RATED ANSWERS
Your patient with permanent afib asks when he can discontinue his warfarin. You tell him:
a. When your internalized normalized ratio reaches 3.0, you can stop taking your warfarin
permanently.
b. When you no longer feel ill
c. One month after your symptoms dissipate
d. You'll probably be on it indefinitely. D
You just started Martha on HTN therapy. The Eighth Joint National Committee recommends
that if her goal BP is not reached in what length of time, you should increase the initial drug or
add a second drug to it?
a. 1 month
b. 3 months
c. 6 months
d. 1 year A
A chronic cough lasts longer than:
a. 3 weeks
b. 1 month
c. 6 months
d. 1 year A
,You are doing a cerumen extraction and touch the external meatus of your patient's ear. He
winces and starts coughing. What is the name of this reflex?
a. Baker phenomenon
b. Arnold reflex
c. Cough reflex
d. Tragus reflex B
Julie has a postnasal drip along with her cough. You assess her for:
a. Asthma
b. Sinusitis
c. Allergic or vasomotor rhinitis
d. Influenza C
A patient with hypertension comes in and insists that one of his new medications is causing him
to cough. When looking at his list of medications, you think the cough must be from:
a. Metoprolol
b. Clopidogrel
c. Tadalafil
d. Captopril D
, African American patients seem to have a negative reaction to which of the following asthma
medications?
a. Inhaled corticosteroids
b. Long-term beta-agonist bronchodilators
c. Leukotriene receptor agonists
d. Oral corticosteroids B
Sam, age 78, presents to the clinic with respiratory symptoms. His pulmonary function tests are
as follows: a normal total lung capacity, a decreased PaO2, and an increased PaCO2. On
assessment, you auscultate coarse crackles and forced expiratory wheezes. What is your
diagnosis?
a. Asthma
b. Emphysema
c. Chronic bronchitis
d. Influenza C
You are using the CURB-65 clinical prediction tool to decide whether Mabel, whom you have
diagnosed with community-acquired pneumonia (CAP), should be hospitalized or treated at
home. Her score is 3. What should you do?
a. Consider home treatment.
b. Plan for a short inpatient hospitalization.
c. Closely supervise her outpatient treatment.
d. Hospitalize and consider admitting her to the intensive care unit. D