Exam (elaborations)
NCCAOM BOARD BIO- MEDICINE EXAM
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NCCAOM BOARD BIO- MEDICINE EXAM
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NCCAOM BOARD BIO- MEDICINE EXAMA patient says he's going to commit suicide, what should do? - Answers-Have Pt. Sign a
"No Self-Harm" contract and refer to primary care phsician on a semi-urgent basis.
Young man had very high energy, and didn't have to sleep much just a couple days ago,
now feeling exhausted and sad. Diagnosis: - Answers-Bipolar disorder
65 years male is living in nursing house after 6 months of post stroke, he doesn't like
talk to anyone, social withdraw; doesn't like to move and like to lie down in the bed; he
rather thinks him little and forget him. What do you suspect? - Answers-Depression
Which one is example of abuse? - Answers-Retinal hemorrhage in infant (baby shaking)
Child abuse reporting process, what type of law? - Answers-Varies state by state
Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid
don't like to talk to other people and don't like to play with other people, what is your
diagnosis for kid? - Answers-Child Abuse
Confused elderly suspects someone in his health care steals his money, and patient
said don't tell anybody. Your response? - Answers-Call social worker
Domestic violence - Answers-Encourage patient seeking for legal consultant and
consider keep away form abusive partner.
McBurney sign - Answers-Tender point in right lower abdomen of a patient with
appendicitis.
Patient with lower right quadrant abdominal pain - Answers-Appendicitis
Diverticulitis case study, it asked about what test would you use to diagnose it: -
Answers-CT scan
Patient has abdominal pain is aggravated when defecting? - Answers-Aortic aneurysm
Patient has diarrhea and constipation, stools show mucus and blood, why is the
diagnosis: - Answers-Ulcerative Colitis
A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness
swollen and tenderness. What to suspect? - Answers-Cellulitis
Woman gets a splinter from wooden branch, the next day started spreading around the
wound area, wound becomes red, swollen and sore grows in size, warm and tender
upon touch, what problem does this patient have? - Answers-Cellulitis
,Case: Patient presents with highly contagious bacterial skin infection, red sore near the
nose or mouth which soon breaks, leaking pus or fluid, what do you suspect? -
Answers-Impetigo
One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled.
What is your diagnosis? - Answers-Chickenpox
A two year old boy is brought by his parents to the clinic with a 3 day history of fever,
listlessness, and a cough. Physical examination reveals a lethargic child with a
congested throat. Tiny irregular red spots with central bluish-white specks (Koplik's
spots) are found in his buccal mucosa, Macupapular skin rashes are also visible over
the body. What is the most likely medical diagnosis? - Answers-Measles
Which drug category will you select if you want to reduced gastric acid in the stomach? -
Answers-Antacids
What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism)
- Answers-Cytochrome
Benzodiazepines are used for what? - Answers-Anti-anxiety, relax muscle, help
insomnia, muscles spasms, seizure. = BZD (-zepam)
Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of
medications? - Answers-Antipsychotic
What disease is the most common causing renal failure in US? - Answers-Type I
diabetes
Group A B-hemolytic streptococcus infection is responsible for? - Answers-
Glomerulonephritis
Erectile dysfunction is due to - Answers-Organic or psychosomatic
Adverse effects from drugs that treat ED? - Answers-Hypotension
Adverse effects of Erectile Dysfunction drugs: - Answers-Stuffy and runny nose
A 20 year old college student presents with fever, sore throat, and fatigue. Upon
examination enlarged lymph nodes are found in the poster lateral neck. What is the
most likely medical diagnosis? - Answers-Infectious mononucleosis
Most common pathogen for PID (pelvic inflammatory disease) - Answers-Chlamydia
and Gonorrhea
, CNT: Universal Precautions should be taught to: - Answers-All employees with
occupational exposure to blood borne pathogens
Fatigue, night sweats, weight loss: - Answers-Need to rule out cancer
67 old man with cachexia. What does it suggest? - Answers-Probably Cancer
Reasons for EPO increase: - Answers-Anemia
Which Vitamin helps iron deficiency anemia: - Answers-Vitamin C
Which one of these is a risk factor for blood clots? - Answers-Pregnancy
If taking anticoagulant avoid which supplement? - Answers-Vitamin K
What is primary cause of secondary hypertension? - Answers-Renal and endocrine
diseases
What category of drugs has side effect of muscle ache (myalgia)? - Answers-HMG-CoA
redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: - Answers-HbA1C
hemoglobin
What hormone spikes during ovulation ? - Answers-LH = Luteinizing hormone
What hormone is elevated in menopause? - Answers-FSH = Follicle stimulating
hormone
Patient has PCOS, infertility, she is overweight, w/irregular periods what other
symptoms - Answers-Insulin Resistance
2 year-old boy with acute wheezing but without other symptoms, sister has asthma
history and acupuncture treatment helps her. Based on the age and information, you
suspect: - Answers-Foreign object in airway
What conditions causes "Prolonged expiration"? - Answers-Asthma
CPK levels indicate: - Answers-Heart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: - Answers-DVT
12 hours flight, presents with calf pain. Check for what? - Answers-DVT
Patient suspected to have a DVT, what is the best way to confirm. - Answers-Doppler
Ultrasound
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