3p exam answers score: 94.67%.
Which headache sign does not warrant an immediate investigation?
Question options:
aggravated or relieved by
... [Show More] change of position precipitated by Valsalva maneuver new onset after age 50
Question 2
relieved with use of common analgesics
they dilate
During a migraine, what happens to the cerebral arteries?
Question options:
they constrict they vibrate they pulsate
Question 3
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe mood swings, is easily distracted, and constantly corrects his teachers. You would have a high suspicion for bipolar if which symptom was present?
Question options:
he is forgetful
he does not complete tasks he blurts out answers in class inappropriately
Question 4
Which risk factor is not associated with breast cancer?
Question options:
he sleeps less than 4 hours nightly
low socioeconomic status
of average weight
use of hormone replacement therapy personal or family history of breast cancer postmenopausal obesity
Question 5
A 26 year old woman with bulimia is likely to be:
Question options:
not concerned with weight very underweight very overweight
Question 6
What medication is used to relieve acute wheezing in a patient with asthma?
Question options:
oral corticosteroid
long acting beta agonist inhaled corticosteroid
Question 7
Tagamet (cimetidine)
short acting beta agonist
You are evaluating an 80 year old patient for recent episodes of incontinence and confusion. His family states that this is unusual for him and he has become increasingly forgetful over the past two weeks. Which medication might be responsible for this?
Question options:
Coumadin (warfarin)
Vitamin B-12
Altace (ramipril)
Question 8
What suggests hyperandrogenism in an adolescent female?
Question options:
polycystic ovaries
high pitched voice
obesity
Question 9
Which is a synovial joint?
Question options:
skull
hirsutism
shoulder
regular use of an antacid
vertebral bodies of the spine
pubic symphysis of the pelvis
Question 10
A 67 year old woman with atrial fibrillation and an ejection fraction of 48% is on digoxin and has had normal digoxin levels of 0.8- 2 ng/dL for the past 9 months. Today, the level is 0.4 ng/dL. What could account for this change?
Question options:
increased exercise weight loss
decreased creatinine clearance
Question 11
Which medication is contraindicated in a child with acute sinusitis?
Question options:
decongestants expectorants antihistamines
Question 12
dull aching or cramping
nasal steroids
Which best describes the lower extremity calf pain associated with peripheral artery disease?
Question options: electric shock pulsating pain sharp, stabbing pain
Question 13
Jugular venous distention accompanied by chest pain is associated with:
Question options:
hypertension
asthma pneumonia
Question 14
Which immunization protects against a virus that is transmitted through blood and body fluids and can lead to chronic liver disease?
heart failure
Hepatitis C
tinea capitis
Question options:
Typhoid fever vaccine
Hepatitis A
Hepatitis B
Question 15
A pediatric patient has areas of scaling on the scalp with round patches of hair loss. What is the likely diagnosis?
Question options: alopecia areata trichotillomania seborrheic dermatitis
Question 16
Your 70 year old patient complains of a sore mouth that prevents her from eating. On exam you note a beefy red, glossy smooth tongue. What do you suspect?
Question options:
cheilosis, a serious disease of the mouth and oropharynx secondary hypothyroidism
a neurological disorder such as Parkinson's disease
Question 17
spinal stenosis
pernicious anemia due to insufficient intrinsic factor
A 62 year old male presents with leg pain and occasional numbness that is worse with ambulation and improved with lumbar flexion. What is the likely diagnosis?
Question options:
ankylosing spondylitis cauda equina syndrome bursitis
Question 18
Which is not a typical symptom of late stage HIV?
Question options:
lymphadenopathy of more than 3 months
night sweats
persistent, unexplained fatigue
Question 19
A pregnant patient presents for her 16 week prenatal visit. Her blood pressure had reduced from 118/79 to 109/68. What hemodynamic change is responsible for this?
Question options:
persistent vomiting
decrease in systemic vascular resistance
continue the current therapy for 6-8 weeks
decrease in cardiac output
decrease in stroke volume decrease in preload
Question 20
Your 62 year old patient has been taking Griseofulvin 500 mg po BID for 3 weeks to treat tinea capitis and has only had marginal improvement. What is your next step?
Question options:
have the patient shave his head and warn him that hair regrowth will be slow
Add 2.5% selenium sulfide shampoo twice weekly to the regimen
prescribe a short course or oral steroids
Question 21
Rapid HIV testing would be most appropriate for a patient with complaints of:
Question options:
painful bowel movements, anal itching, and abnormal menstrual bleeding or painful and swollen tes painful urination, lower abdominal pain, and dyspareunia fever, headache, and lymphadenopathy
Question 22
sexual dysfunction [Show Less]