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1. Which of the following characteristics differentiates peripheral vertigo from
central vertigo? Question options:
a) The duration of central vertigo is shorter than that of peripheral
vertigo.
b) There is an auditory-associated symptom with peripheral vertigo and a
visual-associated symptom with central vertigo.
c) Central vertigo is positional, and peripheral vertigo is not.
d) The onset of central vertigo is more sudden than that of peripheral
vertigo. - ANSWER ✓ b) There is an auditory-associated symptom
with peripheral vertigo and a visual-associated symptom with central
vertigo.
2. Carotid endarterectomy should be considered only for symptomatic patients
with greater than what percentage of stenosis? Question options:
a) Greater than 25%
b) Greater than 50%
c) Greater than 75%
d) Only for 100% occlusion - ANSWER ✓ b) Greater than 50%
,3. What antiplatelet agent is most widely used for secondary prevention of
stroke? Question options:
a) Aspirin
b) Ticlopidine
c) Clopidogrel
d) Aspirin and clopidogrel - ANSWER ✓ a) Aspirin
4. Which adjunctive diagnostic test should be used in the work-up of a patient
with suspected Creutzfeldt-Jakob disease or transient epileptic amnesia?
Question options:
a) MRI
b) CT
c) Cerebrospinal fluid analysis
d) EEG - ANSWER ✓ d) EEG
5. Which herbal preparation may cause delirium and should be avoided in an
elderly patient? Question options:
a) Sam-e
b) Saint John's Wort
c) Melatonin
d) Saw Palmetto - ANSWER ✓ b) Saint John's Wort
6. Which of the following activities is part of the functional activities
questionnaire? Question options:
a) Asking the patient to unravel a Rubik's cube
, b) Determining if the patient can drive on the highway
c) Asking the patient about a news event from the current week
d) Seeing if the patient can keep his or her home clean - ANSWER ✓ d)
Seeing if the patient can keep his or her home clean
7. About 90% of all headaches are? Question options:
a) Tension
b) Migraine
c) Cluster
d) Without pathological cause - ANSWER ✓ d) Without pathological
cause
8. Which statement is true regarding driving and patients with a seizure
disorder? Question options:
a) Once diagnosed with a seizure disorder, patients must never drive
again.
b) After being seizure free for 6 months, patients may drive.
c) Each state has different laws governing driving for individuals with a
seizure disorder.
d) These persons may drive but never alone. - ANSWER ✓ c) Each state
has different laws governing driving for individuals with a seizure
disorder.
9. Julie has relapsing-remitting muscular sclerosis. She has not had a good
response to interferon. Which medication might help given intravenously
once a month? Question options:
a) Glatiramer acetate
, b) Natalizumab
c) Fingolimod
d) Glucocorticoids - ANSWER ✓ b) Natalizumab
10.The 'freezing phenomenon' is a cardinal feature of? Question options:
a) Parkinson's disease
b) Alzheimer's disease
c) A CVA
d) Bell's palsy - ANSWER ✓ a) Parkinson's disease
11.You are doing a cerumen extraction and touch the external meatus of your
pt's ear. He winces and starts coughing. What is the name of this reflex? -
ANSWER ✓ Arnold Reflex
12.Sam, age 78, presents to the clinic w/respiratory symptoms. His PFTs are as
follows: normal total lung capacity, decreased PaO2, increased PaCO2. On
assessment, you auscultate course crackles and forced expiratory wheezes.
What is your dx? - ANSWER ✓ Chronic Bronchitis
13.George has COPD and an 80% forced expiratory volume in 1 second. How
would you classify the severity of his COPD? - ANSWER ✓ Stage 1 mild
COPD
14.African American pt's seems to have a negative reaction to which of the
following asthma meds? - ANSWER ✓ Long-term beta-agonist
bronchodilators
15.You are using the CURB-65 clinical prediction tool to decide whether
Mabel, whom you have diagnosed with community-acquired pneumonia
(CAP), should be hospitalized or treated at home. Her score is 3. What
should you do? - ANSWER ✓ Hospitalize and consider admitting her to the
ICU