Primary Care I - Final Exam Review exam with
complete answers 2025 pass
guaranteed,A+graded.
Which of following statements best captures the importance of employing diagnostic reasoning?
N N N N N N N N N N N
1. A systematic approach to diagnosis can reduce errors in all healthcare environments
N N N N N N N N N N N N
2. Diagnostic reasoning forces providers to quickly narrow their differential
N N N N N N N N N
E. Emergency room care is often rushed and diagnostic reasoning slows the thinking process
N N N N N N N N N N N N N
4. Diagnostic reasoning involves use of a comprehensive ROS and physical exam - CORRECT ANSWER✔✔1. A
N N N N N N N N N N N N N N N
systematic approch to diagnosis can reduce errors in all healthcare environments
N N N N N N N N N N N
The essential difference between a diagnostic framework and a differential is that:
N N N N N N N N N N N
1. Diagnostic frameworks are symptom based, differential are patient based
N N N N N N N N N
2. Diagnostic frameworks require a greater understanding of illness scripts
N N N N N N N N N
3. Diagnostic frameworks are ranked in order of likelihood
N N N N N N N N
4. Diagnostic frameworks are only necessary when the presenting symptoms are vague - CORRECT ANSWER✔
N N N N N N N N N N N N N N
✔1. Diagnostic frameworks are symptom based, differential are patient based
N N N N N N N N N
Ideally, to rule in a diagnosis, the better test would be:
N N N N N N N N N N
1. The least expensive test
N N N N
2. The test with the largest negative likelihood ratio
N N N N N N N N
3. The test with a positive predictive value of 1
N N N N N N N N N
4. The test with the largest positive likelihood ratio - CORRECT ANSWER✔✔4. The test with the largest positive
N N N N N N N N N N N N N N N N N
likelihood ratio
N N
A patient with polyarticular joint pain, fatigue, malaise and ulnar deviation of the metacarpal joints. Which
N N N N N N N N N N N N N N N
blood test is most specific for this disease?
N N N N N N N N
1. Anticyclic Citrullinated Peptide (Anti-CCP)
N N N N
2. Rheumatoid Factor (RF)
N N N
3. Anti double strength DNA (Anti-DS DNA)
N N N N N N
4. Antinuclear antibody (ANA) - CORRECT ANSWER✔✔1. Anti-CCP
N N N N N N N
In most autoimmune diseases, the best use of an ESR and CRP is?
N N N N N N N N N N N N
1. Monitoring the progression of a disease and the effectiveness of a medication
N N N N N N N N N N N N
, 2. As the initial screening tool
N N N N N
3. Ruling in an infectious process
N N N N N
4. Establishing the presence of an autoimmune disease - CORRECT ANSWER✔✔1. Monitoring the progression
N N N N N N N N N N N N N
for disease and the effectiveness of a medication
N N N N N N N N
A key feature differentiating osteoarthritis from rheumatoid arthritis is:
N N N N N N N N
1. Monoarticular vs. polyarticular
N N N
2. Obesity vs. underweight
N N N
3. Pain after use vs. pain after immobility
N N N N N N N
4. Acute vs. chronic onset - CORRECT ANSWER✔✔3. Pain after use vs. pain after immobility
N N N N N N N N N N N N N N
A major difference between NSAIDS and DMARDS is that:
N N N N N N N N
1. NSAIDS are more effective in smaller joints, DMARDS are more effective in larger joints
N N N N N N N N N N N N N N
2. DMARDS can restore lost function, NSAIDS cannot restore lost function
N N N N N N N N N N
3. DMARDS provide much more pain control
N N N N N N
4. DMARDS slow the progression of the disease, NSAIDS do not - CORRECT ANSWER✔✔4. DMARDS slow the
N N N N N N N N N N N N N N N N
progression of the disease, NSAIDS do not
N N N N N N N
Which principle should guide diagnosis of an autoimmune disease?
N N N N N N N N
1. Always maintain a suspicion of autoimmune disease
N N N N N N N
2. Included a screening CBC with any patient with joint pain
N N N N N N N N N N
3. Autoimmune disease can be ruled out if there are not arthralgias (joint pain)
N N N N N N N N N N N N N
4. Refer any joint pain to ortho or rheumatology - CORRECT ANSWER✔✔1. Always maintain a suspicion of
N N N N N N N N N N N N N N N N
autoimmune disease
N N
A young child is diagnosed with CF. The parents are concerned that any other children they have will also be
N N N N N N N N N N N N N N N N N N N
born with CF. The practitioner explains that CF is an autosomal recessive inherited disease and that any future
N N N N N N N N N N N N N N N N N N
children:
N
1. Is much more likely to have this condition if they are male
N N N N N N N N N N N N
2. Will have a 25% chance of inheriting the disease
N N N N N N N N N
3. Is very unlikely to have this condition because it is extremely rare
N N N N N N N N N N N N
4. Will have a 50% chance of inheritance - CORRECT ANSWER✔✔2. Will have a 25% chance of inheriting the
N N N N N N N N N N N N N N N N N N
disease
N
A major concern when a patient is taking a biological disease modifying anti rheumatic drug is:
N N N N N N N N N N N N N N N
1. Immunosuppression
N
2. Thrombocytopenia
N
3. Toxic dermatological reactions
N N N
4. Treatment resistance to high blood pressure - CORRECT ANSWER✔✔1. Immunosuppression
N N N N N N N N N N
What is the best example of polymorphism?
N N N N N N
1. Inheritance and environment play equal roles in the emergence of a trait
N N N N N N N N N N N N
2. Eye color is a result of several different genes
N N N N N N N N N
3. X-linked recessive conditions result in males with the phenotype of the condition
N N N N N N N N N N N N
4. An ethnic population metabolizes a medication more slowly than the population at large - CORRECT
N N N N N N N N N N N N N N N
ANSWER✔✔4. An ethnic population metabolizes a medication more slowly than the population at large
N N N N N N N N N N N N N N
In which genetic inheritance, can the likelihood of a disease be decreased with preventative measures?
N N N N N N N N N N N N N N
1. Multi factorial
N N
2. Chromosomal translocation
N N
3. Polygenic
N
4. Replication errors - CORRECT ANSWER✔✔1. Multi factorial
N N N N N N N
complete answers 2025 pass
guaranteed,A+graded.
Which of following statements best captures the importance of employing diagnostic reasoning?
N N N N N N N N N N N
1. A systematic approach to diagnosis can reduce errors in all healthcare environments
N N N N N N N N N N N N
2. Diagnostic reasoning forces providers to quickly narrow their differential
N N N N N N N N N
E. Emergency room care is often rushed and diagnostic reasoning slows the thinking process
N N N N N N N N N N N N N
4. Diagnostic reasoning involves use of a comprehensive ROS and physical exam - CORRECT ANSWER✔✔1. A
N N N N N N N N N N N N N N N
systematic approch to diagnosis can reduce errors in all healthcare environments
N N N N N N N N N N N
The essential difference between a diagnostic framework and a differential is that:
N N N N N N N N N N N
1. Diagnostic frameworks are symptom based, differential are patient based
N N N N N N N N N
2. Diagnostic frameworks require a greater understanding of illness scripts
N N N N N N N N N
3. Diagnostic frameworks are ranked in order of likelihood
N N N N N N N N
4. Diagnostic frameworks are only necessary when the presenting symptoms are vague - CORRECT ANSWER✔
N N N N N N N N N N N N N N
✔1. Diagnostic frameworks are symptom based, differential are patient based
N N N N N N N N N
Ideally, to rule in a diagnosis, the better test would be:
N N N N N N N N N N
1. The least expensive test
N N N N
2. The test with the largest negative likelihood ratio
N N N N N N N N
3. The test with a positive predictive value of 1
N N N N N N N N N
4. The test with the largest positive likelihood ratio - CORRECT ANSWER✔✔4. The test with the largest positive
N N N N N N N N N N N N N N N N N
likelihood ratio
N N
A patient with polyarticular joint pain, fatigue, malaise and ulnar deviation of the metacarpal joints. Which
N N N N N N N N N N N N N N N
blood test is most specific for this disease?
N N N N N N N N
1. Anticyclic Citrullinated Peptide (Anti-CCP)
N N N N
2. Rheumatoid Factor (RF)
N N N
3. Anti double strength DNA (Anti-DS DNA)
N N N N N N
4. Antinuclear antibody (ANA) - CORRECT ANSWER✔✔1. Anti-CCP
N N N N N N N
In most autoimmune diseases, the best use of an ESR and CRP is?
N N N N N N N N N N N N
1. Monitoring the progression of a disease and the effectiveness of a medication
N N N N N N N N N N N N
, 2. As the initial screening tool
N N N N N
3. Ruling in an infectious process
N N N N N
4. Establishing the presence of an autoimmune disease - CORRECT ANSWER✔✔1. Monitoring the progression
N N N N N N N N N N N N N
for disease and the effectiveness of a medication
N N N N N N N N
A key feature differentiating osteoarthritis from rheumatoid arthritis is:
N N N N N N N N
1. Monoarticular vs. polyarticular
N N N
2. Obesity vs. underweight
N N N
3. Pain after use vs. pain after immobility
N N N N N N N
4. Acute vs. chronic onset - CORRECT ANSWER✔✔3. Pain after use vs. pain after immobility
N N N N N N N N N N N N N N
A major difference between NSAIDS and DMARDS is that:
N N N N N N N N
1. NSAIDS are more effective in smaller joints, DMARDS are more effective in larger joints
N N N N N N N N N N N N N N
2. DMARDS can restore lost function, NSAIDS cannot restore lost function
N N N N N N N N N N
3. DMARDS provide much more pain control
N N N N N N
4. DMARDS slow the progression of the disease, NSAIDS do not - CORRECT ANSWER✔✔4. DMARDS slow the
N N N N N N N N N N N N N N N N
progression of the disease, NSAIDS do not
N N N N N N N
Which principle should guide diagnosis of an autoimmune disease?
N N N N N N N N
1. Always maintain a suspicion of autoimmune disease
N N N N N N N
2. Included a screening CBC with any patient with joint pain
N N N N N N N N N N
3. Autoimmune disease can be ruled out if there are not arthralgias (joint pain)
N N N N N N N N N N N N N
4. Refer any joint pain to ortho or rheumatology - CORRECT ANSWER✔✔1. Always maintain a suspicion of
N N N N N N N N N N N N N N N N
autoimmune disease
N N
A young child is diagnosed with CF. The parents are concerned that any other children they have will also be
N N N N N N N N N N N N N N N N N N N
born with CF. The practitioner explains that CF is an autosomal recessive inherited disease and that any future
N N N N N N N N N N N N N N N N N N
children:
N
1. Is much more likely to have this condition if they are male
N N N N N N N N N N N N
2. Will have a 25% chance of inheriting the disease
N N N N N N N N N
3. Is very unlikely to have this condition because it is extremely rare
N N N N N N N N N N N N
4. Will have a 50% chance of inheritance - CORRECT ANSWER✔✔2. Will have a 25% chance of inheriting the
N N N N N N N N N N N N N N N N N N
disease
N
A major concern when a patient is taking a biological disease modifying anti rheumatic drug is:
N N N N N N N N N N N N N N N
1. Immunosuppression
N
2. Thrombocytopenia
N
3. Toxic dermatological reactions
N N N
4. Treatment resistance to high blood pressure - CORRECT ANSWER✔✔1. Immunosuppression
N N N N N N N N N N
What is the best example of polymorphism?
N N N N N N
1. Inheritance and environment play equal roles in the emergence of a trait
N N N N N N N N N N N N
2. Eye color is a result of several different genes
N N N N N N N N N
3. X-linked recessive conditions result in males with the phenotype of the condition
N N N N N N N N N N N N
4. An ethnic population metabolizes a medication more slowly than the population at large - CORRECT
N N N N N N N N N N N N N N N
ANSWER✔✔4. An ethnic population metabolizes a medication more slowly than the population at large
N N N N N N N N N N N N N N
In which genetic inheritance, can the likelihood of a disease be decreased with preventative measures?
N N N N N N N N N N N N N N
1. Multi factorial
N N
2. Chromosomal translocation
N N
3. Polygenic
N
4. Replication errors - CORRECT ANSWER✔✔1. Multi factorial
N N N N N N N