EXPERT SOLUTIONS CONFIRMED
◉ 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, usually less than one per week, 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). Cluster
b). Tension
c). Migraine
d). Analgesic rebound. Answer: c). Migraine
◉ Which of the following is a "red flag" regarding patients
presenting with headache?
a). Unilateral headache
b). Pain over the sinuses
c). Age over 50
d). Photophobia and phonophobia. Answer: c). Age over 50
, ◉ Very sensitive methods for detecting hearing loss include which of
the following?
a). The whisper test
b). The tuning fork test
c). Audiometric testing
d). The finger rub test. Answer: c). Audiometric testing
◉ A college student presents with a sore throat, fever, and fatigue for
several days. You notice exudates on her enlarged tonsils. You do a
careful lymphatic examination and notice some scattered small,
mobile lymph nodes just behind her sternocleidomastoid muscles
bilaterally. What group of nodes is this?
a). Occipital
b). Tonsillar
c). Submandibular
d). Posterior cervical. Answer: d). Posterior cervical
◉ A 35-year-old archaeologist comes to your office (located in
Phoenix, Arizona) for a regular skin check-up. She has just returned
from her annual dig site in Greece. She has fair skin and reddish-
blonde hair. She has a family history of melanoma. She has many
freckles scattered across her skin. From this description, which of the
following is not a risk factor for melanoma in this patient?
a). Hair color
b). Actinic lentigines
c). Heavy sun exposure
, d). Age. Answer: d). Age
◉ Is the following statement true or false?
When assessing the patient's thought content, it is important to always
follow specific questions to keep the patient on task.
a). True
b). False. Answer: b). False
◉ Which of the following is true about hallucinations?
a). Experiences may or may not be recognized by the person as false.
b). Hallucinations may be auditory, visual, olfactory, gustatory, tactile,
or somatic.
c). Do not include false perceptions associated with dreaming and
falling asleep.
d). All of the above.. Answer: d). All of the above.
◉ Coordination of muscle movement requires that four areas of the
nervous system function in an integrated way. Coordinating eye, head,
and body movements applies to which area of the nervous system?
a). Motor system
b). Cerebellar system