2026 COMPREHENSIVE QUESTIONS
SOLUTIONS GRADED A PLUS CLINICAL
DECISION MAKING PRACTICE PACKAGE
◉ Severe TBI GCS Score.
Answer: A GCS score of 3-8 describes a severe TBI.
◉ Obsessions.
Answer: Obsessions are recurrent and persistent thoughts, impulses,
or images that cause distressing emotions such as anxiety or disgust.
◉ Generalized Anxiety Disorder (GAD) Characteristics.
Answer: Impaired concentration and irritability are major
characteristics of GAD.
◉ Schizophrenia Symptoms.
Answer: The characteristics of schizophrenia are paranoia,
delusions, tangential thoughts, suspiciousness, disorganized
behavior, and hallucinations.
◉ Acute Otitis Media.
,Answer: The classic presentation of otitis media is otalgia, muffled
hearing, popping sensation, and a recent history of a cold or flare up
of allergic rhinitis.
◉ Peritonsillar Abscess.
Answer: Peritonsillar abscess is characterized by severe sore throat,
pain or difficulty swallowing, jaw muscle spasms, and a hot potato
voice.
◉ Graves' Disease.
Answer: Graves' disease, an autoimmune condition also known as
'diffuse toxic goiter' is the most common cause of hyperthyroidism
in this age group.
◉ Insulin Resistance Finding.
Answer: Triglycerides > 150mg/dL is associated with increasing
insulin resistance.
◉ Postprandial Glucose Level Influencer.
Answer: Carbohydrate is a macronutrient with the greatest impact
on the postprandial glucose levels.
◉ Type 1 Diabetes Mellitus.
,Answer: Type 1 DM is associated with beta cell destruction leading
to absolute insulin deficiency resulting in significant hyperglycemia
and potential for ketoacidosis.
◉ Type 2 Diabetes Mellitus Risk Factors.
Answer: Major risk factors are heredity and obesity.
◉ Endometrial Cancer Risk Factor.
Answer: Oral contraceptives have been shown to reduce the
incidence of endometrial cancer.
◉ Mixed Precocious Puberty.
Answer: Mixed precocious puberty cases the child to develop some
secondary characteristics of the opposite sex, such as the
feminization of a boy.
◉ Delayed Puberty Cause.
Answer: In 95% of cases, delayed puberty is physiologic in nature.
◉ Priapism Association.
Answer: Priapism has been associated with the abuse of certain
substances.
, ◉ Priapism.
Answer: Prolonged penile erection, often idiopathic.
◉ Cocaine.
Answer: Substance associated with priapism.
◉ Ovulation.
Answer: Triggered by a sudden increase of LH.
◉ Follicular cyst.
Answer: Develops when no dominant follicle matures.
◉ Benign ovarian cyst.
Answer: Functional cyst from incomplete follicle maturation.
◉ Genetic counseling.
Answer: Advisory service for individuals at genetic risk.
◉ Maternal age.
Answer: Common reason for seeking genetic counseling.
◉ Amniocentesis.