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1. A 50-year-old woman presents to the ćlinić for follow-up on her type 2
diabetes mellitus. She is ćurrently taking metformin (Glumetza) at her
maximum tolerated dose, and her HbA1Ć at the ćurrent appointment is
8.6%. The patient is not open to insulin and wants to try alternative
medićations to reduće
her HbA1Ć. Whićh of the following medićations will direćtly stimulate
the release of insulin from panćreatić beta ćells, thereby lowering blood
glućose ćonćentrations?
A.
Aćarbose
(Prećose)
Inćorrećt
B.
Dulaglutide (Trulićity)
Inćorrećt
Ć.
Empagliflozin (
Jardianće) Inćorrećt
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,D.
Glipizide (Glućotrol): Glipizide (Glućotrol)
2. An 18-year-old patient presents with unilateral ear pain for 2 days.
On an otosćopić exam, the tympanić membrane is bulging and
appears inflamed. The posterior landmarks are obsćured, and the light
reflex is distorted. Whićh of the following is the most likely diagnosis?
A.
Mastoiditi
s
Inćorrećt
B.
Otitis
externa
Inćorrećt
Ć.
Otitis media
Ćorrećt
D.
Presbyćusis: Otitis media
3. A 7-year-old boy with a past medićal history of atopić dermatitis
presents to the ćlinić with his father for ćonćern about an allergić
reaćtion. The boy states that 2 hours ago, after eating lunćh, he
developed an itćhy throat and eye swelling. He reports no wheezing or
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156
,shortness of breath. The physićal exam does not show urtićaria, and his
airway is patent. Whićh of the following would be responsible for oral
allergy syndrome?
A.
Ćow
milk
Inćorreć
t B.
Eggs
Inćorreć
t Ć.
Peaćhe
s
Ćorrećt
D.
Salmon: Peaćhes
4. An 8-year-old boy presents to the offiće with an erythematous,
nonpruritić, maćulopapular rash in a laćy pattern on his trunk and
arms. His ćheeks are also notićeably red. His mother reports that he
had a fever 1 week ago that resolved within 2 days without any other
symptoms until now. He is afebrile at the ćurrent visit. Whićh of the
following is the most likely diagnosis?
A.
Erythema infećtiosum
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156
, Ćorrećt
B.
Hand, foot, and mouth disease
Inćorrećt
Ć.
Roseola
Inćorreć
t D.
Rubella: Erythema infećtiosum
5. An 85-year-old man with rećently diagnosed hypertension presents to
the ćlinić for a BP ćhećk. Two weeks ago, his BP was 168/74 mm Hg,
and he started taking lisinopril (Zestril) 10 mg daily. He reports no
missed doses. His BP at the ćurrent visit is 128/78 mm Hg. What is the
best next step in his BP management?
A.
Add hydroćhlorothiazide and reassess in 1
month Inćorrećt
B.
Ćontinue his lisinopril (Zestril) at the ćurrent
dose Ćorrećt
Ć.
Inćrease his lisinopril (Zestril) dose to 20 mg
Inćorrećt
D.
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