Mn 566 Midterm
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight
gain, and constipation for the past 3 months. On physical examination, the
clinician notices muscular stiffness, coarse, dry hair; and a delay in relaxation in
deep tendon reflexes. Which test should be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine Specific Gravity - ANS - B. Thyroid-stimulating hormone
\A delta wave on an ECG may be present in which condition?
A. Prinzmetal's Angina
B. Bundle Branch Block
C. Wolff-Parkinson-White Syndrome
D. Aortic Stenosis - ANS - C. Wolff-Parkinson-White Syndrome
\A male patient with diabetes asks the clinician why he needs to check his blood
sugar at home even when he feels good. Which response by the clinician would
be most appropriate?
A. "Control of glucose will help postpone or delay complications."
B. "Regularly checking blood sugar will help you"
C. "Monitoring glucose will promote a sense of connectedness."
D. "Because you know it is the right thing to do for your disease." - ANS - A.
"Control of glucose will help postpone or delay complications."
\A male patient with type 1 diabetes comes to the clinic complaining of feeling
nervous and clammy. He states that he took his insulin this morning but was late
for work and did not eat breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice
C. Call 911
D. Ask him about his usual eating habits - ANS - B. Have him drink 4 ounces of
juice
\A score of 12 to 24 on this test indicates intermediate Alzheimer's:
A. SLUMS
, B. MoCA
C. FAST
D. MMSE - ANS - D. MMSE
\About 90% of all headaches are:
A. Tension
B. Migraine
C. Cluster
D. Without pathological cause - ANS - D. Without pathological cause
\After removing a tack from a type 2 diabetic's heel and evaluating the site for
infection, what is the best plan for this patient?
A. Suggest the patient use a heating pad to improve circulation.
B. Refer to a podiatrist for a foot-care treatment plan.
C. Send the patient for acupuncture treatment.
D. Recommend increased intake of vitamin B12. - ANS - B. Refer to a podiatrist
for a foot-care treatment plan.
\Amy has a history of lung cancer and is experiencing new-onset right side ptosis
and miosis and says, "I'm so hot, but I'm not sweating." Which of the following
conditions can be attributed to her new-onset symptoms?
A. Bell's Palsy
B. Turner's Syndrome
C. Murphy's Syndrome
D. Horner's Syndrome - ANS - D. Horner's Syndrome
\Data from the Framingham Heart study suggests that individuals who are
normotensive at 55 years of age have how much lifetime risk of developing
hypertension?
A. 65%
B 75%
C. 80%
D. 90% - ANS - D. 90%
\Gabby, age 22, has Bell's Palsy on the right side of her face. Her mouth is
distorted and she is concerned about permanent paralysis and pain. What do you
tell her?
A. "Most patients have complete recovery in 3-6 months"
B. "Unfortunately, you'll probably have a small amount of residual damage."
C. "Don't worry, I'll take care of everything."
A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight
gain, and constipation for the past 3 months. On physical examination, the
clinician notices muscular stiffness, coarse, dry hair; and a delay in relaxation in
deep tendon reflexes. Which test should be ordered next?
A. Serum calcium
B. Thyroid-stimulating hormone
C. Electrolytes
D. Urine Specific Gravity - ANS - B. Thyroid-stimulating hormone
\A delta wave on an ECG may be present in which condition?
A. Prinzmetal's Angina
B. Bundle Branch Block
C. Wolff-Parkinson-White Syndrome
D. Aortic Stenosis - ANS - C. Wolff-Parkinson-White Syndrome
\A male patient with diabetes asks the clinician why he needs to check his blood
sugar at home even when he feels good. Which response by the clinician would
be most appropriate?
A. "Control of glucose will help postpone or delay complications."
B. "Regularly checking blood sugar will help you"
C. "Monitoring glucose will promote a sense of connectedness."
D. "Because you know it is the right thing to do for your disease." - ANS - A.
"Control of glucose will help postpone or delay complications."
\A male patient with type 1 diabetes comes to the clinic complaining of feeling
nervous and clammy. He states that he took his insulin this morning but was late
for work and did not eat breakfast. Which action should the clinician take first?
A. Administer glucagon subcutaneously.
B. Have him drink 4 ounces of juice
C. Call 911
D. Ask him about his usual eating habits - ANS - B. Have him drink 4 ounces of
juice
\A score of 12 to 24 on this test indicates intermediate Alzheimer's:
A. SLUMS
, B. MoCA
C. FAST
D. MMSE - ANS - D. MMSE
\About 90% of all headaches are:
A. Tension
B. Migraine
C. Cluster
D. Without pathological cause - ANS - D. Without pathological cause
\After removing a tack from a type 2 diabetic's heel and evaluating the site for
infection, what is the best plan for this patient?
A. Suggest the patient use a heating pad to improve circulation.
B. Refer to a podiatrist for a foot-care treatment plan.
C. Send the patient for acupuncture treatment.
D. Recommend increased intake of vitamin B12. - ANS - B. Refer to a podiatrist
for a foot-care treatment plan.
\Amy has a history of lung cancer and is experiencing new-onset right side ptosis
and miosis and says, "I'm so hot, but I'm not sweating." Which of the following
conditions can be attributed to her new-onset symptoms?
A. Bell's Palsy
B. Turner's Syndrome
C. Murphy's Syndrome
D. Horner's Syndrome - ANS - D. Horner's Syndrome
\Data from the Framingham Heart study suggests that individuals who are
normotensive at 55 years of age have how much lifetime risk of developing
hypertension?
A. 65%
B 75%
C. 80%
D. 90% - ANS - D. 90%
\Gabby, age 22, has Bell's Palsy on the right side of her face. Her mouth is
distorted and she is concerned about permanent paralysis and pain. What do you
tell her?
A. "Most patients have complete recovery in 3-6 months"
B. "Unfortunately, you'll probably have a small amount of residual damage."
C. "Don't worry, I'll take care of everything."
