for Final Exam and All Correct
Answers.
A 43 year old female presents with prehypertension (has not progressed to stage one by either
the old or new definitions). After your assessment you treatment plan includes:
A) Start lisinopril 5mg PO qday to prevent progression to stage 1 and protect the kidneys
B) Limit aerobic exercise because it increases the blood pressure while exercising
C) Recommend that the patient reduce her sodium and alcohol intake
D)Have the patient return to the clinic in 1 year for monitoring - Answer C) Recommend that
the patient reduce her sodium and alcohol intake
A 51 year old white male presents with new onset stage 1 HTN. Your treatment plan includes:
A) lisinopril 10mg PO qDay
B) lisinopril 5 mg PO qD and HCTZ 12/5 mg PO QD
C) lifestyle modifications only
D) lasix 20mg PO - Answer A) lisinopril 10mg PO qDay
The first line treatment for gonorrhea is:
A) Ceftriaxone (rocephin) 250mg IM once
B) Doxycycline 100mg PO QD x 7 days
C) Penicillin 2.4 million units IM x 3 weeks
D) None of the above - Answer A) Ceftriaxone (rocephin) 250mg IM once
An 18 year old woman presents with a complaint of sore throat for the past 3 days. Her physical
exam includes a temperature 101F (38.3c), exudate on the pharynx and tender anterior cervical
lymphademnopathy. The most likely diagnosis is:
A) Streptococcus pyogenes pharyngitis
B) monoucleosis
C) viral pharyngitis
D) angioedema - Answer A) Streptococcus pyogenes pharyngitis
Treatment options for a patient with a penicillin allergy and a diagnosis of strep throat include
all of the following except:
A) azithromycin
B) trimethoprimsulfamethoxazole (Bactrim)
, C) clarithromycin
D) erythomycin - Answer B) trimethoprimsulfamethoxazole (Bactrim)
The first line treatment for primary syphilis is...
A) Penicillin
B) ciprofloxacin
C) erythromycin
D) Doxyclycine - Answer A) Penicillin
Patients with strep throat can be cleared to return to work or school after ____hours
antimicrobial therapy
A) 12
B) 24
C) 36
D) 48 - Answer B) 24
An 18 year old college student presents with 2 days of cough, congestion, and sore throat. There
is no fever, and the exam is normal except for mild erythema of the nares and throat. The
patient has not tried any over the counter medications. Which of the following is the most likely
diagnosis?
A) Viral upper respiratory infection
B) Sinusitis
C) Pneumonia
D) Steptocaccal pharyngitis - Answer A) Viral upper respiratory infection
An 18 year old college student presents with 2 days of cough, congestion, and sore throat. There
is no fever, and the exam is normal except for mild erythema of the nares and throat. The
patient has not tried any over the counter medications. Which of the following would you
include in your treatment plan?
A) oral fluid intake and acetaminophen
B) arithromycin (zpak)
C)penicillin
D) none of the above - Answer A) oral fluid intake and acetaminophen
An 18 year old college student presents with 2 days of cough, congestion, and sore throat. There
is no fever, and the exam is normal except for mild erythema of the nares and throat. The
patient has not tried any over the counter medications. What might you prescribe the patient
above?