part 2
The posterior fontanel should be completely closed by: - ANS3 months
On auscultation of the chest, a split s2 is best heard at:
A: 2 ICS, right sternal border
B: 2 ICS, Left sternal border
C: 5th ICS, midclavicular line
D: 4 ICS, left sternal border - ANS2nd ICS left sternal border
The most common type of skin malignancy in the united states is:
A: squamous cell skin cancer
B: Basal cell carcinoma
C: Melanoma
D: dysplastic nevi - ANSBasal Cell Carcinoma
All of the following patients have an increased risk of developing adverse effects from metformin
(Glucophage) except:
A: pts with renal disease
B: pts with hypoxia
C: Obese pts
D: pts who are alcoholics - ANSobese patients
Which of the following classes of drugs is implicated with blunting the signs and symptoms of
hypoglycemia in diabetics?
A; CCB
B: Diuretics
C: Beta Blockers
D: ARB - ANSBeta blockers
All of the following factors increase the risk of mortality for patients diagnosed w/ bacterial
pneumonia except:
A: alcoholism
B: very young/old
C: Multiple lobar involvement
D: hypertension - ANSHypertension
The bacterium responsible for the highest mortality for pts with community-acquired pneumonia
is:
A: streptococcus pneumoniae
, B: mycoplasma pneumoniae
C: Moraxella catarrhalis
D: Haemophilus influenzae - ANSStreptococcus pneumoniae
What is the least common pathogen found in CAP?
A: moraxella catarrhalis
B: Streptococcus pneumoniae
C: pseudomonas aeruginosa
D: mycoplasma pneumonia - ANSPseudomonas Aeruginosa
The following statements are true about Wilms' tumor EXCEPT:
A: the most frequent clinical sign is a palpable abdominal mass
B: it is a congenital tumor of the kidneys
C: microscopic or gross hematuria is sometimes present
D: the tumor commonly crosses the midline of the abdomen when it is discovered. - ANSthe
tumor commonly crosses the midline of the abdomen when it is discovered.
a 40-year old cashier complains of periods of dizziness and palpitations that have a sudden
onset. The EKG shows P waves before each QRS complex and a heart rate of 170beats/min. A
carotid massage decreases the heart rate to 80bpm. These findings best describe?
A: ventricular tachycardia
B: paroxysmal atrial tachycardia
C: afib
D: vfib - ANSParoxysmal atrial tachycardia
Which of the following drug classes is indicated for initial tx of an uncomplicated case of
helicobacter pylori- negative peptic ulcer?
A: PPI
B: H2 receptor antagonists
C: antibiotics
D: antacids - ANSH2 Receptor antagonists
Which of the following is correct regarding the best site to listen for mitral regurgitation ?
A it is best heard in the apical area during S2
B: it is best heard at the base during S1
C: it is best heard at the apex during S1
D: it is best heard at the base during S2. - ANSit is best heard at the apex during S1
Orchitis is caused by which of the following?>
A: mumps virus
B: measles virus
C: chlamydia trachomatis
D: chronic UTI that are not treated adequately - ANSMumps Virus