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A thymectomy is usually recommended in the early treatment of
which disease? - ANSWER-Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
Martin is complaining of erectile dysfunction. He also has a condition
that has reduced arterial blood flow to his penis. The most common
cause of this condition is: - ANSWER-Parkinson's disease
Epilepsy
Multiple sclerosis
Diabetes mellitus
,Question 2. Which of the following is a potential acquired cause of
thrombophilia - ANSWER-Homocystinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms
of: - ANSWER-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?
- ANSWER-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
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? - ANSWER-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: - ANSWER-Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is
usually made by - ANSWER-Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are): -
ANSWER-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? - ANSWER-
Excessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: -
ANSWER-Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolisthesis 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? - ANSWER-An enzyme-linked
immunosorbent assay titer