Differential Diagnosis & Primary Care Practicum
Questions & Answers (100% Correct)- Chamberlain
1. The most cost- s s
eective screening test for determining HIV status is which of the following?: Enzyme-
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linked immunosorbent assay
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2. Which blood test is a nonspecific method and most helpful
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for evaluating the severity and course of aninflammatory process?: C-reactive protein (CRP
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3. Cocaine acts as a stimulant by blocking the reuptake of which ne
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urotransmitter?: Dopamine s
4. Mrs.Thomas was seen in the oce complaining of pain and
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point tenderness in the area of her elbow.The pain has increased following a day of gard
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ening one week ago. A physical finding that dierentiates the diagnosis and is most consi
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stent with lateral epicondylitis (tennis elbow) is:: Pain at the elbow with resisted movem
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ents at the wrist and forearm
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5. Which of the following statements concerning the
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musculoskeletal examination is true?: The uninvolved side should be examined initially and
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en compared to the involved side.
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6. Which of the following signs or symptoms indicate an inflammatory etiolo
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gy to musculoskeletal pain?: Morning sti
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7. Which causes the greatest percentage of mammalian bites?: Dogs
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8. A 48-year-old woman is seen in the clinic with complaints of
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prolonged heavy menstrual periods. She is pale and states she can no longer exercise. Pel
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vic exam reveals a single, very large mass. Which of the following diagnostic tests should th
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e clinician order first?: Transvaginal ultrasound
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9. A diabetic patient asks the clinician why he needs to check
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his blood sugar at home even when he feels good. Which of the following responses would
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e most appropriate?: Control of glucose will help postpone or delay
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,complications."
"Regularly checking blood sugar will help establish a routine." "Monitoring gluc
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ose will promote a sense of control."
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ALL OF THE ABOVE
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10. A 25-year-old patient presents to the clinic with fatigue, cold
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intolerance, weight gain, and constipation for the past 3 months. On physical examination
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, the clinician notices a sinus bradycardia; muscular stiness; coarse, dry hair; and a delay
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in relaxation in deep tendon reflexes. Which of the following tests should be ordered next
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?: TSH s
11. Which of the following medications for type 2 diabetes mellitus shoul
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d not be prescribed during pregnancy?: Glucotrol
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, 12. During a DRE on a 75-year-old man, the clinician suspects
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the patient has prostate cancer. What physical finding should make the clini-
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scian suspicious?: An enlarged rubbery gland
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13. Eddie, age 4, presents to the ED with a live insect trapped in
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his ear canal causing a lot of distress. What should be your first step?: Immo-
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sbilize the insect with 2% lidocaine.
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14. What is the most common cause of microcytic anemia?: Iron-deficiency anemia
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15. An 82-year-old man is seen in the primary care oce with
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complaints of dribbling urine and diculty starting his stream. Which of the fol-
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slowing should be included in the list of dierential diagnoses?: Benign prostatic hyperplasia
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(BPH)
Parkinson's disease Prostate cancer All of t s s s s s s
heabove
16. Early rheumatoid disease is characterized by:: Joint swelling and immobility on rising
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17. A 70-year-old female has fallen 2 weeks ago and developed
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immediate pain in her left wrist. She thought she just bruised it but is worried because it ha
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not improved. She has used Tylenol® and ice at home, and that has helped slightly.You exam
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ne her and find she has moderate swelling and ecchymosis but no overtly obvious deformit
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Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard o
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felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.Wh
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sshould you do?: Obtain a wrist x-ray and place her wrist in a splint or
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prescribe a splint s s
18. The criteria for diagnosing generalized anxiety disorder in
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the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disord
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rs, 5th edition (text revision) state that excessive worry or apprehension must be present m
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ore days than not for at least:: 6 months
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19. A 60-year-old man presents with an enlarged scrotum.The
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clinician uses a penlight to transilluminate the scrotum. In a patient with a hydrocele, wha
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would the clinician expect to find?: the scrotum will appear light pink or yellow.
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20. According to Kübler- s s
Ross, the stages of grief occur in which order?: Denial, anger, bargaining, de
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