DUNPHY CARE CORRECT EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should
include:
1.
Gentamicin ophthalmic ointment.
2.
Ciprofloxacin ophthalmic drops.
3.
Supportive measures and lubricating drops (artificial tears).
4.
Oral erythromycin for 14 days. - ✔✔Supportive measures and lubricating drops (artificial
tears).
✔✔Your client George, age 60, presents with pruritus and complains of
lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-
grade fever. He has not lost any weight and otherwise feels well. He is widowed and
has been dating a new woman recently. On physical exam, you find enlarged
supraclavicular nodes. You suspect:
1.
Lung cancer.
2.
Hodgkin lymphoma.
3.
A lingering viral infection from a bout of flu he had 6 weeks ago.
4.
Non-Hodgkin lymphoma. - ✔✔Hodgkin lymphoma.
✔✔Ms. Jones, your client, has an elevated platelet count. You suspect:
1.
Systemic lupus erythematosus (SLE).
2.
Infectious mononucleosis.
3.
,Disseminated intravascular coagulation (DIC).
4.
Splenectomy. - ✔✔Splenectomy.
✔✔You have a new client, Robert, age 67, who presents with generalized
lymphadenopathy. You know that this is indicative of:
1.
Disseminated malignancy, particularly of the hematologic system.
2.
Cancer of the liver.
3.
Sjögren syndrome.
4.
Pancreatic cancer. - ✔✔Disseminated malignancy, particularly of the hematologic
system.
✔✔Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks
when she can and has a stomach ulcer. Which of the following is not one of her risk
factors for iron deficiency anemia?
1.
Smoking.
2.
Poverty.
3.
Ulcer.
4.
Age greater than 60. - ✔✔Smoking.
✔✔The gold standard for definitive diagnosis of sickle cell anemia is:
1.
A reticulocyte count.
2.
The sickle cell test.
3.
A hemoglobin electrophoresis.
4.
A peripheral blood smear. - ✔✔A hemoglobin electrophoresis.
✔✔Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your
next action after you ask him about his diet?
1.
Repeat the laboratory tests.
2.
Perform a fecal occult blood test.
3.
, Start him on an iron preparation.
4.
Start him on folic acid. - ✔✔Perform a fecal occult blood test.
✔✔In which of the following circumstances is the reticulocyte count elevated?
1.
Aplastic anemia.
2.
Iron deficiency anemia.
3.
Poisoning.
4.
Acute blood loss. - ✔✔Acute blood loss.
✔✔Macrocytic normochromic anemias are caused by:
1.
Acute blood loss.
2.
An infection or tumor.
3.
A nutritional deficiency of iron.
4.
A deficiency of folic acid. - ✔✔A deficiency of folic acid.
✔✔Lorie, age 29, appears with the following signs: pale conjunctivae and nail beds,
tachycardia, heart murmur, cheilosis, stomatitis, splenomegaly, koilonychia, and
glossitis. What do you suspect?
1.
Vitamin B12 deficiency.
2.
Folate deficiency.
3.
Iron deficiency anemia.
4.
Chronic fatigue syndrome. - ✔✔Iron deficiency anemia.
✔✔Your client Shirley has an elevated mean corpuscular volume (MCV). What should
you be considering in terms of diagnosis?
1.
Iron deficiency anemias.
2.
Hemolytic anemias.
3.
Lead poisoning.
4.
QUESTIONS SET A+
✔✔You diagnose 46-year-old Mabel with viral conjunctivitis. Your treatment should
include:
1.
Gentamicin ophthalmic ointment.
2.
Ciprofloxacin ophthalmic drops.
3.
Supportive measures and lubricating drops (artificial tears).
4.
Oral erythromycin for 14 days. - ✔✔Supportive measures and lubricating drops (artificial
tears).
✔✔Your client George, age 60, presents with pruritus and complains of
lymphadenopathy in his neck. He also complains of night sweats and has noticed a low-
grade fever. He has not lost any weight and otherwise feels well. He is widowed and
has been dating a new woman recently. On physical exam, you find enlarged
supraclavicular nodes. You suspect:
1.
Lung cancer.
2.
Hodgkin lymphoma.
3.
A lingering viral infection from a bout of flu he had 6 weeks ago.
4.
Non-Hodgkin lymphoma. - ✔✔Hodgkin lymphoma.
✔✔Ms. Jones, your client, has an elevated platelet count. You suspect:
1.
Systemic lupus erythematosus (SLE).
2.
Infectious mononucleosis.
3.
,Disseminated intravascular coagulation (DIC).
4.
Splenectomy. - ✔✔Splenectomy.
✔✔You have a new client, Robert, age 67, who presents with generalized
lymphadenopathy. You know that this is indicative of:
1.
Disseminated malignancy, particularly of the hematologic system.
2.
Cancer of the liver.
3.
Sjögren syndrome.
4.
Pancreatic cancer. - ✔✔Disseminated malignancy, particularly of the hematologic
system.
✔✔Caroline, 65, is homeless and has iron deficiency anemia. She smokes and drinks
when she can and has a stomach ulcer. Which of the following is not one of her risk
factors for iron deficiency anemia?
1.
Smoking.
2.
Poverty.
3.
Ulcer.
4.
Age greater than 60. - ✔✔Smoking.
✔✔The gold standard for definitive diagnosis of sickle cell anemia is:
1.
A reticulocyte count.
2.
The sickle cell test.
3.
A hemoglobin electrophoresis.
4.
A peripheral blood smear. - ✔✔A hemoglobin electrophoresis.
✔✔Stu, age 49, has slightly reduced hemoglobin and hematocrit readings. What is your
next action after you ask him about his diet?
1.
Repeat the laboratory tests.
2.
Perform a fecal occult blood test.
3.
, Start him on an iron preparation.
4.
Start him on folic acid. - ✔✔Perform a fecal occult blood test.
✔✔In which of the following circumstances is the reticulocyte count elevated?
1.
Aplastic anemia.
2.
Iron deficiency anemia.
3.
Poisoning.
4.
Acute blood loss. - ✔✔Acute blood loss.
✔✔Macrocytic normochromic anemias are caused by:
1.
Acute blood loss.
2.
An infection or tumor.
3.
A nutritional deficiency of iron.
4.
A deficiency of folic acid. - ✔✔A deficiency of folic acid.
✔✔Lorie, age 29, appears with the following signs: pale conjunctivae and nail beds,
tachycardia, heart murmur, cheilosis, stomatitis, splenomegaly, koilonychia, and
glossitis. What do you suspect?
1.
Vitamin B12 deficiency.
2.
Folate deficiency.
3.
Iron deficiency anemia.
4.
Chronic fatigue syndrome. - ✔✔Iron deficiency anemia.
✔✔Your client Shirley has an elevated mean corpuscular volume (MCV). What should
you be considering in terms of diagnosis?
1.
Iron deficiency anemias.
2.
Hemolytic anemias.
3.
Lead poisoning.
4.
