Your 51-year-old female pa ent has been diagnosed with a "new murmur" during a near
syncopal episode workup. In evalua ng this pa ent, during which phase of the cardiac cycle
would you an cipate ausculta on of an S1 heart sound? -correct answers Systole
The ini al workup for a pa ent with a new chief complaint of palpita ons should include which
of the following tests first? -correct answers Basic metabolic profile
Which of the following loca ons is most commonly described as the best loca on to iden fy the
aor c valve in a healthy adult? -correct answers 2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-elu ng stent placed and had an elevated
troponin of 1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long
should Jason be on dual an platelet therapy a er his stent? -correct answers 12 months
minimum
What illness or diagnosis would localized egophony on ausculta on over the le lower lobe
most likely imply? -correct answers Consolida on (pneumonia)
While assessing a 15-year-old pa ent for a new onset of cough, how does
performing percussion of the thorax assist the provider during the physical examina on? -
correct answers To iden fy if underlying ssues are air-filled, fluid-filled, or consolidated
Which of the following pa ents would you expect to show a less-than-expected forced vital
capacity (FVC) on pulmonary func on tes ng? -correct answers Severe inters al lung disease
,In obstruc ve lung disease, a decreased level in which of the following spirometry parameters is
most sugges ve of diagnosis? -correct answers Forced Expiratory Volume in 1 second (FEV₁)
Your newly established pa ent developed a progressively enlarged thyroid gland (goiter) along
with symptoms of anxiety, palpita ons, and tremor over the last year. Which diagnosis is most
likely based on these findings? -correct answers Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following
typical signs on exam? -correct answers Exophthalmos
Your pa ent has Cushing's disease. Which of the following would you NOT expect to find during
examina on? -correct answers Low body temperature
In a pa ent with Diabetes Mellitus Type 2, the evalua on for end-organ dysfunc on should
include which of the following? -correct answers of these are appropriate
A pa ent with severe cirrhosis awai ng possible liver transplant should be evaluated with which
scoring system to assess liver func on and prognosis? -correct answers Model for End-Stage
Liver Disease (MELD) Score
You suspect mononucleosis in a 12-year-old with le upper quadrant pain and likely
splenomegaly. Which examina on step should be avoided over that area? -correct answers
Deep palpita on
A 21-year-old female may have a perforated gastric ulcer with peritoni s. Which type of
bacteria is most likely the causa ve agent? -correct answers Gram nega ve rods
A 22-year-old male power li er complains his scrotum is very enlarged and fluid-like. Which
diagnosis is most likely? -correct answers Hydrocele
, A 22-year-old female has sinus pressure and conges on. Which maneuver may help reproduce
sinus-related pain and support the diagnosis? -correct answers Leaning forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR showing
profoundly enlarged hilar adenopathy. Which diagnosis should be in your differen al? -correct
answers Lymphoma
Which of the following diseases is associated with vitreous detachment? -correct answers
Ehlers-Danlos
A pa ent presents with a unilateral visual deficit described as loss of visual fields on the right
side in both eyes. This is known as what? -correct answers Homonymous hemianopia
An adolescent female with microcy c, hypochromic anemia and elevated RDW most likely has
iron deficiency. Which labs will you order first? -correct answers TIBC and ferri n
A microcy c anemia with normal RDW is most likely which type of anemia? -correct answers
Thalassemia trait
A 43-year-old male with macrocy c anemia should be evaluated for which lab level to help
narrow the e ology? -correct answers Vitamin B12
A 66-year-old female with end-stage renal disease on dialysis has labs showing high
crea nine/BUN. On CBC, you'd typically see which result? -correct answers Normal MCH,
hemoglobin 9.6
During a rou ne physical, a 12-year-old with a history of Reye syndrome is noted. Which agent
is most o en implicated in causing Reye syndrome? -correct answers Aspirin use
syncopal episode workup. In evalua ng this pa ent, during which phase of the cardiac cycle
would you an cipate ausculta on of an S1 heart sound? -correct answers Systole
The ini al workup for a pa ent with a new chief complaint of palpita ons should include which
of the following tests first? -correct answers Basic metabolic profile
Which of the following loca ons is most commonly described as the best loca on to iden fy the
aor c valve in a healthy adult? -correct answers 2nd intercostal space, right sternal border
Jason, a 63-year-old male who had a cardiac drug-elu ng stent placed and had an elevated
troponin of 1.6, asks how long he will need to be on aspirin plus clopidogrel (Plavix). How long
should Jason be on dual an platelet therapy a er his stent? -correct answers 12 months
minimum
What illness or diagnosis would localized egophony on ausculta on over the le lower lobe
most likely imply? -correct answers Consolida on (pneumonia)
While assessing a 15-year-old pa ent for a new onset of cough, how does
performing percussion of the thorax assist the provider during the physical examina on? -
correct answers To iden fy if underlying ssues are air-filled, fluid-filled, or consolidated
Which of the following pa ents would you expect to show a less-than-expected forced vital
capacity (FVC) on pulmonary func on tes ng? -correct answers Severe inters al lung disease
,In obstruc ve lung disease, a decreased level in which of the following spirometry parameters is
most sugges ve of diagnosis? -correct answers Forced Expiratory Volume in 1 second (FEV₁)
Your newly established pa ent developed a progressively enlarged thyroid gland (goiter) along
with symptoms of anxiety, palpita ons, and tremor over the last year. Which diagnosis is most
likely based on these findings? -correct answers Graves' Disease
A 32-year-old female with a diagnosis of hyperthyroidism might exhibit which of the following
typical signs on exam? -correct answers Exophthalmos
Your pa ent has Cushing's disease. Which of the following would you NOT expect to find during
examina on? -correct answers Low body temperature
In a pa ent with Diabetes Mellitus Type 2, the evalua on for end-organ dysfunc on should
include which of the following? -correct answers of these are appropriate
A pa ent with severe cirrhosis awai ng possible liver transplant should be evaluated with which
scoring system to assess liver func on and prognosis? -correct answers Model for End-Stage
Liver Disease (MELD) Score
You suspect mononucleosis in a 12-year-old with le upper quadrant pain and likely
splenomegaly. Which examina on step should be avoided over that area? -correct answers
Deep palpita on
A 21-year-old female may have a perforated gastric ulcer with peritoni s. Which type of
bacteria is most likely the causa ve agent? -correct answers Gram nega ve rods
A 22-year-old male power li er complains his scrotum is very enlarged and fluid-like. Which
diagnosis is most likely? -correct answers Hydrocele
, A 22-year-old female has sinus pressure and conges on. Which maneuver may help reproduce
sinus-related pain and support the diagnosis? -correct answers Leaning forward
A 49-year-old male presents with weight loss, night sweats, anhedonia, and CXR showing
profoundly enlarged hilar adenopathy. Which diagnosis should be in your differen al? -correct
answers Lymphoma
Which of the following diseases is associated with vitreous detachment? -correct answers
Ehlers-Danlos
A pa ent presents with a unilateral visual deficit described as loss of visual fields on the right
side in both eyes. This is known as what? -correct answers Homonymous hemianopia
An adolescent female with microcy c, hypochromic anemia and elevated RDW most likely has
iron deficiency. Which labs will you order first? -correct answers TIBC and ferri n
A microcy c anemia with normal RDW is most likely which type of anemia? -correct answers
Thalassemia trait
A 43-year-old male with macrocy c anemia should be evaluated for which lab level to help
narrow the e ology? -correct answers Vitamin B12
A 66-year-old female with end-stage renal disease on dialysis has labs showing high
crea nine/BUN. On CBC, you'd typically see which result? -correct answers Normal MCH,
hemoglobin 9.6
During a rou ne physical, a 12-year-old with a history of Reye syndrome is noted. Which agent
is most o en implicated in causing Reye syndrome? -correct answers Aspirin use
