Clinical Medicine Exam 3 Questions And
Answers
Dental management considerations of patients with psychiatric disease will include all of the
following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - ANS B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - ANS C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - ANS D
Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - ANS C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - ANS A
,*Factors II, VII, IX, X* are vitamin K-dependent
For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - ANS B
Schizophrenia:
A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - ANS D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - ANS A
Which of the following represents appropriate management of a patient who is scheduled for the
extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low molecular
weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient taking
Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 - ANS
C and D
Mood disorders:
A. are more common among men than among women
B. are characterized by extreme exaggeration and disturbance of mood and affect
C. include depression, bipolar disorder, and schizophrenia
D. affect 7% of adults in the US - ANS B
A patient who is malingering is:
, A. making a child sick
B. making themselves sick
C. deliberately feigning illness - ANS C
In the development of a RBC, once a normoblast loses its nucleus, it becomes a:
A. mature RBC
B. mast cell
C. reticulocyte
D. pro-erythroblast - ANS C
Erythropoietin is released by the kidney and the:
A. lung
B. bone marrow
C. adrenal glands
D. liver - ANS D
Angular cheilitis and glossitis may be seen most often in which condition?
A. anemia
B. lymphoma
C. leukemia
D. errythrocytosis - ANS A
Anemia due to RBC destruction may be due to which of the following?
A. inadequate production
B. sequestration in the spleen
C. hemolysis
D. excessive thrombosis - ANS C
In sickle cell anemia, what amino acid replaces glutamic acid in the hemoglobin chain?
A. leucine
B. valine
C. tyrosine
D. methionine - ANS B
On a blood smear, iron deficiency anemia appears?
A. macrocytic-hypochromic
B. microcytic-hypochromic
Answers
Dental management considerations of patients with psychiatric disease will include all of the
following EXCEPT:
A. caries risk
B. antisialogogues
C. diet counseling
D. fluoride pastes and varnishes - ANS B
Which clinical finding is suggestive of a platelet disorder?
A. ecchymosis
B. hemarthrosis
C. petechiae
D. delayed surgical bleeding - ANS C
Which of the following is a hypercoagulable state?
A. thrombocytopenia
B. hereditary hemorrhagic telangiectasia
C. hemophilia A
D. protein C deficiency - ANS D
Patients with bipolar disorders will:
A. report an increased need for sleep
B. have no family history of bipolar disorder
C. present with distinct periods of euphoric mania
D. require pain management with NSAIDs only - ANS C
Which factors are considered to be vitamin K dependent?
A. factors 7, 9
B. factors 9, 11
C. factors 7, 11
D. factors 8, 10 - ANS A
,*Factors II, VII, IX, X* are vitamin K-dependent
For which patient is DDAVP the initial agent used to promote hemostasis?
A. moderate hemophilia A
B. von Willebrand disease
C. idiopathic thrombocytopenia
D. liver disease - ANS B
Schizophrenia:
A. has a lifetime prevalence of 1.1% and occurs later in life
B. responds well to treatment with lithium
C. has a definite genetic cause
D. is characterized by disordered thinking, delusions or hallucinations - ANS D
Pharmacologic adverse effects which are NOT of concern when managing patients with
psychiatric disorders are:
A. orthostatic hypertension
B. hypotension with use of epinephrine
C. tardive dyskinesia
D. agranulocytosis - ANS A
Which of the following represents appropriate management of a patient who is scheduled for the
extraction of 2 maxillary anterior teeth?
A. discontinue aspirin 3-5 days prior to surgery
B. obtain and INRR 24 hrs prior to surgery for a patient who is taking LMWH (low molecular
weight heparin)
C. consider using adjunctive hemostatic agents (ex. fibrillar collagen) for the patient taking
Plavix
D. proceed with surgery in the patient with A. Fibrillation if INR is therapeutic b/w 2.5-3 - ANS
C and D
Mood disorders:
A. are more common among men than among women
B. are characterized by extreme exaggeration and disturbance of mood and affect
C. include depression, bipolar disorder, and schizophrenia
D. affect 7% of adults in the US - ANS B
A patient who is malingering is:
, A. making a child sick
B. making themselves sick
C. deliberately feigning illness - ANS C
In the development of a RBC, once a normoblast loses its nucleus, it becomes a:
A. mature RBC
B. mast cell
C. reticulocyte
D. pro-erythroblast - ANS C
Erythropoietin is released by the kidney and the:
A. lung
B. bone marrow
C. adrenal glands
D. liver - ANS D
Angular cheilitis and glossitis may be seen most often in which condition?
A. anemia
B. lymphoma
C. leukemia
D. errythrocytosis - ANS A
Anemia due to RBC destruction may be due to which of the following?
A. inadequate production
B. sequestration in the spleen
C. hemolysis
D. excessive thrombosis - ANS C
In sickle cell anemia, what amino acid replaces glutamic acid in the hemoglobin chain?
A. leucine
B. valine
C. tyrosine
D. methionine - ANS B
On a blood smear, iron deficiency anemia appears?
A. macrocytic-hypochromic
B. microcytic-hypochromic
