VERIFIED CORRECT ANSWERS
Daily non-steroidal anti-inflammatory drugs - CORRECT ANSWER Which of the
following is not a part of the usual management options for patients with an acute
presentation of cholecystitis?
A. Gastrointestinal surgical consult
B. Nasogastric intubation
C. Intravenous crystalloids and broad spectrum antibiotics
D. Daily non-steroidal anti-inflammatory drugs
Increase the oral levothyroxine dosage. - CORRECT ANSWER Carl, 38, has been
diagnosed with hypothyroidism and was prescribed levothyroxine 3 weeks ago. Today,
he presents to your clinic with weakness, fatigue, and puffy eyes. His laboratory findings
show an elevated thyroid stimulating hormone level, decreased thyroxine, increased
serum cholesterol, and hypoglycemia. Which of the following is the best action to take
next concerning Carl's treatment?
A. Continue his current medication regimen without changes.
B. Change his medication to methimazole.
C. Increase the oral levothyroxine dosage.
D. Change his medication to propylthiouracil.
Call security. - CORRECT ANSWER A severely injured patient in a filled-to-capacity
emergency room is threatening the safety of the other patients. What is the best initial
course of action?
A. Call security.
B. Restrain the patient.
C. Eject the patient.
D. Call the police.
Grave's disease - CORRECT ANSWER A patient comes to your office and says, "I feel
so nervous that I think I'm going out of my mind! I also can't stop shaking, and my heart
races all the time." You learn that she smokes cigarettes, but the patient denies any
previous health problems, including hypertension or diabetes. Of the choices, what
would be he most reasonable diagnosis in this situation?
A. Hashimoto's thyroiditis
B. Pituitary deficiency of thyroid-stimulating hormone
C. Hypothalamic deficiency of thyrotropin-releasing hormone
, D. Grave's disease
Legg-Calve-Perthes Disease - CORRECT ANSWER You are doing a Well Child Check
on a 7-year old Caucasian boy. His temperature and other vial signs are normal, but
you note only a small height gain since the last visit. The boy remains slightly shorter
than his peer group. His father mentions that the boy has been limping, and the child
tells you that he feels moderate pain in his knee and sometimes in his groin. Further
examination reveals limited passive internal rotation and abduction of the hip joint with
mild guarding. His father cannot recall, nor do you see, overt evidence of any recent
trauma. Which of the following is the most likely diagnosis?
A. Legg-Calve-Perthes disease
B. Hass' disease
C. Septic arthritis
D. Osgood-Schlatter disease
Ceftriaxone administered parenterally - CORRECT ANSWER A male infant presents
with a copious purulent discharge from his right eye, so much so that his eye seems to
be glued shut. You learn that his mother has an untreated gonorrhea infection. Which of
the following is the most appropriate treatment?
A. Erythromycin administered orally
B. Ceftriaxone administered parenterally
C. Azithromycin administered orally
D. Erythromycin ointment
Emphysema - CORRECT ANSWER You are examining a new patient. During a
cursory read of his chart, you note that he is currently taking inhaled ipratropium
bromide. This medication is a mainstay of therapy for which of the following disorders?
A. Emphysema
B. Tuberculosis
C. Pneumonia
D. Asthma
Weighing him and taking his temperature - CORRECT ANSWER During a routine
exam, your patient collapses. You revive and stabilize him then refer him for an
overnight stay in your hospital for further observation. Out of the following, which service
would qualify as "incident-to" billing?
A. The overnight hospital stay
B. The initial office visit
C. The subsequent follow-up exam
D. Weighing him and taking his temperature