Primary Care 7th Edition Buttaro
Test Bank
Course
Tests Bank Primary Care 7th Edition
Table of Contents
1. Neurologic & Vestibular Disorders — 201–206
2. Eye & Vision Disorders — 207–212
3. Facial Nerve & Temporal Artery Conditions — 213–215
4. Thyroid & Metabolic Disorders — 216–224
5. Hematologic & Systemic Conditions — 225–230
6. Dermatologic Disorders — 231–238
7. Gastrointestinal Disorders — 239–247
8. Substance Use & Behavioral Health — 248–250
,1.
A 52-year-old patient presents for routine primary care. Which intervention has the greatest
potential to reduce cardiovascular morbidity?
A. Annual chest radiograph
B. Routine antibiotic prophylaxis
C. Identification and management of cardiovascular risk factors
D. Screening echocardiography
Answer: C. Identification and management of cardiovascular risk factors
Rationale: Primary care focuses heavily on prevention through management of hypertension,
dyslipidemia, diabetes, smoking, obesity, diet, and physical activity.
2.
A patient with hypertension has repeated office blood pressures around 152/94 mmHg. What
should the clinician do first?
A. Diagnose secondary hypertension
B. Confirm the blood-pressure pattern with appropriate repeated measurements
C. Start three antihypertensive medications
D. Order a renal biopsy
Answer: B. Confirm the blood-pressure pattern with appropriate repeated measurements
,Rationale: Accurate diagnosis requires properly obtained and repeated measurements, with
home or ambulatory monitoring when appropriate.
3.
Which lifestyle intervention is most appropriate for a patient with newly diagnosed
hypertension?
A. Increase sodium intake
B. Increase processed-food consumption
C. Follow a heart-healthy dietary pattern and increase physical activity
D. Avoid all carbohydrates
Answer: C. Follow a heart-healthy dietary pattern and increase physical activity
Rationale: Dietary improvement, sodium reduction, weight management, and regular physical
activity are important nonpharmacologic interventions.
4.
A 45-year-old patient has a BMI of 33 kg/m². Which additional measurement is particularly
useful when assessing cardiometabolic risk?
A. Head circumference
B. Waist circumference
C. Chest circumference
D. Calf circumference
Answer: B. Waist circumference
, Rationale: Central adiposity is associated with insulin resistance, metabolic syndrome, and
cardiovascular risk.
5.
A patient reports persistent fatigue, constipation, dry skin, and cold intolerance. Which condition
should the clinician consider?
A. Hyperthyroidism
B. Hypothyroidism
C. Pheochromocytoma
D. Hyperparathyroidism
Answer: B. Hypothyroidism
Rationale: Fatigue, constipation, cold intolerance, and dry skin are classic manifestations of
reduced thyroid hormone activity.
6.
Which laboratory test is generally the preferred initial screening test for suspected primary
hypothyroidism?
A. TSH
B. Troponin
C. ACTH
D. Serum cortisol
Answer: A. TSH
Test Bank
Course
Tests Bank Primary Care 7th Edition
Table of Contents
1. Neurologic & Vestibular Disorders — 201–206
2. Eye & Vision Disorders — 207–212
3. Facial Nerve & Temporal Artery Conditions — 213–215
4. Thyroid & Metabolic Disorders — 216–224
5. Hematologic & Systemic Conditions — 225–230
6. Dermatologic Disorders — 231–238
7. Gastrointestinal Disorders — 239–247
8. Substance Use & Behavioral Health — 248–250
,1.
A 52-year-old patient presents for routine primary care. Which intervention has the greatest
potential to reduce cardiovascular morbidity?
A. Annual chest radiograph
B. Routine antibiotic prophylaxis
C. Identification and management of cardiovascular risk factors
D. Screening echocardiography
Answer: C. Identification and management of cardiovascular risk factors
Rationale: Primary care focuses heavily on prevention through management of hypertension,
dyslipidemia, diabetes, smoking, obesity, diet, and physical activity.
2.
A patient with hypertension has repeated office blood pressures around 152/94 mmHg. What
should the clinician do first?
A. Diagnose secondary hypertension
B. Confirm the blood-pressure pattern with appropriate repeated measurements
C. Start three antihypertensive medications
D. Order a renal biopsy
Answer: B. Confirm the blood-pressure pattern with appropriate repeated measurements
,Rationale: Accurate diagnosis requires properly obtained and repeated measurements, with
home or ambulatory monitoring when appropriate.
3.
Which lifestyle intervention is most appropriate for a patient with newly diagnosed
hypertension?
A. Increase sodium intake
B. Increase processed-food consumption
C. Follow a heart-healthy dietary pattern and increase physical activity
D. Avoid all carbohydrates
Answer: C. Follow a heart-healthy dietary pattern and increase physical activity
Rationale: Dietary improvement, sodium reduction, weight management, and regular physical
activity are important nonpharmacologic interventions.
4.
A 45-year-old patient has a BMI of 33 kg/m². Which additional measurement is particularly
useful when assessing cardiometabolic risk?
A. Head circumference
B. Waist circumference
C. Chest circumference
D. Calf circumference
Answer: B. Waist circumference
, Rationale: Central adiposity is associated with insulin resistance, metabolic syndrome, and
cardiovascular risk.
5.
A patient reports persistent fatigue, constipation, dry skin, and cold intolerance. Which condition
should the clinician consider?
A. Hyperthyroidism
B. Hypothyroidism
C. Pheochromocytoma
D. Hyperparathyroidism
Answer: B. Hypothyroidism
Rationale: Fatigue, constipation, cold intolerance, and dry skin are classic manifestations of
reduced thyroid hormone activity.
6.
Which laboratory test is generally the preferred initial screening test for suspected primary
hypothyroidism?
A. TSH
B. Troponin
C. ACTH
D. Serum cortisol
Answer: A. TSH
