Test 1 Prep 2025/2026 QUESTIONS BANK AND
CORRECT DETAILED ANSWERS WITH RATIONALES
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1. SOAP note - ANSWER ✔ SOAP note is both a process and a
documentation format
2. The Partnership with the Patient - ANSWER ✔ Getting to know your client:
Culture
Physical characteristics Influence on health and illness
Beliefs and behaviors Family relationships Preparing to be an effective
health care provider
3. The History and Interviewing process - ANSWER ✔ The history and
physical exam begin the diagnostic and treatment process
The techniques you will learn are orderly but not rigid
To prevent misinterpretations and misperceptions, you must make every
effort to view the patient's perspective.
4. GOALS - ANSWER ✔ Discover information leading to diagnosis and
management
Provide information about diagnosis
Negotiate and share health care management
Counsel about disease prevention
5. Autonomy - ANSWER ✔ Patient's self-determination
,6. Beneficence - ANSWER ✔ Do good for the patient
7. Nonmaleficence - ANSWER ✔ Do no harm to the patient
8. Utilitarianism - ANSWER ✔ Appropriate use of resources for the greater
good
9. Fairness and Justice - ANSWER ✔ Equitable treatment of all
10.Deontological imperatives - ANSWER ✔ Care delivered according to
traditions and in cultural contexts
11.Factors that Enhance Communication - ANSWER ✔ Establishing a positive
patient relationship depends on communication built on: Courtesy Comfort
Connection Confirmation Confidentiality
Be Professional:
Attire & Response
12.Folliculitis - ANSWER ✔ Inflammation and infection of the hair follicle and
surrounding dermisAcute onset of applied and pustules
13.Furuncle - ANSWER ✔ deep-seated infection of the pilosebaceous unit
14.Cellulitis - ANSWER ✔ diffuse (widespread), acute infection of the skin and
subcutaneous tissue
15.Tinea (dermatophytosis) - ANSWER ✔ Group of noncandidal fungal
infections that involve the stratum corneum, nails, or hair
16.Pityriasis Rosea - ANSWER ✔ self-limiting inflammation of unknown
cause
17.Psoriasis - ANSWER ✔ chronic and recurrent disease of keratinocyte
proliferation
18.Rosacea - ANSWER ✔ chronic inflammatory condition of the face in which
small capillaries of the face become dilated and inflamed
,19.herpes zoster - ANSWER ✔ an acute viral infection characterized by painful
skin eruptions that follow the underlying route of an inflamed nerve
20.herpes simplex - ANSWER ✔ Type 1: associated with oral infectionType 2:
associated with genital infection
21.Rick borne disease that can lead to multisystemic failure - ANSWER ✔
Lyme diseaseRocky Mountain spotted feverColorado tick fever
22.Drug eruptions - ANSWER ✔ cutaneous reactions to medications
23.Acanthosis nigricans - ANSWER ✔ Nonspecific reaction pattern associated
with obesity, certain endocrine syndromes or malignancies, or as an
inherited disorder
24.basal cell carcinoma - ANSWER ✔ most common form of skin cance
25.squamous cell carcinoma - ANSWER ✔ second most common type of skin
cancer. more aggressive
26.Eczematous dermatitis - ANSWER ✔ Most common inflammatory skin
disorder:Irritant contact dermatitisAllergic contact dermatitisAtopic
dermatitis
27.Acute bacterial pharyngitis - ANSWER ✔ Infection if tonsils or posterior
pharynx by microorganisms
28.What are benzodiazepines? - ANSWER ✔ A class of drugs used for anxiety
and other purposes.
29.What are the uses of benzodiazepines? - ANSWER ✔ Sedation, hypnosis,
muscle relaxation, anxiolysis, anticonvulsant, amnesia, insomnia, alcohol
withdrawal.
30.What is the structure of benzodiazepines? - ANSWER ✔ Benzodiazepine
ring with 2 nitrogen atoms at positions 1 & 4, phenyl group at position 5,
and an electronegative group at position 7.
, 31.How do benzodiazepines work? - ANSWER ✔ They promote the binding of
GABA to the GABAA receptor, enhancing GABA-induced chloride currents
and inhibiting neuronal cell excitation.
32.How are benzodiazepines metabolized? - ANSWER ✔ They are oxidized in
the liver via CYP enzymes, primarily CYP3A4.
33.What are the active metabolites of benzodiazepines? - ANSWER ✔
Diazepam (with a half-life exceeding 100 hours) and midazolam (rapidly
metabolized to an α-hydroxylated compound with biologic activity).
34.Which benzodiazepines have no active metabolites? - ANSWER ✔
Oxazepam, lorazepam, and temazepam.
35.What factors can alter the metabolism of benzodiazepines? - ANSWER ✔
Disease and age.
36.What is the duration of action of benzodiazepines primarily determined by? -
ANSWER ✔ The α phase (distribution-redistribution from CNS) dynamics
rather than the rate of elimination.
37.What are the pharmacodynamic effects of benzodiazepines on the CNS? -
ANSWER ✔ CNS depressant effects including anxiolysis, sedation, sleep,
anticonvulsant, amnesia, muscle relaxation, and inhibition of alcohol
withdrawal symptoms.
38.What effect do high doses of benzodiazepines have on CMR02 & CBF? -
ANSWER ✔ They reduce CMR02 & CBF.
39.What effect do benzodiazepines have on the threshold to local anesthetic-
induced seizures? - ANSWER ✔ They increase the threshold to local
anesthetic-induced seizures.
40.What is the dose-related effect of benzodiazepines on anterograde amnesia?
- ANSWER ✔ They cause anterograde amnesia at high doses.