A patient presents to you with shoulder pain after falling during an ice storm. On
examination, he exhibits localized shoulder pain when you preform the "crossover
test" (arm moved across the chest toward the opposite side while extended at the
elbow). Which of the following is the most likely site of injury?
a). Rotator cuff
b). Bicipital tendon
c). Glenohumeral joint
d). Acromioclavicular joint
Give this one a try later!
, d). Acromioclavicular joint
A high school soccer player "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie was diving for the ball. All of the
following structures were involved in some way in his injury, but which of the following
is actually an extra-articular structure?
a). Synovium
b). Juxta-articular bone
c). Joint capsule
d). Tendons
Give this one a try later!
d). Tendons
Within 48-72 hours after the birth, a neonate has bilateral copious purulent drainage
from the eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
Give this one a try later!
a). Gonococcal conjunctivitis
An elderly woman with a history of coronary bypass comes in with severe, diffuse,
abdominal pain. Strangely, during your examination, the pain is not made worse by
,pressing on the abdomen. What do you suspect?
A. Malingering
B. Ischemia
C. Neuropathy
D. Physical abuse
Give this one a try later!
B. Ischemia
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part
of your physical examination, you listen to her heart and hear a murmur only at the
cardiac apex. Which valve is most likely to be involved, based on the location of the
murmur?
A. Aortic
B. Pulmonic
C. Tricuspid
D. Mitral
Give this one a try later!
D. Mitral
A 21-year-old engineering student comes to your office, complaining of leg and back
pain and of tripping when he walks. He states this started 3 months ago with back and
buttock pain but has since progressed to feeling weak in his left leg. He denies any
bowel or bladder symptoms. He can think of no specific traumatic incidences but he
was a defensive lineman in high school and junior college. His past medical history is
unremarkable. He denies tobacco use or alcohol or drug abuse. His parents are both
healthy. On examination he is tender over the lumbar spine and he has a positive
straight-leg raise on the left. His Achilles tendon deep reflex is decreased on the left.
, While watching his gait you notice he has to pick his left foot up high in order not to
trip.
What abnormality of gait does he most likely have?
a). Sensory ataxia
b). Steppage gait
c). Parkinsonian gait
d). Spastic hemiparesis
Give this one a try later!
b). Steppage gait
The ankle-brachial index (ABI) is calculated by dividing the systolic BP at the dorsalis
pedis by the systolic BP at the brachial artery. Which of the following values would be
consistent with mild peripheral arterial disease?
A. 0.85
B. 0.35
C. 1.1
D. 0.65
Give this one a try later!
A. 0.85
The mild disease is represented by an ABI of 0.71 to 0.9. Any value above
0.9 is normal. Moderate disease is defined as between 0.7 and 0.41, and
severe disease is defined as 0.4 or less. Patients in the "severe" category
have a 20% to 25% annual risk of death.
A 72-year-old teacher comes to your clinic for an annual examination. She is
concerned about her risk for peripheral vascular disease and states that there is a
examination, he exhibits localized shoulder pain when you preform the "crossover
test" (arm moved across the chest toward the opposite side while extended at the
elbow). Which of the following is the most likely site of injury?
a). Rotator cuff
b). Bicipital tendon
c). Glenohumeral joint
d). Acromioclavicular joint
Give this one a try later!
, d). Acromioclavicular joint
A high school soccer player "blew out his knee" when the opposing goalie's head and
shoulder struck his flexed knee while the goalie was diving for the ball. All of the
following structures were involved in some way in his injury, but which of the following
is actually an extra-articular structure?
a). Synovium
b). Juxta-articular bone
c). Joint capsule
d). Tendons
Give this one a try later!
d). Tendons
Within 48-72 hours after the birth, a neonate has bilateral copious purulent drainage
from the eyes. You most likelu differential diagnosis is?
a). Gonococcal conjunctivitis
b). Allergic conjunctivitis
c). Bacterial conjunctivitis
d). Viral conjunctivitis
Give this one a try later!
a). Gonococcal conjunctivitis
An elderly woman with a history of coronary bypass comes in with severe, diffuse,
abdominal pain. Strangely, during your examination, the pain is not made worse by
,pressing on the abdomen. What do you suspect?
A. Malingering
B. Ischemia
C. Neuropathy
D. Physical abuse
Give this one a try later!
B. Ischemia
A 25-year-old optical technician comes to your clinic for evaluation of fatigue. As part
of your physical examination, you listen to her heart and hear a murmur only at the
cardiac apex. Which valve is most likely to be involved, based on the location of the
murmur?
A. Aortic
B. Pulmonic
C. Tricuspid
D. Mitral
Give this one a try later!
D. Mitral
A 21-year-old engineering student comes to your office, complaining of leg and back
pain and of tripping when he walks. He states this started 3 months ago with back and
buttock pain but has since progressed to feeling weak in his left leg. He denies any
bowel or bladder symptoms. He can think of no specific traumatic incidences but he
was a defensive lineman in high school and junior college. His past medical history is
unremarkable. He denies tobacco use or alcohol or drug abuse. His parents are both
healthy. On examination he is tender over the lumbar spine and he has a positive
straight-leg raise on the left. His Achilles tendon deep reflex is decreased on the left.
, While watching his gait you notice he has to pick his left foot up high in order not to
trip.
What abnormality of gait does he most likely have?
a). Sensory ataxia
b). Steppage gait
c). Parkinsonian gait
d). Spastic hemiparesis
Give this one a try later!
b). Steppage gait
The ankle-brachial index (ABI) is calculated by dividing the systolic BP at the dorsalis
pedis by the systolic BP at the brachial artery. Which of the following values would be
consistent with mild peripheral arterial disease?
A. 0.85
B. 0.35
C. 1.1
D. 0.65
Give this one a try later!
A. 0.85
The mild disease is represented by an ABI of 0.71 to 0.9. Any value above
0.9 is normal. Moderate disease is defined as between 0.7 and 0.41, and
severe disease is defined as 0.4 or less. Patients in the "severe" category
have a 20% to 25% annual risk of death.
A 72-year-old teacher comes to your clinic for an annual examination. She is
concerned about her risk for peripheral vascular disease and states that there is a
