APMLE Part 2 Comprehensive
Test || Questions & Answers
(Graded A+)
Conceptial Research
, APMLE Part 2 Comprehensive Test ||
Questions & Answers (Graded A+)
All of the following findings are consistent with hypothyroidism EXCEPT
A.nerve entrapment syndromes
B.weakness of proximal muscle groups
C.decreased myocardial contractility and pulse rate
D.accelerated recovery of deep tendon reflex responses - ANSWER - D.
Hypothyroidism leads to delayed muscle relaxation (Woltman's sign).
Which of the following results would be expected in a patient diagnosed with
longstanding Hashimoto's thyroiditis?
A.Elevated T3, T4, and TSH
B.Elevated T3 and T4, decreased TSH
C.Decreased T3 and T4, elevated TSH
D.Decreased T3, T4, and TSH - ANSWER - C
A patient presents with defects in the stratum corneum of the plantar surfaces.
Kytococcus (Micrococcus) sedentarius is identified as the etiologic agent and pitted
keratolysis is diagnosed. Which of the following is usually associated with this
bacterial infection?
A.Hyperthyroidism
B.Pedal hyperhidrosis
C.Bright coral-red fluorescence
D.A positive KOH preparation - ANSWER - B. Pedal hyperhidrosis is generally found
to be caused by Kytococcus sedentarius.
The most common cause of boils (furuncles) is
A.Haemophilus
B.Pseudomonas
C.Staphylococcus aureus
D.group A streptococcus - ANSWER - C. Boil formation is most commonly
associated with variants of staphylococcus.
A patient with diabetes mellitus presents with gram-negative sepsis from a foot ulcer.
The patient has multiple petechiae on the legs and arms and prolonged bleeding
from wound debridement. Hematologic findings include a prolonged prothrombin
time (PT)/INR, partial thromboplastin time (PTT), and thrombin time and a very low
platelet count. These findings suggest a diagnosis of
A.neutropenia.
B.idiopathic thrombocytopenia.
C.disseminated intravascular coagulopathy.
D.Henoch-Schönlein purpura - ANSWER - C. Prolongation of PT, activated PTT, and
rapidly declining platelet count are all classic signs and symptoms of DIC. Gram-
negative sepsis provokes DIC.
The risk stratification of fragility fractures in females is NOT assessed
A.on a regular basis once osteoporosis is identified.
,B.with Dual-energy x-ray absorptiometry (DEXA).
C.by elevated estrogen.
D.by serum levels of Vitamin D. - ANSWER - C. Decreased estrogen levels are
associated with osteoporosis.
36-year-old male patient presents with a 4-day history of marked fatigue and
excessive urinating and drinking. He was healthy until 4 days ago and takes no
medications. On physical examination, his blood pressure is 90/55 sitting and his
pulse is 110. Laboratory test results are: blood glucose 452, arterial blood gas 7.2
with a low bicarbonate level, and serum sodium 139.
Which type of insulin should be used for initial therapy?
A.NPH
B.Lispro
C.Glargine
D.Short-acting regular - ANSWER - D
A patient presents with fever, pruritic rash, and arthralgias. The past medical history
is significant for a recent kidney transplantation due to kidney failure secondary to
uncontrolled hypertension. The patient's medications include immunosuppressants.
The most likely diagnosis is
A.atopy
B.anaphylaxis
C.serum sickness
D.pseudoallergic reaction - ANSWER - C. Serum sickness is an allergic reaction
following exposure to foreign proteins and is characterized by fever, pruritic rash,
and arthralgias.
The correct positioning for a weightbearing mortise position x-ray of the ankle is
A.15 degrees internal rotation
B.15 degrees external rotation
C.45 degrees internal rotation
D.45 degrees external rotation - ANSWER - A The average tibia has an external
torsion of 15 degrees.
Anteroposterior and lateral weightbearing angle and base of gait radiographs
demonstrate a decrease in the percentage of articulation of the talus with the
navicular. The lateral radiograph will most likely display
A.a posterior break in the cyma line
B.an increased calcaneal inclination angle
C.an increased talar declination angle
D.a decreased lateral talocalcaneal angle - ANSWER - C The symptoms above
describe a flatfoot, which includes an increased talar declination angle.
In what foot type do you see an anterior break in the the cyma line? - ANSWER -
Pes Planus
What ossicle is just proximal to the navicular?
A.Os trigonum
B.Os supranaviculare
C.Os tibiale externum
, D.Os vesalianum - ANSWER - C Os tibiale externum is an anatomic variant
accessory bone within posterior tibial tendon.
The optimal kVp for film imaging of the foot and ankle is
A.20 kVp
B.40 kVp
C.60 kVp
D.80 kVp - ANSWER - C 60 kVp allows for the proper contrast and penetration of
tissues.
The most common type of primary malignant bone tumor seen in the foot is
A.fibrosarcoma
B.chondrosarcoma
C.osteogenic sarcoma
D.oat cell carcinoma - ANSWER - C. Osteogenic sarcoma
Which of the following is commonly associated with osteoporosis?
A.Blounts
B.Scurvy
C.Melorheostosis
D.Osteopetrosis - ANSWER - B. Scurvy results from lack of vitamin C, which
facilitates bone deposition.
According to the Hardcastle classification system, which injury is homolateral?
A.Type A
B.Type B
C.Type C
D.Type D - ANSWER - A
According to the Hardcastle classification system for Lisfranc fracture dislocations, a
total incongruity injury is
A.type A
B.type B1
C.type B2
D.type C - ANSWER - A. A total incongruity injury is classified as Type A under the
Hardcastle system.
A "bone within a bone" appearance is most commonly associated with
A.osteopoikilosis
B.melorheostosis
C.osteopetrosis
D.osteomalacia - ANSWER - C. Osteopetrosis, or marble bone disease, is
associated with hypoparathyroidism from infancy. Bone-within-bone is a classic x-ray
finding of this condition.
Which of the following imaging studies would best demonstrate deep vein
thrombosis?
A.MRI
B.Ultrasound
C.Arthrogram
Test || Questions & Answers
(Graded A+)
Conceptial Research
, APMLE Part 2 Comprehensive Test ||
Questions & Answers (Graded A+)
All of the following findings are consistent with hypothyroidism EXCEPT
A.nerve entrapment syndromes
B.weakness of proximal muscle groups
C.decreased myocardial contractility and pulse rate
D.accelerated recovery of deep tendon reflex responses - ANSWER - D.
Hypothyroidism leads to delayed muscle relaxation (Woltman's sign).
Which of the following results would be expected in a patient diagnosed with
longstanding Hashimoto's thyroiditis?
A.Elevated T3, T4, and TSH
B.Elevated T3 and T4, decreased TSH
C.Decreased T3 and T4, elevated TSH
D.Decreased T3, T4, and TSH - ANSWER - C
A patient presents with defects in the stratum corneum of the plantar surfaces.
Kytococcus (Micrococcus) sedentarius is identified as the etiologic agent and pitted
keratolysis is diagnosed. Which of the following is usually associated with this
bacterial infection?
A.Hyperthyroidism
B.Pedal hyperhidrosis
C.Bright coral-red fluorescence
D.A positive KOH preparation - ANSWER - B. Pedal hyperhidrosis is generally found
to be caused by Kytococcus sedentarius.
The most common cause of boils (furuncles) is
A.Haemophilus
B.Pseudomonas
C.Staphylococcus aureus
D.group A streptococcus - ANSWER - C. Boil formation is most commonly
associated with variants of staphylococcus.
A patient with diabetes mellitus presents with gram-negative sepsis from a foot ulcer.
The patient has multiple petechiae on the legs and arms and prolonged bleeding
from wound debridement. Hematologic findings include a prolonged prothrombin
time (PT)/INR, partial thromboplastin time (PTT), and thrombin time and a very low
platelet count. These findings suggest a diagnosis of
A.neutropenia.
B.idiopathic thrombocytopenia.
C.disseminated intravascular coagulopathy.
D.Henoch-Schönlein purpura - ANSWER - C. Prolongation of PT, activated PTT, and
rapidly declining platelet count are all classic signs and symptoms of DIC. Gram-
negative sepsis provokes DIC.
The risk stratification of fragility fractures in females is NOT assessed
A.on a regular basis once osteoporosis is identified.
,B.with Dual-energy x-ray absorptiometry (DEXA).
C.by elevated estrogen.
D.by serum levels of Vitamin D. - ANSWER - C. Decreased estrogen levels are
associated with osteoporosis.
36-year-old male patient presents with a 4-day history of marked fatigue and
excessive urinating and drinking. He was healthy until 4 days ago and takes no
medications. On physical examination, his blood pressure is 90/55 sitting and his
pulse is 110. Laboratory test results are: blood glucose 452, arterial blood gas 7.2
with a low bicarbonate level, and serum sodium 139.
Which type of insulin should be used for initial therapy?
A.NPH
B.Lispro
C.Glargine
D.Short-acting regular - ANSWER - D
A patient presents with fever, pruritic rash, and arthralgias. The past medical history
is significant for a recent kidney transplantation due to kidney failure secondary to
uncontrolled hypertension. The patient's medications include immunosuppressants.
The most likely diagnosis is
A.atopy
B.anaphylaxis
C.serum sickness
D.pseudoallergic reaction - ANSWER - C. Serum sickness is an allergic reaction
following exposure to foreign proteins and is characterized by fever, pruritic rash,
and arthralgias.
The correct positioning for a weightbearing mortise position x-ray of the ankle is
A.15 degrees internal rotation
B.15 degrees external rotation
C.45 degrees internal rotation
D.45 degrees external rotation - ANSWER - A The average tibia has an external
torsion of 15 degrees.
Anteroposterior and lateral weightbearing angle and base of gait radiographs
demonstrate a decrease in the percentage of articulation of the talus with the
navicular. The lateral radiograph will most likely display
A.a posterior break in the cyma line
B.an increased calcaneal inclination angle
C.an increased talar declination angle
D.a decreased lateral talocalcaneal angle - ANSWER - C The symptoms above
describe a flatfoot, which includes an increased talar declination angle.
In what foot type do you see an anterior break in the the cyma line? - ANSWER -
Pes Planus
What ossicle is just proximal to the navicular?
A.Os trigonum
B.Os supranaviculare
C.Os tibiale externum
, D.Os vesalianum - ANSWER - C Os tibiale externum is an anatomic variant
accessory bone within posterior tibial tendon.
The optimal kVp for film imaging of the foot and ankle is
A.20 kVp
B.40 kVp
C.60 kVp
D.80 kVp - ANSWER - C 60 kVp allows for the proper contrast and penetration of
tissues.
The most common type of primary malignant bone tumor seen in the foot is
A.fibrosarcoma
B.chondrosarcoma
C.osteogenic sarcoma
D.oat cell carcinoma - ANSWER - C. Osteogenic sarcoma
Which of the following is commonly associated with osteoporosis?
A.Blounts
B.Scurvy
C.Melorheostosis
D.Osteopetrosis - ANSWER - B. Scurvy results from lack of vitamin C, which
facilitates bone deposition.
According to the Hardcastle classification system, which injury is homolateral?
A.Type A
B.Type B
C.Type C
D.Type D - ANSWER - A
According to the Hardcastle classification system for Lisfranc fracture dislocations, a
total incongruity injury is
A.type A
B.type B1
C.type B2
D.type C - ANSWER - A. A total incongruity injury is classified as Type A under the
Hardcastle system.
A "bone within a bone" appearance is most commonly associated with
A.osteopoikilosis
B.melorheostosis
C.osteopetrosis
D.osteomalacia - ANSWER - C. Osteopetrosis, or marble bone disease, is
associated with hypoparathyroidism from infancy. Bone-within-bone is a classic x-ray
finding of this condition.
Which of the following imaging studies would best demonstrate deep vein
thrombosis?
A.MRI
B.Ultrasound
C.Arthrogram
