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MN 568 MIDTERM EXAM COMPLETE 200
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
MN 568 Midterm Exam
QUESTION: Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports
that he has had intermittent heartburn for several months and takes antacids with temporary
relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease (GERD) is
the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in his mouth.
D. He likes to wear loose clothing. - ANSWER-He wakes at night coughing with a bad taste in his
mouth.
QUESTION: Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis
and had no complications. Which of the following patient education points is correct?
A. "You will need to take laxatives to encourage defecation post-surgery."B. "You will need to
stay in the hospital for 2 weeks to recover."C. "Your diet will be advanced when bowel sounds
return."D. "I will put you on narcotics to manage your pain." - ANSWER-"Your diet will be
advanced when bowel sounds return"
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QUESTION: Which of the following patients should be referred to a hepatologist?
A. Patient with persistent elevation of HBsAg
B. Patient with anti-HAV IgG
C. Patient with IgG anti-HBs
D. Patient with anti-HEV - ANSWER-Patient with persistent elevation of HBsAg
QUESTION: Which of the following is most effective in diagnosing acute appendicitis?
A. History and physical
B. Sedimentation rate
C. Kidney, ureter, and bladder x-ray
D. Complete blood count (CBC) with differentials - ANSWER-History and physical
QUESTION: Which of the following is true of appendicitis?
A. Appendicitis is more common in Asian countries.
B. Family history of appendicitis does not increase a patient's risk of having appendicitis.
C. Appendicitis is most common between the ages of 40 and 60.
D. If appendicitis occurs in infants, it is associated with higher morbidity. - ANSWER-If
appendicitis occurs in infants, it is associated with higher morbidity.
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QUESTION: A 28-year-old patient is seen with complaints of diarrhea. Which of the following
responses to the history questions would help the primary-care provider (PCP) establish the
diagnosis of irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating - ANSWER-Pain is precipitated by eating
QUESTION: Which of these is one of the most common dietary triggers of IBS?
A. Gluten-free items
B. Lactose
C. Honey
D. Meat - ANSWER-Lactose
QUESTION: A patient is diagnosed with GERD, and his endoscopic report reveals the presence
of Barrett's epithelium. Which of the following should the PCP include in the explanation of the
pathology report?
A. This is not premalignant tissue.
B. This tissue is not resistant to gastric acid.
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C. This tissue supports healing of the esophagus.
D. This tissue does not have an increased risk of developing esophageal adenocarcinoma. -
ANSWER-This tissue supports healing of the esophagus.
QUESTION: Which of the following dietary instructions should be given to a patient with GERD?
A. Eliminate coffee.
B. Drink hot toddies to relieve stomach distress.
C. Recline and rest after meals.
D. Increase the amount of spicy foods. - ANSWER-Eliminate coffee
QUESTION: A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis?
A. Very early
B. 3 to 4 hours after perforation
C. Late in inflammation
D. Appendicitis never presents with vague pain - ANSWER-Very early
QUESTION:
You are doing a cerumen extraction and touch the external meatus of your pt's ear. He winces
and starts coughing. What is the name of this reflex? - ANSWER-Arnold Reflex
MN 568 MIDTERM EXAM COMPLETE 200
QUESTIONS AND VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
MN 568 Midterm Exam
QUESTION: Cameron, 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports
that he has had intermittent heartburn for several months and takes antacids with temporary
relief. He has been waking during the night with a burning sensation in his chest. Which
additional information would lead you to believe that gastroesophageal reflux disease (GERD) is
the cause of his pain?
A. The pain seems better when he smokes to relieve his nerves.
B. Coffee and fried foods don't bother him.
C. He wakes at night coughing with a bad taste in his mouth.
D. He likes to wear loose clothing. - ANSWER-He wakes at night coughing with a bad taste in his
mouth.
QUESTION: Hannah is a patient that just had an appendectomy after a diagnosis of appendicitis
and had no complications. Which of the following patient education points is correct?
A. "You will need to take laxatives to encourage defecation post-surgery."B. "You will need to
stay in the hospital for 2 weeks to recover."C. "Your diet will be advanced when bowel sounds
return."D. "I will put you on narcotics to manage your pain." - ANSWER-"Your diet will be
advanced when bowel sounds return"
, Page 2 of 53
QUESTION: Which of the following patients should be referred to a hepatologist?
A. Patient with persistent elevation of HBsAg
B. Patient with anti-HAV IgG
C. Patient with IgG anti-HBs
D. Patient with anti-HEV - ANSWER-Patient with persistent elevation of HBsAg
QUESTION: Which of the following is most effective in diagnosing acute appendicitis?
A. History and physical
B. Sedimentation rate
C. Kidney, ureter, and bladder x-ray
D. Complete blood count (CBC) with differentials - ANSWER-History and physical
QUESTION: Which of the following is true of appendicitis?
A. Appendicitis is more common in Asian countries.
B. Family history of appendicitis does not increase a patient's risk of having appendicitis.
C. Appendicitis is most common between the ages of 40 and 60.
D. If appendicitis occurs in infants, it is associated with higher morbidity. - ANSWER-If
appendicitis occurs in infants, it is associated with higher morbidity.
, Page 3 of 53
QUESTION: A 28-year-old patient is seen with complaints of diarrhea. Which of the following
responses to the history questions would help the primary-care provider (PCP) establish the
diagnosis of irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating - ANSWER-Pain is precipitated by eating
QUESTION: Which of these is one of the most common dietary triggers of IBS?
A. Gluten-free items
B. Lactose
C. Honey
D. Meat - ANSWER-Lactose
QUESTION: A patient is diagnosed with GERD, and his endoscopic report reveals the presence
of Barrett's epithelium. Which of the following should the PCP include in the explanation of the
pathology report?
A. This is not premalignant tissue.
B. This tissue is not resistant to gastric acid.
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C. This tissue supports healing of the esophagus.
D. This tissue does not have an increased risk of developing esophageal adenocarcinoma. -
ANSWER-This tissue supports healing of the esophagus.
QUESTION: Which of the following dietary instructions should be given to a patient with GERD?
A. Eliminate coffee.
B. Drink hot toddies to relieve stomach distress.
C. Recline and rest after meals.
D. Increase the amount of spicy foods. - ANSWER-Eliminate coffee
QUESTION: A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at
what point in appendicitis?
A. Very early
B. 3 to 4 hours after perforation
C. Late in inflammation
D. Appendicitis never presents with vague pain - ANSWER-Very early
QUESTION:
You are doing a cerumen extraction and touch the external meatus of your pt's ear. He winces
and starts coughing. What is the name of this reflex? - ANSWER-Arnold Reflex
