DUNPHY PRIMARY CARE MIDTERM
REVIEW QUESTIONS AND CORRECT
ANSWERS
Susan, age 59, has no specific complaints when she comes in for her annual examination. She does,
however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity.
How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. ✅✅CORRECT ANSW-As having metabolic syndrome.
Simon, age 72, states that he is worried because he has a bowel movement only every third day. You
respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation." ✅✅CORRECT ANSW-"There is no
such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has
been eating only canned food. Which of the following pathogens do you suspect?
1.
Campylobacter jejuni.
2.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. ✅✅CORRECT ANSW-Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him for:
,1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis. ✅✅CORRECT ANSW-Colorectal cancer.
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal
infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
Cryptosporidiosis.
4.
Escherichia coli. ✅✅CORRECT ANSW-Cryptosporidiosis
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid being drawn into
the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed and can cause fluid to
be drawn into the bowel."
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and may contain poorly
absorbed salts that draw fluid into the bowel." ✅✅CORRECT ANSW-"Antacids may contain
,magnesium, which decreases bowel transit time and may contain poorly absorbed salts that draw
fluid into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission. You respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period." ✅✅CORRECT ANSW-"Abstain from sex during your
period."
Marcie just returned from Central America with traveler's diarrhea. Which is the best treatment?
1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage. ✅✅CORRECT ANSW-Supportive care.
Rose, a client with gastroesophageal reflux disease (GERD), has many other concurrent conditions. In
teaching Rose about medications to avoid, what do you recommend she refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
, 4.
Antifungals. ✅✅CORRECT ANSW-Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis. ✅✅CORRECT ANSW-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands your teaching when
she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty at bedtime.
4.
Stop smoking. ✅✅CORRECT ANSW-Have a snack before retiring so that the esophagus and
stomach are not empty at bedtime.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the morning. You tell
him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
Epigastric hernia.
3.
REVIEW QUESTIONS AND CORRECT
ANSWERS
Susan, age 59, has no specific complaints when she comes in for her annual examination. She does,
however, have type 2 diabetes mellitus (DM), slight hypertension, dyslipidemia, and central obesity.
How would you diagnose her?
1. As a healthy adult with several problems.
2. As having a glycemic event.
3. As having metabolic syndrome.
4. As having multiple organ dysfunction. ✅✅CORRECT ANSW-As having metabolic syndrome.
Simon, age 72, states that he is worried because he has a bowel movement only every third day. You
respond:
1. "You should have two to three stools per day."
2. "You should defecate once a day."
3. "You should have at least three stools per week."
4. "There is no such thing as a 'normal' pattern of defecation." ✅✅CORRECT ANSW-"There is no
such thing as a 'normal' pattern of defecation."
Matt, age 26, recently returned from a camping trip and has gastroenteritis. He says that he has
been eating only canned food. Which of the following pathogens do you suspect?
1.
Campylobacter jejuni.
2.
Clostridium botulinum.
3.
Clostridium perfringens.
4.
Staphylococcus. ✅✅CORRECT ANSW-Clostridium botulinum.
Timothy, age 68, complains of an abrupt change in his defecation pattern. You evaluate him for:
,1.
Constipation.
2.
Colorectal cancer.
3.
Irritable bowel syndrome.
4.
Acute appendicitis. ✅✅CORRECT ANSW-Colorectal cancer.
Martina, age 34, has AIDS and currently suffers from diarrhea. You suspect she has which protozoal
infection of the bowel?
1.
Giardiasis.
2.
Amebiasis.
3.
Cryptosporidiosis.
4.
Escherichia coli. ✅✅CORRECT ANSW-Cryptosporidiosis
Anson tells you he thinks his antacids are causing his diarrhea. You respond:
1.
"Antacids contain fructose, which may not be totally absorbed, resulting in fluid being drawn into
the bowel."
2.
"Antacids contain sorbitol or mannitol, which are sugars that aren't absorbed and can cause fluid to
be drawn into the bowel."
3.
"Antacids contain caffeine, which decreases bowel transit time."
4.
"Antacids may contain magnesium, which decreases bowel transit time and may contain poorly
absorbed salts that draw fluid into the bowel." ✅✅CORRECT ANSW-"Antacids may contain
,magnesium, which decreases bowel transit time and may contain poorly absorbed salts that draw
fluid into the bowel."
Tina has a chronic hepatitis C infection. She asks you how to prevent its transmission. You respond:
1.
"Do not donate blood until one year after diagnosis."
2.
"Abstain from sex altogether."
3.
"There is no possibility of transmission through razors or toothbrushes."
4.
"Abstain from sex during your period." ✅✅CORRECT ANSW-"Abstain from sex during your
period."
Marcie just returned from Central America with traveler's diarrhea. Which is the best treatment?
1.
Metronidazole (Flagyl).
2.
Supportive care.
3.
Quinolone antibiotics.
4.
Gastric lavage. ✅✅CORRECT ANSW-Supportive care.
Rose, a client with gastroesophageal reflux disease (GERD), has many other concurrent conditions. In
teaching Rose about medications to avoid, what do you recommend she refrain from using?
1.
Antibiotics.
2.
Nonsteroidal anti-inflammatory drugs (NSAIDs).
3.
Oral contraceptives.
, 4.
Antifungals. ✅✅CORRECT ANSW-Nonsteroidal anti-inflammatory drugs (NSAIDs).
Lucy, age 49, has pain in both the left and right lower quadrants. What might you suspect?
1.
A gastric ulcer.
2.
Gastritis.
3.
Pelvic inflammatory disease.
4.
Pancreatitis. ✅✅CORRECT ANSW-Pelvic inflammatory disease.
Rose has gastroesophageal reflux disease (GERD). You know she misunderstands your teaching when
she tells you she will:
1.
Avoid coffee, alcohol, chocolate, peppermint, and spicy foods.
2.
Eat smaller meals.
3.
Have a snack before retiring so that the esophagus and stomach are not empty at bedtime.
4.
Stop smoking. ✅✅CORRECT ANSW-Have a snack before retiring so that the esophagus and
stomach are not empty at bedtime.
Marty, age 52, notices a bulge in his midline every time he rises from bed in the morning. You tell
him that it is a ventral hernia, also known as an:
1.
Inguinal hernia.
2.
Epigastric hernia.
3.
