CORRECT ANSWERS WITH DETAILED
RATIONALES DIFFERENTIAL DIAGNOSIS
AND PRIMARY CARE PRACTICUM
What is the most common cause of anemia
a. anemia of chronic disease
b. sideroblastic anemia
c. iron deficiency anemia - CORRECT ANSWER-c. iron deficiency anemia
The clinical suspects that a client has patellar instability. In order to test for
this, the client is seated with the quadriceps relaxed and the knee is placed
in extension. NExt the patella is displaced laterally and the knee flexed to
30 degrees. IF instability is present, this maneuver displaces the patella to
an abnormal position on the lateral femoral condyle, and the client will
perceive pain. Testing for patellar instability in this way is known as:
a. apprehension sign
b. bulge sign
c. thumb sign
d. none of the above - CORRECT ANSWER-a. apprehension sign
,If your preceptor is out ill on a day that you are scheduled to be in the
clinical setting, another preceptor can supervise you as long as they are
willing to take you on as a student and they meet the minimum preceptor
qualifications.
a. true
a. false - CORRECT ANSWER-a. false
Which of the following should be considered in a patient presenting with
erectile dysfunction
a. diabetes mellitus
b. hypertension
c. atherosclerosis
d. all of the above - CORRECT ANSWER-d. all of the above
A 23 year old sexually active man is seen in the clinic with unilateral painful
testicular swelling and diagnosed with epididymitis. In order to prescribe
the correct drub, the clinician understands that which of these is them most
common causative organism?
a. escheichia coli
b. staphylococcus aureus
c. chlamydia trachomatis
d. pseudomonas aerugonisa - CORRECT ANSWER-c. chlamydia
trachomatis
,The most common offending agents for medication induces resting tremor
are:
a. selective serotonin reuptake inhibitore (SSRIs)
b. Beta-Blockers
c. Floroquinolone antibiotics
d. anti-psychotics - CORRECT ANSWER-d. anti-psychotics
Which of the following type of tremor is characterized by an increase in
amplitude when the patient attemps voluntary movements
a. resting tremor
b. postural tremor
c. intention tremor
d. medication-induced tremor - CORRECT ANSWER-c. intention tremor
Ian, age 62, presents with a wide, diffuse area of erythematous skin on his
left lower leg that is warm and tender to palpation. There is some edema
involved. You suspect:
a. Necrotizing fasciitis.
b. Kaposi's sarcoma.
c. Cellulitis.
d. A diabetic ulcer. - CORRECT ANSWER-c. Cellulitis.
, Parkinsons disease is a progressive neurological disorder that is associated
with which type of tremor?
a. resting tremor
b. postural tremor
c. intention tremor
d. medication induced tremor - CORRECT ANSWER-a. resting tremor
Which information should be included when you are teaching your patient
about the use of nicotine gum?
a. the gum must be correctly chewed to a softened state then placed in the
buccal mucosa
b. patients should not eat for 30 minutes prior to or during the use of the
gum
c. initially, one piece is chewed every 30 minutes while awake
d. acidic foods and beverages should be encouraged during nicotine therapy
- CORRECT ANSWER-a. the gum must be correctly chewed to a softened
state then placed in the buccal mucosa
Severe pain associated with acute otitis media signifies perforation of the
tympanic membrane.
a. true Janet is a 30 year old woman who has been recently diagnosed with
a herniated disc at the level of L5-S1. She is currently in the emergency
room with suspician of cauda equna compression. Which of the following is
a sign or symptom of cauda equina compression?