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Side effects of statin drugs include myalgia, fatigue, and elevated liver enzymes. Routine labs should
include liver enzymes to assess the effects on the liv er.
The Phalen test is used to evaluate:
A) Inflammation of the median nerve
B) Rheumatoid arthritis
C) Degenerative joint changes
D) Chronic tenosynovitis - answer>>>A) Inflammation of the median nerve
The Phalen test is used to identify inflammation of the median nerve seen with carpal tunnel syndrome.
Phalen's test is performed by examining the wrist with full flexion of the wrist for 60 seconds. Positive
findings are reproduction of the symptoms such as numbness and tin- gling of the thumb, index finger,
and middle finger areas.
Which of the following viral infections is associated with occasional abnormal forms of lymphocytes
during an acute infection?
A) Cytomegalovirus (CMV)
B) Epstein-Barr virus (EBV)
C) Human papilloma virus (HPV)
D) Coxsackie virus - answer>>>B) Epstein-Barr virus (EBV)
Which of the following joints is most likely to be affected by OA?
,A. Wrists
B. Elbows
C. metacarpophalangeal joint
D. DIP Joint - answer>>>D. DIP Joint
A test for an acute infection of the Epstein-Barr virus will show abnormal forms of lymphocytes.
Jenny, a 21-year-old, complains to you of a 1-week episode of dysuria, frequency, and a strong odor to
her urine. This is her second episode of the year. What is the most appropriate follow-up for this
patient?
A) Order a urinalysis and urine for culture and sensitivity (C&S) and treat the patient with antibiotics
B) Order a urine C&S and hold treatment until you get the results from the lab
C) Treat the patient with a 7-day course of antibiotics and order a urine for cultureand sensitivity (urine
C&S) now and after she completes her antibiotics
D) Treat the patient with a stronger drug such as ofloxacin (Floxin) for 10 days - answer>>>A) Order a
urinalysis and urine for culture and sensitivity (C&S) and treat the patient with antibiotics
The best treatment for this patient is to order the urinalysis and urine C&S to identify the organism
causing the infection. Treatment may begin while waiting for the culture results. However, occasionally
treatment may have to be changed after the culture/sensitivity results return, due to resistance to the
antibiotic used.
You are following up a 65-year-old male who has been on a new prescription of fluvastatin (Lescol) for 6
weeks. During a follow-up visit, he reports feeling extremely fatigued and having dark-colored urine. He
denies any generalized muscle soreness. Which of the following is the most appropriate treatment plan?
A) Order a CBC with differential
, B) Order a liver function profile
C) Recommend an increase in fluid intake and rest
D) Order a urine for C&S test - answer>>>B) Order a liver function profile
Statin medications, such as Lescol, can affect liver function and increase liver enzymes, as well as cause
the patient to feel weak, fatigued, and have muscle aches. Therefore, checking the liver function profile
is recommended.
A positive straight-leg raising test is indicative of which of the following?
A) Myasthenia gravis
B) Inflammation of the sciatic nerve/herniated disc
C) Multiple sclerosis
D) Parkinson's disease - answer>>>B) Inflammation of the sciatic nerve/herniated disc
A lab technician has a 10.5-mm area of redness and induration in his left forearm after getting a
Mantoux test 72 hours ago. The last test, which was done 12 months ago, was negative. He denies
cough, night sweats, and weight loss. What is the next best intervention?
A) Obtain a sputum culture and a chest x-ray
B) Obtain a chest x-ray
C) Obtain a sputum for C&S and an acid fast stain
D) Obtain a CBC and chest x-ray - answer>>>B) Obtain a chest x-ray
A lipid profile done on a newly diagnosed hypertensive patient shows a triglyceride level of 650 mg/dL,
total cholesterol 240 mg/dL, LDL 145 mg/dL, and an HDL of 35 mg/dL. What is the best intervention for
this patient?