Solutions
30. Which of the following statements is true
concerning the use of bilberry as a complementary
therapy for cataracts?
a) The body converts bilberry to vitamin A, which
helps to maintain a healthy lens.
b) Bilberry blocks an enzyme that leads to sorbitol
accumulation that contributes to cataract
formation in diabetes.
c) Bilberry boosts oxygen and blood delivery to the
eye.
d) Bilberry is a good choice for patients with
diabetes as it does not interact with antidiabetic
drugs. Correct Answers c) Bilberry boosts oxygen
and blood delivery to the eye.
A 65-year-old man presents to the clinician with
complaints of increasing bilateral peripheral vision
loss, poor night vision, and frequent prescription
changes that started 6 months previously.
Recently, he has also been seeing halos around
lights. The clinician suspects chronic open-angle
glaucoma. Which of the following statements is
true concerning the diagnosis of chronic open-
angle glaucoma? Question options:
,a) The presence of increased intraocular pressure
measured by tonometry is definitive for the
diagnosis of open-angle glaucoma.
b) The clinician can definitively diagnosis open-
angle glaucoma based on the subjective
complaints of the patient.
c) Physical diagnosis relies on gonioscopic
evaluation of the angle by an ophthalmologist.
d) Early diagnosis is essential in order to reverse
any damage that has occurred to the optic nerve.
Correct Answers c) Physical diagnosis relies on
gonioscopic evaluation of the angle by an
ophthalmologist.
A chronic cough lasts longer than:
A. 3 weeks
B. 8 weeks
C. 6 months
D. 1 year Correct Answers B. 8 weeks
A patient presents to the clinician complaining of
ear pain. On examination, the clinician finds that
the patient has tenderness on traction of the pinna
as well as when applying pressure over the tragus.
These findings are classic signs of which condition?
Question options:
,a) Otitis media
b) Meniere's disease
c) Tinnitus
d) Otitis externa Correct Answers d) Otitis externa
A patient presents to the clinician with a sore
throat, fever of 100.7 F, and tender anterior
cervical lymphadenopathy. The clinician ϒ suspects
strep throat and performs a rapid strep test that is
negative. What would the next step be? Question
options:
a) The patient should be instructed to rest and
increase fluid intake as the infection is most likely
viral and will resolve without antibiotic treatment.
b) Because the patient does not have strep throat,
the clinician should start broad spectrum
antibiotics in order to cover the offending
pathogen.
c) A throat culture should be performed to confirm
the results of the rapid strep test.
d) The patient should be treated with antibiotics for
strep throat as the rapid strep test is not very
sensitive. Correct Answers c) A throat culture
should be performed to confirm the results of the
rapid strep test.
A patient presents with the following signs and
symptoms: gradual onset of low-grade fever,
, marked fatigue, severe sore throat, and posterior
cervical lymphadenopathy. Based on the signs and
symptoms alone, which of the following conditions
is most likely the cause? Question options:
a) Gonorrhea
b) Mononucleosis
c) Influenza
d) Herpes zoster Correct Answers b)
Mononucleosis
A patient with hypertension comes in and insists
that one of his new medications is causing him to
cough. When looking at his list of medications, you
think the cough must be from:
A. Metoprolol
B. Clopidogrel
C. Tadalafil
D. Captopril Correct Answers D. Captopril
Acute angle-closure glaucoma involves a sudden
severe rise in intraocular pressure. Which of the
following ranges represents normal intraocular
pressure? Question options:
a) 0 to 7 mm Hg
b) 8 to 21 mm Hg
c) 22 to 40 mm Hg