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1. A 55-year-old patient presents with fatigue and pallor. Laboratory
studies reveal hemoglobin of 9 g/dL. Which is the most likely cause?
A) Iron deficiency anemia
B) Sickle cell anemia
C) Hemolytic anemia
D) Aplastic anemia
Rationale: Iron deficiency anemia is the most common cause of
anemia in adults, often presenting with fatigue and pallor.
2. The abbreviation “HTN” in a patient chart stands for:
A) Hyperthyroidism
, B) Hypotension
C) Hypertension
D) Hypertriglyceridemia
Rationale: HTN is the standard medical abbreviation for
hypertension.
3. Which of the following is a typical symptom of Type 2 Diabetes
Mellitus?
A) Polyuria
B) Polydipsia
C) Polyphagia
D) All of the above
Rationale: Type 2 Diabetes commonly presents with the classic triad:
polyuria, polydipsia, and polyphagia.
4. A patient presents with acute right lower quadrant pain, fever, and
nausea. The most likely diagnosis is:
A) Cholecystitis
B) Appendicitis
C) Diverticulitis
D) Pancreatitis
Rationale: Acute right lower quadrant pain with fever and nausea is
characteristic of appendicitis.
5. What is the normal adult range for blood pressure?
A) 90/60 mmHg
, B) 120/80 mmHg
C) 120/80 mmHg
D) 140/90 mmHg
Rationale: The generally accepted normal adult blood pressure is
around 120/80 mmHg.
6. The abbreviation “ROS” in a chart stands for:
A) Radiology of Spine
B) Review of Systems
C) Right Ocular Symptom
D) Routine Office Screening
Rationale: ROS stands for Review of Systems, a systematic evaluation
of the patient’s symptoms.
7. Which of the following vaccines is recommended annually for adults?
A) MMR
B) Varicella
C) Influenza
D) HPV
Rationale: The influenza vaccine is recommended yearly due to
changing viral strains.
8. A patient presents with chest pain that improves with rest and
worsens with exertion. The most likely diagnosis is:
A) Myocardial infarction
B) Stable angina
, C) Pericarditis
D) Pulmonary embolism
Rationale: Stable angina typically presents with exertional chest pain
that improves with rest.
9. Which lab test is most commonly used to monitor long-term glucose
control in diabetics?
A) Fasting glucose
B) Random glucose
C) Hemoglobin A1c
D) C-peptide
Rationale: Hemoglobin A1c reflects average blood glucose over the
past 2-3 months.
10. Which of the following is a modifiable risk factor for
cardiovascular disease?
A) Age
B) Gender
C) Smoking
D) Family history
Rationale: Smoking is a modifiable risk factor that can be controlled
to reduce cardiovascular risk.
11. A 45-year-old female presents with fatigue, weight gain, and
cold intolerance. The most likely condition is:
A) Hyperthyroidism