1. Question
Category: Physiological Adaptation
A 32-year-old female patient presents to the outpatient clinic with complaints of
red, itchy eyes with a yellowish discharge for the past three days. She mentions she
recently returned from a trip abroad. The nurse, upon reviewing her medical
history, notes a previous episode of conjunctivitis last year. Given the patient’s
presentation and travel history, the nurse suspects a bacterial cause for the
conjunctivitis. Which of the following microorganisms, based on the patient’s
symptoms and history, is most likely responsible for her current condition?
A. Yersinia pestis
B. Helicobacter pylori
C. Vibrio cholerae
,D. Haemophilus aegyptius
E. Mycobacterium tuberculosis
F. Staphylococcus aureus
Correct Answer: D. Haemophilus aegyptius
Haemophilus influenzae biogroup aegyptius (Hae) is a causative agent of acute and
often purulent conjunctivitis, more commonly known as pink eye. The other
microorganisms listed are associated with different diseases and are not typically
responsible for conjunctivitis.
2. Question
Category: Physiological Adaptation
A 45-year-old female patient presents to the outpatient clinic with complaints of
intermittent joint pain, fatigue, and cognitive disturbances. She recalls having a
rash resembling a “bull’s-eye” a few weeks ago after a hiking trip in a tick-
endemic area. The nurse, upon reviewing her medical history, notes a recent
diagnosis of Lyme disease. Given the patient’s presentation and history, which of
the following microorganisms is most likely responsible for her condition?
A. Borrelia burgdorferi
B. Streptococcus pyogenes
,C. Bacillus anthracis
D. Enterococcus faecalis
Correct Answer: A. Borrelia burgdorferi
Lyme disease is the most common vector-borne disease in the United States. Lyme
disease is caused by the bacterium Borrelia burgdorferi and rarely, Borrelia
mayonii.
3. Question
Category: Reduction of Risk Potential
A fragile 87-year-old female has recently been admitted to the hospital with
increased confusion and falls over the last two (2) weeks. She is also noted to have
a mild left hemiparesis. Which of the following tests is most likely to be
performed?
A. CBC (Complete blood count)
B. ECG (electrocardiogram)
C. Thyroid function tests
D. CT scan
Correct Answer: D. CT scan
, A CT scan would be performed for further investigation of the hemiparesis.
Noncontrast CT scanning is the most commonly used form of neuroimaging in the
acute evaluation of patients with apparent acute stroke.
4. Question
Category: Reduction of Risk Potential
An 85-year-old male has been losing mobility and gaining weight over the last two
(2) months. The patient also has the heater running in his house 24 hours a day,
even on warm days. Which of the following tests is most likely to be performed?
A. CBC (complete blood count)
B. ECG (electrocardiogram)
C. Thyroid function tests
D. CT scan
Correct Answer: C. Thyroid function tests
Weight gain and poor temperature tolerance indicate something may be wrong with
the thyroid function. Thyroid function tests are designed to distinguish
hyperthyroidism and hypothyroidism from the euthyroid state. To accomplish this
task, direct measurements of the serum concentration of the two thyroid