1. Mrs. Brody has brought his 16-year-old daughter, Mandy, for a school
sports physical exam. Mandy's height is 65 inches, and she weighs 126
lbs. Mrs. Brody is concerned that her daughter is overweight. According
to Mandy's BMI, what is your response?
A. Mandy is overweight and needs to take diet pills.
B. Reassure the mother that this is a normal body weight.
C. Refer the patient to a nutritionist and psychologist because the patient
is anorexic.
D. Give the patient information about exercise and reduction of fat
cholesterol in her diet because she is overweight.
B - (126 X 700) / (65^2) = 20.9
Body Mass Index (BMI) = (Weight (lbs) x 700)/(height (inches)^2)
- Underweight: BMI < 18.5
- Normal: BMI 18.5-24.9
- Overweight: BMI 25.0-29.9
- Obesity I: BMI 30.0-34.9
- Obesity II: BMI 35.0-39.9
- Extreme Obesity III: BMI ≥ 40
1. A sudden painless unilateral vision loss may be caused by
which of the following
- Retinal detachment
-
2. A 73 year old nurse comes to your office for evaluation of new
onset of tremors. She is not on any medications and does not take
herbs or supplements. She has no chronic medical conditions. She
, does not smoke or drink alcohol. She walks into the examination
room with slow movements and shuffling steps. She has decreased
facial mobility and a blunt expression without any changes in hair
distribution on her face. Based on this what is the most likely
diagnosis.
- Parkinsons
3. You are interviewing an elderly woman in the ambulatory
setting and trying to get more information about her urinary
symptoms. Which of the following techniques is not a
component of adaptive questioning
- Reassuring the patient that the urinary symptoms are
benign and that she doesn’t need to worry about it being a
sign of cancer.
,4. A fifteen year old high school sophomore comes to the clinical
for evaluation of a three week history of sneezing itchy watery
eyes clear nasal discharge ear pain and non productive cough.
Which is the most likely pathologic process?
5. a light is pointed at a patients pupli, which contracts it is also
noted that the other pupil contracts as well, though it is not
exposed to bright light. Which of the following terms describes
this latter phenomenon
- Consensual reaction.
6. Which of the following is used to screen for color blindness in a
seven year old boy
- Ishihara test
7. You feel a small mass that you think is a lymph node. It is
mobile in both up and down and side by side direction. Which
of the following is most likely
Lymph node
8. What is the best procedure for evaluating a corneal abrasion
9. Which of the following is a symptom involving the eye
- Scotomas
10. Most sensitive test to detect hearing loss ? is it whisper or
tuning forks
11. HA that has lasted 5 days and he does work at a
computer is it a cluster, migraine, tension headache
12. . Which of the following are examples of secondary
prevention? (Choose all that apply)
A. Hard hats, needle-free devices, sharps containers.
B. Blood pressure screening at health fair.
C. Control of the spread of tuberculosis.
D. Dental sealants on children's teeth.
, 13. A 55 year old bank teller comes to your office for persistent
episodes of dizziness. The first episode started suddenly and lasted
3-4 hours. He experienced a lot of nausea with vomiting. The
episode resolved spontaneously. He has had five episodes in the
past 1 ½ weeks. He does note some tinnitus that comes and goes.
upon physical exam you note that he has a normal gait. The weber
localized to the right side and the air conduction is equal to the
bone conduction in the right ear. Nystagmus is present. Based on
this description what is the most likely diagnosis
- Meniere’s disease
-
- A 35-year-old archaeologist comes to your office (located in
Phoenix, Arizona) for a regular skin check-up. She has just
returned from her annual dig site in Greece. She has fair skin
and reddish-blonde hair. She has a family history of melanoma.
She has many freckles scattered across her skin. From this
description, which of the following is not a risk factor for
melanoma in this patient?
A) Age
B) Hair color
C) Actinic lentigines
D) Heavy sun exposure
- answer- A
- A 15-year-old high school sophomore and her mother come to
your clinic because the mother is concerned about her daughter's
weight. You measure her daughter's height and weight and
obtain a BMI of 19.5 kg/m2. Based on this information, which
of the following is appropriate?
A) Refer the patient to a nutritionist and a psychologist because
the patient is anorexic.
B) Reassure the mother that this is a normal body weight.
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