QUIZ :Mrs. Thomas was seen in the office complaining of pain and
point tenderness in the area of her elbow. The pain has increased following a
day of gardening one week ago. A physical finding that differentiates the
diagnosis and is most consistent with lateral epicondylitis (tennis elbow) is:
Ecchymosis, edema, and erythema over the lateral epicondyle
Pain at the elbow with resisted movements at the wrist and forearm
Inability to supinate and pronate the arm
Inability to flex or extend the elbow against resistance - ANSWER :Pain at the
elbow with resisted movements at the wrist and forearm
,QUIZ :Which of the following statements concerning the
musculoskeletal examination is true?
The uninvolved side should be examined initially and then compared to the
involved side.
The part of the body that is causing the patient pain should be examined first.
When possible, the patient should not be asked to perform active range-of-
motion (ROM) exercises to avoid causing pain.
Radiographs should always be obtained prior to examination so as not to cause
further injury to the patient. - ANSWER :The uninvolved side should be
examined initially and then compared to the involved side.
QUIZ :Which of the following signs or symptoms indicate an
inflammatory etiology to musculoskeletal pain?
Decreased C-reactive protein
Hyperalbuminemia
Morning stiffness
Weight gain - ANSWER :Morning stiffness
QUIZ :Which causes the greatest percentage of mammalian bites?
Dogs
Cats
Humans
Rodents - ANSWER :Dogs
QUIZ :A 48-year-old woman is seen in the clinic with complaints of
prolonged heavy menstrual periods. She is pale and states she can no longer
exercise. Pelvic exam reveals a single, very large mass. Which of the following
diagnostic tests should the clinician order first?
QUIZ :A diabetic patient asks the clinician why he needs to check
,his blood sugar at home even when he feels good. Which of the following
responses would be most appropriate?
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
All of the above - ANSWER :All of the above
"Control of glucose will help postpone or delay
complications."
"Regularly checking blood sugar will help establish a routine."
"Monitoring glucose will promote a sense of control."
QUIZ :A 25-year-old patient presents to the clinic with fatigue, cold
intolerance, weight gain, and constipation for the past 3 months. On physical
examination, the clinician notices a sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the
following tests should be ordered next?
Serum calcium
TSH
Electrolytes
Urine specific gravity - ANSWER :TSH
QUIZ :Which of the following medications for type 2 diabetes
mellitus should not be prescribed during pregnancy?
QUIZ :An 82-year-old man is seen in the primary care office with
complaints of dribbling urine and difficulty starting his stream. Which of the
following should be included in the list of differential diagnoses?
Benign prostatic hyperplasia (BPH)
Parkinson's disease Prostate cancer
All of the above - ANSWER :All of the above
QUIZ :Early rheumatoid disease is characterized by:
Pain and swelling in both small and large peripheral joints
Rigid joints with diminished range of motion
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