According to the American Pain Society, an example of the first-line therapy for mild pain
includes which of the following?
A. Tylenol
B. Hydrocodone
C. An opioid
D. Muscle relaxant - CORRECT ANSWER-A. Tylenol
For acute pain, how many days are considered sufficient for treatment with opioids?
A. 3
B. 5
C. 4
D. 9 - CORRECT ANSWER-A. 3
Which of the following best describes the onset of action for a fentanyl patch after application?
A. 12 to 16 hours
B. 1 to 2 hours
C. 17 to 19 hours
D. 4 to 6 hours - CORRECT ANSWER-A. 12 to 16 hours
What is the likely result of the over-prescription, over-supply, and over-production of opioids?
A. Opioid use
B. Opioid abuse
C. Opioid dependence
D. Opioid resistance - CORRECT ANSWER-B. Opioid abuse
,Which of the following is considered first-line treatment for panic disorders?
A. Benzodiazepines
B. Selective serotonin reuptake inhibitors (SSRIs)
C. Tricyclic antidepressants
D. Cognitive behavioral therapy - CORRECT ANSWER-D. Cognitive behavioral therapy
Which of the following symptoms is NOT part of the diagnostic criteria for post-traumatic stress
disorder (PTSD)?
A. Hypersomnolence
B. Blunted feelings
C. Loss of interest in significant activities
D. Intrusive recurrent recollections of the event - CORRECT ANSWER-A. Hypersomnolence
It is important for the clinician to discuss the long-term effects of sexual assault with survivors.
Which of the following is the most common long-term effect of sexual assault?
A. Depression
B. Obsessive-compulsive disorder
C. Substance abuse
D. PTSD - CORRECT ANSWER-D. PTSD
Gladys has begun taking Prolia for osteoporosis. Which of the following should be included in
teaching about this medication?
A. This medication is an oral pill daily.
B. This medication decreases the risk of infection.
C. It is contraindicated in the event of hypocalcemia.
,D. A drug holiday every 8 months is recommended. - CORRECT ANSWER-C. It is contraindicated
in the event of hypocalcemia.
Which of the following tests is considered the gold standard for definitively diagnosing
osteoporosis?
A. Bone alkaline phosphatase levels
B. Urinary N-telopeptide assay
C. Bone mass density measurement by densitometry
D. Magnetic resonance imaging - CORRECT ANSWER-C. Bone mass density measurement by
densitometry
A patient presents with symptoms of infectious mononucleosis. Which lab chemistry test should
the clinician order?
A. Viral load
B. Hemoglobin A1c
C. Western blot assay
D. Heterophile antibody test - CORRECT ANSWER-D. Heterophile antibody test
Chronic fatigue syndrome (CFS) tends to occur in which individuals?
A. Active, highly functional adults
B. Depressed middle-aged adults
C. Individuals with a depressed immune system
D. Individuals who are hypochondriacs - CORRECT ANSWER-A. Active, highly functional adults
You have a patient who is a positive for strep on rapid antigen testing (rapid strep test). You
order amoxicillin after checking for drug allergies (patient is negative) but he returns 3 days
later, reporting that his temperature has gone up, not down (101.5°F in office). You also note
significant lymphadenopathy, most notably in the posterior and anterior cervical chains, some
hepatosplenomegaly, and a diffuse rash. You decide:
, A. To refer the patient
B. That he is having an allergic response and needs to be changed to a macrolide antibiotic
C. That his antibiotic dosage is not sufficient and should be changed
D. That he possibly has mononucleosis concurrent with his strep infection - CORRECT ANSWER-
D. That he possibly has mononucleosis concurrent with his strep infection
Infectious mononucleosis results from an acute infection with which of the following?
A. Epstein-Barr virus
B. Acute HIV infection
C. Guillain-Barré
D. Hepatitis - CORRECT ANSWER-A. Epstein-Barr virus
What is the mainstay of management for infectious mononucleosis?
A. Antivirals
B. Symptom control
C. Corticosteroids
D. Isolation - CORRECT ANSWER-B. Symptom control
Keratoconjunctivitis sicca is a classic sign of which condition?
A. Systemic lupus erythematosus
B. Sjögren's syndrome
C. Fibromyalgia syndrome
D. Lyme disease - CORRECT ANSWER-B. Sjögren's syndrome
When analyzing synovial fluid, if it has 10,000 white blood cells/mcL with 80%
polymorphonuclear neutrophils (PMNs), it may be indicative of which of the following
conditions?
includes which of the following?
A. Tylenol
B. Hydrocodone
C. An opioid
D. Muscle relaxant - CORRECT ANSWER-A. Tylenol
For acute pain, how many days are considered sufficient for treatment with opioids?
A. 3
B. 5
C. 4
D. 9 - CORRECT ANSWER-A. 3
Which of the following best describes the onset of action for a fentanyl patch after application?
A. 12 to 16 hours
B. 1 to 2 hours
C. 17 to 19 hours
D. 4 to 6 hours - CORRECT ANSWER-A. 12 to 16 hours
What is the likely result of the over-prescription, over-supply, and over-production of opioids?
A. Opioid use
B. Opioid abuse
C. Opioid dependence
D. Opioid resistance - CORRECT ANSWER-B. Opioid abuse
,Which of the following is considered first-line treatment for panic disorders?
A. Benzodiazepines
B. Selective serotonin reuptake inhibitors (SSRIs)
C. Tricyclic antidepressants
D. Cognitive behavioral therapy - CORRECT ANSWER-D. Cognitive behavioral therapy
Which of the following symptoms is NOT part of the diagnostic criteria for post-traumatic stress
disorder (PTSD)?
A. Hypersomnolence
B. Blunted feelings
C. Loss of interest in significant activities
D. Intrusive recurrent recollections of the event - CORRECT ANSWER-A. Hypersomnolence
It is important for the clinician to discuss the long-term effects of sexual assault with survivors.
Which of the following is the most common long-term effect of sexual assault?
A. Depression
B. Obsessive-compulsive disorder
C. Substance abuse
D. PTSD - CORRECT ANSWER-D. PTSD
Gladys has begun taking Prolia for osteoporosis. Which of the following should be included in
teaching about this medication?
A. This medication is an oral pill daily.
B. This medication decreases the risk of infection.
C. It is contraindicated in the event of hypocalcemia.
,D. A drug holiday every 8 months is recommended. - CORRECT ANSWER-C. It is contraindicated
in the event of hypocalcemia.
Which of the following tests is considered the gold standard for definitively diagnosing
osteoporosis?
A. Bone alkaline phosphatase levels
B. Urinary N-telopeptide assay
C. Bone mass density measurement by densitometry
D. Magnetic resonance imaging - CORRECT ANSWER-C. Bone mass density measurement by
densitometry
A patient presents with symptoms of infectious mononucleosis. Which lab chemistry test should
the clinician order?
A. Viral load
B. Hemoglobin A1c
C. Western blot assay
D. Heterophile antibody test - CORRECT ANSWER-D. Heterophile antibody test
Chronic fatigue syndrome (CFS) tends to occur in which individuals?
A. Active, highly functional adults
B. Depressed middle-aged adults
C. Individuals with a depressed immune system
D. Individuals who are hypochondriacs - CORRECT ANSWER-A. Active, highly functional adults
You have a patient who is a positive for strep on rapid antigen testing (rapid strep test). You
order amoxicillin after checking for drug allergies (patient is negative) but he returns 3 days
later, reporting that his temperature has gone up, not down (101.5°F in office). You also note
significant lymphadenopathy, most notably in the posterior and anterior cervical chains, some
hepatosplenomegaly, and a diffuse rash. You decide:
, A. To refer the patient
B. That he is having an allergic response and needs to be changed to a macrolide antibiotic
C. That his antibiotic dosage is not sufficient and should be changed
D. That he possibly has mononucleosis concurrent with his strep infection - CORRECT ANSWER-
D. That he possibly has mononucleosis concurrent with his strep infection
Infectious mononucleosis results from an acute infection with which of the following?
A. Epstein-Barr virus
B. Acute HIV infection
C. Guillain-Barré
D. Hepatitis - CORRECT ANSWER-A. Epstein-Barr virus
What is the mainstay of management for infectious mononucleosis?
A. Antivirals
B. Symptom control
C. Corticosteroids
D. Isolation - CORRECT ANSWER-B. Symptom control
Keratoconjunctivitis sicca is a classic sign of which condition?
A. Systemic lupus erythematosus
B. Sjögren's syndrome
C. Fibromyalgia syndrome
D. Lyme disease - CORRECT ANSWER-B. Sjögren's syndrome
When analyzing synovial fluid, if it has 10,000 white blood cells/mcL with 80%
polymorphonuclear neutrophils (PMNs), it may be indicative of which of the following
conditions?
