANS D. Interfering with the bacterial cell wall synthesis Albuterol [Ventolin®], a non-catecholamine direct-acting adrenergic agonist, is clinically used to control the symptoms of: A. Asthma. B. Influenza. C. Pneumonia. D. Sinus infection. - ANS A. Asthma Donepezil [Aricept®] is an acetylcholinesterase inhibitor that is currently approved for the treatment of: A. Insomnia. B. Depression. C. Parkinson's disease. D. Alzheimer's disease. - ANS D. Alzheimer's disease What action should an acupuncturist take if a needle breaks off below the skin while treating the patient? A. Do not inform the patient because he or she may pass out. B. Consult a physician for surgical removal of the broken needle. C. Tell the patient to calm down and call another more experienced acupuncturist. D. Use aseptic technique to cut open the skin and try to withdraw the broken needle. - ANS B. Consult a physician for surgical removal of the broken needle.

An elderly patient suddenly faints while waiting for the acupuncture treatment in the clinic. He has a history of coronary artery disease. On checking the vital signs, you find that his blood pressure is 80/50 mmHg, and his pulse and breathing are weak. What immediate action should you take? A. Call 911. B. Perform CPR. C. Contact the patient's family doctor. D. Resuscitation by needling Du 20 and Du 26. - ANS A. Call 911 Bending the head forward on the chest is a movement known as: A. Flexion. B. Extension. C. Protraction. D. Depression. - ANS A. Flexion Chief complaints are the patient's: A. Objective sign. B. Own diagnosis. C. Presenting symptom. D. Most current problem. - ANS C. Presenting symptom. For a case of suspected diabetes insipidus, which laboratory test below is most diagnostic? A. Uric acid level. B. Blood ADH level. C. Fasting blood sugar. D. 2-hour postprandial glucose. - ANS B. Blood ADH level. The visual center of the brain is located in the: A. Frontal lobe. B. Parietal lobe. C. Occipital lobe. D. Temporal lobe. - ANS C. Occipital lobe. Which of the following is NOT one of the actions of aspirin and other nonsteroidal, anti- inflammatory drugs [NSAIDs]? A. Analgesic. B. Antibiotic. C. Antipyretic. D. Anti-inflammation - ANS B. Antibiotic Sphygmomanometer is a medical instrument used to measure the A. Intraocular pressure. B. Intracranial pressure. C. Arterial blood pressure. D. Jugular venous pressure. - ANS C. Arterial blood pressure A patient is seen in the clinic with a chief complaint of pain in the epigastric area. The pain seems to be partly relieved by sitting up or leaning forward and also radiates toward the mid- back. Which organ listed below is most likely involved? A. Liver. B. Stomach. C. Pancreas. D. Gallbladder. - ANS C. Pancreas

Which type of hepatitis is transmitted via fecal-oral route? A. Hepatitis A. B. Hepatitis B. C. Hepatitis C. D. Hepatitis D. - ANS A) Hepatitis A A study of the recorded electrical changes in corneoretinal potential caused by movements of the eye is known as: A. Electromyography [EMG]. B. Electrocardiography [ECG]. C. Electronystagmography [ENG]. D. Electroencephalography [EEG] - ANS C. Electronystagmography An elevated blood creatinine level supports the diagnosis of diseases related to the A. Lung. B. Liver. C. Heart. D. Kidney. - ANS D. Kidney Bipolar disorder is a broad term used to describe a recurrent: A. Anxiety or panic disorder. B. Manic or depressive disorder. C. Obsessive or compulsive disorder. D. Anorexia nervosa or bulimia nervosa. - ANS B. Manic or depressive disorder Occult blood {OB} test is a part of routine screening for people over the age of 50 years. It is used to detect small quantities of blood in the A. Stool. B. Urine. C. Sputum. D. Vaginal discharge. - ANS A. Stool A 75-year-old woman comes to the clinic with a chief complaint of pain in the hip and knee joint [especially on use], stiffness after inactivity, and functional impairment of gait. Her radiography shows some structural changes, such as loss of joint space, formation of osteophytes [spurs], etc. What is the most likely medical diagnosis? A. Fracture. B. Osteoporosis. C. Osteoarthritis. D. Rheumatoid arthritis. - ANS C. Osteoarthritis Carpal tunnel syndrome is caused by compression of A. Ulnar nerve. B. Radial nerve C. Median nerve. D. Axillary nerve. - ANS C].Median nerve Smoking as a risk factor increases the incidence of all of the following medical conditions EXCEPT A. Sudden infant death syndrome [SIDS]. B. Intrauterine growth retardation [IUGR]. C. Acquired immunodeficiency syndrome [AIDS] D. Chronic obstructive pulmonary disease [COPD]. - ANS C. Acquired immunodeficiency syndrome (AIDS)

A young patient is brought to the emergency department because of nausea, vomiting, and severe pain in the right lower abdomen. Upon physical examination, rebound tenderness and rigidity are found on the point, which is located at the lower one-third of the distance between the umbilicus and right anterior superior iliac spine [ASIS]. This is a typical positive A. Psoas sign. B. Obturator sign. C. Rovsing's sign. D. McBurney's sign. - ANS D. McBurney's sign A female patient presents with a low-grade fever, a frequent, urgent need to urinate, and a burning and painful sensation during urination. A diagnosis of cystitis [UTI] may be made on the basis of A. Urinalysis. B. Clinical manifestations. C. Midstream urine culture. D. All of the above.

• ANS D) All of the above A female patient presents with a low-grade fever, a frequent, urgent need to urinate, and a burning and painful sensation during urination. A diagnosis of cystitis [UTI] may be made on the basis of A. Urinalysis. B. Clinical manifestations. C. Midstream urine culture. D. All of the above.
• ANS D. All of the above Dual-energy X-ray absorptiometry [DEXA] is used for determining: A. Bone mineral content. B. Metabolic activity of the liver. C.Radiographic density of the lung. D.Absorption of the small intestine. - ANS A. Bone mineral content One of the classic venereal diseases [sexually transmitted diseases or STDs]issyphilis, which is caused by a: A. Virus. B. Fungus. C. Parasite. D. Bacterium. - ANS D. Bacterium One of the classic venereal diseases [sexually transmitted diseases or STDs] is syphilis, which is caused by a: A. Virus. B. Fungus. C. Parasite. D. Bacterium. - ANS D. Bacterium In which of the following situations parent or legal guardian consent is NOT required to treat a minor? A. Care during pregnancy. B. Prescription of contraceptives. C. Sexually transmitted diseases (STDs). D. All of the above. - ANS D. All of the above A 58-year-old male patient presents to the emergency department with acute onset of excruciating substernal pain. He has a history of cigarette smoking for 40 years. He was diagnosed with hypertension 20 years ago. Immediate ECG shows ST segment elevation and T wave inversion. What is the most likely medical diagnosis? A. Aortic aneurysm. B. Erosive esophagitis.C. Myocardial infarction. D. Ventricular arrhythmia. - ANS C.Myocardial infarction

Which blood test is specifically used to monitor the response of the bone marrow to therapy for anemia?A. Leukocyte count. B. Erythrocyte count. C. Reticulocyte count. D. Thrombocyte count. - ANS C. Reticulocyte count In the US, the top three leading causes of death from diseases in adults are respectively: A. AIDS, cancer, and heart disease. B. Cancer, heart disease, and AIDS C. Heart disease, cancer, and stroke. D. Cancer, heart disease, and stroke. - ANS C. Heart disease, cancer, stroke In addition to the central cavities of the brain and spinal cord, cerebrospinal fluid [CSF] also circulates in the: A. Epidural space. B. Subdural space C. Subarachnoid space. D. All of the above. - ANS C. subarachnoid space A female patient has intermittent diarrhea with occasional blood and mucus in the stools and abdominal pain. Her symptoms are aggravated by emotional stress. What is the most likely medical diagnosis? A.Celiac disease. B. Ulcerative colitis. C. Lactose intolerance. D. Irritable bowel syndrome (IBS). - ANS B. Ulcerative colitis A 24-year-old female patient has suffered from high fever, generalized muscle aching, malaise, headache, and watery diarrhea for 3 days. Her last menstrual period was 2 weeks ago. She uses contraceptive sponge and diaphragm as her birth control method. Which of the following is the most serious medical condition that needs to be ruled out immediately in this case? A. Influenza. B. Food poisoning. C. Ruptured ectopic pregnancy. D.Toxic shock syndrome [TSS] - ANS D. Toxic shock syndrome (TSS) Parathyroid hormone [PTH] is involved in the regulation of calcium metabolism. Its target organs include all of the following EXCEPT: A. Skin. B. Bone C.Kidney.D. Small intestine. - ANS A. Skin For a patient with seizures of unknown cause, which of the following would be the most appropriate initial step of investigation?A. Evoked potential studies. B. Neural conduction studies. C. Lumbar puncture [spinal tap]. D. Electroencephalography [EEG] - ANS D) Electroencephalography (EEG)

Four key components to informed consent include all of the following EXCEPT A. The patient must have no right to withdraw consent at any time. B. The patient must be aware of outcome if he or she does not consent. C. The patient must understand the health implications of their diagnosis. D. The patient must be informed of risks, benefits, and alternatives to treatment. - ANS A) The patient must have no right to withdraw consent at any time. Clinical and epidemiologic studies have shown that which component of the lipid profile is an independent INVERSE risk factor for coronary artery disease [CAD]?A. Cholesterol. B. Triglyceride. C. Low-density lipoprotein [LDL]. D. High-density lipoprotein [HDL] - ANS D) High- density lipoprotein (HDL) The manager of a company calls your office, requesting information about the health issue of his employee, who has also been your regular patient for 2 years. The manager explains that his employee may be promoted to a higher position if no major health problems are were found. How are you supposed to respond to this request? A. Refuse to give out the patient's information. B. Ask about the details of the patient's promotion. C. Tell him to let the company's lawyer talk to you. D. Provide the patient's information only in your office. - ANS A) Refuse to give out the patient's information. Rotation of the head involves the first and second cervical vertebrae, which are respectively known as A. Axis and atlas. B. Atlas and axis. C. Sacrum and coccyx. D. Sternum and clavicle. - ANS B) Atlas and axis Which one of the following hormones is NOT an example of steroid hormones? A. Estrogen. B. Prolactin. C. Testosterone. D. Progesterone. - ANS B) Prolactin Body systems that are involved in the stress response include A. Immune system. B. Nervous system. C. Endocrine system. D. All of the above. - ANS D) All of the above A middle-aged man with a history of high blood uric acid level presents with a sudden nocturnal onset of excruciating pain and swelling in the metatarsophalangeal joint of the great toe. What medical condition is highly suspected?A. Gout. B. Osteoarthritis. C. Septic arthritis. D. Rheumatoid arthritis. - ANS A) Gout

Infectious mononucleosis is believed to be related to A. Viral infection. B. Fungal infection. C. Parasitic infection. D. Bacterial infection. - ANS A) viral infection Which of the following definitions regarding SOAP notes is WRONG? A. S: Subjective. B. O: Objective. C. A: Assessment. D. P: Progression. - ANS D) Progression.\n\nSubjective, Objective, Assessment, Plan. A calibrated device for measuring the angle of a joint or its range of motion (ROM) is\nknown as\n(A) Tonometer.\n(B) Spirometer.\n(C) Goniometer.\n(D) Sphygmomanometer. - ANS C) Goniometer Digital rectal exam (DRE) combined with a blood PSA test can detect nearly 90% of clinically significant A. Rectal cancer. B. Bladder cancer. C. Cervical cancer. D. Prostatic cancer. - ANS D) Prostatic cancer Over-the-counter [OTC] drugs, such as cimetidine [Tagamet®] ranitidine [Zantac®], famotidine [Pepcid®], etc., act as A. Proton pump inhibitors. B.Histamine H1 receptor blockers. C. Histamine H2 receptor blockers. D. Aluminum or magnesium antacids. - ANS C) Histamine H receptor blockers A nonsteroidal anti-inflammatory drug [NSAID] that contains naproxen would be A. Advil®. B. Aleve®. C. Motrin®. D. Nuprin®. - ANS B) Aleve Which of the following best describes the process of autoclaving? A. 250°F at 15 lbs psi of steam pressure for 30 minutes. B. 250°F at 30 lbs psi of steam pressure for 15 minutes. C. 338°F at 15 lbs psi of steam pressure for 30 minutes. D. 338°F at 30 lbs psi of steam pressure for 15 minutes. - ANS A) 250°F at 15 lbs psi of steam pressure for 30 minutes. Approximately how many skeletal muscles are found in the human body? A. Over 200. B. Over

600. C. Over 800. D. Over 1,000. - ANS B) over 600 According to the Health Insurance Portability and Accountability Act [HIPAA], all of the following are your health information privacy rights EXCEPT A. Ask to see and get a copy of your health

records. B. Have corrections added to your health information. C. Receive a notice that tells you how your health information is used and shared. D. Always give permission as long as your health information is used or shared for medical research purposes. - ANS D)Always give permission as long as your health information is used or shared\nfor medical research purposes. A Papanicolaou [Pap] smear test is performed to detect abnormal or atypical cells in\nor on the A. Uterus. B. Cervix. C. Vagina. D. Urethra. - ANS B) Cervix A positive Brudzinski's sign, in which both hips and knees are actively flexed in response to passive flexion of the neck, suggests the inflammation of the a. Hip joint. B. Meninges. C. Knee joint. D. Cervical vertebra. - ANS B) Meninges The most common form of cancer in men between the ages of 15 and 35 would be A. Lung cancer. B. Brain cancer. C. Prostatic cancer. D. Testicular cancer. - ANS D) Testicular cancer A daughter brings her 80-year-old mother to the clinic and states that over the last 6 months, her mother has become forgetful. The mother has difficulty in remembering recent events and often forgets to pay her bills, but otherwise she has been in good health and takes no medications. Vital signs and physical examination are within the normal range. Which of the following is the best next step in making the diagnosis? A. Thyroid function test. B. Psychiatric evaluation. C. Imaging study of the brain. D. )Mini-mental status examination [MMSE]. - ANS D) Mini-mental status examination (MMSE) Under normal conditions, hyperglycemia stimulates the pancreas to secrete A. Insulin. b. Glucose. C. Glycogen. D. Glucagon. - ANS A) Insulin Anti-DNA and antinuclear antibodies are primarily tested for the screen, diagnosis, and follow- up of A. Cystic fibrosis [CF] B. Multiple sclerosis [MS] C. Rheumatoid arthritis [RA] D. Systemic lupus erythematosus [SLE] - ANS D) Systemic lupus erythematosus (SLE) Currently recommended breath and compression ratio for adult CPR is A. 1:15. B. 1:30. C. 2:15. D. 2:30. - ANS D) 2:

Standing on one's heels is the action of which muscle or muscle group?\n(A)Quadriceps.\n(B) Hamstrings.\n(C) Gastrocnemius.\n(D) Tibialis anterior. - ANS D) Tibialis anterior A young man is brought to the hospital, highly agitated and aggressive and demonstrating paranoid ideation. Physical examination reveals tachycardia, hypertension, pupillary dilation, and nasal inflammation. A most probable substance abused and responsible for this presentation would be A. Heroin. B. Alcohol. C. Cocaine. D. Marijuana. - ANS C) Cocaine The pathophysiologic mechanism involved in the generation of edema from hypoproteinemia is A. Lymphatic obstruction. B. Increased hydrostatic pressure. C. Renal retention of salt and water. D. Decreased plasma osmotic pressure. - ANS D) decreased plasma osmotic pressure Chest X-ray [CXR] is NOT indicated in which of the following medical conditions? A. Pneumonia. B. Rib fracture. C. Enlarged heart. D. Coronary artery occlusion. - ANS D) Coronary artery occlusion Which of the following coagulation tests is used specifically to monitor warfarin [Coumadin®] therapy? a. Platelet count. B. Bleeding time. C. Prothrombin time (PT]. D.Partial thromboplastin time [PTT] - ANS C) Prothrombin time (PT) According to the recommendation from the American Cancer Society, monthly breast self- examination should begin at the age of\ A. 20. B. 30. C. 35. D. 40. - ANS A) 20 A deficiency of vitamin C may result in a. Scurvy. b. Anemia. c. Pellagra. d. Night blindness. - ANS A) Scurvy Which of the following procedures is required to confirm the diagnosis of endometriosis? a. CAT scan. b. Sonography. c. Laparoscopy. d. Hormonal testing. - ANS C) Laparoscopy An elevated blood ammonia level suggests a pathological condition in the a Liver. b. Kidney. c. Pancreas. d. Urinary bladder. - ANS A) Liver

What nerve roots contribute to the formation of the sciatic nerve?\n(A) L1 - L5 and S1 - S4.\n(B) L2 - L4 and S1 - S2.\n(C) L3 - L5 and S1 - S3.\n(D) L4 - L5 and S1 - S3. - ANS D) L4 - L5 and S1 - S3. A patient presents with steatorrhea (fatty diarrhea). The stools are pale-colored,\nextremely smelly, floating in the toilet bowl and difficult to flush away. He has no\nabdominal pain, nausea, vomiting, or jaundice. What is the most probable type or\ncause of his diarrhea?
n(A)Malabsorption.\n(B) Osmotic diarrhea.\n(C) Parasitic infection.\n(D)Abnormal intestinal motility. - ANS A) Malabsorption A pulsatile mass palpated in the middle of the abdomen is most likely to be an\n(A)Aortic aneurysm.\n(B) Ovarian malignancy.\n(C) Epigastric distention.\n(D) Intestinal obstruction. - ANS A) Aortic aneurysm Pernicious anemia results from defective secretion of the intrinsic factor by the gastric\nmucosal cells, causing diminished absorption of which vitamin?\n(A)Vitamin B1.\n(B) Vitamin B3.\n(C) Vitamin B6.\n(D)Vitamin B12. - ANS D) Vit B The head of the humerus is to the glenoid fossa as the head of the femur is to the
n(A)Obturator.\n(B) Acetabulum.\n(C) Symphysis pubis.\n(D)Greater trochanter. - ANS B) Acetabulum Raising the arm above the shoulder with elicited pain and paresthesias (pins-andneedles
nsensations) in the shoulder, arm and hand is a finding that suggests\n(A) Frozen shoulder.
n(B) Carpal tunnel syndrome.\n(C) Thoracic outlet syndrome.\n(D) Tennis elbow or golfer's elbow. - ANS C) Thoracic outlet syndrome A commonly used assessment tool with estimates of the percentages of the total body\nsurface area (TBSA) burned is the rule of nines. If a person has a second-degree burn\ncovering the entire right upper limb and right lower limb without affecting the genital\narea, what would be the approximate percentage of TBSA burned?\n(A) 9%.\n(B) 18%.\n(C) 27%.\n(D) 36%. - ANS C) 27% An athlete receives a severe blow to the lateral side of the right knee while playing\nfootball. Examination two hours later reveals a stiffly swollen knee with aspiration of\nhemorrhagic

effusion of the joint. Each of the following structures may be\nsignificantly torn in the patient's right knee EXCEPT\n(A)Achilles tendon.\n(B) Medial meniscus.\n(C) Medial collateral ligament.
n(D)Anterior cruciate ligament. - ANS A) Achilles tendon Which one of the following immunoglobulins (Igs) is involved in type I\nhypersensitivity or allergic reactions?\n(A) Ig A.\n(B) Ig E.\n(C) Ig G.\n(D) Ig M. - ANS B) Ig E Contraction of the sternocleidomastoid (SCM) muscle on one side results in\n(A) Flexion of the head.\n(B) Extension of the head.\n(C) Turning of the head to the same side.\n(D) Turning of the head to the opposite side. - ANS D) Turning of the head to the opposite side b-Adrenergic blockers belong to what class of antiarrhythmic drugs?\n(A) Class I.\n(B) Class II.
n(C) Class III.\n(D) Class IV. - ANS B) Class II Which cranial nerve controls the movement of the tongue?\n(A) CN V (Trigeminal).\n(B) CN VII (Facial).\n(C) CN IX (Glossopharyngeal).\n(D) CN XII (Hypoglossal). - ANS D) CN XII (hypoglossal) Clinical manifestations of a patient with pins-and-needles sensations down the arm\nand around the lips as well as muscle spasms would most likely suggest\n(A)Hypokalemia.\n(B) Hyperkalemia.\n(C) Hypocalcemia.\n(D)Hypercalcemia. - ANS C) Hypocalcemia On neurological examination, a patient is found to have grade 3 muscle strength in\nhamstrings and triceps brachii without obvious muscle wasting. The biceps reflex is\nrecorded as 3+, while the knee and ankle jerks are recorded as 4+ with clonus. There\nis also an extensor plantar response (i.e. positive Babinski's sign). Where is the\nneuronal lesion of this patient located?
n(A)Upper motor neuron only.\n(B) Lower motor neuron only.\n(C) Both upper and lower motor neurons.\n(D)Neither upper nor lower motor neurons. - ANS A) Upper motor neuron only. Antioxidant vitamins include all of the following EXCEPT\n(A)Vitamin A.\n(B) Vitamin C.\n(C) Vitamin D.\n(D)Vitamin E. - ANS C) Vitamin D

Which one of the following muscles is NOT a member of hamstrings?\n(A) Biceps femoris.\n(B) Rectus femoris.\n(C) Semitendinosus.\n(D) Semimembranosus. - ANS B) Rectus femoris Hepatitis D must be co-infected with\n(A)Hepatitis A.\n(B) Hepatitis B.\n(C) Hepatitis C.
n(D)Hepatitis E. - ANS B) Hepatitis B What medical imaging study is most suitable for evaluating muscular or soft tissue\ninjuries?
n(A) Contrast radiography.\n(B) Computerized tomography (CT).\n(C) Magnetic resonance imaging (MRI).\n(D) Positron emission tomography (PET). - ANS C) Magnetic resonance imaging (MRI) Ascites, an abnormal accumulation of serous fluid in the peritoneal cavity, is most\nlikely caused by\n(A)Gallstones.\n(B) Acute hepatitis.\n(C) Hepatic cirrhosis.\n(D) Chronic pancreatitis. - ANS C) Hepatic cirrhosis Visual examination of the uterus and uterine lining using an endoscope inserted\nthrough the vagina is called\n(A) Cystoscopy.\n(B) Colposcopy.\n(C) Colonoscopy.\n(D)Hysteroscopy. - ANS D) Hysteroscopy Alternating diarrhea and constipation associated with abdominal pain is highly\nsuggestive of
n(A) Colorectal carcinoma.\n(B) Campylobacter enteritis.\n(C) Irritable bowel syndrome (IBS).
n(D) Inflammatory bowel disease (IBD). - ANS C) Irritable Bowel Syndrome (IBS) How many bones are there totally in the human skeleton?\n(A) 80.\n(B) 126.\n(C) 200.\n(D)

206. • ANS D) 206 Which of the following eye disorders is characterized by increased intraocular\npressure (IOP), which may lead to damage to the optic nerve and loss of vision?\n(A) Cataract.\n(B) Glaucoma.
       n(C) Astigmatism.\n(D) Conjunctivitis. - ANS B) Glaucoma The nature of multiple sclerosis (MS) is\n(A) Infection.\n(B) Degeneration.\n(C) Demyelination.
       n(D) Metabolic disturbance. - ANS C) Demyelination

Bacterial infection with Helicobacter pylori is associated with\n(A) Peptic ulcer disease (PUD).
n(B) Irritable bowel syndrome (IBS).\n(C) Inflammatory bowel disease (IBD).\n(D) Gastroesophageal reflux disease (GERD). - ANS A) Peptic ulcer disease (PUD) Difficulty in keeping balance when walking is most likely due to a lesion in which\ncranial nerve?\n(A) CN VIII (Vestibulocochlear).\n(B) CN IX (Glossopharyngeal).\n(C) CN X (Vagus).
n(D) CN XI (Accessory). - ANS A) CN VIII (Vestibulocochlear) According to the new standard of classification, a blood pressure of 140/90 mmHg is
nconsidered to be\n(A)Normal.\n(B) Prehypertension.\n(C) Stage I hypertension.\n(D) Stage II hypertension. - ANS C) Stage I hypertension Weber and Rinne tests are useful in the differential diagnosis of\n(A) Tinnitus.\n(B) Deafness.
n(C) Blindness.\n(D) Dizziness and vertigo. - ANS B) Deafness Which of the following agents is an antibiotic that may be used to treat respiratory,\ndigestive, urinary, and reproductive tract infections?\n(A) Enalapril (Vasotec®).\n(B) Lorazepam (Ativan®).\n(C) Atorvastatin (Lipitor®).\n(D) Ciprofloxacin (Cipro®). - ANS D) Ciprofloxacin (Cipro) International Classification of Diseases (ICD) is the World Health Organization\n(WHO) standard used primarily for\n(A) Statistics.\n(B) Diagnosis.\n(C) Treatment.\n(D) Prevention. - ANS B) Diagnosis A young child is brought into the emergency room by the parents because of crying\nand coughing. Upon physical examination, the child is found to be afebrile and\nscared. Multiple bruises and burns over the limbs are also noted. The appropriate next\nstep in the management of this case should be\n(A) To refer to a pediatrician.\n(B) To recommend a chest X-ray.\n(C) To contact a child protective agency.\n(D) To ask if the child has been physically abused. - ANS C) To contact a child protective agency Which blood vessel below provides blood supply to the cardiac muscle?\n(A) Cardiac vein.\n(B) Pulmonary vein.\n(C) Coronary artery.\n(D) Pulmonary artery. - ANS C) Coronary artery

Calcium ions are required for\n(A) Bone density.\n(B) Blood clotting.\n(C) Muscle contraction.
n(D) All of the above. - ANS D) All of the above A deficiency of which vitamin listed below may cause rickets in children or\nosteomalacia in adults?\n(A) Vitamin A.\n(B) Vitamin B.\n(C) Vitamin C.\n(D) Vitamin D. - ANS D) Vitamin D Mosquito bites may transmit all of the following diseases EXCEPT\n(A) Malaria.\n(B) Filariasis.
n(C) Yellow fever.\n(D) Rocky Mountain spotted fever. - ANS D) Rocky Mountain spotted fever How often does the American Cancer Society recommend clinical breast examination\nby a health care professional and mammography for women over the age of 40?\n(A) Yearly.\n(B) Monthly.\n(C) Every 2 years.\n(D) Every 3 years. - ANS A) Yearly Erythrocyte sedimentation rate (ESR) is a nonspecific test used to detect illnesses\nassociated with\n(A) Anemia.\n(B) Jaundice.\n(C) Hemolysis.\n(D) Inflammation - ANS D) Inflammation Which one of the following drugs is a strong diuretic?\n(A) Furosemide (Lasix®).\n(B) Clopidogrel (Plavix®).\n(C) Montelukast (Singulair®).\n(D) Metformin (Glucophage®). - ANS A) Furosemide Disposable acupuncture needles are chemically pre-sterilized by\n(A) Autoclaving.\n(B) Ethylene oxide.\n(C) Isopropyl alcohol.\n(D) Hydrogen peroxide - ANS B) ethylene oxide The single most important procedure in preventing cross-infection would be\n(A) Vaccination.
n(B) Hand washing.\n(C) Use of alcohol swabs.\n(D) Administration of antibiotics. - ANS B) Hand washing The mission of Occupational Safety and Health Administration (OSHA) is to assure\nthe safety and health of America's workers by setting and enforcing standards;\nproviding training, outreach, and education; establishing partnerships; and\nencouraging continual improvement in workplace safety and health. It is a type of\n(A) City regulation.\n(B) State regulation.\n(C) Federal regulation.\n(D) International regulation. - ANS C) Federal regulation

Wrist drop may be due to an injury to which nerve listed below?\n(A) Ulnar nerve.\n(B) Radial nerve.\n(C) Median nerve.\n(D) Musculocutaneous nerve. - ANS B) Radial nerve Which one of the following is included in the renal function tests?\n(A) Blood urea nitrogen (BUN).\n(B) Alkaline phosphatase (ALP).\n(C) Alanine aminotransferase (ALT).\n(D) Aspartate aminotransferase (AST). - ANS A) Blood urea nitrogen (BUN) A medical imaging that requires computer processing, but does not use ionizing\nradiation or contrast medium would be\n(A)Ultrasound.\n(B) Conventional radiography.\n(C) Computerized tomography (CT).\n(D)Magnetic resonance imaging (MRI). - ANS A) Ultrasound A pregnant woman has elevated levels of leukocyte esterase and nitrites in her urine.\nWhat does it most likely indicate?\n(A) Urinary stones.\n(B) Premature labor.\n(C) Normal findings.
n(D) Bladder infection. - ANS D) Bladder infection A patient presents with total body aches and exhaustion, accompanied by sleep\ndisturbance. Clinical signs include trigger points over certain body areas, and absence\nof objective inflammation. What is the most likely medical diagnosis?\n(A) Depression.\n(B) Fibromyalgia.
n(C) Multiple sclerosis.\n(D) Chronic fatigue syndrome. - ANS B) Fibromyalgia A test of position sense is positive when the patient has difficulty standing stably with\nfeet together and eyes closed. This is also known as a positive\n(A) Kernig's sign.\n(B) Murphy's sign.\n(C) Rovsing's sign.\n(D) Romberg's sign. - ANS D) Romberg's sign Pseudomembranous colitis is caused by prolonged use of certain antibiotics. The\ncausative bacterium is\n(A) Bacillus cereus.\n(B) Helicobacter pylori.\n(C) Clostridium difficile.\n(D) Streptococcus pyogenes. - ANS C) Clostridium difficile Intervertebral disk herniation at the level of L3 and L4 would result in\n(A) Pain in the heel.\n(B) Decreased knee jerk.\n(C) Decreased ankle jerk.\n(D)Weakness of Achilles tendon. - ANS B) Decreased knee jerk

Which of the following drugs is therapeutically used for acute and chronic diarrhea?\n(A) Nizatidine (Axid®).\n(B) Amoxicillin (Amoxil®).\n(C) Metronidazole (Flagyl®).\n(D) Loperamide (Imodium®). - ANS D) Loperamide (Imodium) Elevated serum amylase and lipase levels are indicative of which inflammatory\ndigestive disorder?\n(A) Gastritis.\n(B) Hepatitis.\n(C) Pancreatitis.\n(D) Cholecystitis. - ANS C) Pancreatitis A middle-aged jackhammer operator comes to the clinic, complaining of burning pain\nand tingling sensation in the medial aspect of the wrist and palm. A physical\nexamination shows diminished grip strength and muscular atrophy of the thenar\neminence. What is the most likely medical diagnosis?\n(A) Osteoarthritis.\n(B) Wrist fracture.\n(C) Rheumatoid arthritis.\n(D) Carpal tunnel syndrome. - ANS D) Carpal tunnel syndrome Which of the following is NOT a member of quadriceps?\n(A) Biceps femoris.\n(B) Vastus lateralis.\n(C) Vastus medialis.\n(D) Vastus intermedius. - ANS A) Biceps femoris Which of the following is the most important aspect that you may communicate with\nthe patient's physician?\n(A) State license.\n(B) CNT procedure.\n(C) Graduate degree.\n(D) NCCAOM certificate. - ANS B) CNT procedure Cervical intraepithelial neoplasia (CIN) III refers to\n(A) Mild dysplasia.\n(B) Moderate dysplasia.\n(C) Severe dysplasia or carcinoma-in-situ.\n(D) Invasive carcinoma. - ANS C) Severe dysplasia or carinoma-in-situ Which substance in the urine should be routinely monitored for a woman with\npregnancy- induced hypertension in order to prevent pre-eclampsia and eclampsia?\n(A) Protein.\n(B) Glucose.\n(C) Bilirubin.\n(D) Ketone bodies. - ANS A) Protein A disease that occurs worldwide is said to be\n(A) Sporadic.\n(B) Endemic.\n(C) Epidemic.\n(D) Pandemic. - ANS D) Pandemic

According to the NCCAOM's code of ethics, an acupuncture or Oriental medicine\npractitioner should not engage in sexual contact with a former patient unless a period\nof how many months has elapsed since the date that the professional relationship\nended?\n(A) 1 month.\n(B) 3 months.\n(C) 6 months.\n(D) 12 months. - ANS C) 6 months An abnormal sound heard when a stethoscope is placed in the carotid artery area is\nreferred to as\n(A) Rub.\n(B) Hum.\n(C) Bruit.\n(D) Murmur. - ANS C) Bruit Which of the following tumor markers is used to detect hepatocellular carcinoma?\n(A) PSA.
n(B) CEA.\n(C) a-FP.\n(D) CA-125. - ANS C) a-FP For a patient with knee injury, McMurray test is useful in the evaluation of the\n(A) Meniscus.
n(B) Patellar ligament.\n(C) Cruciate ligament.\n(D) Collateral ligament. - ANS A) Meniscus In physical examination, percussion over a fluid-filled area, such as pleural effusion,\nproduces a\n(A) Dull note.\n(B) Resonant note.\n(C) Stony dull note.\n(D) Hyperresonant note. - ANS C) Stony dull note Which cranial nerve is affected in Bell's palsy?\n(A) CN III (Oculomotor).\n(B) CN V (Trigeminal).\n(C) CN VII (Facial).\n(D) CN IX (Glossopharyngeal). - ANS C) CN VII (Facial) Which of the following endocrine or genetic diseases is characterized by\nhyperpigmentation?
n(A) Addison's disease.\n(B) Turner's syndrome.\n(C) Cushing's syndrome.\n(D) Klinefelter's syndrome. - ANS A) Addison's disease Which wave or wave complex of the electrocardiogram (ECG) reflects ventricular
ndepolarization?\n(A) P wave.\n(B) QRS wave complex.\n(C) T wave.\n(D) U wave. - ANS B) QRS wave complex The drug of choice in the treatment of penicillin-induced anaphylactic shock is\n(A) Epinephrine.\n(B) Isoproterenol.\n(C) Phenylephrine.\n(D) Norepinephrine. - ANS A) Epinephrine

What is the specialized area called at a neuromuscular junction where an axon\nterminal of a motor neuron makes a synapse with a skeletal muscle cell?\n(A) Synaptic cleft.\n(B) Motor endplate.\n(C) Muscle endplate.\n(D) Cholinergic receptor. - ANS B) Motor endplate Which category of drugs is administered in the treatment of high blood cholesterol\nlevels?\n(A) ACE inhibitors.\n(B) MAO inhibitors.\n(C) HMG-CoA reductase inhibitors.\n(D) Na+-K+ ATPase pump inhibitors. - ANS C) HMG-CoA reductase inhibitors A patient with hyperthyroidism may present with\n(A) Lack of appetite and weight loss.\n(B) Lack of appetite and weight gain.\n(C) Increased appetite and weight loss.\n(D) Increased appetite and weight gain. - ANS C) Increased appetite and weight loss Which of the following is an example of oral hypoglycemic drugs?\n(A) Oxytocin (Pitocin®).\n(B) Methimazole (Tapazole®).\n(C) Metformin (Glucophage®).\n(D) Levothyroxine (Synthroid®). - ANS C) Metformin (Glucophage) The regulatory center of the body temperature is located in the\n(A) Skin.\n(B) Blood vessels.
n(C) Hypothalamus.\n(D) Pituitary gland. - ANS C) Hypothalamus A nerve cell releases a neurotransmitter or an endocrine cell secretes a hormone by\nway of
n(A) Exocytosis.\n(B) Pinocytosis.\n(C) Endocytosis.\n(D) Phagocytosis. - ANS A) Exocytosis Benadryl-D® is a combination of diphendydramine (Benadryl®) and phenylephrine.\nThe former is an antihistamine, while the latter is a\n(A) Sinus antibiotic.\n(B) Cough suppressant.\n(C) Nasal decongestant.\n(D) Sputum expectorant. - ANS C) Nasal decongestant Which one of the following musculoskeletal disorders is also known as degenerative\njoint disease?\n(A) Osteoporosis.\n(B) Osteoarthritis.\n(C) Rheumatoid arthritis.\n(D) Polymyalgia rheumatica. - ANS B) Osteoarthritis Contralateral hemiplegia is the paralysis occurring on the side of the body opposite to\nthe side of the brain where the causal lesion is found. It is most commonly due to\n(A) Diabetes

mellitus.\n(B) Multiple sclerosis.\n(C) Spinal cord injury.\n(D) Cerebrovascular accident - ANS D) Cerebrovascular accident Hematemesis may be caused by\n(A) Hepatic cirrhosis.\n(B) Peptic ulcer disease.\n(C) Esophageal carcinoma.\n(D) All of the above. - ANS D) All of the above Sudden onset of light-colored stools is most likely suggestive of\n(A) Gallstones.\n(B) Renal stones.\n(C) Hemolytic jaundice.\n(D) Intestinal obstruction. - ANS A) Gallstones What is the best test for the early detection of avascular necrosis of the bone?\n(A) MRI.\n(B) CAT scan.\n(C) Blood test.\n(D) Bone X-rays. - ANS A) MRI What degree of burns will be red, swollen and painful, and possibly develop blisters\nthat may ooze a clear fluid?\n(A) First-degree burns.\n(B) Second-degree burns.\n(C) Third-degree burns.\n(D) Fourth-degree burns. - ANS B) Second-degree burns An elderly patient presents with depressed mood, dull expression, puffiness of the\nface and eyes, and dry, sparse and coarse skin. A diagnosis of myxedema is\nsuspected. What other symptom(s) may also be seen in this patient?\n(A)Weight loss.\n(B) Constipation.\n(C) Heat intolerance.\n(D) All of the above. - ANS B) Constipation The most common initial symptom of lung cancer is\n(A) Chest pain.\n(B) Persistent cough.
n(C) Intermittent wheezing.\n(D) Blood-streaked sputum. - ANS B) Persistent cough A patient is required to sign a consent form prior to acupuncture treatment, because\n(A) It is a state law.\n(B) It is a federal law.\n(C) It protects the patient's privacy.\n(D) It exempts the doctor from malpractice. - ANS B) It is federal law Which of the following cardiac conditions is most life-threatening?\n(A) Atrial flutter.\n(B) Premature heartbeat.\n(C) Ventricular fibrillation.\n(D) Supraventricular tachycardia. - ANS C) Ventricular fibrillation

The space between two lungs in the chest is known as\n(A) Pleura.\n(B) Diaphragm.\n(C) Pericardium.\n(D) Mediastinum. - ANS D) Mediastinum Heart block occurs most often in the\n(A) Bundle of His.\n(B) Purkinje fibers.\n(C) Sinoatrial (SA) node.\n(D) Atrioventricular (AV) node. - ANS D) Atrioventricular (AV) node Which one of the following abused substances has the lowest dependence?\n(A) Heroin.\n(B) Alcohol.\n(C) Cocaine.\n(D) Marijuana. - ANS D) Marijuana Ezetimibe (Zetia®) is a cholesterol-lowering drug that acts on the\n(A) Liver.\n(B) Blood.\n(C) Intestine.\n(D) Adipose tissue. - ANS C) Intestine Coronary sinus returns blood to the\n(A) Left atrium.\n(B) Right atrium.\n(C) Left ventricle.\n(D) Right ventricle. - ANS B) Right Atrium The U.S. Preventive Services Task Force recommends routine bone density screening\nfor women\n(A) 55 years or older.\n(B) 60 years or older.\n(C) 65 years or older.\n(D) 70 years or older. - ANS C) 65 years or older All of the following are the examples of electrodiagnostic tests for cardiac disorders\nEXCEPT
n(A) Holter monitoring.\n(B) Cardiac stress testing.\n(C) Cardiac catheterization.\n(D) Electrocardiography (ECG). - ANS C) Cardiac catheterization All of the following are rash-producing viral diseases EXCEPT\n(A) Rubella.\n(B) Measles.\n(C) Impetigo.\n(D) Chickenpox. - ANS C) Impetigo An endocrine disorder that is NOT of autoimmune origin would be\n(A) Graves' disease.\n(B) Addison's disease.\n(C) Cushing's syndrome.\n(D) Hashimoto's thyroiditis. - ANS C) Cushing's syndrome

Early clues to the diagnosis of major depression include all of the following EXCEPT\n(A) Anhedonia.\n(B) Sleep disorders.\n(C) Low self-esteem.\n(D) Suicidal ideation. - ANS D) Suicidal ideation Which of the following signs is NOT detected by inspection and/or palpation during\ncardiac examinations?\n(A) Thrill.\n(B) Murmur.\n(C) Apical impulse.\n(D) Carotid pulsation. - ANS B) Murmur A 60-year-old patient presents with neck pain, abnormal sensations in the arms,\nmuscle weakness in the legs, and problems with balance. There is no history of any\ntraumatic injuries. What is the most likely medical diagnosis?\n(A)Whiplash injury.\n(B) Parkinson's disease.\n(C) Cervical spondylosis.\n(D) Spinal muscular atrophy. - ANS C) Cervical spondylosis A localized collection of pus in the tissue, which is usually caused by a bacterial\ninfection, is known as\n(A) Boil.\n(B) Abscess.\n(C) Furuncle.\n(D) Carbuncle. - ANS B) Abscess Furosemide (Lasix®) is primarily indicated in patients with\n(A) Hypertension.\n(B) Ascites due to hepatic cirrhosis.\n(C) Edema associated with heart failure.\n(D) All of the above. - ANS D) All of the above Medical records are the property of the\n(A) Patient.\n(B) Insurance company.\n(C) Legal representative.\n(D) Physician or hospital. - ANS D) Physician or hospital Facial characteristics are typical of certain diseases. Which of the following\nstatements best describes a patient with Parkinson's disease?\n(A) Sunken eyes and collapsed temples.\n(B) Moon-shaped face with acne and hirsutism.\n(C) Lack of facial expression or mask-like face.
n(D) Oblique orbital fissures and flat nasal bridge. - ANS C) Lack of facial expression or mask- like face A friction rub is the cracking sound that derives from the\n(A) Lung.\n(B) Heart.\n(C) Pleura.
n(D) Stomach. - ANS C) Pleura

How often should a breast or testicular self-examination be performed?\n(A) Daily.\n(B) Yearly.
n(C) Weekly.\n(D) Monthly. - ANS D) Monthly Side effects of hormonal contraception include\n(A) Headache.\n(B) Irregular bleeding.\n(C) Thromboembolism.\n(D) All of the above. - ANS D) All of the above Sustained clonus, which is the rhythmic oscillations between flexion and extension,\nmay confirm the presence of\n(A) Normal reflexes.\n(B) Lack of reflexes.\n(C) Hypoactive reflexes.
n(D) Hyperactive reflexes. - ANS D) Hyperactive reflexes Patients with chronic obstructive pulmonary disease (COPD) may develop respiratory\nacidosis, which, on the blood chemistry screen, is revealed by\n(A) Hypercapnia.\n(B) Hyperkalemia.
n(C) Hypernatremia.\n(D) Hyperchloremia. - ANS A) Hypercapnia A patient with a long history of heart disease frequently wakes up at night when he is\nsleeping because of angina and dyspnea. What would be his cardiac functional status?\n(A) Class I.\n(B) Class II.\n(C) Class III.\n(D) Class IV. - ANS D) Class IV Bovine cough, i.e. cough without usual explosive beginning, may indicate\n(A) Airway limitation.
n(B) Vocal cord paralysis.\n(C) Excessive bronchial secretion.\n(D) Side effect from use of ACE inhibitors. - ANS B) Vocal cord paralysis Which of the following cranial nerves carries sensory impulses from carotid baroreceptors and chemoreceptors?A. CN VIII [Vestibulocochlear].(B) CN IX (Glossopharyngeal).\n(C) CN X (Vagus).\n(D) CN XI (Accessory). - ANS B) CN IX (Glossopharyngeal) An erythematous "butterfly" rash over the cheeks and nasal bridge is a classical sign\nthat is diagnostic of\n(A) Eczema.\n(B) Scleroderma.\n(C) Rheumatoid arthritis (RA).\n(D) Systemic lupus erythematosus (SLE). - ANS D) Systemic lupus erythematosus (SLE) A teenage girl with an eating disorder is brought to the clinic most probably with a\nchief complaint of\n(A) Insomnia.\n(B) Weight loss.\n(C) Amenorrhea.\n(D) Poor appetite. - ANS C) Amenorrhea

Colles' fracture is located at the distal end of which bone?\n(A) Ulna.\n(B) Femur.\n(C) Radius.
n(D) Humerus. - ANS C) Radius Propranolol (Inderal®) is therapeutically used for all of the following medical\nconditions EXCEPT\n(A) Migraine.\n(B) Hypertension.\n(C) Hypothyroidism.\n(D) Cardiac arrhythmia. - ANS C) Hypothyroidism What type of tremor is caused by damage to or malfunction of the cerebellum?\n(A) Resting tremor.\n(B) Flapping tremor.\n(C) Intention tremor.\n(D) Essential tremor. - ANS C) Intention tremor Ménière's disease is clinically manifested by\n(A) Ringing in the ears.\n(B) Progressive loss of hearing.\n(C) Sudden, episodic attacks of vertigo.\n(D) All of the above. - ANS D) All of the above According to the modified Jones criteria for the diagnosis of rheumatic fever, major
nmanifestations include\n(A) Fever.\n(B) Carditis.\n(C) Arthralgia.\n(D) Elevated ASO titer. - ANS B) Carditis Physical signs of lower motor neuron (LMN) lesions do NOT include\n(A) Positive Babinski's sign.\n(B) Prominent muscle wasting.\n(C) Flaccid muscular paralysis.\n(D) Decreased deep tendon reflexes. - ANS A) Positive Babinski's sign Which one of the following bacteria is responsible for cholera?\n(A) Vibrio.\n(B) Shigella.\n(C) Salmonella.\n(D) Escherichia. - ANS A) Vibrio Which spinal nerve is NOT issued from the lumbosacral plexus?\n(A) Sciatic nerve.\n(B) Phrenic nerve.\n(C) Femoral nerve.\n(D) Obturator nerve. - ANS B) Phrenic Which antiemetic agent acts by selectively blocking serotonin receptors?\n(A) Dronabinol (Marinol®).\n(B) Ondansetron (Zofran®).\n(C) Metoclopramide (Reglan®).\n(D) Prochlorperazine (Compazine®). - ANS B) Ondansetron (Zofran)

What type of medical imaging belongs to nuclear medicine?\n(A) Ultrasonography (U/S).\n(B) Computed axial tomography (CAT).\n(C) Magnetic resonance imaging (MRI).\n(D) Positron emission tomography (PET). - ANS D) Positron emission tomography (PET) A young boy who recently immigrated to this country from Southeast Asia comes to\nthe clinic, complaining of low-grade fever, malaise, night sweats, and cough with\nblood-tinged sputum. The patient needs to be referred to a physician to rule out\n(A) Asthma.\n(B) Bronchitis.\n(C) Pneumonia.\n(D) Tuberculosis. - ANS D) Tuberculosis Antibiotics that act as bacterial protein synthesis inhibitors include all of the\nfollowing EXCEPT
n(A) Vancomycin.\n(B) Clindamycin.\n(C) Streptomycin.\n(D) Erythromycin. - ANS A) Vancomycin A 60-year-old man presents with painless hematuria. Which of the following diseases\nshould be first ruled out?\n(A) Prostatitis.\n(B) Kidney stone.\n(C) Bladder cancer.\n(D)Urinary tract infection. - ANS C) Bladder Cancer Caduet®, a combination of amlodipine (Norvasc®) and atorvastatin (Lipitor®), is\nindicated in which of the following medical conditions?\n(A)Hypertension.\n(B) Angina pectoris.\n(C) Hypercholesterolemia.\n(D)All of the above. - ANS D) All of the above Which brand name of the following antacids contains aluminum and magnesium\nhydroxide?
n(A)Maalox®.\n(B) Mylanta®.\n(C) Gaviscon®.\n(D)All of the above. - ANS D) All of the above Boutonniére deformity of the finger, in which there are hyperflexed PIP joint and
nhyperextended DIP, is most likely seen in\n(A)Osteoporosis.\n(B) Osteoarthritis.\n(C) Rheumatic fever.\n(D) Rheumatoid arthritis. - ANS D) Rheumatoid arthritis Which of the following clinical manifestations may suggest a stroke attack?\n(A) Sudden severe headache with no apparent cause.\n(B) Loss of balance and coordination, leading to falls.\n(C) Sudden dimness or loss of vision, especially in one eye.\n(D)All of the above. - ANS D) all of the above