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...responded to antibiotic therapy. Which of the following actions should be taken next?
a. send a urine specimen for microscopy looking for fungal colonies
b. increase the dose of the antibiotic
c. order a cystoscopy
d. order a different antibiotic - CORRECT ANSWER: a. send a urine specimen for
microscopy looking for fungal colonies
A 14 year old is seen with complaints of severe testicular pain. The clinician suspects
testicular torsion. Which of the following is the appropriate action?
a. obtain a scrotal ultrasound
b. obtain a computed tomography scan (CT)
c. instruct the patient to elevate the scrotum
d. send the patient to the Emergency room - CORRECT ANSWER: c. instruct the
patient to elevate the scrotum
d. send the patient to the Emergency room
A 22 year old male is seen in the clinic because he found a hard lump in his testicle
during a testicular self exam (TSE). which of the following shoud be included in the
differential diagnosis.
a. testicular cancer
b.. inguinal hernia
,c. varicocele
d. all of the above - CORRECT ANSWER: d. all of the above
A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what
point in appendicitis?
a. very early
b 3-4 hours after perforation
c. late in inflammation
d. appendicitis never presents with vague pain - CORRECT ANSWER: a. very early
A 23 year old sexually active man is seen in the clinic with unilateral painful testicular
swelling and diagnosed with epididymitis. In order to prescribe the correct drub, the
clinician understands that which of these is them most common causative organism?
a. escheichia coli
b. staphylococcus aureus
c. chlamydia trachomatis
d. pseudomonas aerugonisa - CORRECT ANSWER: c. chlamydia trachomatis
A 25 year old patient presents to the clinic with fatigue, cold intolerance, weght gain and
constipation for the past 3 months. On physical exam, the clinican notices a sinus
bradycardia, muscular stiffness, coarse dry hair and a delay in relaxation in deep tendon
reflexes (DTR's). Which of the following tests should be ordered next?
a. Serum Calcium
b. Thyroid Stimulating Hormone (TSH)
c. electrolytes
d. urine specific gravity - CORRECT ANSWER: b. Thyroid Stimulating Hormone (TSH)
, A 27 year old female presents with a chief complaint of burning and pain on urination.
She has no previous history of urinary tract infection. what are some additional
symptoms consistant with a diagnosis of lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA) tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch - CORRECT ANSWER: c. blood in urine and
frequency
A 28 year old patient is seen in the office with colicky abdominal pain, particularly with
meals. She has frequent constipation, flatulence and abdominal distention. Which of the
data makes a diagnosis of diverticulitis unlikely?
a. her age
b. frequent constipation
c. flatulence
d. colicky abdominal pain - CORRECT ANSWER: a. her age
A 28 year old patient is seen with complaints of diarrhea. Which of the following
questions would help the clinician establish the diagnosis of irratible bowel syndrome?
a. Feels relief after a bowel movement
b. sometimes is constipated
c. does not defecate in the middle of the night
d. all of the above - CORRECT ANSWER: d. all of the above
A 30 year old patient presents with pain on urination. The urine microscopy of unspun
urine showed greater than 10 leukocytes/ml and a dipstick was possible for nitrates.
What is the probable diagnosis?