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Question 2. Which of the following is a potential acquired cause of thrombophilia?
Question 3
Phalen’s test, 90°wrist flexion for 60 seconds, reproduces symptoms of: Ulnar tunnel syndrome Carpal tunnel syndrome Tarsal tunnel syndrome Myofascial pain syndrome
Question 4
Which patient would benefit most from screening for type 2 diabetes? A 30 year old female with unintended weight loss. A 25 year old male with family history of type 1 diabetes An obese female with recurrent vaginitis A 50 year old hyperlipidemic male Homocysteinuria Protein C deficiency Factor V Leiden Antiphospholipid antibodies..
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made by: Clinical appearanc e Viral culture Tzanck smear KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are): 81 mg of aspirin daily Carotid endarterectomy for patients with high-grade carotid lesions Routine screening for carotid artery stenosis with auscultation for bruits Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing’s syndrome? Excessive ACTH production Administration of a glucocorticoid or ACTH Pituitary adenoma or a non-pituitary ACTH- producing tumor Autonomous cortisol production from adrenal tissue chorea
Question 11
Routinely after 3 weeks of low back pain symptoms. To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks of more of low back pain. When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or infection. As a part of a pre-employment physical when heavy lifting is included in the job description.
Question 12
An enzyme-linked immunosorbent assay titer A urea breath test A rapid urease test A repeat endoscopy
Question 13
MMSE
CAGE questionnaire FAQ – Functional Activities Questionnaire Holmes and Rahe social readjustment scale
Question 14
Diagnostic radiological^ studies^ are^ indicated^ for^ low^ back^ pain: After treating a patient for Helicobacter pylori infection, what test do you order to see if it has been cured? Which appropriate test for the initial assessment of Alzheimer’s disease provides the performance ratings on 10 complex, higher order activities?
A.
Myocardial infarction Parkinson’s disease Stroke Alzheimer’s disease
Question 15
Which of the following statements about multiple sclerosis (MS) is correct? MS is a chronic, untreatable illness that is almost always fatal. MS is a disease of steadily progressive and unrelenting neurologic deterioration. MS is a chronic, treatable illness with unknown cause and a variable course. Patients with MS who take active steps to improve their health have the best cure rate.
Question 16
Diagnostic evaluation of hypothyroidism reveals: Elevated TSH and decreased T Decreased TSH and increased T Decreased TSH and decreased T Elevated TSH and increased T
Question 17
Risk factors for prostate cancer include all of the following except:
insomnia or hypersomnia diminished ability to think or concentrate grandiose delusions
Question 21
Central obesity, “moon” face, and dorsocervical fat pad are associated with: Metabolic syndrome Unilateral pheochromocytoma Cushing’s syndrome None of the above
Question 22
Which of the following is the most common cause of low back pain? Lumbar disc disease Spinal stenosis Traumati c fracture Osteoporosis
Question 23
Infection Toxoplasmosis A middle-aged female presents complaining of recent weight loss. The physical exam reveals an enlarged painless cervical lymph node. The differential diagnosis for this patient’s problem includes:
Question 26
Which of the following is the most common causative organism of nongonococcal urethritis? Chlamydia trachomati s Ureaplasm a urealyticu m Mycoplas ma hominis Trichonom as vaginalis
Question 27
The most common symptoms of transient ischemic attack (TIA) include: Nausea, vomiting, syncope, incontinence, dizziness, and seizure. Weakness in an extremity, abruptly slurred speech, or partial loss of vision, and sudden gait changes. Headache and visual symptoms such as bright spots or sparkles crossing the visual field. Gradual onset of ataxia, vertigo, generalized weakness, or lightheadedness
Question 28
What is the first symptom seen in the majority of patients with Parkinson’s disease? Rigidity Bradykines i a Rest tremor Flexed posture
Trauma Tight shoes Arthritis flare Hydrochloroth ia zide
Question 33
Which of the following is a contraindication for metformin therapy? Insulin therap y Creatinine
Edema None of the above
Question 34
A positive drawer sign supports a diagnosis of: Sciatica Cruciate ligament injury Meniscal injury Patellar ligament injury An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient’s pain is:
Question 35
Apples Pepper m int Cucum b ers Popsicles
Question 36
A patient taking levothyroxine is being over-replaced. What condition is he at risk for? Osteopor o sis Constipa ti on Depressi o n Exopth al mia
Question 37
HbA1C 2-hour 75 gram oral glucose tolerance test C-peptide level A and B Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? Diabetes screening recommendations for asymptomatic adults age 45 and over include which of the following:
AIDS
All of the above
Question 41
Urine cultures should be obtained for which of the following patients? Suspected urinary tract infection in pregnancy Febrile patients Young men All of the above
Question 42
“Caffeine has not effect on osteoporosis.” “A high caffeine intake has a diuretic effect that may cause calcium to be excreted more rapidly.” “Caffeine affects bone metabolism by altering intestinal absorption of calcium and assimilation of calcium into the bone matrix.” “Caffeine increase bone resorption.”
Question 43
Migraine headache Subarachno id hemorrhag e Glaucoma Jennifer says that she has heard that caffeine can cause osteoporosis and asks you why. How do you respond? The diagnosis which must be considered in a patient who presents with a severe headache of sudden onset, with neck stiffness and fever, is:
Meningitis
Question 44
You must initiate the plan of care for the patient The physician must be on-site and engaged in patient care You must be employed as an independent contractor You must be the main health care provider who sees the patient
Question 45
Digital rectal examination (DRE) plus prostate specific antigen (PSA) Prostate specific antigen (PSA) alone Transrectal ultrasound (TRUS) alone Prostate specific antigen (PSA) and transrectal ultrasound (TRUS)
Question 46
The primary goals of treatment for patients with alcohol abuse disorder are: Reduction in withdrawal symptoms and reduction in desire for alcohol Psychotherapeutic and pharmacological interventions to decrease desire for and effects of alcohol Abstinence or reduction in use, relapse prevention, and rehabilitation What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? The most commonly recommended method for prostate cancer screening in a 55 year old male is:
