MN 566 Final Exam Latest Update
Questions and Answers
QUESTION
The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle.
Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is
not always necessary for an injured ankle and that the decision to obtain radiographs is
dependent on the examination and Diane's description of her injury. Which of the following
clues in Diane's examination or history would alert the clinician to the need for obtaining
radiographs?
a. Ability to bear weight immediately after the injury
b. Development of minor ankle swelling after the injury
c. Slight bruising over the injury site 2 days after injury
d. Crepitation with palpation or movement of the ankle
Answer:
d. Crepitation with palpation or movement of the ankle
QUESTION
What is the presentation of a complex motor tic?
a. Simultaneous shoulder shrugs and head turns
b. Eye blinks and extension of extremities
c. Throat clearing and finger raising
d. Barking, screaming, and snorting
Answer:
a. Simultaneous shoulder shrugs and head turns
QUESTION
Which is the most prevalent psychiatric condition in the United States?
a. Depression
b. Anxiety
c. Substance-related addictions
d. Gambling addiction
Answer:
,b. Anxiety
QUESTION
Which of the following neuroendocrine abnormalities is implicated in depression?
a. Decrease in adrenal size
b. Hypersecretion of cortisol
c. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone
d. Increased inhibitory response of glucocorticoids to dexamethasone
Answer:
a. Hypersecretion of cortisol
QUESTION
Bipolar disorder requires differential diagnosis from all of the following except:
a. Substance abuse and medication effects
b. Medical and neurological disorders
c. Cluster B personality disorders and depression
d. Obsessive-compulsive disorder
Answer:
e. Obsessive-compulsive disorder
QUESTION
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the examination?
a. Lumbar puncture
b. Family history of cardiac problems
c. Contrast venography
d. Pelvic exam
Answer:
d. Pelvic exam
QUESTION
Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal
tract?
, a. Erosive esophagitis
b. Duodenal ulcer
c. Meckel's diverticulum
d. Gastric ulcer
Answer:
a. Meckel's diverticulum
QUESTION
A 45-year-old patient presents with chief complaint of generalized abdominal pain. Her physical
examination is remarkable for the left lower quadrant tenderness. At this time, which of the
following should be considered in the differential diagnosis?
a. Endometriosis
b. Yersinia enterocolitica infection
c. Appendicitis
d. GERD
Answer:
a. Endometriosis
QUESTION
Which of the following dietary instructions should be given to a patient with GERD?
a. Eliminate coffee
b. Drink hot toddies to relieve stomach distress
c. Recline and rest after meals
d. Increase the amount of spicy foods
Answer:
a. Eliminate coffee
QUESTION
Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane
b. Otosclerosis
c. Cholesteatoma
d. Presbycusis
Answer:
d. Presbycusis
QUESTION
Questions and Answers
QUESTION
The clinician is caring for Diane, a 22-year-old woman who presents with an injured ankle.
Diane asks the clinician if she will need an x-ray. The clinician explains to Diane that an x-ray is
not always necessary for an injured ankle and that the decision to obtain radiographs is
dependent on the examination and Diane's description of her injury. Which of the following
clues in Diane's examination or history would alert the clinician to the need for obtaining
radiographs?
a. Ability to bear weight immediately after the injury
b. Development of minor ankle swelling after the injury
c. Slight bruising over the injury site 2 days after injury
d. Crepitation with palpation or movement of the ankle
Answer:
d. Crepitation with palpation or movement of the ankle
QUESTION
What is the presentation of a complex motor tic?
a. Simultaneous shoulder shrugs and head turns
b. Eye blinks and extension of extremities
c. Throat clearing and finger raising
d. Barking, screaming, and snorting
Answer:
a. Simultaneous shoulder shrugs and head turns
QUESTION
Which is the most prevalent psychiatric condition in the United States?
a. Depression
b. Anxiety
c. Substance-related addictions
d. Gambling addiction
Answer:
,b. Anxiety
QUESTION
Which of the following neuroendocrine abnormalities is implicated in depression?
a. Decrease in adrenal size
b. Hypersecretion of cortisol
c. An exaggerated response of thyrotropin (TRH) to infusion of thyroid-releasing hormone
d. Increased inhibitory response of glucocorticoids to dexamethasone
Answer:
a. Hypersecretion of cortisol
QUESTION
Bipolar disorder requires differential diagnosis from all of the following except:
a. Substance abuse and medication effects
b. Medical and neurological disorders
c. Cluster B personality disorders and depression
d. Obsessive-compulsive disorder
Answer:
e. Obsessive-compulsive disorder
QUESTION
A 35-year-old female patient is seen in the clinic complaining of abdominal pain. Which of the
following should be included in the examination?
a. Lumbar puncture
b. Family history of cardiac problems
c. Contrast venography
d. Pelvic exam
Answer:
d. Pelvic exam
QUESTION
Which of the following causes of gastrointestinal bleeding is found in the lower gastrointestinal
tract?
, a. Erosive esophagitis
b. Duodenal ulcer
c. Meckel's diverticulum
d. Gastric ulcer
Answer:
a. Meckel's diverticulum
QUESTION
A 45-year-old patient presents with chief complaint of generalized abdominal pain. Her physical
examination is remarkable for the left lower quadrant tenderness. At this time, which of the
following should be considered in the differential diagnosis?
a. Endometriosis
b. Yersinia enterocolitica infection
c. Appendicitis
d. GERD
Answer:
a. Endometriosis
QUESTION
Which of the following dietary instructions should be given to a patient with GERD?
a. Eliminate coffee
b. Drink hot toddies to relieve stomach distress
c. Recline and rest after meals
d. Increase the amount of spicy foods
Answer:
a. Eliminate coffee
QUESTION
Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane
b. Otosclerosis
c. Cholesteatoma
d. Presbycusis
Answer:
d. Presbycusis
QUESTION
