Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
Which of following statements best captures the importance of
employing diagnostic reasoning?
1. A systematic approach to diagnosis can reduce errors in all
healthcare environments
2. Diagnostic reasoning forces providers to quickly narrow their
differential
E. Emergency room care is often rushed and diagnostic reasoning
slows the thinking process
4. Diagnostic reasoning involves use of a comprehensive ROS and
physical exam -
correct answer ✅1. A systematic approch to diagnosis can reduce
errors in all healthcare environments
The essential difference between a diagnostic framework and a
differential is that:
1. Diagnostic frameworks are symptom based, differential are
patient based
2. Diagnostic frameworks require a greater understanding of illness
scripts
3. Diagnostic frameworks are ranked in order of likelihood
4. Diagnostic frameworks are only necessary when the presenting
symptoms are vague -
,Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
correct answer ✅1. Diagnostic frameworks are symptom based,
differential are patient based
Ideally, to rule in a diagnosis, the better test would be:
1. The least expensive test
2. The test with the largest negative likelihood ratio
3. The test with a positive predictive value of 1
4. The test with the largest positive likelihood ratio -
correct answer ✅4. The test with the largest positive likelihood
ratio
A patient with polyarticular joint pain, fatigue, malaise and ulnar
deviation of the metacarpal joints. Which blood test is most specific
for this disease?
1. Anticyclic Citrullinated Peptide (Anti-CCP)
2. Rheumatoid Factor (RF)
3. Anti double strength DNA (Anti-DS DNA)
4. Antinuclear antibody (ANA) -
correct answer ✅1. Anti-CCP
In most autoimmune diseases, the best use of an ESR and CRP is?
,Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
1. Monitoring the progression of a disease and the effectiveness of
a medication
2. As the initial screening tool
3. Ruling in an infectious process
4. Establishing the presence of an autoimmune disease -
correct answer ✅1. Monitoring the progression for disease and
the effectiveness of a medication
A key feature differentiating osteoarthritis from rheumatoid
arthritis is:
1. Monoarticular vs. polyarticular
2. Obesity vs. underweight
3. Pain after use vs. pain after immobility
4. Acute vs. chronic onset -
correct answer ✅3. Pain after use vs. pain after immobility
A major difference between NSAIDS and DMARDS is that:
1. NSAIDS are more effective in smaller joints, DMARDS are more
effective in larger joints
2. DMARDS can restore lost function, NSAIDS cannot restore lost
function
, Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
3. DMARDS provide much more pain control
4. DMARDS slow the progression of the disease, NSAIDS do not -
correct answer ✅4. DMARDS slow the progression of the disease,
NSAIDS do not
Which principle should guide diagnosis of an autoimmune disease?
1. Always maintain a suspicion of autoimmune disease
2. Included a screening CBC with any patient with joint pain
3. Autoimmune disease can be ruled out if there are not arthralgias
(joint pain)
4. Refer any joint pain to ortho or rheumatology -
correct answer ✅1. Always maintain a suspicion of autoimmune
disease
A young child is diagnosed with CF. The parents are concerned that
any other children they have will also be born with CF. The
practitioner explains that CF is an autosomal recessive inherited
disease and that any future children:
1. Is much more likely to have this condition if they are male
2. Will have a 25% chance of inheriting the disease
3. Is very unlikely to have this condition because it is extremely rare
Questions & Answers (Grade A+)
Which of following statements best captures the importance of
employing diagnostic reasoning?
1. A systematic approach to diagnosis can reduce errors in all
healthcare environments
2. Diagnostic reasoning forces providers to quickly narrow their
differential
E. Emergency room care is often rushed and diagnostic reasoning
slows the thinking process
4. Diagnostic reasoning involves use of a comprehensive ROS and
physical exam -
correct answer ✅1. A systematic approch to diagnosis can reduce
errors in all healthcare environments
The essential difference between a diagnostic framework and a
differential is that:
1. Diagnostic frameworks are symptom based, differential are
patient based
2. Diagnostic frameworks require a greater understanding of illness
scripts
3. Diagnostic frameworks are ranked in order of likelihood
4. Diagnostic frameworks are only necessary when the presenting
symptoms are vague -
,Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
correct answer ✅1. Diagnostic frameworks are symptom based,
differential are patient based
Ideally, to rule in a diagnosis, the better test would be:
1. The least expensive test
2. The test with the largest negative likelihood ratio
3. The test with a positive predictive value of 1
4. The test with the largest positive likelihood ratio -
correct answer ✅4. The test with the largest positive likelihood
ratio
A patient with polyarticular joint pain, fatigue, malaise and ulnar
deviation of the metacarpal joints. Which blood test is most specific
for this disease?
1. Anticyclic Citrullinated Peptide (Anti-CCP)
2. Rheumatoid Factor (RF)
3. Anti double strength DNA (Anti-DS DNA)
4. Antinuclear antibody (ANA) -
correct answer ✅1. Anti-CCP
In most autoimmune diseases, the best use of an ESR and CRP is?
,Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
1. Monitoring the progression of a disease and the effectiveness of
a medication
2. As the initial screening tool
3. Ruling in an infectious process
4. Establishing the presence of an autoimmune disease -
correct answer ✅1. Monitoring the progression for disease and
the effectiveness of a medication
A key feature differentiating osteoarthritis from rheumatoid
arthritis is:
1. Monoarticular vs. polyarticular
2. Obesity vs. underweight
3. Pain after use vs. pain after immobility
4. Acute vs. chronic onset -
correct answer ✅3. Pain after use vs. pain after immobility
A major difference between NSAIDS and DMARDS is that:
1. NSAIDS are more effective in smaller joints, DMARDS are more
effective in larger joints
2. DMARDS can restore lost function, NSAIDS cannot restore lost
function
, Primary Care I - Final Exam Review
Questions & Answers (Grade A+)
3. DMARDS provide much more pain control
4. DMARDS slow the progression of the disease, NSAIDS do not -
correct answer ✅4. DMARDS slow the progression of the disease,
NSAIDS do not
Which principle should guide diagnosis of an autoimmune disease?
1. Always maintain a suspicion of autoimmune disease
2. Included a screening CBC with any patient with joint pain
3. Autoimmune disease can be ruled out if there are not arthralgias
(joint pain)
4. Refer any joint pain to ortho or rheumatology -
correct answer ✅1. Always maintain a suspicion of autoimmune
disease
A young child is diagnosed with CF. The parents are concerned that
any other children they have will also be born with CF. The
practitioner explains that CF is an autosomal recessive inherited
disease and that any future children:
1. Is much more likely to have this condition if they are male
2. Will have a 25% chance of inheriting the disease
3. Is very unlikely to have this condition because it is extremely rare
