1
Question 2. Which of the following is a potential acquired cause of thrombophilia?
Question 3
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel
syndrome
Carpal tunnel
syndrome
Tarsal tunnel
syndrome
Myofascial pain
syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight
loss.
A 25 year old male with family history of type
1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
,2
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor
(RF) are all minimally elevated. What is the most likely diagnosis?
Rheumatoid arthritis
(RA)
Osteoarthritis (OA)
Lupus
Peripheral
neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The
initial treatment should be:
Trimethoprim-sulfamethoxazole for
3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for
14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
,3
chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
Clinical
appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are):
81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade
carotid lesions
Routine screening for carotid artery stenosis with
auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing’s syndrome?
Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-
producing tumor
Autonomous cortisol production from adrenal
tissue
, 4
Question 11
Diagnostic radiological studies are indicated for low back pain:
Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of
more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
has been cured?
An enzyme-linked immunosorbent
assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer’s disease provides the
performance ratings on 10 complex, higher order activities?
MMSE
CAGE questionnaire
FAQ – Functional Activities
Questionnaire
Holmes and Rahe social
readjustment scale
Question 14
Major depression occurs most often in which of the following conditions?
Question 2. Which of the following is a potential acquired cause of thrombophilia?
Question 3
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of:
Ulnar tunnel
syndrome
Carpal tunnel
syndrome
Tarsal tunnel
syndrome
Myofascial pain
syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes?
A 30 year old female with unintended weight
loss.
A 25 year old male with family history of type
1 diabetes
An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
,2
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but
the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid factor
(RF) are all minimally elevated. What is the most likely diagnosis?
Rheumatoid arthritis
(RA)
Osteoarthritis (OA)
Lupus
Peripheral
neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on urination for 3
days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The
initial treatment should be:
Trimethoprim-sulfamethoxazole for
3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for
14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
,3
chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by:
Clinical
appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are):
81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade
carotid lesions
Routine screening for carotid artery stenosis with
auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing’s syndrome?
Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-
producing tumor
Autonomous cortisol production from adrenal
tissue
, 4
Question 11
Diagnostic radiological studies are indicated for low back pain:
Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of
more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
has been cured?
An enzyme-linked immunosorbent
assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer’s disease provides the
performance ratings on 10 complex, higher order activities?
MMSE
CAGE questionnaire
FAQ – Functional Activities
Questionnaire
Holmes and Rahe social
readjustment scale
Question 14
Major depression occurs most often in which of the following conditions?
