Correct Answers | Grade A+
A 38-year-old accountant comes to your clinic for evaluation of a headache. The throbbing
sensation is located in the right temporal region and is an 8 on a scale of 1 to 10. It started a
few hours ago, and she has noted nausea with sensitivity to light; she has had headaches like
this in the past, usually less than one per week, but not as severe. She does not know of any
inciting factors. There has been no change in the frequency of her headaches. She usually
takes an over-the-counter analgesic and this results in resolution of the headache. Based on
this description, what is the most likely diagnosis of the type of headache?
Ans: migraine
Which of the following is a "red flag" regarding patients presenting with headache?
Ans: age over 50
Very sensitive methods for detecting hearing loss include which of the following?
Ans: audiometric testing
A college student presents with a sore throat, fever, and fatigue for several days. You notice
exudates on her enlarged tonsils. You do a careful lymphatic examination and notice some
,scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally.
What group of nodes is this?
Ans: posterior cervical
35 year old archaeologist comes to your office (located in Phoenix, Arizona) for a regular
skin check up. She has just returned from her annual dig site in Greece. She has fair skin and
reddish blonde hair. She has a family history of melanoma. She has many freckles scattered
across her skin. From this description which of the following is NOT a risk factor for
melanoma in this patient?
Ans: age
You are assessing a patient with joint pain and are trying to decide whether it is inflammatory
or noninflammatory in nature. Which of the following symptoms is consistent with an
inflammatory process?
Ans: tenderness
An 85 yo retired housewife comes with her daughter to establish care. Her daughter is
concerned because her mother has started to fall more. As part of her physical examination
you ask her to walk across the exam room. Which of the following is not part of the stance
phase of gait?
Ans: foot arched
, A high school soccer player "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie was diving for the ball. All of the following
structures were involved in some way in his injury, but which of the following is actually an
extra articular structure?
Ans: tendons
A 19 year old college student, Todd, is brought to your clinic by his mother. She is concerned
that there is something seriously wrong with him. She states for the past 6 months his
behavior has become peculiar and he has flunked out of college. Todd denies any recent
illness or injuries. His past medical history is remarkable only for broken foot. His parents are
both healthy. He has a paternal uncle who had similar symptoms in college. The patient
admits to smoking cigarettes and drinking alcohol. He also admits to marijuana use but none
in the last week. He denies using any other substances. He denies any feelings of how he is
feeling, he says that he is very worried that Microsoft has stolen his software for creating a
better browser. He tells you he has seen a black van in his neighborhood at night and he is
sure that it is full of computer tech workers stealing his work through special gamma waves.
You ask him
Ans: schizophrenia
A 24-year-old secretary comes to your clinic, complaining of difficulty sleeping, severe
nightmares, and irritability. She states it all began 6 months ago when she went to a fast food
restaurant at midnight. While she was waiting in her car a man entered through the passenger
door and put a gun to her head. He had her drive to a remote area, where he took her money
and threatened to kill her. When the gun jammed he panicked and ran off. Ever since this