The groove of the metacarpophalangeal joint can be palpated by having the
patient: - Answer-flex his hand
When auscultating breath sounds in a patient who has left sided heart failure, the breath sounds are: -
Answer-vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on
percussion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe
mood swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for
bipolar if which symptom was present? - Answer-he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of
uncomplicated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective
abortion? - Answer-G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - Answer-barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated? -
Answer-Heart disease
, Severe aortic regurgitation symptoms with dyspnea - Answer-dry cough, angina, hypotension, systolic
murmur
Unipolar depression. What medications are not considered? - Answer-TCA (tricyclic antidepressants);
Buspar, SSR, wellbutin are all okay
Which of the following statements is most accurate about cough associated with ACEI? - Answer-
Asthma
Conductive Hearing loss - Answer-External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - Answer-Diabetes;
Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower
extremity? - Answer-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to have
ascites and JVD should be evaluated for: - Answer-heart failure
23 year old woman is having frequent migraines and needs a prophylactic medication. She also has
asthma. The medication should be avoided in this patient: - Answer-Propranolol (inderal); can cause
increase bronchospasm
45 year old woman with first episode of DVT is being treated for CAP, which antibiotic is safe to use with
warfarin? - Answer-Clarithromycin (PCN and cephalosporins are okay)
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