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A wide range of topics related to primary care, including differential diagnoses, treatment approaches, and management strategies for various medical conditions. It delves into the diagnosis and management of conditions such as otitis media, allergic rhinitis, conjunctivitis, influenza, bronchitis, asthma, hypertension, irritable bowel syndrome, clostridium difficile infection, pernicious anemia, erectile dysfunction, scabies, and more. Detailed information on the appropriate pharmacological and non-pharmacological interventions, as well as the rationale behind the recommended approaches. It also touches on the importance of patient education, risk factor assessment, and the utilization of diagnostic tests to guide clinical decision-making. This comprehensive resource can be valuable for healthcare professionals, particularly those practicing in primary care settings, to enhance their knowledge and improve patient outcomes.
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to prevent patient self-administration of pharmacologic treatment. What is the most
effectivemeans to administer topical agent solutions.
A. Oral/systemic
B. Aural antibi otoiletingtics or wicking or a combination of both
C. A nebulizer machines
D. Surgical debridement
2.Otitis media, hypothyroid disease, deviated nasal septum, and chronic sinusitis are
differential diagnoses for what condition?
A. Mumps
B. Rhinitis
C. Dental Abscess
D. Viral influenza
3.Which of the following would NOT be included as part of the focused SOAP note for a patient
who suffers from allergic rhinitis?
A. Review of the HEENT physical examination
B. Discussion of health promotion issues
C. Patient Vital signs
D. Referral for additional allergy
testing
4.A patient diagnosed with bacterial conjunctivitis. Which of the following education and
counseling notes would NOT be appropriate for this patient?
A. Contact lenses should be discarded and new lenses should not be worn until symptoms
subside
B. Clean all linens thoroughly
C. Patient may return to work upon completing the initial dose of antibiotics
D. Any eye make up should be replaced
A. 24- 72 hours
B. 1 2-2 4 hours
6.Which of the following demographic groups would NOT be considered at risk for
complications of influenza?
A. young children
B. pregnant women
C. Suffering from heart, kidney, or neurologic disease
D. those who did not get the influenza vaccine
7.A patient is diagnosed acute bronchitis. What is the most appropriate antibiotic treatment for
this patient?
A. Penicillin
B. Oflaxacin
C. Metronidazol
D. Antibiotics are not recommended
8.According to the National Asthma education and prevention program (NAAEPP), which
treatment would be an example of a Step 1 preferred treatment for an adult with persistent
asthma?
A. Short acting beta 2 antagonist prn (SABA)
B. Medium dose ICS and LABA
C. low dose ICS and LABA
D. high dose ICS and LABA and oral corticosteroid
A. Start HCTZ 12.5 mg daily. Discussed diet and exercise including review of DASH diet.
B. Demonstrate proper use of inhalers. Discuss importance of influenza vaccine. Prescribed
albuterol. 2 puffs every 4 hrs prn for SOB
C. Reviewed consequences of untreated condition. Encourage limited caloric intake to 1.
daily. Prescribe lisinopril 1mg daily.
D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms
improve.
cyanosis, chest tightness, and pursed lip breathing. Based on the symptoms presented what is
the most likely diagnosis?
A. COPD
B. Pharyngitis
C. Hypertension
D. Alpha thalassemia
According to JNC 8 which of the following pharmacological interventions would be more
appropriate?
E. Betablocker such as acebutolol
F.C. NiHydrochlorothiazidetroglycerine Spray PRN
D. High intensity statin
hydrochlorothiazide, diet, and exercise. What would be an appropriate addition to the patient’s
regimen?
ACE or ARB
B. aspirin
C. surgical intervention
D. Advanced age
A. Recent hospitalization
B. Antibiotic use
C. Age less than 40
D. Chronic disease such as kidney or liver
resulting in a vitamin deficiency?
A. Antibiotics
B. Analgesics
C. Antivirals
D. Anticonvulsants
A. Women or men from the Thalassemia belt
B. Women of northern European descent
C. African American men
D. Children
diagnosis of pernicious anemia?
A. Iron supplements
B. Daily multi-vitamin
C. Vitamin b
D. Antibiotics
A. Schilling test
B. CAGE questionnaire
C. Gold stage
D. Centor criteria
A. Acetylsalicyclic acid
B. Antibiotics
C. Antivirals
D. Hormones
suffering from which of the following conditions?
A. Refractory angina
B. Asymptomatic coronary artery disease
C. Successful coronary revascularization
D. Mild vascular disease
the prostate in absence of any symptoms. According to the NIH, which category would this
patient be placed?
A. Category III
B. Category
IVC. Category II
D. Category I
which intervention?
A. TMP-S or other antibiotics
B. Detorsion
C. Orchiectomy
D. Surgery
is of genital herpes?
A. NAAT for chlamydia and gonorrhea. Blod test for HIV and syphilis. Start azithromycin 1 g PO
1x. Partner must be treated to avoid re-infection. Avoid sexual intercourse for 7 days.
B. Start acyclovir 400 mg PO daily. Patient education for etiology of symptoms. Culture of lesions
and blood testing for syphilis and HIV. Follow up in 2 weeks.
C. After patient education, start sildenafil 50 mg PO ½ to 4 hours prior to intercourse.
Continue all prescribed medications.
D. After confirmed diagnosis, begin TMP-S 160 mg PO 2x daily. Instruct patient in medications
and proper hygiene with regard to bathing wiping and post intercourse. Follow up if
symptoms persist or return.
the most appropriate pharmacologic treatment for a patient with a diagnosis of scabies?
B. Permethrin
C. Cyclobenzaprine
D. Methimazole
is made based on observation. Whats the most effective way to confirm this diagnosis?
A. Blood test
B. Urine analysis
C. CT scan
D. A skin scraping and microscope
lumbar
Which of the following pharmacologic interventions would be the most appropriate for a
patient with these symptoms and NKDA?
A. Azithromycin
B. Levothyroxine
C. Ciprofloxacin
Cyclobezapine
A. The presence of a meniscal tear
B. A patient’s alcohol and drug use
C. A patient’s vitamin B12 anemia
D. A patient’s rate and severity of depression
underlying conditions. Patient is determined not to require surgery. What would be the most
appropriate pharmacologic intervention for this patient?
A. NSAIDs and pain relievers
B. Cyclobenzapine
D. Phenazopyridine
would be the preferred pharmacologic treatment for this patient?
E. Muscle relaxants
F.NSAIDs
Which of
the
following
would be
considere
d a risk
factor for
positional
vertigo?
A. A pt
suffering
from
B. A pt with non-specific dizziness
C. A pt who suffers from migraine headaches
D. A pt aged 60 or older
Based on the observations of family members who were present during the episode it is
likely
that the patient experienced a tonic-clonic seizure. Which of the following risk factors would
warrant immediate neuroimaging for this patient.
A. A pt experiencing his first seizure
B. Pt has experienced his first seizure over the age of 40
C. Pt has recovered from an initial seizure
D. A seizure is likely cause by a stimulant drug
treatments would be most appropriate?
E. Cyclobenzapine
F. Levothyroxine
C. Levodopa or carbidopa
D. Atorvastatin
A. Doppler ultrasound
B. PET scan
C. Osteoporosis
D. DaTscan
A. Range of motion impairment
B. Vision impairment
C. Cognitive impairment
D. Auditory
Labwork RBC 4.2, Hgb 9.1, Hct 31, WBC 6.8, and folate levels and serum iron 26 and
serum ferritin levels 38 were low. Which of the anemic diagnoses is most likely?
A. Anemia of chronic disease
B. Aplastic anemia
C. Iron def anemia
D. Pernicious anemia
types of deficiency anemias?
A. Thalassemia anemias are associated with low iron levels
B. Thalassemia anemias are hereditary anemias
C. Thalassemia anemias are associated with chronic disease
D. Thalassemia anemias are associated with low vitamin levels
of patients suffering from diabetes mellitus?
A. Kidneys
D. Anemia of b12 deficiency
the following disorders?
A. Hyperthyroidism
B. Hypothyroidism
E. Gender
F. Family history of autoimmune disorder
C. A patient over 40 years of age
D. pregnancy
A. A patient with a family history of metabolic syndrome
B. A 40 y/o pt
C. Caucasian men
D. A pt who is obese and sedentary
diagnosis of metabolic syndrome?
A. ECG demonstrates sinus tachy. Discussed need for radioactive iodine ablations. Prescribed
hydrocortisone cream for lower extremity dermopathy.
B. Discussed critical importance of weight and lifestyle management. Glucophage 850 mg PO 2x
daily and atorvastatin 20 mg po 2x daily
C. Reviewed consequences of untreated condition. Encourage limited caloric intake to 1800
daily. Prescribe lisinopril 1- mg daily
D. Pt prescribed amoxicillin 500 mg po. Refrain from work or school until symptoms
improve.
condition? Elevated blood sugar (greater than 100 fasting), elevated bp (greater than 135/
untreated), abdominal obesity (greater than 35 in for women and 40 for men)