Primary Care I - Final Exam Review {100%Success}
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
1. Which of following statements best captures the im- 1. A systematic approch to
portance of employing diagnostic reasoning? diagnosis can reduce er-
1. A systematic approach to diagnosis can reduce er- rors in all healthcare envi-
rors in all healthcare environments ronments
2. Diagnostic reasoning forces providers to quickly nar-
row their differential
E. Emergency room care is often rushed and diagnostic
reasoning slows the thinking process
4. Diagnostic reasoning involves use of a comprehen-
sive ROS and physical exam
2. The essential difference between a diagnostic frame- 1. Diagnostic frameworks
work and a differential is that: are symptom based, dif-
1. Diagnostic frameworks are symptom based, differ- ferential are patient
ential are patient based based
2. Diagnostic frameworks require a greater under-
standing of illness scripts
3. Diagnostic frameworks are ranked in order of likeli-
hood
4. Diagnostic frameworks are only necessary when the
presenting symptoms are vague
3. Ideally, to rule in a diagnosis, the better test would be: 4. The test with the largest
1. The least expensive test positive likelihood ratio
2. The test with the largest negative likelihood ratio
3. The test with a positive predictive value of 1
4. The test with the largest positive likelihood ratio
4. A patient with polyarticular joint pain, fatigue, malaise 1. Anti-CCP
and ulnar deviation of the metacarpal joints. Which
blood test is most specific for this disease?
1. Anticyclic Citrullinated Peptide (Anti-CCP)
, Primary Care I - Final Exam Review {100%Success}
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
2. Rheumatoid Factor (RF)
3. Anti double strength DNA (Anti-DS DNA)
4. Antinuclear antibody (ANA)
5. In most autoimmune diseases, the best use of an ESR 1. Monitoring the pro-
and CRP is? gression for disease and
1. Monitoring the progression of a disease and the the effectiveness of a med-
effectiveness of a medication ication
2. As the initial screening tool
3. Ruling in an infectious process
4. Establishing the presence of an autoimmune dis-
ease
6. A key feature differentiating osteoarthritis from 3. Pain after use vs. pain
rheumatoid arthritis is: after immobility
1. Monoarticular vs. polyarticular
2. Obesity vs. underweight
3. Pain after use vs. pain after immobility
4. Acute vs. chronic onset
7. A major difference between NSAIDS and DMARDS is 4. DMARDS slow the pro-
that: gression of the disease,
1. NSAIDS are more effective in smaller joints, DMARDS NSAIDS do not
are more effective in larger joints
2. DMARDS can restore lost function, NSAIDS cannot
restore lost function
3. DMARDS provide much more pain control
4. DMARDS slow the progression of the disease,
NSAIDS do not
8. Which principle should guide diagnosis of an autoim- 1. Always maintain a sus-
mune disease? picion of autoimmune dis-
1. Always maintain a suspicion of autoimmune dis- ease
, Primary Care I - Final Exam Review {100%Success}
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
ease
2. Included a screening CBC with any patient with joint
pain
3. Autoimmune disease can be ruled out if there are
not arthralgias (joint pain)
4. Refer any joint pain to ortho or rheumatology
9. A young child is diagnosed with CF. The parents are 2. Will have a 25% chance
concerned that any other children they have will also of inheriting the disease
be born with CF. The practitioner explains that CF is
an autosomal recessive inherited disease and that any
future children:
1. Is much more likely to have this condition if they are
male
2. Will have a 25% chance of inheriting the disease
3. Is very unlikely to have this condition because it is
extremely rare
4. Will have a 50% chance of inheritance
10. A major concern when a patient is taking a biological 1. Immunosuppression
disease modifying anti rheumatic drug is:
1. Immunosuppression
2. Thrombocytopenia
3. Toxic dermatological reactions
4. Treatment resistance to high blood pressure
11. What is the best example of polymorphism? 4. An ethnic population
1. Inheritance and environment play equal roles in the metabolizes a medication
emergence of a trait more slowly than the pop-
2. Eye color is a result of several different genes ulation at large
3. X-linked recessive conditions result in males with the
phenotype of the condition
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
1. Which of following statements best captures the im- 1. A systematic approch to
portance of employing diagnostic reasoning? diagnosis can reduce er-
1. A systematic approach to diagnosis can reduce er- rors in all healthcare envi-
rors in all healthcare environments ronments
2. Diagnostic reasoning forces providers to quickly nar-
row their differential
E. Emergency room care is often rushed and diagnostic
reasoning slows the thinking process
4. Diagnostic reasoning involves use of a comprehen-
sive ROS and physical exam
2. The essential difference between a diagnostic frame- 1. Diagnostic frameworks
work and a differential is that: are symptom based, dif-
1. Diagnostic frameworks are symptom based, differ- ferential are patient
ential are patient based based
2. Diagnostic frameworks require a greater under-
standing of illness scripts
3. Diagnostic frameworks are ranked in order of likeli-
hood
4. Diagnostic frameworks are only necessary when the
presenting symptoms are vague
3. Ideally, to rule in a diagnosis, the better test would be: 4. The test with the largest
1. The least expensive test positive likelihood ratio
2. The test with the largest negative likelihood ratio
3. The test with a positive predictive value of 1
4. The test with the largest positive likelihood ratio
4. A patient with polyarticular joint pain, fatigue, malaise 1. Anti-CCP
and ulnar deviation of the metacarpal joints. Which
blood test is most specific for this disease?
1. Anticyclic Citrullinated Peptide (Anti-CCP)
, Primary Care I - Final Exam Review {100%Success}
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
2. Rheumatoid Factor (RF)
3. Anti double strength DNA (Anti-DS DNA)
4. Antinuclear antibody (ANA)
5. In most autoimmune diseases, the best use of an ESR 1. Monitoring the pro-
and CRP is? gression for disease and
1. Monitoring the progression of a disease and the the effectiveness of a med-
effectiveness of a medication ication
2. As the initial screening tool
3. Ruling in an infectious process
4. Establishing the presence of an autoimmune dis-
ease
6. A key feature differentiating osteoarthritis from 3. Pain after use vs. pain
rheumatoid arthritis is: after immobility
1. Monoarticular vs. polyarticular
2. Obesity vs. underweight
3. Pain after use vs. pain after immobility
4. Acute vs. chronic onset
7. A major difference between NSAIDS and DMARDS is 4. DMARDS slow the pro-
that: gression of the disease,
1. NSAIDS are more effective in smaller joints, DMARDS NSAIDS do not
are more effective in larger joints
2. DMARDS can restore lost function, NSAIDS cannot
restore lost function
3. DMARDS provide much more pain control
4. DMARDS slow the progression of the disease,
NSAIDS do not
8. Which principle should guide diagnosis of an autoim- 1. Always maintain a sus-
mune disease? picion of autoimmune dis-
1. Always maintain a suspicion of autoimmune dis- ease
, Primary Care I - Final Exam Review {100%Success}
Primary Care I - Final Exam Review
Study online at https://quizlet.com/_iwaf5k
ease
2. Included a screening CBC with any patient with joint
pain
3. Autoimmune disease can be ruled out if there are
not arthralgias (joint pain)
4. Refer any joint pain to ortho or rheumatology
9. A young child is diagnosed with CF. The parents are 2. Will have a 25% chance
concerned that any other children they have will also of inheriting the disease
be born with CF. The practitioner explains that CF is
an autosomal recessive inherited disease and that any
future children:
1. Is much more likely to have this condition if they are
male
2. Will have a 25% chance of inheriting the disease
3. Is very unlikely to have this condition because it is
extremely rare
4. Will have a 50% chance of inheritance
10. A major concern when a patient is taking a biological 1. Immunosuppression
disease modifying anti rheumatic drug is:
1. Immunosuppression
2. Thrombocytopenia
3. Toxic dermatological reactions
4. Treatment resistance to high blood pressure
11. What is the best example of polymorphism? 4. An ethnic population
1. Inheritance and environment play equal roles in the metabolizes a medication
emergence of a trait more slowly than the pop-
2. Eye color is a result of several different genes ulation at large
3. X-linked recessive conditions result in males with the
phenotype of the condition
