COMPREHENSIVE BOARD STUDY GUIDE &
PRACTICE QUESTIONS
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Updated 2026 Questions and Answers
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Rationales Included
,Cultural syndromes clusters of symptoms and attributions that tend to co-occur among individuals in
specific cultural groups, communities, or contexts and that are recognized locally
as coherent patterns of experience
What is Susto/fright Latino populations
Illness believed to result from shocking, unpleasant or frightening experience that
is believed to cause the soul to leave the body
Symptoms of susto Appetite disturbances, inadequate or excessive sleep, troubled sleep, sadness,
lack of motivation, feelings of low self esteem
May include muscle aches, headache, stomachache, and diarrhea
What is Ataque de nervios and the symptoms Puerto Rican syndrome - attack of nerves, uncontrollable shouting, attacks of
crying, trembling, heat in the chest rising into the head, verbal or physical
aggression
Mal de Ojo meaning and symptoms Evil eye
Fatigue, headache, weight loss, exhaustion, and malaise
What is Empacho blocked intestine, Indigestion, feeling bloated, nausea, and vomiting
What is Mollera Caida Sunken fontanel
,What is Wind-cold illness? a concept in traditional Chinese medicine (TCM) that describes a pattern of
symptoms associated with an invasion of the body by external pathogenic factors,
particularly wind and cold.
What are symptoms of Wind-cold illness? chills, aversion to cold, body aches, nasal congestion, headache, mild fever
What is wind-heat illness? chills, body aches, nasal congestion, fever, sweating and thirst
What is Qi? vital energy or life force
What is apoptosis? Neuronal loss or cell death, extinction, shrinkage, disintegration
Normal TSH level 0.5-5.0
Symptoms of hyperthyroidism (8) Heat intolerance
agitation
anxiety
irritability
tachycardia
mood swings
weight loss
Mimic Mania
, Hyperthyroidism levels T3 and T4 high, TSH secretion decreases
Signs of hypothyroidism (5) Cold intolerance
Lethargy
Weight Gain
Decreased libido
Mimic Depression
Hypothyroidism levels T3 and T4 low, TSH increased
Teratogenic effect of Divalproex sodium (Depakote) Spina bifida (neural tube defect)
Black box warning of Depakote Hepatotoxicity and pancreatitis
Symptoms of hepatotoxicity RUQ abd pain
Reddish brown urine
Jaundice
Fatigue
Hepatotoxicity intervention DC offending agent
LFT
Normal AST 5-40
Normal ALT 5-35