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A 65-year old woman is brought to the clinic by family. They report thieve have noticed a
change in her mental abilities over the past 2 weeks. Normally they say she is independent,
intelligent and very socially oriented. Medical history is unremarkable except for congestive
heart failure, for which she takes digoxin. She has had no major changes in her health. What
questions would be most important for the examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the age of 60 ? - CORRECT
ANSWERS C. When was her digoxin level last checked?
A patient who has difficulty writing or drawing is most likely to have what condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations - CORRECT ANSWERS B. Peripheral Neuropathy
A mother brings her 18 month old to the clinic. The child rarely talks or smiles or makes eye
contact. She has also notice he does not like to be held. She says his motor development
seems to be normal. What are these symptoms consistent with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium - CORRECT ANSWERS B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
,C. Disintegration of personality
D. Rapid onset of symptoms - CORRECT ANSWERS C. Disintegration of personality
While examining a newborn male infant, the examiner palpates a testicle in the inguinal
canal that cannot be pushed into the scrotum. this finding is consistent with what?
A. A retractile testi
B. Ambiguous genitalia
C. Inguinal hernia
D. undescended testicle - CORRECT ANSWERS D. Undescended testicle
Genital self examination should be taught to patients who are at risk for?
A. testicular cancer
B. Peyronie disease
C. STD
D. prostate enlargement - CORRECT ANSWERS C. STD
On exam of a patients scrotum you note the it is unusually thickened and it pits. What is one
type of problem suggested by these findings?
A. STD
B. Squamous cell skin cancer
C. Liver disease
D. Autoimmune disease - CORRECT ANSWERS C. Liver disease
While examining the genitalia of a 2 yr old boy the examiner should be aware.
A. scrotum has edema until age 4
B. Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs
C. testicles typically do not descend into the scrotum until age 5
D. Cremasteric reflex does not become evident until age 6-7. - CORRECT ANSWERS B.
Foreskin of uncircumcised penis is not fully retractable until age 3-4yrs.
Which item in the patient history is considered a risk factor for cancer of the penis?
A. circumcised at birth
, B. history of condyloma acuminatum infections
C. Had congenital hydrocele
D. History of untreated epispadius - CORRECT ANSWERS B. History of condyloma
acuminatum infections
A patients inability to follow simple instructions could indicate with of the following
findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression - CORRECT ANSWERS D. Depression
A patient scores a 3 on a mini-cog assessment instrument for dementia, What does this
score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia - CORRECT ANSWERS D. Negative screen for dementia
The examiner asks the patient to complete this statement: "A bird is to air as a fish is to
_________." This is an example of what type of testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings - CORRECT ANSWERS B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What does this
response likely reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia - CORRECT ANSWERS A. Left cerebral hemisphere lesion