Question 1

Which of the following is TRUE of coronary artery disease?

Accepted Answer

The classic symptom of coronary artery disease is angina.

Question 2

Each of the following is seen in a patient with a myocardial infarct EXCEPT:

Accepted Answer

A patient experiencing a myocardial infarct would not have pain radiating to the right arm, but rather to the left arm.

Question 3

Which of the following is NOT part of the triad of symptoms seen with multiple sclerosis?

Accepted Answer

Dementia is not part of the triad of symptoms seen with multiple sclerosis. Multiple sclerosis is a demyelinating disease of autoimmune etiology.

Question 4

Which of the following cancers has the highest incidence in men?

Accepted Answer

The cancer with the highest incidence in men is prostate cancer. It is the 2nd highest cause of cancer death in men.

Question 5

Which of the following skin neoplasms is benign?

Accepted Answer

Of the listed neoplasms, pigmented nevus is the only one that is benign. The other cancers are all malignant.

Question 6

Each of the following is true regarding squamous cell carcinoma of the skin EXCEPT:

Accepted Answer

Squamous cell carcinoma of the skin is not normally treated with chemotherapy.

Question 7

Which of the following is TRUE regarding the pathophysiology of shock?

Accepted Answer

There is a decrease in urinary output in patients suffering from systemic shock. Shock is a condition due to decreased tissue perfusion.

Question 8

Each of the following can lead to cirrhosis of the liver EXCEPT:

Accepted Answer

Portal hypertension does not lead to cirrhosis. It is a result of cirrhosis, though. Cirrhosis is the most common chronic liver disease characterized by scarring/ fibrosis, loss of architecture, and formation of regenerative nodules.

Question 9

Which of the following is TRUE of sickle cell anemia?

Accepted Answer

Patients with sickle cell trait are heterozygotic for the disease. Sickle-cell anemia is a disease of primarily African Americans. It is inherited autosomal recessive (Hb-S from both parents).

Question 10

Acute hyphema is associated with what type of injury?

Accepted Answer

An acute hyphema occurs as a result of a blunt injury to the eye and is manifested by a horizontal line of demarcation across the globe when the patient is upright. The manifestation occurs due to blood collected in the anterior chamber.

Question 11

The patient has sustained a hyphema; what intervention should the physician assistant take?

Accepted Answer

Initial care of the patient involves preventing further damage and rebleeding. Patients are kept at bed rest if possible and usually with the head of bed raised.

Question 12

Which biological agent occurs when food is contaminated?

Accepted Answer

Salmonella is transmitted by contaminated food; GI problems occur with abdominal pain; possible progression to pericarditis, endocarditis.

Question 13

Signs of internal bleeding include all of the following EXCEPT:

Accepted Answer

Vomiting bile is usually not a sign of internal bleeding. Signs of internal bleeding include painful, swollen, or deformed extremities; a tender rigid abdomen; and bruising.

Question 14

Patients with heart problems might complain of any of the following EXCEPT:

Accepted Answer

Patients with heart problems might complain of pain in the center of the chest, mild chest discomfort, and difficulty breathing. They do not have sudden onset of sharp abdominal pain.

Question 15

To determine the stage of infection of HIV/AIDS, what laboratory tests are taken?

Accepted Answer

The two main markers for staging HIV infection and AIDS are the CD4 and HIV viral copies. These markers are typically inversely proportionate to each other.

Question 16

The spread of active or primary tuberculosis is primarily by what means?

Accepted Answer

Although the tubercle bacillus can be spread from bovine to human via infected cow's milk, it is primarily spread by "sharing air" of the infected person, human to human contact.

Question 17

Acute glomerulonephritis is associated with which of the following?

Accepted Answer

A recent strep infection, within the past few weeks is associated with acute glomerulonephritis. Acute pharyngitis symptoms are not typical, and there is no cough or dysuria associated with the presentation.

Question 18

Which of the following is the most common mental health issue among older adults?

Accepted Answer

Depression is the most common mental health illness for older adults. It is often unrecognized and undertreated. This leads to decreased functioning and independence.

Question 19

If an elder male experiences frequent urination, difficulty starting the urinary stream, dribbling, and retention of Urine, these clinical manifestations are indicative of:

Accepted Answer

Prostatic hypertrophy results when the changes of the smooth muscle fibers of the prostate occur with age. The symptoms experienced by the man include those listed in the question.

Question 20

When assisting a physician for a patient with Cushing's syndrome, which set of findings would most substantiate a diagnosis?

Accepted Answer

All of the symptoms listed in all four options are clinical manifestations of Cushing's syndrome.

Quiz 1: Physician Assistant