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1. The most cost-eective screening test for determining HIV status is which of
the following?: Enzyme-linked immunosorbent assay
2. Which blood test is a nonspecific method and most helpful
for evaluating the severity and course of aninflammatory process?: C-reactive
protein (CRP
3. Cocaine acts as a stimulant by blocking the reuptake of
which neurotransmitter?: Dopamine
4. Mrs. Thomas was seen in the oce complaining of pain and
point tenderness in the area of her elbow. The pain has increased following
a day of gardening one week ago. A physical finding that dierentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow)
is:: Pain at the elbow with resisted movements at the wrist and forearm
5. Which of the following statements concerning the
musculoskeletal examination is true?: The uninvolved side should be examined
initially and then compared to the involved side.
6. Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?: Morning stiness
7. Which causes the greatest percentage of mammalian bites?: Dogs
8. A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first?: Transvaginal ultrasound
9. 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?: Control of glucose will help postpone or
delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
ALL OF THE ABOVE
10. 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 stiness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of
the following tests should be ordered next?: TSH
11. Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?: Glucotrol
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12. During a DRE on a 75-year-old man, the clinician suspects
the patient has prostate cancer. What physical finding should make the clini-
cian suspicious?: An enlarged rubbery gland
13. Eddie, age 4, presents to the ED with a live insect trapped in
his ear canal causing a lot of distress. What should be your first step?: Immo-
bilize the insect with 2% lidocaine.
14. What is the most common cause of microcytic anemia?: Iron-deficiency
anemia
15. An 82-year-old man is seen in the primary care oce with
complaints of dribbling urine and diculty starting his stream. Which of the fol-
lowing should be included in the list of dierential diagnoses?: Benign prostatic
hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of theabove
16. Early rheumatoid disease is characterized by:: Joint swelling and immobility
on rising
17. 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?: Obtain a wrist x-ray and place her wrist in a splint or
prescribe a splint
18. The criteria for diagnosing generalized anxiety disorder in
the American Psychiatric Association's Diagnostic and Statistical Manual of
Mental Disorders, 5th edition (text revision) state that excessive worry or
apprehension must be present more days than not for at least:: 6 months
19. A 60-year-old man presents with an enlarged scrotum. The
clinician uses a penlight to transilluminate the scrotum. In a patient with a
hydrocele, what would the clinician expect to find?: the scrotum will appear light
pink or yellow.
20. According to Kübler-Ross, the stages of grief occur in which
order?: Denial, anger, bargaining, depression, acceptance
21. Reuben, age 24, has HIV and just had a routine viral load
test done. The results show a falling viral load. What does this indicate?: A
favorable prognostic trend
22. The exanthem of Lyme disease is: Erythema migrans