Week 8 Final Quiz: Diagnosis and Treatment of Common Medical Conditions, Exams of Health sciences

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1: which test is used to confirm a diagnosis of epididymitis? Ans: Ultrasound of the scrotum. 2: Which of the following is part of the treatment plan for the patient with irritable bowel syndrome? Ans; High fiber diet 3: Reuben, age 24 years old has HIV and just had a routine viral load test done. The results show a falling viral load. What does this indicates? Ans: A favorable diagnostic trend 4: The patient with gastro esophageal reflux disease (GERD) should be instructed to eliminate which of these activities? Ans: Weight lifting 5: you have detected the presence of crepitus on examination of a patient with a musculoskeletal complaint. Additionally, there is limited range of motion with both active and passive movement. These findings suggest that the origin of the musculoskeletal complaint is Ans: Articular 6: A 25 years old patient presents to the clinic with fatigue, cold intolerance, weight gain and constipation for the past 3 months. On physical exam, the clinician notice a sinus bradycardia, muscular stiffness, coarse, dry hair, and a delay in relaxation in deep tendon reflexes (DTRs). Which of the following test should be ordered next? Ans: Thyroid Stimulating Hormone (TSH) 7: Sam is a 25years old man who has been diagnosis with low back stain based on his history of localized low back pain and muscle spasm along with a normal

numerological examination.

14: A 76 years old man is seen in the office for complaint of urinary incontinence. The clinician should suspect which causes of incontinence in men? Ans; Urinary Tract Infection (UTI) 14: Harvey has a rubbery smooth, round mass on his chest which is compressible and has a soft to to very firm texture. What do you diagnose this as? Ans: Lipoma 15: The patient is prescribed radioactive iodine (RA) and asks the clinician how this drug works. The clinician’s response should include which of the following data? Ans: RAI destroys thyroid tissue. 16: Most nosocomial pneumonias are caused by Ans: Gram-negative bacteria 17: Which of the following signs or symptoms indicate an inflammatory etiology to musculoskeletal pain? Ans: Morning stiffness. 18: A patient presents to the clinician with a sore throat, fever, of 100.7f and tender anterior cervical lymphadenopathy. The clinician suspect strep throat and performed a rapid strep test that is negative. What would the nest step be? Ans: A throat culture should be performed to confirm the result of the rapid strep test. 19:Most Nosocomial pneumonias are caused by……. Ans:?

20: A patient is diagnosed with Giardia after a backpacking trip in the mountains. Which of the following would be the appropriate treatment? Ans: Metrinidazole. 21: Which causes the greatest percentage of mammalian bites? Ans: Dog 22: One of the initial steps in assessing patient with musculoskeletal complaints is to determine whether the complaint is articular or non-articular in origin. Which of the following is an example of an articular structure? Ans: Synovium 23: Cat bites are commonly associated with which of the following pathogens? Ans: Pasteurella Multocida 24:Which of the following should be considered in a patient presenting with erectile dysfunction? Ans: DM, HTN, Atherosclerosis All of the above 25: Tori is on systemic antifungals for a tines infect. You understand that serum labs monitored for Ans: Hepatotoxicity 26:Fluctuation and reductions in estrogen may be a contributing factor in which type of rhinitis? Ans: Vasomotor rhinitis 27: Severe pain associated with acute otitis media signifies perforation of the tympanic membrane Ans: False

35; Sinusitis is considered chronic when there are episodes of prolonged inflammation with repeated or inadequately treated acute infection lasting greater than Ans: 12 weeks 36: A patient is seen in the clinic with right upper quadrant (RUQ) pain that is radiating to the middle of the back. The clinician suspects acute cholelithiasis. The clinician should expect which of the following laboratory findings? Ans; Elevated alkaline phosphatase 37: SNAPPS is pneumonic used to described a technique in orally presenting a patient Ans; True 38; The clinician is caring for Diane a 22 years old woman who presents with an injured ankle. Diane asks the clinician if she will need an X-ray. The clinician explains to Diane that X-ray is not always necessary for an injured ankle and that the decision to obtain radiographs is dependent on the exam and Diane’s description of her injury. Which of the following clues in Diane’s exam or history would alert the clinician to the need for obtaining radiography? Ans; All of above 39; The 56 years old man with chronic prostatitis should be treated with trimethoprim 80mg sulfamethoxazole 400mg (TMP- SMX. Actrim) for how long? Ans: 6-12 weeks 40; A 23 years old sexually active man is seen in the clinic with unilateral painful testicular swelling and diagnosed with epididymitis in order to prescribe the correct drug the clinician

understands that which of these is the most common causative organism? Ans: Chlamydia trachomatis 41; A 30 years old patient presents with pain on urination. The urine microscopy of unspun urine showed greater than leukocytes/ml and a dipstick was positive for nitrites> What is probable diagnosis? Ans; Lower urinary tract infection 42: Acute angl-closure glaucoma involves a sudden severe rise in intraocular pressure. Which of the following ranges represents normal intraocular pressure? Ans: 8 to 21mmHg 43: Joyce is taking a long-acting beta agonist for moderate persistent asthma. Which additional medication should she be taking? Ans; Inhaled corticosteroid (ie Flovent). 44: A patient is seen in the clinic with a chief complaint of hematuria. Which of the following data should be collected in order to make a differential diagnosis? Ans; What medications are you currently taking? 45; Which information should be included when you are teaching your patient about the use of nicotine gum? Ans; the gum must be correctly chewed to a softened state and then place in the buccal mucosa 46; Parkinson’s disease is a progressive neurological disorder that is associated with which type of tremor Ans; Resting tremor

Ans; This is a premalignant tissue, This tissue is resistant to gastric acid, This tissue supports healing of the esophagus: All of the above 54; Ian age 62 presents with a wide diffuse area of erythematous skin on his left lower leg that is warm and tender to palpation. There is some edema involved. You suspect Ans; Cellulitis 55; A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram (ECG) changes should the clinician expect as a manifestation of the disease? Ans; Sinus bradycardia 56; As diabetic retinopathy progress, the presence of “cotton wool” spots can be detected Cotton Wool spots refers to Ans; Nerve fiber layer infarction 57; which of the following dietary information should be given to a patient with gastroesophageal reflux disease (GERD) Ans; Eliminate coffee 58; which of the following types of cellulitis is a streptococcal infection of the superficial layers of the skin which does not involve the subcutaneous layers? Ans; Erysipelas 59; The clinician has instructed Sam, a 25-year-old patient with low back strain, to use NSAIDs to manage his symptom of pain and discomfort. Which of the following statements would be most appropriate when teaching Sam about the use of NSAIDs to manage his pain? Ans; You should start with the lowest dose that is effective in managing your pain because long-

term use of NSAIDs

65; The patient is seen complaining of leaking urine when I sneeze ‘Which of the following actions should the clinician take first? Ans: Instruct the patient on kegel exercises. 66; Which obstructive lung diseases is classified as reversible? Ans: Asthma 67; Which of the following are risk factors associated with obesity? Ans: Diabetes, Skin infection, Arthritis: All of the above 68; The clinician suspects that a client seen in the office has hyperthyroidism. Which of the following should the clinician order on the initial visit? Ans: Thyroid stimulating hormone (TSH) and free T 69; The most common offending agents for medication- induced resting tremor are Ans: Anti-psychotics 70;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? Ans: Closed angle Glaucoma 71;The pt presents with costovertebral angle (CVA) tenderness and a sveral day history of high fever and chills and dysuria. Which of the following diagnosis is most likely given the above information? Ans:Pyelonephritis

72; After 6 months of synthroid therapy, the clinician should expect which of the following in the repeated thyroid studies?

motion in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of the following statements are true concerning shoulder dislocation? Ans: There is a risk of neurovascular and neurosensory trauma so the clinician should check for distal pulses. 78;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? Ans:? 79; the A” in SNAPPS stands for assessment Ans: False 80; the most cost effective screening test to determine HIV status is which of the following? Ans: Enzyme-linked immunosorbent assay (ELISA). 81; The clinician see a patient who is 5 feet tall and weighs 150 pounds (BMI 29.3). How would the clinician classify this patient? Ans: Overweight 82; The presence of hairy leukoplakia in a person with no other symptoms of immune suppression is strongly suggestive of which type of infection? Ans HIV 83;Nathan a 32 years old policeman has a 15-pack year history of smoking and continue to smoke heavily. He gets irate during every visit when you try to talk to him about quitting. What should you do? Ans: Continue to ask him at every visit if he is ready yet.

84; which of the following test is considered the “gold standard” for definitively diagnosis osteoporosis? Ans: Bone mass density measurement by densitometry 85; You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ange of motion with gravity eliminated. Which numeric grade of muscle strength would you give this patient? Ans: 2 86; Preceptors must always see the patients that the student sees in the clinical setting Ans: True 87;Jason; age 62 has obstructive sleep apnea. What do you think is one of his contributing factors? Ans: His collar size is 19inches 88; Treatment for epididymis includes which of the following? Ans: Scrotal elevation 89; Joyce is seen in the clinic complaining of vague symptoms of feeling nervous and irritable and that her hair will not hold a permanent wave anymore. On physical examination, the clinician finds an irregular heartbeat and brisk reflexes. The differential diagnosis should include which of the following conditions? Ans: Thyrotoxicosis 90; A 22 years old male is seen in the clinic because he found a hard lump in his testicle during a testicular self- exam (TSE). Which of the following should be included in the differential diagnosis? Ans: All of the above

Ans: The uninvolved side should be examined initially and compared to the involved 98; The differential diagnosis for vertigo can be classified into which of the following categories Ans: Peripheral vestibular disease, CNC disorders, Systemic Disorders. All of the Above 99; Which statement about HIV post-exposure prophylaxis (PEP) for health-care workers is most accurate? Ans: PEP should be stated within hours after the exposure 100;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? Ans: His quit date should be in 1 week. 101; An 82 years old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differentials? Ans: All of the above 102;A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? Ans: Very early 103;In which of the following situations would referral to a specialist be needed for sinusitis? Ans All of the above