Deck 1: Asymptomatic

Question 1

Dune is a new, 50-year-old patient who comes to see you in the clinic for a routine physical. You review his "List of Symptoms within the Last Year" checklist that all new patients are required to complete. He checks off that he has had trouble urinating. Which of the following disease(s) may you want to begin to rule out?

A)Prostate cancer
B)Benign Prostatic Hypertrophy
C)Neither A or B
D)Both A and B

Answer 1

Both A and B

Question 2

Dune is a new 50-year-old patient who comes to see you in the clinic for a routine physical. You review his "List of Symptoms within the Last Year" checklist that all new patients are required to complete. He checks off that he has had trouble urinating. Which of the following is the appropriate next step to determine the cause of this symptom?

A)Prostate biopsy
B)Digital rectal examination
C)Order a Prostate-Specific Antigen test
D)Both B and C

Answer 2

Both B and C

Question 3

Jessica is a 40-year-old mother of a 10-year-old boy. During your physical examination, she mentions that she is tired and her hands always feel cold. She laughs and says she has been running around with her son all winter and thinks she should get a new pair of gloves. Which of the following tests should be ordered to assess her physical status?

A)CBC (Complete Blood Count) w/ diff
B)CBC (Complete Blood Count)
C)Hemoglobin and Hematocrit (H &H)
D)No tests are needed because she is just tired from running around outside with her son.

Answer 3

CBC (Complete Blood Count) w/ diff

Question 4

Paul is a 20-year-old college athlete who is coming in for his sports physical. He mentions to you that he had some "pain in his left pec" when he woke up this morning. He says he has been working out for 5 days in a row and wonders if he pulled a muscle. What should you do?

A)Pass his physical, tell him he is right, and tell him to give his upper body a rest for the next few days.
B)Do an EKG and send him to a cardiologist for a consult.
C)Tell him he might have heartburn and to try an over the counter antacid.
D)Send the patient to the Emergency Room for an immediate work-up to see if he is having a heart attack.

Question 5

Jessica is 60 years old and comes in for a physical examination. During the examination, the patient mentions that she happened to notice some red in her stool and she is concerned it might be blood. Which of the following diagnosis might cause this?

A)Hemorrhoids
B)Colorectal cancer
C)Esophagitis
D)A and B

Question 6

Jessica is a 30-year-old woman who comes into the clinic complaining of sneezing, "a stuffed nose," and "a lot of stuff coming out" when she blows her nose. She claims that the color of the mucus is clear and she does not have a fever. Which of the following are appropriate recommendations?

A)Take an over-the-counter anti-histamine
B)Provide instructions on nasal irrigation with saline solution
C)Prescribe an antibiotic
D)Both A and B

Question 7

In which of the following spinal areas would a ruptured disk be most likely?

A)Lumbar
B)Cervical
C)Thoracic
D)Sacral

Question 8

Which of the following vitamin deficiencies would you be concerned about for a woman who shows signs of osteoporosis?

A)Vitamin B12
B)Vitamin B6
C)Vitamin D
D)Vitamin C

Question 9

Which of the following anemias can only be diagnosed using a blood smear?

A)Iron deficiency anemia
B)Vitamin B12 deficiency anemia
C)Sickle-cell anemia
D)Both A and B

Question 10

Duncan is a 78-year-old nursing home patient who has discolored mucus coming from his nose. He has no known medication allergies, so you prescribe him Amoxicillin. 3 days later, the symptoms have not improved and Duncan developed a fever of 101 degrees. Which of the following courses of treatment would be most appropriate (barring any other significant medical history or clinical findings)?

A)Switch antibiotics
B)Using a nasal swab, take a culture and await results to see what organism could be causing the infection.
C)Both A and B
D)Neither A nor B

Question 11

You are examining a 70-year-old patient who shows signs of shingles. Which of the following people should this patient avoid contact with?

A)Young children who have not been vaccinated for Varicella
B)The patient's 18-year-old grandson who had chicken-pox as a child
C)Both A and B
D)Neither A nor B, as the patient is not contagious

Question 12

Which of the following hormones should be evaluated to check the function of the thyroid gland?

A)T4
B)T3
C)PTH
D)Both A and B

Question 13

Which of the following segments of an EKG can remain abnormal weeks to months after an acute myocardial infarction?

A)Q
B)P
C)T
D)ST

Question 14

Which of the following tests can help you evaluate a patient's kidney function?

A)Blood urea nitrogen
B)Creatinine
C)Both A and B
D)Neither A nor B

Question 15

Which of the following tests will provide the best indicator of a diabetic's adherence to diet?

A)Hemoglobin A1C
B)Glucose plasma
C)Glucose urine
D)Both B and C

Question 16

Which of the following symptoms could indicate a bacterial infection?

A)Fever above 101°F
B)Elevated white blood cell count
C)Both A and B
D)Neither A nor B

Question 17

Which of the following pairs of ducts connect to form the common bile duct?

A)Hepatic duct and pancreatic duct
B)Pancreatic duct and accessory pancreatic duct
C)Cystic duct and common hepatic duct
D)Accessory pancreatic duct and cystic duct

Question 18

Which of the following bones are considered part of the finger?

A)Metacarpal
B)Proximal phalanx
C)Both A and B
D)Neither A nor B

Question 19

Your new patient tells you that he has paroxysmal atrial fibrillation. How often does it occur?

A)Occasionally, symptoms appear to come and go and not last more than an hour.
B)He seems to have symptoms constantly and this is the reason that he came back to the doctor.
C)He is currently in treatment for atrial fibrillation and it is under control.
D)None of the above

Question 20

Which of the following blood types is considered to be a universal donor so that the packed red blood cells can be used in an emergency situation when the blood type of a patient is unknown?

A)O +
B)AB-
C)O-
D)AB+

Question 21

The term "bradycardi" refers to a heartbeat that is:

A)Slower than normal
B)Faster than normal
C)Normal
D)Irregular

Question 22

A peak flow meter is useful for helping physicians track patients with:

A)Diabetes
B)Urinary retention
C)Asthma
D)None of the above

Question 23

Which of the following bacteria is responsible for the disease most commonly referred to as "strep throat"?

A)Staphylococcus aureus
B)Proteus mirabilis
C)Streptococcus pyogenes
D)Escherichia coli

Question 24

Which of the following gastrointestinal disorders can be treated with antibiotics?

A)H) pylori
B)GERD
C)IBS
D)None of the above

Question 25

Which of the following can you test for using a urine "dipstick"?

A)White blood cells
B)Glucose
C)pH
D)All of the above

Question 26

Creatinine kinase can be elevated in patients who show which type of tissue damage?

A)Heart
B)Skeletal muscle
C)Both A and B
D)Neither A nor B

Question 27

Which of the following best describes a generic drug?

A)A drug that is no longer protected by a trademark
B)A drug that has been on the market for a long period of time
C)A drug that is tested as safe by the FDA
D)A drug that can be purchased without a prescription

Question 28

Which of the following would be causes for cell damage and death?

A)Hypoxia
B)Bacteria
C)Immunological response
D)All of the above

Question 29

Which of the following forms of lipoprotein are considered healthy in elevated amounts?

A)LDL
B)HDL
C)Both A and B
D)Neither A nor B