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1. A 68-year-old woman presents with fatigue, pallor, and pica. Lab results
show microcytic, hypochromic anemia. Which is the most likely cause?
a) Vitamin B12 deficiency
b) Folate deficiency
c) Iron deficiency
d) Chronic kidney disease
Answer: c) Iron deficiency
2. The most common risk factor for squamous cell carcinoma of the skin is:
a) Chronic trauma
b) UV light exposure
c) Family history
d) HPV infection
Answer: b) UV light exposure
3. A patient presents with a 2-day history of a red, warm, and painful lower
leg. What is the best initial treatment?
a) Topical steroid cream
b) Cephalexin oral
c) Doxycycline IV
d) Warm compresses only
Answer: b) Cephalexin oral
4. Which is the definitive treatment for a simple, uncomplicated skin abscess?
a) Oral antibiotics
b) Incision and drainage
, c) Warm compresses only
d) IV vancomycin
Answer: b) Incision and drainage
5. A 74-year-old man with chronic sun exposure presents with rough, scaly
patches on his ears and hands. These are best described as:
a) Seborrheic keratoses
b) Actinic keratoses
c) Basal cell carcinomas
d) Lipomas
Answer: b) Actinic keratoses
6. Which test is definitive in differentiating actinic keratosis from
squamous cell carcinoma?
a) Cryotherapy response
b) Surgical pathology specimen
c) Dermatoscope exam
d) Biopsy with culture
Answer: b) Surgical pathology specimen
7. A patient with Hodgkin’s lymphoma presents for treatment. The
first-line management usually involves:
a) Radiotherapy and/or chemotherapy
b) Immunotherapy only
c) Radiation alone
d) Hospice referral only
Answer: a) Radiotherapy and/or chemotherapy
8. Which gastrointestinal cancer is most associated with iron deficiency
anemia in elderly patients?
a) Gastric cancer
b) Colorectal cancer
c) Esophageal cancer
, d) Pancreatic cancer
Answer: b) Colorectal cancer
9. Which antibiotic is recommended for the treatment of shigellosis?
a) Metronidazole
b) Ciprofloxacin
c) Erythromycin
d) Doxycycline
Answer: b) Ciprofloxacin
10.A Caucasian male with fair skin and green eyes is at highest risk for:
a) Wrinkles
b) Skin cancer
c) Keratoacanthoma
d) Vitiligo
Answer: b) Skin cancer
11. A 45-year-old woman presents with a “butterfly rash” across her cheeks
and fatigue. Which initial lab is most appropriate?
a) ANA test
b) CBC with differential
c) ESR
d) Rheumatoid factor
Answer: a) ANA test
12.Which symptom is most typical of iron deficiency anemia in older
adults?
a) Glossitis
b) Diarrhea
c) Polydipsia
d) Blurred vision
Answer: a) Glossitis
, 13.A patient with a history of lisinopril use presents with a swollen throat
and muffled voice. Which is the most likely diagnosis?
a) Asthma exacerbation
b) Angioedema
c) Epiglottitis
d) Anaphylaxis from food
Answer: b) Angioedema
14.Which condition presents with bone pain, anemia, renal dysfunction, and
recurrent infections in the elderly?
a) Paget’s disease
b) Multiple myeloma
c) Osteoarthritis
d) Polymyalgia rheumatica
Answer: b) Multiple myeloma
15.A 70-year-old woman with RA is prescribed methotrexate. What lab
monitoring is essential?
a) Serum calcium
b) Liver function tests
c) Iron studies
d) B12 levels
Answer: b) Liver function tests
16. The first-line antibiotic for community-acquired pneumonia in a
50-year-old otherwise healthy adult is:
a) Ciprofloxacin
b) Azithromycin
c) Amoxicillin
d) Vancomycin
Answer: c) Amoxicillin