Brown Dunphy Examination 2
Questions And Correct Answers
\Q\.Mrs. Graves, age 38, has been on birth control pills for approximately 15 years. She is a
smoker, has a blood pressure of 110/70 mm Hg, and has lipid levels within normal limits. You
advise that she should
A. discontinue the birth control pills because of her smoking
B. remain on the pill because her blood pressure and lipids are within normal limits
C. remain on the pill until her follicle-stimulating hormone level is greater than 30
D. discontinue the pill because of her age - ANSWERS✔-A. discontinue the birth control pills
because of her smoking
\Q\.Which glomerular disease occurs 10-14 days after an acute illness (commonly streptococcal
in children) and is characterized by tea-colored urine, mild to severe renal insufficiency, and
edema?
A. Henoch-Schonlein purpura glomerulonephritis
B. Glomerulonephritis of systemic lupus erythematosus
C. Postinfection glomerulonephritis
D. Immunoglobulin A nephropathy - ANSWERS✔-C. Postinfection glomerulonephritis
\Q\.A good technique for assessment of the supraclavicular nodes is
A. to have the client sit up and perform Valsalva's maneuver
B. to use the diaphragm of the stethescope
C. to palpate the axilla
D. to use the bell of the stethescope - ANSWERS✔-B. to use the diaphragm of the stethescope
,\Q\.Marissa is going to have a splenectomy for her idiopathic thrombocytopenic purpura (ITP).
Which of the following statements about this is true?
A. Splenectomy produces permanent remission in 70-90% of children with ITP
B. Splenectomy is a first-line option
C. Vitamin B12 supplementation is essential
D. Anticoagulant therapy is indicated postoperatively when the platelet count rises -
ANSWERS✔-D. Anticoagulant therapy is indicated postoperatively when the platelet count rises
\Q\.Food sources rich in iron include
A. potatoes; bananas; and green, leafy vegetables
B. enriched grain cereals, cabbage, and sweet potatoes
C. liver, red meats, prunes, apples, and raisins
D. enriched grain cereals, strawberries, watermelon, and honeydew melons - ANSWERS✔-C.
liver, red meats, prunes, apples, and raisins
\Q\.Marjorie has a Bartholin's cyst. What is the most common offending pathogen?
A. Gonococcus
B. Staphylococcus aureus
C. Streptococcus faecalis
D. Escherichia coli - ANSWERS✔-A. Gonococcus
\Q\.Angie, age 17, is complaining of nasal congestion, sneezing, and itchiness of the eyes that
worsens when she does yard work. She has been self-medicating with an over-the-counter nasal
decongestant spray. Although this has been temporarily helpful, she reports that her symptoms
are now worsening. You should
A. counsel her to avoid yard work
B. advise her of the rebound effect of the nasal spray
C. order a nonsedating antihistamine and a corticosteroid nasal spray
, D. advise a combination nonsedating antihistamine and decongestant tablet - ANSWERS✔-D.
advise a combination nonsedating antihistamine and decongestant tablet
\Q\.Marty, age 7, was brought to your primary care office with dog bites on his right hand and
arm. You would send him home on
A. amoxicillin and clavulunate (Augmentin)
B. penicillin (Pentids)
C. amoxicillin (Amoxil)
D. clarithromycin (Biaxin) - ANSWERS✔-A. amoxicillin and clavulunate (Augmentin)
\Q\.When percussing the chest, hyperresonance often is heard with
A. lung cancer
B. pneumonia
C. pleural effusion
D. emphysema - ANSWERS✔-D. emphysema
\Q\.You are trying to make a diagnosis of a lung problem described by your client Mr. Fry, age
65. In making the distinction between emphysema and chronic bronchitis, you know that
chronic bronchitis
A. usually presents with a mild cough
B. has an insidious progressive dyspnea and usually occurs after age 50
C. demonstrates a markedly increased residual volume
D. presents with wheezing and rhonci - ANSWERS✔-D. presents with wheezing and rhonci
\Q\.In infants and childre, the cardinal sign of right-sided congestive heart failure is
A. cyanosis
B. edema of the lower extremities
Questions And Correct Answers
\Q\.Mrs. Graves, age 38, has been on birth control pills for approximately 15 years. She is a
smoker, has a blood pressure of 110/70 mm Hg, and has lipid levels within normal limits. You
advise that she should
A. discontinue the birth control pills because of her smoking
B. remain on the pill because her blood pressure and lipids are within normal limits
C. remain on the pill until her follicle-stimulating hormone level is greater than 30
D. discontinue the pill because of her age - ANSWERS✔-A. discontinue the birth control pills
because of her smoking
\Q\.Which glomerular disease occurs 10-14 days after an acute illness (commonly streptococcal
in children) and is characterized by tea-colored urine, mild to severe renal insufficiency, and
edema?
A. Henoch-Schonlein purpura glomerulonephritis
B. Glomerulonephritis of systemic lupus erythematosus
C. Postinfection glomerulonephritis
D. Immunoglobulin A nephropathy - ANSWERS✔-C. Postinfection glomerulonephritis
\Q\.A good technique for assessment of the supraclavicular nodes is
A. to have the client sit up and perform Valsalva's maneuver
B. to use the diaphragm of the stethescope
C. to palpate the axilla
D. to use the bell of the stethescope - ANSWERS✔-B. to use the diaphragm of the stethescope
,\Q\.Marissa is going to have a splenectomy for her idiopathic thrombocytopenic purpura (ITP).
Which of the following statements about this is true?
A. Splenectomy produces permanent remission in 70-90% of children with ITP
B. Splenectomy is a first-line option
C. Vitamin B12 supplementation is essential
D. Anticoagulant therapy is indicated postoperatively when the platelet count rises -
ANSWERS✔-D. Anticoagulant therapy is indicated postoperatively when the platelet count rises
\Q\.Food sources rich in iron include
A. potatoes; bananas; and green, leafy vegetables
B. enriched grain cereals, cabbage, and sweet potatoes
C. liver, red meats, prunes, apples, and raisins
D. enriched grain cereals, strawberries, watermelon, and honeydew melons - ANSWERS✔-C.
liver, red meats, prunes, apples, and raisins
\Q\.Marjorie has a Bartholin's cyst. What is the most common offending pathogen?
A. Gonococcus
B. Staphylococcus aureus
C. Streptococcus faecalis
D. Escherichia coli - ANSWERS✔-A. Gonococcus
\Q\.Angie, age 17, is complaining of nasal congestion, sneezing, and itchiness of the eyes that
worsens when she does yard work. She has been self-medicating with an over-the-counter nasal
decongestant spray. Although this has been temporarily helpful, she reports that her symptoms
are now worsening. You should
A. counsel her to avoid yard work
B. advise her of the rebound effect of the nasal spray
C. order a nonsedating antihistamine and a corticosteroid nasal spray
, D. advise a combination nonsedating antihistamine and decongestant tablet - ANSWERS✔-D.
advise a combination nonsedating antihistamine and decongestant tablet
\Q\.Marty, age 7, was brought to your primary care office with dog bites on his right hand and
arm. You would send him home on
A. amoxicillin and clavulunate (Augmentin)
B. penicillin (Pentids)
C. amoxicillin (Amoxil)
D. clarithromycin (Biaxin) - ANSWERS✔-A. amoxicillin and clavulunate (Augmentin)
\Q\.When percussing the chest, hyperresonance often is heard with
A. lung cancer
B. pneumonia
C. pleural effusion
D. emphysema - ANSWERS✔-D. emphysema
\Q\.You are trying to make a diagnosis of a lung problem described by your client Mr. Fry, age
65. In making the distinction between emphysema and chronic bronchitis, you know that
chronic bronchitis
A. usually presents with a mild cough
B. has an insidious progressive dyspnea and usually occurs after age 50
C. demonstrates a markedly increased residual volume
D. presents with wheezing and rhonci - ANSWERS✔-D. presents with wheezing and rhonci
\Q\.In infants and childre, the cardinal sign of right-sided congestive heart failure is
A. cyanosis
B. edema of the lower extremities
