mn 568 final review Questions With Complete Solutions
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months.
On physical examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which of the following tests
should be ordered next?
Question options:
a) Serum calcium
b) TSH
c) Electrolytes
d) Urine specific gravity Correct Answer b) TSH
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which of the following
should be included in the differential diagnosis?
a. Anxiety disorder
b. Pheochromocytoma
c. Psychosis
d. All of the above Correct Answer b. Pheochromocytoma
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He has
a loss of vibratory sense, +1 Achilles reflex, and a tack
embedded in his left heel. Which of the following would be an
appropriate treatment?
a. Tricyclic antidepressants
,b. Capsaicin cream
c. Vitamin B12 injections
d. Insulin Correct Answer a. Tricyclic antidepressants
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it
but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and ecchymosis
but no overtly obvious deformity. Her ROM is uncomfortable
and severely diminished due to the pain. No crepitus is heard or
felt. Her fingers are warm; her pulse is strong; and capillary
refill is less than 2 seconds. What should you do?
Question options:
a) Make an immediate referral for an orthopedic evaluation
without further assessment.
b) Tell her that it takes time for these bruises to improve, so she
should be patient.
c) Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint.
d) Send her to the emergency room for reduction of this obvious
wrist fracture. Correct Answer c) Obtain a wrist x-ray and
place her wrist in a splint or prescribe a splint.
A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False Correct Answer b) false
, A diabetic patient asks the clinician why he needs to check his
blood sugar at home even when he feels good. Which of the
following responses would be most appropriate?
Question options:
a) "Control of glucose will help postpone or delay
complications."
b) "Regularly checking blood sugar will help establish a
routine."
c) "Monitoring glucose will promote a sense of control."
d) All of the above Correct Answer d) All of the above
A patient is 66 inches in height, weighing 200 pounds, and
newly diagnosed with type 2 diabetes mellitus (DM). Her fasting
plasma glucose level is 215 mg/dL. What is the best initial
treatment?
Question options:
a) No treatment at this time
b) Diet and exercise for 6-week trial
c) Diet, exercise, and oral medication
d) Diet, exercise, and exogenous insulin Correct Answer b)
Diet and exercise for 6-week trial
A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months.
On physical examination, the clinician notices a sinus
bradycardia; muscular stiffness; coarse, dry hair; and a delay in
relaxation in deep tendon reflexes. Which of the following tests
should be ordered next?
Question options:
a) Serum calcium
b) TSH
c) Electrolytes
d) Urine specific gravity Correct Answer b) TSH
A 35-year-old woman presents with symptoms of hypoglycemia.
There is no history of diabetes mellitus. Which of the following
should be included in the differential diagnosis?
a. Anxiety disorder
b. Pheochromocytoma
c. Psychosis
d. All of the above Correct Answer b. Pheochromocytoma
A 64-year-old man with type 2 diabetes presents to the clinic
with the complaint of "my feet feel like they are on fire." He has
a loss of vibratory sense, +1 Achilles reflex, and a tack
embedded in his left heel. Which of the following would be an
appropriate treatment?
a. Tricyclic antidepressants
,b. Capsaicin cream
c. Vitamin B12 injections
d. Insulin Correct Answer a. Tricyclic antidepressants
A 70-year-old female has fallen 2 weeks ago and developed
immediate pain in her left wrist. She thought she just bruised it
but is worried because it has not improved. She has used
Tylenol® and ice at home, and that has helped slightly. You
examine her and find she has moderate swelling and ecchymosis
but no overtly obvious deformity. Her ROM is uncomfortable
and severely diminished due to the pain. No crepitus is heard or
felt. Her fingers are warm; her pulse is strong; and capillary
refill is less than 2 seconds. What should you do?
Question options:
a) Make an immediate referral for an orthopedic evaluation
without further assessment.
b) Tell her that it takes time for these bruises to improve, so she
should be patient.
c) Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint.
d) Send her to the emergency room for reduction of this obvious
wrist fracture. Correct Answer c) Obtain a wrist x-ray and
place her wrist in a splint or prescribe a splint.
A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False Correct Answer b) false
, A diabetic patient asks the clinician why he needs to check his
blood sugar at home even when he feels good. Which of the
following responses would be most appropriate?
Question options:
a) "Control of glucose will help postpone or delay
complications."
b) "Regularly checking blood sugar will help establish a
routine."
c) "Monitoring glucose will promote a sense of control."
d) All of the above Correct Answer d) All of the above
A patient is 66 inches in height, weighing 200 pounds, and
newly diagnosed with type 2 diabetes mellitus (DM). Her fasting
plasma glucose level is 215 mg/dL. What is the best initial
treatment?
Question options:
a) No treatment at this time
b) Diet and exercise for 6-week trial
c) Diet, exercise, and oral medication
d) Diet, exercise, and exogenous insulin Correct Answer b)
Diet and exercise for 6-week trial
