Questions and Verified Correct Answers
Your new patient intake history of an elderly man includes a history
of Ehlers-Danlos with complications of retinal detachment treated
with gas pneumopexy. In discussing this history, you recall the
transparent mass of gelatinous material where the gas
pneumopexy is performed can be found in which chamber(s) of the
eye?
A -None of the above; it's only seen as an abnormal finding with
malignancy
B -Anterior only
C -Posterior only
D -Both but greater in the anterior chamber - CORRECT ANSWER B -
Anterior only
While assessing the patient, you covered their right eye while you
covered your left eye, then brought a set number of fingers or
wiggling fingers into each quadrant of the patient's visual field
while you had them identify when they saw your
fingers/movement. A normal exam would be documented as which
of the following?
A -Normal confrontation
B -Normal visual acuity
C -Normal refractory reflexes
,D -Normalconvergence test - CORRECT ANSWER A -Normal
confrontation
Your late adolescent female patient presents with a history of
heavy menses and pale conjunctiva. Your review of systems is fairly
unremarkable other than she lives in a house built in 1965, has an
unrestricted diet, and her family heredity is Italian. She denies any
history of chronic health conditions. Initial CBC with differential
shows a microcytic hypochromic anemia which has not yet been
diagnosed or treated and the red cell distribution width (RDW) is
elevated at 15%. Based on the most common cause of microcytic
hypochromic anemia, which of the following labs will you order
first? A -B12 and Folate
B -Gel Electrophoresis
C -Serum Lead
D -TIBC and Ferritin - CORRECT ANSWER D -TIBC and Ferritin
A patient of Mediterranean descent who presents with microcytic
anemia with normal red cell distribution width should be
evaluated using gel electrophoresis to confirm which of the
following types of anemia? A -Aplastic
B -Thalassemia
C -Iron deficiency
D -Pernicious - CORRECT ANSWER B -Thalassemia
,The 43 year old male patient with macrocytic anemia should be
evaluated for which of the following lab levels to help narrow
down the etiology?
A -Vitamin B12
B -Lead level
C -Ferritin
D -TIBC - CORRECT ANSWER A -Vitamin B12
While assessing the complete metabolic profile of the 66 year old
female patient with end stage renal disease (ESRD) on dialysis, you
find a creatinine of 4.3, BUN of 62, phos of 5.2. On review of the
CBC with differential, you would anticipate which of the following
levels?
A -Normal MCH, Hemoglobin 9.6
B -Elevated MCH. Hemoglobin 14.5
C -Low RDW, Elevated MCV
D -Low MCV, Hemoglobin 13.4 - CORRECT ANSWER A -Normal MCH,
Hemoglobin 9.6
Your patient has just been diagnosed with Hepatitis A. Which of the
following immunoglobulin are first to be elevated in the serum?
A-
IgD B
-IgG
C -IgA
, D -IgM - CORRECT ANSWER D -IgM
Your patient had a history of Hepatitis A approximately one year
ago. Which of the following immunoglobulin is most likely to be
elevated at this time?
A -IgD
B -IgA
C -IgG
D -IgM - CORRECT ANSWER C -IgG
Your 32 year old female patient presents with a suspected
diagnosis of systemic lupus erythematous (SLE). Which of the
useful labs in making the diagnosis of SLE?
A -Gel electrophoresis
B -Antinuclear antibody
C -Rheumatoid factor lab
D -Spectrophotometric assay - CORRECT ANSWER B -Antinuclear
antibody
Which one of the following sweat glands concentrated in the palms
of the hands and soles of the feet and is involved in temperature
regulation?
A -Sebaceous
B -Apocrine
C -Eccrine