Question 2. Which of the following is a potential acquired cause of thrombophilia -
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ANS>>Homocysteinuria
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Protein C deficiency ss ss
Factor V Leiden ss ss
Antiphospholipid antibodies ss
Question 3 ss
Phalen's test, 90°wrist flexion for 60 seconds, reproduces symptoms of: - ANS>>Ulnar tunnel
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syndrome
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Carpal tunnel syndrome ss ss
Tarsal tunnel syndrome
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Myofascial pain syndrome ss ss
Question 4 ss
Which patient would benefit most from screening for type 2 diabetes? - ANS>>A 30 year old
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female with unintended weight loss.
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A 25 year old male with family history of type 1 diabetes
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An obese female with recurrent vaginitis
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A 50 year old hyperlipidemic male
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Question 5 ss
A 72 year old female patient reports a 6 month history of gradually progressive swollen and
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painful distal interphalangeal (DIP) joints of one hand. She has no systemic symptoms but
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,ss the erythrocyte sedimentation rate (ESR), antinuclear antibody (ANA), and rheumatoid
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ss factor (RF) are all minimally elevated. What is the most likely diagnosis? -
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ss ANS>>Rheumatoid arthritis (RA) ss ss
Osteoarthritis (OA) ss
Lupus
Peripheral neuropathy ss
Question 6 ss
A 32 year old male patient complains of urinary frequency and burning on urination for 3
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days. Urinalysis reveals bacteriuria. He denies any past history of urinary tract infection. The
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initial treatment should be: - ANS>>Trimethoprim-sulfamethoxazole for 3 days
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Ciprofloxacin for 7-10 days ss ss ss
Trimethoprim-sulfamethoxazole for 14 days ss ss ss
Ciprofloxacin for 3 days ss ss ss
A thymectomy is usually recommended in the early treatment of which disease? -
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ANS>>Parkinson's disease
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Multiple sclerosis ss
Myasthenia gravis ss
Huntington's chorea ss
Question 8 ss
The diagnosis of human papilloma virus (HPV) infection in males is usually made by -
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ANS>>Clinical appearance
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Viral culture ss
Tzanck smear ss
KOH prep ss
,Question 9 ss
The most effective intervention(s) to prevent stroke is (are): - ANS>>81 mg of aspirin daily
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Carotid endarterectomy for patients with high-grade carotid lesions
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Routine screening for carotid artery stenosis with auscultation for bruits
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Smoking cessation and treatment of hypertension
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Question 10 ss
What is the most common cause of Cushing's syndrome? - ANS>>Excessive ACTH production
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Administration of a glucocorticoid or ACTH ss ss ss ss ss
Pituitary adenoma or a non-pituitary ACTH-producing tumor
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Autonomous cortisol production from adrenal tissue ss ss ss ss ss
Question 11 ss
Diagnostic radiological studies are indicated for low back pain: - ANS>>Routinely after 3
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weeks of low back pain symptoms.
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To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of
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low back pain.
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When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection.
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As a part of a pre-employment physical when heavy lifting is included in the job description.
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Question 12 ss
After treating a patient for Helicobacter pylori infection, what test do you order to see if it
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has been cured? - ANS>>An enzyme-linked immunosorbent assay titer
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A urea breath test
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A rapid urease test
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A repeat endoscopy
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, Question 13 ss
Which appropriate test for the initial assessment of Alzheimer's disease provides the
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performance ratings on 10 complex, higher order activities? - ANS>>MMSE
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CAGE questionnaire
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FAQ - Functional Activities Questionnaire
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Holmes and Rahe social readjustment scale
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Question 14 ss
Major depression occurs most often in which of the following conditions? - ANS>>A.
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Myocardial infarction
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Parkinson's disease ss
Stroke
Alzheimer's disease ss
Question 15 ss
Which of the following statements about multiple sclerosis (MS) is correct? - ANS>>MS is a
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chronic, untreatable illness that is almost always fatal.
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MS is a disease of steadily progressive and unrelenting neurologic deterioration.
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MS is a chronic, treatable illness with unknown cause and a variable course.
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Patients with MS who take active steps to improve their health have the best cure rate.
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Question 16 ss
Diagnostic evaluation of hypothyroidism reveals: - ANS>>Elevated TSH and decreased T4
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Decreased TSH and increased T4 ss ss ss ss
Decreased TSH and decreased T3 ss ss ss ss
Elevated TSH and increased T4 ss ss ss ss