WITH CORRECT ANSWERS
An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the
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bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What
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is the most likely diagnosis?
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Left-sided or right-sided CVA? - correct answer LEFT-SIDED CVA
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Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor?
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1) pain worse laying down, focal neurological signs
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2) Hyperflexia, personality change
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3) acute onset: hours to days
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4) pupillary constriction; stupor - correct answer 1) pain worse laying down, focal neurological signs
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Which of the following pharmacotherapeutics would be most important to administer to a patient who has a
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corneal abrasion? c c
1) Timolol
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2) Gentamicin ophthalmic
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3) Cromolyn optha
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,4) Olopatadine - correct answer 2) Gentamicin ophthalmic (Genoptic)
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A 25-year-old presents with the chief complaint of decreased mobility and pain of the right shoulder
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exacerbated by movement. The patient reports that he participated in extensive house painting 24 hours
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prior to the onset of pain. He denies any trauma. Passive ROM is intact. No redness or ecchymosis is present.
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What is the next step to be taken in order to make a diagnosis?
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1) Xray of shoulder
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2) Palpate structures around the shoulder.
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3) MRI of shoulder
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4) EMG - correct answer 2) palpate structures
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A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains of midcycle spotting. She has
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not missed any doses and uses no other medication. Which of the following is appropriate?
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1) Changing to Ortho-Novum 1/35
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2) Discontinue use
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3) Providing reassurance
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4) Double dose-for two days - correct answer 3) provide reassurance
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According to the Report of the U.S. Preventive Services Task Force, which of the following is NOT a current
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recommendation guideline for preventive care in elderly female patients? c c c c c c c c c
1) Mammogram and clinical breast exams
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2) Fecal Occult blood test and/or sig
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3) Rubella serology or vaccination history
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4) Pnuemo and influenza vaccines - correct answer 3) Rubella serology or vaccination history
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87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R 10. The best action is to:
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, 1) initiate passive warming
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2) apply a rebreather
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3) Perform fluid replacement
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4) initiate active warming - correct answer 1) initiate passive rewarming
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A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How would you educate this
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patient on recognizing the signs and symptoms of hypoglycemia?
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1) Edema
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2) Tachycardia
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3) palpitations
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4) sweating - correct answer 4) sweating
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A 65-year-old overweight patient is diagnosed with plantar fasciitis. Initial therapy of NSAIDs, stretching, ice,
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and rest has proven ineffective after 3 weeks. The best follow-up plan of care would be to:
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1) stop NSAID, apply a heel cup and encourage exercise and wt loss.
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2) continue NSAID, apply an arch support and encourage wt loss and exercise
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3) continue NSAID, xray and add a short-leg night splint
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4) COntinue NSAID, xray and add a metatarsal bar - correct answer 2) continue NSAID, apply an arch support
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and encourage wt loss and exercise
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Fundoscopic exam of Hypertensive patient. c c c c
1) nicking of arteriols and viens, and small retinol hemorrages
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2) drusen bodies and pale retina
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3) pale macula and swollen disk margins
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4) microaneurysms and optic disc cupping - correct answer 1) nicking of arteriols and viens, and small retinol
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hemorrages