CORRECT QUESTIONS AND DETAILED
ANSWERS/ALREADY GRADED A+
Question 2. Which of the following is a potential acquired cause of thrombophilia
- CORRECT ANSWER-Homocysteinuria
Protein C deficiency
Factor V Leiden
Antiphospholipid antibodies
Question 3
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: -
CORRECT ANSWER-Ulnar tunnel syndrome
Carpal tunnel syndrome
Tarsal tunnel syndrome
Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes? -
CORRECT ANSWER-A 30 year old female with unintended weight loss.
A 25 year old male with family history of type 1 diabetes
,An obese female with recurrent vaginitis
A 50 year old hyperlipidemic male
Question 5
A 72 year old female patient reports a 6 month history of gradually progressive
swollen and painful distal interphalangeal (DIP) joints of one hand. She has no
systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear
antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is
the most likely diagnosis? - CORRECT ANSWER-Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on
urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of
urinary tract infection. The initial treatment should be: - CORRECT ANSWER-
Trimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease? -
CORRECT ANSWER-Parkinson's disease
,Multiple sclerosis
Myasthenia gravis
Huntington's chorea
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made
by - CORRECT ANSWER-Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are): - CORRECT
ANSWER-81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome? - CORRECT ANSWER-
Excessive ACTH production
Administration of a glucocorticoid or ACTH
, Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: - CORRECT
ANSWER-Routinely after 3 weeks of low back pain symptoms.
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks
of more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order to
see if it has been cured? - CORRECT ANSWER-An enzyme-linked
immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13