•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium
Sam is a 25-year-old man who has been diagnosed with low back strain based on his history of
localized low back pain and muscle spasm along with a normal neurological examination. As the
clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following
symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or
ruptured disc?
4
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the
back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
Don't know?
Terms in this set (99)
Janet is a 30 year old woman who has been d. paresthesia of the perineum and buttocks
recently diagnosed with a herniated disc at
the level of L5-S1. She is currently in the
emergency room with suspician of cauda
equna compression. Which of the following
is a sign or symptom of cauda equina
compression?
a. gastrocnemius weakness
b. reduced or absent ankle refles
c. numbness of the lateral foot
d. paresthesia of the perineum and buttocks
The patient has acute pancreatitis with 7 of a. a high mortality rate
the diagnostic criteria from Ranson's Criteria.
In order to plan care, the clinician
understands that this criteria score has which
of the following meanings?
a. a high mortality rate
b. an increased chance of recurrence
c. 7% chance of the disease becoming
chronic
d. all of the above
Reuben, age 24, has HIV and just had a a. a favorable diagnostic trend
routine viral load test done. The results show
a falling viral load What does this indicate
a. a favorable diagnostic trend
b. disease progression
c. the need to be more aggressive with
Reuben's medications
d. the eradication of the HIV
,Which is the differentiating symptom d. hearing loss may be associated with labyrinthitis ,but not with vestibular neuritis.
mbetween labyrinthitis and vestibular
neuritis?
a. symptoms with vestibular neuritis are
usually acute in onset, whereas with
labyrinthitis the onet is more gradual
b. hearing loss may be associated with
vestibular neuritis, but not with labyrinthitis
c. symptoms with labyrinthitis are usually
acute in onset, ,whereas with vesticular
neuritis the onset is more gradual
d. hearing loss may be associated with
labyrinthitis ,but not with vestibular neuritis.
A 27 year old female presents with a chief c. blood in urine and frequency
complaint of burning and pain on urination.
She has no previous history of urinary tract
infection. what are some additional
symptoms consistant with a diagnosis of
lower UTI?
a. back and abdominal pain
b. fever, chills, costovertebral angle (CVA)
tenderness
c. blood in urine and frequency
d. foul-smelling discharge, perineal itch
The differential diagnosis for vertigo can be d. all of the above
classified into which of the following
categories:
a. peripheral vestibular disease
b. CNS disorders
c. Systemic disorders
d. all of the above
Sam is a 25-year-old man who has been b. unilateral radicular pain symptoms that extend below the knee and are equal to or
diagnosed with low back strain based on his greater than the back pain
history of localized low back pain and
muscle spasm along with a normal
neurological examination. As the clinician,
you explain to Sam that low back pain is a
diagnosis of exclusion. Which of the
following symptoms would alert the clinician
to the more serious finding of a herniated
nucleus pulposus or ruptured disc?
a. morning stiffness and limited mobility of
the lumbar spine
b. unilateral radicular pain symptoms that
extend below the knee and are equal to or
greater than the back pain
c. Fever, chills, and elevated erythrocyte
sedimentation rate
d. pathologic fractures, severe night pain,
weight loss and fatigue
, Preceptors must always see the patients that a. true
the students see in the clinical setting
a. true
b. false
An 82 year old man is seen in the primary d. all of the above
care office with complaints of dribbling urine
and difficulty starting his stream. Which of
the following should be included in the list
of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above
Which causes the greatest percentage of a. dogs
mammalian bites?
a. dogs
b. cats
c. humans
d. rodents
Endoscopic report reveals the presents of d. all of the above
Barrett's epithelium. Which of the following
information should the clinician include in
the explaination of the pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the
esophagus
d. all of the above
Which of the following data are indicative of a. absent cremasteric reflux
testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign
Most nosocomial pneumonias are caused c. Gram-negative bacteria.
by:
a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia.
A family practice office for all 5 of your b. false
clinical rotations will guarantee that you will
gain the required pediatric exposure
a. true
b. false
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