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• A -✓✓You are reviewing a pt chart before the exam. You note that
the pt is using topical capsaicin. You know that topical capsaicin is often
used for tx of:
a. Diabetic neuropathy
b. Stress reduction
c. All answers are appropriate
d. Depression
• You order bilat wrist XR on a 69yo man c/o pain in both wrists for
6wks not related to known trauma. You suspect elderly onset
rheumatoid arthritis. To guide tx, you look for which radiographic
finding?
a. Symmetric joint space narrowing
b. Soft tissue swelling
c. Subluxation of joints
d. Joint erosions -✓✓D
• The leading cause of disability worldwide is:
,a. Depression
b. Lung Ca
c. Heart dz
d. DM -✓✓A
• RD, 65yo African American female presents for annual physical. You
are reviewing VS and objective data prior to exam. Which would raise
suspicion for osteoporosis?
a. Wt loss of 5lbs
b. 1in decrease in ht
c. Hair loss
d. Decreased appetite -✓✓B
• In differentiating OA from chronic gout, pseudogout, or septic
arthritis, the most valuable diagnostic study would be:
a. CBC
b. CRP
c. Synovial fluid analysis
d. ESR -✓✓C
,• 52yo Caucasian woman comes in for annual exam. She has mitral
valve prolapse, no symptoms. PE reveals clear/equal breath sounds,
midsystolic click. You know her stage of HF is:
a. A
b. B
c. D
d. C -✓✓B (Stage B)
• Symptoms of depression distinct to elderly include:
a. Loss of pleasure in usual activities
b. Lack of emotions
c. Flat affect
d. Appetite/wt disturbances -✓✓B
• LB presents w/following hx and presentation: h/o MI 5yrs ago,
currently has SOB, cough, 2+ pitting edema. Tx will be based on LB's
stage of HF, which is:
a. D
b. C
c. A
, d. B -✓✓B (Stage C)
• You ordered a CBC for pt you suspect has PMR. Which 2 findings are
common in pt's with PMR?
a. Normochromic, normocytic anemia and thrombocytosis
b. Macrocytic, hyperchromic anemia and leukocytopenia
c. Neutropenia and hypochromic, normocytic anemia
d. Microcytic, hypochromic anemia and reticulocytopenia -✓✓A
• An example of secondary prevention you could recommend/order for
elderly would be to:
a. Provide foot care for DM pt
b. Check for fecal occult blood
c. Administer tetanus shot
d. Wear seat belts -✓✓B
• ACC 2017 Guidelines for High BP in adults discusses
screening/management of other CVD risk factors for hypertensive pts.
According to the guideline, basic testing for primary HTN includes
fasting BGL, CBC, lipids, BMP, TSH, UA, EKG w/optional echo, uric acid,
and urinary albumin-to-creatinine ratio.