Differential Diagnosis & Primary
Care Practicum
MIDTERM EXAM REVIEW
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,1. Which of the following symptoms is most indicative of
hyperthyroidism?
A) Weight gain
B) Bradycardia
C) Heat intolerance
D) Cold intolerance
Correct Answer: C) Heat intolerance
Rationale: Hyperthyroidism often presents with symptoms
such as weight loss, tachycardia, and heat intolerance due to
increased metabolic processes.
2. In assessing a patient with acute abdominal pain, which
diagnostic test is considered the gold standard for diagnosing
appendicitis?
A) X-ray
B) Ultrasound
C) CT scan
D) MRI
Correct Answer: C) CT scan
©Chamberlain 2024/2025
, Rationale: A CT scan is the most sensitive and specific test for
diagnosing appendicitis compared to other imaging modalities.
3. When differentiating between COPD and asthma, which of the
following is a hallmark feature of COPD?
A) Reversible bronchoconstriction
B) Airflow limitation not fully reversible
C) Associated with allergies
D) Occurs primarily in children
Correct Answer: B) Airflow limitation not fully reversible
Rationale: COPD is characterized by irreversible airflow
obstruction, while asthma typically shows reversible airflow
limitation.
4. In the evaluation of a patient presenting with chest pain, which
associated symptom would most likely indicate a myocardial
infarction?
A) Sharp pain on inspiration
B) Pain radiating to the jaw
C) Pain that improves with rest
D) Pain localized to the left arm alone
Correct Answer: B) Pain radiating to the jaw
©Chamberlain 2024/2025