MN 568 FINAL EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS

MN 568 FINAL EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS /. After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies? Question options: a) Elevated TSH b) Normal TSH c) Low TSH d) Undetectable TSH - Answer-b) normal TSH /.Which of the following is diagnostic for diabetes mellitus? Question options: a) A1C 7.0 on one occasion b) Fasting blood sugar (FBS) of 100 mg/dL on two occasions c) Random plasma glucose greater than or equal to 200 in a person with symptoms of hyperglycemia d) Two-hour post-load plasma glucose of 300 mg/dL on one occasion - Answer-c) Random plasma glucose greater than or equal to 200 in a person with symptoms of hyperglycemia /.Which of the following statements is true regarding the treatment of carpal tunnel syndrome? Question options: a) The goal of treatment is to prevent flexion and extension movements of the wrist. b) Splints are used in carpal tunnel syndrome, because they allow for free movement of the fingers and thumb while maintaining the wrist in a neutral position. c) Corticosteroid injections are discouraged in the treatment of carpal tunnel syndrome because of the risks for median nerve damage, scarring, and infection. d) All of the above - Answer-d) All of the above /.What is the recommended daily calcium intake for adults over the age of 50 with low bone mass? Question options: a) 1,200 mg/day b) 1,000 mg/day c) 1,300 mg/day d) 1,500 mg/day - Answer-d) 1,500 mg/day /.The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The clinician suspects thyroid cancer. Which of the following data would be most significant for this patient? Question options: a) A history of tonsillectomy in the 1940s b) Recent exposure to mumps c) Vegetarian diet d) Allergy to iodine - Answer-a) A history of tonsillectomy in the 1940s /.Which of the following medications can cause hyperglycemia? Question options: a) Prednisone b) Metformin c) Synthroid d) Cephalexin - Answer-a) Prednisone /.You are performing muscle strength testing on a patient presenting with musculoskeletal pain and find that the patient has complete ROM with gravity eliminated. Which numeric grade of muscle strength would you give this patient? Question options: a) 1 b) 2 c) 3 d) 4 e) 5 - Answer-b) 2 /.Which of the following tests is considered the gold standard for definitively diagnosing osteoporosis? Question options: a) Bone alkaline phosphatase levels b) Urinary N-telopeptide assay c) Bone mass density measurement by densitometry d) Magnetic resonance imaging - Answer-c) Bone mass density measurement by densitometry /.How often should the clinician examine the feet of a person with diabetes? Question options: a) Once a year b) Every 6 months c) Every 3 months d) Every visit - Answer-d) Every visit /.Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout. Which of the following should the clinician expect in the initial test results for this patient? Question options: a) Elevated uric acid level b) Elevated blood urea nitrogen c) Decreased urine pH d) Decreased C-reactive protein - Answer-a) Elevated uric acid level /.A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first? Question options: a) Check his blood sugar. b) Have him drink 4 ounces of juice. c) Call 911. d) Ask him about his usual eating habits. - Answer-b) Have him drink 4 ounces of juice. /.A BMI of 29 kg/m2 is considered obesity. Question options: a) True b) False - Answer-b) false /.Joyce is seen in the clinic complaining of vague symptoms of nervousness and irritability. She says that her hair will not hold a permanent wave anymore. On physical examination, the clinician finds an irregular heartbeat and brisk reflexes. The differential diagnosis should include which of the following conditions? Question options: a) Myxedema b) Thyrotoxicosis c) Cushing's syndrome d) Pan-hypopituitarism - Answer-b) Thyrotoxicosis /.A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment? Question options: a) No treatment at this time b) Diet and exercise for 6-week trial c) Diet, exercise, and oral medication d) Diet, exercise, and exogenous insulin - Answer-b) Diet and exercise for 6-week trial /.Mrs. Gray is a 55-year-old woman who presents with tightness, pain, and limited movement in her right shoulder. She denies any history of trauma. Her examination reveals a 75% reduction in both active and passive ROM of the right shoulder. Mrs. Gray also is experiencing tenderness with motion and pain at the deltoid insertion. Her medical history is significant for type 1 diabetes mellitus and hypertension. Her social history reveals that she is a secretary and that she is right-handed. Based on her examination and medical history, you suspect adhesive capsulitis, or "frozen shoulder." Which clue in Mrs. Gray's history supports this diagnosis? Question options: a) History of hypertension b) Her affected shoulder is also her dominant arm. c) Her history of diabetes mellitus