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COMPLETE REAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS)
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A patient with Raynaud phenomenon asks how to reduce the
frequency of attacks. Which teaching is most appropriate?
A. Keep the entire body warm and avoid sudden cold exposure
B. Exercise only when the fingers are cold
C. Increase nicotine use to promote vasodilation
D. Place the hands in ice water several times daily
Answer: A. Keep the entire body warm and avoid sudden cold
exposure
Rationale: Keeping the core and extremities warm can reduce
vasospastic episodes. Patients should avoid cold exposure, manage
stress, and stop smoking because nicotine causes vasoconstriction and
can worsen Raynaud symptoms.
Which laboratory test can help evaluate whether Raynaud
phenomenon may be associated with an underlying connective-tissue
disease?
A. Troponin
B. Antinuclear antibody
C. Serum lipase
D. D-dimer
,Answer: B. Antinuclear antibody
Rationale: An antinuclear antibody (ANA) test can help screen for
connective-tissue diseases associated with secondary Raynaud
phenomenon, such as systemic lupus erythematosus and systemic
sclerosis. Additional testing should be guided by the clinical
presentation.
Which medication may be used to reduce peripheral vasospasm in
patients with symptomatic Raynaud phenomenon?
A. Warfarin
B. Morphine
C. Nifedipine
D. Amoxicillin
Answer: C. Nifedipine
Rationale: Nifedipine is a calcium-channel blocker that can reduce
peripheral vasospasm and improve blood flow during Raynaud
attacks. Medication selection depends on severity, frequency,
comorbidities, and tolerance.
A patient has Raynaud-like symptoms that are severe, asymmetric,
and associated with digital ulceration. What should the clinician
suspect?
A. Uncomplicated primary Raynaud phenomenon
B. Tension headache
C. Viral upper respiratory infection
D. Secondary Raynaud phenomenon
,Answer: D. Secondary Raynaud phenomenon
Rationale: Secondary Raynaud phenomenon is more likely when
symptoms are severe, asymmetric, associated with ischemic changes or
ulcerations, or accompanied by other findings suggestive of
autoimmune disease. Further evaluation is warranted.
Which specialty is particularly appropriate for consultation when
secondary Raynaud phenomenon is suspected?
A. Rheumatology
B. Dermatology only
C. Gastroenterology
D. Ophthalmology
Answer: A. Rheumatology
Rationale: Secondary Raynaud phenomenon may be associated with
systemic autoimmune or connective-tissue disorders. Rheumatology
consultation can assist with evaluation for conditions such as systemic
sclerosis, lupus, dermatomyositis, or mixed connective-tissue disease.
Which finding would more strongly suggest acute arterial occlusion
rather than uncomplicated Raynaud phenomenon?
A. Brief symptoms after emotional stress
B. Sudden persistent loss of arterial perfusion with a cold, painful, pale
extremity
C. Symptoms triggered by cold that resolve spontaneously
D. Symmetric color changes in several fingers
, Answer: B. Sudden persistent loss of arterial perfusion with a cold,
painful, pale extremity
Rationale: Acute arterial occlusion is a vascular emergency. It can
cause sudden pain, pallor, coolness, diminished or absent pulses,
paresthesia, and potentially paralysis. Raynaud attacks are generally
episodic and reversible.
A patient presents with rhinorrhea caused by an uncomplicated
common cold. Which medication may reduce rhinorrhea?
A. Oral prednisone
B. Amoxicillin
C. Intranasal ipratropium
D. Warfarin
Answer: C. Intranasal ipratropium
Rationale: Intranasal ipratropium can reduce nasal secretions and
therefore improve rhinorrhea. It does not significantly relieve nasal
congestion, so patients should understand its specific therapeutic effect.
Which statement regarding vitamin C for treatment of an established
common cold is most accurate?
A. Vitamin C reliably cures the common cold
B. Vitamin C replaces the need for hydration
C. Vitamin C should routinely be prescribed as an antibiotic substitute
D. Vitamin C has not demonstrated reliable therapeutic benefit for an
established cold