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1. A 45-year-old male presents with throbbing podagral pain and tophi in the ear
pinnae. Which medication should the clinician prescribe for this acute attack?
A. Colchicine (Colcrys)
B. Probenecid (Benemid)
C. Allopurinol (Zyloprim)
D. Pegloticase (Krystexxa) - ANSWER A
2. A patient is seen in the clinic with a chief complaint of hematuria. To make a
differential diagnosis, which of the following questions should be asked?
A. "Do you have a history of liver disease?"
B. "What medications are you currently taking?"
C. "Have you noticed swelling in your ankles?"
D. "Do you have an autoimmune condition?" - ANSWER B
3. The result of the patient's 24-hour urine for protein was 4.2 g/day. The clinician
should take which of the following actions?
A. Repeat the test.
,B. Refer to a nephrologist.
C. Measure the serum protein.
D. Obtain a blood urea nitrogen (BUN) and creatinine. - ANSWER B
4. The clinician is speaking with Bernadette, who has recently been diagnosed
with urinary incontinence. She has had this condition for a number of years, she is
5 feet 5 inches, and she weighs 140 pounds. Which of the following should the
health-care provider be aware of?
A. It is uncommon that Bernadette has this condition because she is female.
B. Most patients should wait 3 months for follow-up after diagnosis.
C. Since Bernadette has a regular body mass index, she probably has a positive
body image.
D. Bernadette may be suffering from depression and may need a psychiatric
consult. - ANSWER D
5. A patient is seen in the clinic with hematuria confirmed on microscopic
examination. The clinician should inquire about the ingestion of which of these
substances that might be the cause of hematuria?
A. NSAIDs
B. Rhubarb
C. Vitamin A
D. Red meat - ANSWER A
6. A 27-year-old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection (UTI). What are
some additional symptoms consistent with a diagnosis of lower UTI?
,A. Thick, green discharge
B. Fever, chills, costovertebral angle (CVA) tenderness
C. Blood in urine and frequency
D. Foul-smelling discharge, perineal itch - ANSWER C
7. Which of the following patients is most likely to have urge incontinence?
A. Mary, a 35-year-old female with a history of four vaginal deliveries
B. Devon, a 40-year-old male with a history of multiple sclerosis
C. Dan, a 67-year-old male with a history of diabetes mellitus
D. Cheryl, a 95-year-old female who takes Norpace daily - ANSWER B
8. A 30-year-old patient presents with pain on urination. The urine microscopy of
clean-catch urine shows greater than 10 leukocytes/mL, and a dipstick is positive
for nitrites. What is the probable diagnosis?
A. Lower urinary-tract infection
B. Chlamydia infection
C. Candidiasis
D. Pyelonephritis - ANSWER A
9. A patient presents with CVA tenderness and a several-day history of high fever,
chills, and dysuria. Which of the following diagnoses is most likely given the above
information?
A. Pyelonephritis
B. Cystitis
, C. Renal calculi
D. Bladder tumor - ANSWER A
10. Which of the following information patients with a UTI can receive Bactrim
DS?
A. Mary, a 25-year-old who is 25 weeks pregnant
B. Donna, a 55-year-old with an allergy to sulfa
C. Lisa, a 33-year-old who is breastfeeding her 3-week-old daughter
D. Tiffany, a 16-year-old with a hypersensitivity to penicillin - ANSWER D
Which of the following Macrobid doses is appropriate to treat a lower UTI?
A.
200 mg bid ´ 14 days
B.
100 mg bid ´ 5 days
C.
500 mg daily ´ 8 days
D.
800 mg daily ´ 2 days - ANSWER B
A patient is seen in the office complaining of severe flank pain and hematuria.
The clinician should assess this patient for which risk factor for poststreptococcal
glomerulonephritis?
A.