MN568 Midterm Exam Questions With Complete Solutions
12. Mary has HTN and previously had a stroke. Which of these
HTN medications would you order?
A. ACEI
B. ARB
C. Beta blocker Correct Answer beta blocker
24. Rayburn is a healthy 47 yr old male. Diagnosed with
community acquired pneumonia. What is the best choice of
outpatient treatment?
A. Keflex
B. Augmentin
C. Azithromycin Correct Answer Azithromycin
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
A. Very early
B. 3 to 4 hours after perforation
C. Late in inflammation
D. Appendicitis never presents with vague pain Correct Answer
Very early
A 25yo pt presents to the clinic with fatigue, cold intolerance, wt
gain, and constipation for the past 3mo. On physical exam, the
clinician notices a sinus bradycardia; muscular stiffness; coarse,
dry hair; and a delay in relaxation in deep tendon reflexes.
Which of the following tests should be ordered next?
,-Serum calcium
-TSH
-Electrolytes
-Urine specific gravity Correct Answer TSH
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary-care provider (PCP) establish the diagnosis of
irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating Correct Answer Pain is
precipitated by eating
A 35yo woman presents w/symptoms of hypoglycemia. There is
no h/o DM. Which of the following should be included in the
differential dx?
-Anxiety disorder
-Pheochromocytoma
-Psychosis
-All of the above Correct Answer Pheochromocytoma
A 45-year-old male presents with throbbing podagral pain and
tophi in the ear pinnae. Which medication should the clinician
prescribe for this acute attack?
A. Colchicine (Colcrys)
B. Probenecid (Benemid)
,C. Allopurinol (Zyloprim)
D. Pegloticase (Krystexxa) Correct Answer Colchicine
(Colcrys)
A 45-year-old patient presents with a chief complaint of
generalized abdominal pain. Her physical examination is
remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential
diagnosis?A. EndometriosisB. Yersinia enterocolitica
infectionC. AppendicitisD. GERD Correct Answer
Endometriosis
A 55-year-old African American man with newly diagnosed
hypertension presents to your primary care clinic for medication
management. Today his blood pressure reads 145/95. He denies
headache, blurred vision, chest pain, and shortness of breath.
Which medication would you start him on? Correct Answer
amlodipine
A 60-year-old male presents to your primary care office after
being discharged from the hospital. He was at a Christmas work
party and started to notice heart palpitations. He was drinking
alcohol at the party. He went to the emergency department,
where he was admitted. His electrocardiogram (EKG) showed
tachycardia, with a normal ST segment, and he did not have any
obvious P waves. The patient has not felt any palpitations since
that one incident, which was 2 weeks ago. If he were sent home
on Coumadin for blood thinning, at what level should you try to
keep his international normalized ratio (INR)? Correct Answer
2.0-3.0
, A 64yo man with T2DM presents to the clinic with the
complaint of "my feet feel like they're on fire." He has a loss of
vibratory sense, +1 Achilles reflex, and a tack embedded in his
left heel. Which of the following would be an appropriate
treatment?
-Tricyclic antidepressants
-Capsaicin cream
-Vitamin B12 injections
-Insulin Correct Answer Tricyclic antidepressants
A 65-year-old obese, diabetic female presents to your urgent
care clinic complaining of 2 days of progressively worsening
epigastric pain, fatigue, nausea, and dizziness. Her vitals are as
follows: temperature (T) 98.8°F, pulse (P) 110, pulse oximetry
93%, blood pressure (BP) 160/100. The patient has a family
history of diabetes, breast cancer, paternal heart attack,
hypertension, and hyperlipidemia. Her complete blood count
(CBC), comprehensive metabolic panel (CMP), and urinalysis
show a patient with stage 2 chronic kidney disease (CKD) and a
glucose of 150. The patient has no diarrhea and no other
gastrointestinal symptoms. How would you proceed next?
Correct Answer Order a rapid troponin and EKG
A 7-year-old male presents with his mother to the urgent care
clinic complaining of abdominal pain. He started to complain of
pain prior to going to bed; however, it has gotten progressively
worse and is now preventing him from sleeping. He is nauseous
but hasn't vomited and didn't eat dinner due to the pain. The
patient appears pale and is complaining of right-sided abdominal
pain. His vitals are as follows: blood pressure 130/85, pulse 120,
temperature 100.5°F, pulse oximetry 98% on room air. On
12. Mary has HTN and previously had a stroke. Which of these
HTN medications would you order?
A. ACEI
B. ARB
C. Beta blocker Correct Answer beta blocker
24. Rayburn is a healthy 47 yr old male. Diagnosed with
community acquired pneumonia. What is the best choice of
outpatient treatment?
A. Keflex
B. Augmentin
C. Azithromycin Correct Answer Azithromycin
A 22-year-old is seen complaining of vague belly pain. This
type of pain is seen at what point in appendicitis?
A. Very early
B. 3 to 4 hours after perforation
C. Late in inflammation
D. Appendicitis never presents with vague pain Correct Answer
Very early
A 25yo pt presents to the clinic with fatigue, cold intolerance, wt
gain, and constipation for the past 3mo. On physical exam, the
clinician notices a sinus bradycardia; muscular stiffness; coarse,
dry hair; and a delay in relaxation in deep tendon reflexes.
Which of the following tests should be ordered next?
,-Serum calcium
-TSH
-Electrolytes
-Urine specific gravity Correct Answer TSH
A 28-year-old patient is seen with complaints of diarrhea. Which
of the following responses to the history questions would help
the primary-care provider (PCP) establish the diagnosis of
irritable bowel syndrome (IBS)?
A. Feels relief after urination
B. Pain wakes up patient from sleep
C. Defecates in the middle of the night
D. Pain is precipitated by eating Correct Answer Pain is
precipitated by eating
A 35yo woman presents w/symptoms of hypoglycemia. There is
no h/o DM. Which of the following should be included in the
differential dx?
-Anxiety disorder
-Pheochromocytoma
-Psychosis
-All of the above Correct Answer Pheochromocytoma
A 45-year-old male presents with throbbing podagral pain and
tophi in the ear pinnae. Which medication should the clinician
prescribe for this acute attack?
A. Colchicine (Colcrys)
B. Probenecid (Benemid)
,C. Allopurinol (Zyloprim)
D. Pegloticase (Krystexxa) Correct Answer Colchicine
(Colcrys)
A 45-year-old patient presents with a chief complaint of
generalized abdominal pain. Her physical examination is
remarkable for left lower quadrant tenderness. At this time,
which of the following should be considered in the differential
diagnosis?A. EndometriosisB. Yersinia enterocolitica
infectionC. AppendicitisD. GERD Correct Answer
Endometriosis
A 55-year-old African American man with newly diagnosed
hypertension presents to your primary care clinic for medication
management. Today his blood pressure reads 145/95. He denies
headache, blurred vision, chest pain, and shortness of breath.
Which medication would you start him on? Correct Answer
amlodipine
A 60-year-old male presents to your primary care office after
being discharged from the hospital. He was at a Christmas work
party and started to notice heart palpitations. He was drinking
alcohol at the party. He went to the emergency department,
where he was admitted. His electrocardiogram (EKG) showed
tachycardia, with a normal ST segment, and he did not have any
obvious P waves. The patient has not felt any palpitations since
that one incident, which was 2 weeks ago. If he were sent home
on Coumadin for blood thinning, at what level should you try to
keep his international normalized ratio (INR)? Correct Answer
2.0-3.0
, A 64yo man with T2DM presents to the clinic with the
complaint of "my feet feel like they're on fire." He has a loss of
vibratory sense, +1 Achilles reflex, and a tack embedded in his
left heel. Which of the following would be an appropriate
treatment?
-Tricyclic antidepressants
-Capsaicin cream
-Vitamin B12 injections
-Insulin Correct Answer Tricyclic antidepressants
A 65-year-old obese, diabetic female presents to your urgent
care clinic complaining of 2 days of progressively worsening
epigastric pain, fatigue, nausea, and dizziness. Her vitals are as
follows: temperature (T) 98.8°F, pulse (P) 110, pulse oximetry
93%, blood pressure (BP) 160/100. The patient has a family
history of diabetes, breast cancer, paternal heart attack,
hypertension, and hyperlipidemia. Her complete blood count
(CBC), comprehensive metabolic panel (CMP), and urinalysis
show a patient with stage 2 chronic kidney disease (CKD) and a
glucose of 150. The patient has no diarrhea and no other
gastrointestinal symptoms. How would you proceed next?
Correct Answer Order a rapid troponin and EKG
A 7-year-old male presents with his mother to the urgent care
clinic complaining of abdominal pain. He started to complain of
pain prior to going to bed; however, it has gotten progressively
worse and is now preventing him from sleeping. He is nauseous
but hasn't vomited and didn't eat dinner due to the pain. The
patient appears pale and is complaining of right-sided abdominal
pain. His vitals are as follows: blood pressure 130/85, pulse 120,
temperature 100.5°F, pulse oximetry 98% on room air. On
