Question 1

Which of the following signs is associated with hypoglycemia?

Accepted Answer

Tremulousness is an early sign of hypoglycemia.

Question 2

Which of the following symptoms is associated with exacerbation of multiple sclerosis?

Accepted Answer

The most common sign associated with exacerbation of multiple sclerosis is double vision.

Question 3

Which of the following is the major complication associated with systemic lupus Erythematosis?

Accepted Answer

The major complication of SLE is lupus nephritis, which results in end-stage renal disease.

Question 4

Which of the following diets is associated with an increased risk of colorectal cancer?

Accepted Answer

A diet that is high in fat and refined carbohydrates increases the risk of colorectal cancer. High fat content results in an increase in fecal bile acids, which facilitate carcinogenic changes.

Question 5

In a patient with schizophrenia who has echolalia, what do you expect as he or she speaks?

Accepted Answer

The patient with echolalia repeats words or phrases used by others.

Question 6

Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

Accepted Answer

Holding a cup of coffee or hot chocolate helps to relieve the pain and stiffness of the hands.

Question 7

Which statement describes the contagious stage of varicella?

Accepted Answer

The contagious stage of varicella begins 24 hours before the onset of the rash and lasts until all the lesions are crusted.

Question 8

What is the typical characteristic found in stage III Alzheimer's disease?

Accepted Answer

In stage III of Alzheimer's disease, the patient develops agnosia, or failure to recognize familiar objects.

Question 9

Which finding is usually associated with a diagnosis of myasthenia gravis?

Accepted Answer

The patient with myasthenia develops progressive weakness that worsens during the day.

Question 10

Which of the following findings suggests a complication of diverticulitis?

Accepted Answer

A rigid or board like abdomen is suggestive of peritonitis, which is a complication of diverticulitis.

Question 11

Which of the following is the most common source of metastatic tumors to the brain?

Accepted Answer

The breast, lung, kidney, skin, and uterus are all common sources of metastases to the brain. However, with the climbing rates of pulmonary carcinoma, the lung has become the more common source.

Question 12

Which of the following metastatic diseases to the brain will have the shortest life expectancy?

Accepted Answer

The outlook with malignant melanoma, breast cancer, lung cancer, or renal cancer metastatic to the brain is poor and limited to a matter of months, but malignant melanoma is especially grim because it is highly likely to bleed after it metastisizes to the brain.

Question 13

In Tay-Sachs disease, deficiency of which enzyme is responsible for the neurologic deficits?

Accepted Answer

Tay-Sachs disease is caused by an enzyme defect. An important enzyme, hexosaminidase A, is not completely formed. Children with Tay-Sachs disease die prematurely and exhibit mental retardation, seizures, and blindness.

Question 14

Which of the following is required for vitamin B12 to be absorbed?

Accepted Answer

Intrinsic factor is a glycoprotein that is secreted by the gastric parietal cells. In most people with vitamin B12 deficiency, the problem is inadequate production of intrinsic factor rather than inadequate vitamin B12 in the diet.

Question 15

Which of the following is most characteristic of the brain in patients with Alzheimer's disease?

Accepted Answer

The most prominent characteristics of Alzheimer's disease are neuronal loss, fibrillary tangles, loss of synapses, and amyloid (or neuritic) plaque formation.

Question 16

In Hirschsprung's disease, disturbance in which of the following functions is the primary reason for these complications?

Accepted Answer

Infants with this defect in development of the myenteric plexus are susceptible to intestinal obstruction and megacolon development.

Question 17

Which of the following is the main causative organism in lobar pneumonia?

Accepted Answer

Most cases of lobar pneumonia are caused by S. pneumoniae.

Question 18

Which of the following conditions results from a significant deficiency in vitamin D?

Accepted Answer

Vitamin D is essential for maintenance of normal bone remodeling in the adult.

Question 19

Which of the following is the most likely cause of an abdominal aortic aneurysm?

Accepted Answer

An aneurysm is an abnormal dilation of any vessel. The causes of aneurysms are many, but the two most important ones are atherosclerosis and cystic medial necrosis.

Question 20

Which one of the listed disorders is the best example of an abnormality that produces systolic dysfunction primarily because of increased afterload?

Accepted Answer

There are many causes of congestive heart failure, but basically the heart will fail if it is forced to work in an abnormal state for a prolonged period of time. These abnormal states can cause systolic dysfunction or diastolic dysfunction.

Quiz 1: Physician Assistant