An 85-year-old male relates that on the way to his annual
physical examination, he suffered a sudden loss of vision
in his right eye characterized by "a bunch of lights" and a
feeling that "a curtain came down." All of the following
would be included in the differential diagnosis EXCEPT:
1) opthalmolic migraine
2) retinal detachment.
3) diabetic retinopathy.
4) TIA - ✔ ✔ 3) diabetic retinopathy
An 87-year-old long-term care facility resident was
hospitalized for an abdominal surgery procedure, and the
incision has become infected with methicillin-resistant
Staphylococcus aureus (MRSA). The hospital is planning
to return the patient to the same facility, which has no
private rooms. According to CDC guidelines, the
alternative placement would be to:
,1) inform the hospital that the patient will have to go to
another facility.
2) have the patient share a room with a resident who
also has MRSA.
3) have the patient share a room with a resident who has
VRSA.
4) Delay discharge until the wound is clear - ✔ ✔ 2)
have the patient share a room with a resident who also
has MRSA.
A 12-lead EKG shows an undulating baseline with no
visible P waves and an irregularly irregular R-R interval.
This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome - ✔ ✔ 2) atrial fibrillation
,A 16-year-old female in the first month of taking Ortho-
Novum 7/7/7 complains of midcycle spotting. She has
not missed any doses and uses no other medication.
Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ✔ ✔ 3) provide
reassurance
A 25-year-old presents with the chief complaint of
decreased mobility and pain of the right shoulder
exacerbated by movement. The patient reports that he
participated in extensive house painting 24 hours prior to
the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the
next step to be taken in order to make a diagnosis?
1) Xray of shoulder
, 2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - ✔ ✔ 2) palpate structures
A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough
that has been present for 4 weeks. The diagnostic study
to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H - ✔ ✔ 1) xray (tb-night sweats)
A 32-year-old patient reports a 6-month history of
intermittent symmetrical swelling of the wrists and daily
morning stiffness lasting 1 hour or more in and around
other joints. What is the most likely diagnosis?
1) Rheumatoid arthritis
physical examination, he suffered a sudden loss of vision
in his right eye characterized by "a bunch of lights" and a
feeling that "a curtain came down." All of the following
would be included in the differential diagnosis EXCEPT:
1) opthalmolic migraine
2) retinal detachment.
3) diabetic retinopathy.
4) TIA - ✔ ✔ 3) diabetic retinopathy
An 87-year-old long-term care facility resident was
hospitalized for an abdominal surgery procedure, and the
incision has become infected with methicillin-resistant
Staphylococcus aureus (MRSA). The hospital is planning
to return the patient to the same facility, which has no
private rooms. According to CDC guidelines, the
alternative placement would be to:
,1) inform the hospital that the patient will have to go to
another facility.
2) have the patient share a room with a resident who
also has MRSA.
3) have the patient share a room with a resident who has
VRSA.
4) Delay discharge until the wound is clear - ✔ ✔ 2)
have the patient share a room with a resident who also
has MRSA.
A 12-lead EKG shows an undulating baseline with no
visible P waves and an irregularly irregular R-R interval.
This arrhythmia is:
1) atrial flutter
2) atrial fibrillation
3) second degree heart block
4) Wolff-White Syndrome - ✔ ✔ 2) atrial fibrillation
,A 16-year-old female in the first month of taking Ortho-
Novum 7/7/7 complains of midcycle spotting. She has
not missed any doses and uses no other medication.
Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days - ✔ ✔ 3) provide
reassurance
A 25-year-old presents with the chief complaint of
decreased mobility and pain of the right shoulder
exacerbated by movement. The patient reports that he
participated in extensive house painting 24 hours prior to
the onset of pain. He denies any trauma. Passive ROM is
intact. No redness or ecchymosis is present. What is the
next step to be taken in order to make a diagnosis?
1) Xray of shoulder
, 2) Palpate structures around the shoulder.
3) MRI of shoulder
4) EMG - ✔ ✔ 2) palpate structures
A 26-year-old presents with reports of anorexia, fatigue,
weight loss, malaise, fever, night sweats, and a cough
that has been present for 4 weeks. The diagnostic study
to perform first would be:
1) xray
2) pulmonary function test
3) bronchoscopy
4) H & H - ✔ ✔ 1) xray (tb-night sweats)
A 32-year-old patient reports a 6-month history of
intermittent symmetrical swelling of the wrists and daily
morning stiffness lasting 1 hour or more in and around
other joints. What is the most likely diagnosis?
1) Rheumatoid arthritis
