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EPC AND FMHC EXAM 3 QUESTIONS AND ANSWERS SOLVED 100% CORRECT!!
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EPC AND FMHC EXAM 3 QUESTIONS ANDANSWERS SOLVED 100% CORRECT!!
A 22 year old male presents with sore throat for past 24 hours. Mild headache and
malaise with no respiratory symptoms. Nothing makes it better and pain has
worsened over time. What symptom increases suspicion for streptococcal
pharyngitis?
Absence of cough
Duration of symptoms
Presence of malaise
Severity of symptoms Answer - Absence of cough
When the eyes focus on an object, what is the area called where the visual field of
the right eye overlaps the visual field of the left eye?
a.
Binocular vision
b.
Conjugate gaze
c.
Pupillary reactivity
d.
Visual field deficit Answer - a.
Binocular vision
What is the yellowish-pink structure visualized on ophthalmoscope exam of the
retina?
a.
Cornea
b.
Iris
c.
Macula densa
d.
Optic disc Answer - d.
Optic disc
When focusing on an object, the eyes move together. What is this phenomenon
called?
a.
Binocular vision
,b.
Conjugate gaze
c.
Pupillary reactivity
d.
Visual field deficit Answer - b.
Conjugate gaze
In a person who has 20/200 vision, the 200 as a denominator is an indicator of what
condition?
a.
The angle from baseline that a normal sight comparator has widest field of vision
b.
The angle from baseline that the patient has widest field of vision
c.
The visual acuity of a normal sight comparator at 200 ft
d.
The visual acuity of the patient being tested at 200 ft Answer - The visual acuity of a
normal sight comparator at 200 ft
The transparent mass of gelatinous material that fills the eyeball behind the lens
serves what function?
a.
Controls the pressure in the eye
b.
Focuses the beam of light onto the retina
c.
Maintains the shape of the eye
d.
Produces the aqueous humor Answer - c.
Maintains the shape of the eye: Vitreous humor
Lens focuses light on retina
Aqueous humor is in the front, made by ciliary body
Which department of US government focuses on advancing excellence in
healthcare? Answer - Agency for healthcare research and quality (AHRQ)
What symptom most likely indicates a more serious cause of a sore throat?
Cough
Difficulty Swallowing
Fever
Muffled, "hot-potato" voice Answer - Muffled, "hot-potato" voice
Since the report "To Err is Human" in 1999, the number of deaths by preventable
medical errors has: Answer - Risen
An example of a structure within healthcare service is:
Readmission rates
,Number of beds in hospital
Wait times in ED
Healthcare-associated infections Answer - Number of beds in hospital
Physician errors are primarily attributed to: Answer - Burnout
Maslach Burnout Inventory measures burnout
What symptom most likely indicates a more serious cause of rhinorrhea?
Dry hacking cough
Subjective fever
Copious clear to white nasal discharge
unilateral face pain Answer - Unilateral face pain
NOTE: Kids drooling = red flag for supraglottitis
An afebrile 27 y/o presents in mid-September with 3 days of watery nasal discharge
and itchy watery eyes. She has a history of allergic rhinitis. What would you expect
to find on nasal exam?
Complete obstruction of left turbinate
Erythematous nasal mucosa
Pale, boggy mucosa with edematous turbinates
Pink mucosa with non-edematous turbinates Answer - Pale, boggy mucosa with
edematous turbinates
6 year old female: What condition is most likely associated with a unilateral foul-
smelling nasal discharge?
Allergic rhinitis
Foreign body obstruction
Vasomotor rhinitis
Viral upper respiratory infection Answer - Foreign body obstruction
Providing care that is respectful and responsive to individual preferences, needs,
and values is a characteristic of which dimension in healthcare quality?
Effective
Equitable
Safe
Patient-Centerred Answer - Patient centerred
The right middle lobe is best auscultated in the 5th intercostal space at which
anatomic landmark?
a.
Anterior axillary line
b.
Mid-axillary line
c.
Mid-clavicular line
, d.
Mid-sternal line
e.
Posterior axillary line Answer - b.
Mid-axillary line
Upon inspection of respiration, the intercostal muscles are noted to retract deeply
during inspiration. This is a sign of what condition?
a.
Kussmaul respiration
b.
Quiet respiration
c.
Respiratory arrest
d.
Respiratory distress Answer - Respiratory Distress
During auscultation of respiration, the examiner should examine the posterior lungs
using a ladder pattern to compare right to left and superior to inferior. Answer - True
During auscultation of respiration, patients should be instructed to:
a.
Breathe softly and quietly through the nose
b.
Inhale slowly through the nose and exhale forcefully through the mouth
c.
Take a deep breath in and out through the mouth
d.
Take a deep breath in and out through the nose Answer - c.
Take a deep breath in and out through the mouth
Global trends in causes of death Answer - -starting in 1990, Early death from enteric
infections, respiratory infections, tuberculosis, and maternal & neonatal disorders
dropped considerably
•Most significantly in least developed countries
•Progress in reducing mortality from some common diseases stalled or even
reversed
-Primarily for non-communicable diseases such as cardiovascular disease and
cancer
•As an unintended consequence of greater access to care, mortality linked to
antimicrobial resistance increased
*Drug-resistant TB
Big increase in HIV/AIDS
Despite super affordable medication to lower BP and cholesterol, total mortality
continues to increase
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