Exam Questions And Correct Answers (Verified Answers)
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A 28-year-old housewife presents to your office for a 6-week
postpartum checkup. She complains of fatigue greater than
expected and palpitations. Her hair is falling out as well. She
denies sadness or depression symptoms. Before this, she had
not had any medical problems. She is breastfeeding her child
and is not on any birth control. She had her first period since
giving birth last week. A pregnancy test done in the office is
negative. What is your most likely
diagnosis?(A) Thyroiditis(B) Iron-deficiency anemia(C)
Addison's disease(D)
Sheehan's syndrome -
ANSWER-A
Which of the following percussion notes would you obtain
over the gastric
bubble?A) ResonanceB) TympanyC) HyperresonanceD)
Flatness - ANSWER-B
A 38-year-old accountant comes to your clinic for evaluation of
a headache. The throbbing sensation is located in the right
temporal region and is an 8 on a scale of 1 to 10. It started a few
hours ago, and she has noted nausea with sensitivity to light;
she has had headaches like this in the past, < 1/wk, but not as
severe. She does not know of any inciting factors. There has
,been no change in the frequency of her headaches. She usually
takes an over-the counter analgesic and this results in
resolution of the headache. Based on this description, what is
the most likely diagnosis of the type of headache?A) TensionB)
MigraineC)
ClusterD) Analgesic rebound - ANSWER-B
A 29-year-old computer programmer comes to your office for
evaluation of a headache. The tightening sensation is located
all over the head and is of moderate intensity. It used to last
minutes, but this time it has lasted for 5 days. He denies
photophobia and nausea. He spends several hours each day at
a computer monitor/keyboard. He has tried over-the-counter
medication; it has dulled the pain but not taken it away. Based
on this description, what is your most likely diagnosis?A)
Tension-B) MigraineC) ClusterD) Analgesic rebound -
ANSWER-A
A 49-year-old administrative assistant comes to your office for
eval of dizziness.
You elicit the information that the dizziness is a spinning
sensation of sudden
onset, worse with head position changes. The episodes last a
few seconds and
then go away, and they are accompanied by intense nausea.
Vomiting x1. She denies tinnitus. You perform a physical exam
of the head and neck and note that the patient's hearing is
intact to Weber and Rinne and that there is nystagmus. Her gait
is normal. Based on this description, what is the most likely
, diagnosis?A) Benign positional vertigoB) Vestibular
neuronitisC) Ménière's diseaseD) Acoustic neuroma - ANSWER-
A
A 55-year-old bank teller comes to your office for persistent
episodes of dizziness. The first episode started suddenly and
lasted 3 to 4 hours. He experienced a lot of nausea with
vomiting; the episode resolved spontaneously. He has had five
episodes in the past 1½ weeks. He does note some tinnitus that
comes and goes. Upon physical examination, you note that he
has a normal gait. The Weber localizes to the right side and the
air conduction is equal to the bone conduction in the right ear.
Nystagmus is present. Based on this description, what is the
most likely diagnosis?A) Benign positional vertigoB) Vestibular
neuronitisC) Ménière's disease-D) Acoustic neuroma -
ANSWER-C
Which of the following is a "red flag" regarding patients
presenting with headache?A) Unilateral headacheB) Pain over
the sinusesC) Age over 50D)
Phonophobia and photophobia - ANSWER-C
Diplopia, which is present with one eye covered, can be caused
by which of the following problems?A) Weakness of CN IIIB)
Weakness of CN IVC) A lesion of the brainstemD) An
irregularity in the cornea or lens - ANSWER-D
On visual confrontation testing, a stroke patient is unable to see
your fingers on