,QUESTION: A patient says he’s going to commit suicide. What should you do?
ANSWER – Have the patient sign a “No Self-Harm” contract and refer to a primary care
physician on a semi-urgent basis.
Rationale: This approach is intended to document intent and ensure follow-up care when
immediate danger is not perceived.
QUESTION: A young man had very high energy and little need for sleep a few days ago and
now feels exhausted and sad. What is the diagnosis?
ANSWER – Bipolar disorder
Rationale: Alternating periods of elevated energy and depressive symptoms are characteristic of
bipolar disorder.
QUESTION: A 65-year-old man living in a nursing home 6 months post-stroke shows social
withdrawal, low activity, and feelings of worthlessness. What do you suspect?
ANSWER – Depression
Rationale: Post-stroke depression is common and presents with withdrawal, low mood, and
reduced motivation.
QUESTION: Which one is an example of abuse?
ANSWER – Retinal hemorrhage in an infant (shaken baby syndrome)
Rationale: Retinal hemorrhage in infants is a classic sign of abusive head trauma.
,QUESTION: Child abuse reporting laws are what type of law?
ANSWER – Varies state by state
Rationale: Mandatory reporting requirements differ by jurisdiction.
QUESTION: A mother reports her child does not like to talk or play with others during a visit
for ear infection. What is your diagnosis?
ANSWER – Child abuse
Rationale: Social withdrawal in a child may raise concern for abuse and warrants further
evaluation.
QUESTION: A confused elderly patient believes a healthcare worker is stealing money and asks
you not to tell anyone. What is your response?
ANSWER – Call social worker
Rationale: Suspected exploitation requires interdisciplinary evaluation and protection of the
patient.
QUESTION: Domestic violence—what is the appropriate action?
ANSWER – Encourage the patient to seek legal consultation and consider separation from the
abusive partner.
Rationale: Safety planning and legal support are essential components of care.
QUESTION: McBurney sign refers to what?
ANSWER – Tender point in the right lower abdomen associated with appendicitis
Rationale: McBurney’s point tenderness is a classic sign of appendicitis.
QUESTION: A patient presents with right lower quadrant abdominal pain. What is the most
likely diagnosis?
, ANSWER – Appendicitis
Rationale: RLQ pain is most commonly associated with appendiceal inflammation.
QUESTION: What diagnostic test is used for diverticulitis?
ANSWER – CT scan
Rationale: CT imaging is the preferred diagnostic tool for diverticulitis.
QUESTION: Abdominal pain aggravated during defecation suggests what condition?
ANSWER – Aortic aneurysm
Rationale: Increased intra-abdominal pressure can worsen pain associated with aneurysms.
QUESTION: A patient has alternating diarrhea and constipation with mucus and blood in stool.
What is the diagnosis?
ANSWER – Ulcerative colitis
Rationale: Bloody, mucus-containing stools are characteristic of inflammatory bowel disease.
QUESTION: Which drug category reduces gastric acid in the stomach?
ANSWER – Antacids
Rationale: Antacids neutralize stomach acid and relieve symptoms.
QUESTION: What system is involved in drug and herbal metabolism in the liver?
ANSWER – Cytochrome
Rationale: The cytochrome P450 system metabolizes most drugs.
QUESTION: Benzodiazepines are used for what?
ANSWER – Anxiety, muscle relaxation, insomnia, muscle spasms, and seizures
ANSWER – Have the patient sign a “No Self-Harm” contract and refer to a primary care
physician on a semi-urgent basis.
Rationale: This approach is intended to document intent and ensure follow-up care when
immediate danger is not perceived.
QUESTION: A young man had very high energy and little need for sleep a few days ago and
now feels exhausted and sad. What is the diagnosis?
ANSWER – Bipolar disorder
Rationale: Alternating periods of elevated energy and depressive symptoms are characteristic of
bipolar disorder.
QUESTION: A 65-year-old man living in a nursing home 6 months post-stroke shows social
withdrawal, low activity, and feelings of worthlessness. What do you suspect?
ANSWER – Depression
Rationale: Post-stroke depression is common and presents with withdrawal, low mood, and
reduced motivation.
QUESTION: Which one is an example of abuse?
ANSWER – Retinal hemorrhage in an infant (shaken baby syndrome)
Rationale: Retinal hemorrhage in infants is a classic sign of abusive head trauma.
,QUESTION: Child abuse reporting laws are what type of law?
ANSWER – Varies state by state
Rationale: Mandatory reporting requirements differ by jurisdiction.
QUESTION: A mother reports her child does not like to talk or play with others during a visit
for ear infection. What is your diagnosis?
ANSWER – Child abuse
Rationale: Social withdrawal in a child may raise concern for abuse and warrants further
evaluation.
QUESTION: A confused elderly patient believes a healthcare worker is stealing money and asks
you not to tell anyone. What is your response?
ANSWER – Call social worker
Rationale: Suspected exploitation requires interdisciplinary evaluation and protection of the
patient.
QUESTION: Domestic violence—what is the appropriate action?
ANSWER – Encourage the patient to seek legal consultation and consider separation from the
abusive partner.
Rationale: Safety planning and legal support are essential components of care.
QUESTION: McBurney sign refers to what?
ANSWER – Tender point in the right lower abdomen associated with appendicitis
Rationale: McBurney’s point tenderness is a classic sign of appendicitis.
QUESTION: A patient presents with right lower quadrant abdominal pain. What is the most
likely diagnosis?
, ANSWER – Appendicitis
Rationale: RLQ pain is most commonly associated with appendiceal inflammation.
QUESTION: What diagnostic test is used for diverticulitis?
ANSWER – CT scan
Rationale: CT imaging is the preferred diagnostic tool for diverticulitis.
QUESTION: Abdominal pain aggravated during defecation suggests what condition?
ANSWER – Aortic aneurysm
Rationale: Increased intra-abdominal pressure can worsen pain associated with aneurysms.
QUESTION: A patient has alternating diarrhea and constipation with mucus and blood in stool.
What is the diagnosis?
ANSWER – Ulcerative colitis
Rationale: Bloody, mucus-containing stools are characteristic of inflammatory bowel disease.
QUESTION: Which drug category reduces gastric acid in the stomach?
ANSWER – Antacids
Rationale: Antacids neutralize stomach acid and relieve symptoms.
QUESTION: What system is involved in drug and herbal metabolism in the liver?
ANSWER – Cytochrome
Rationale: The cytochrome P450 system metabolizes most drugs.
QUESTION: Benzodiazepines are used for what?
ANSWER – Anxiety, muscle relaxation, insomnia, muscle spasms, and seizures
