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Clinical Medicine Exam 1 Practice Questions With 100% SURE ANSWERS
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JACKLINEClinical Medicine Exam 1 Practice Questions With 100% SURE ANSWERS
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A 4 year-old child presents with a rapid onset of A. Croupy cough and drooling
high fever and extremely sore throat. Which of
the following findings are suggestive of the A croupy cough with drooling in a patient who appears very ill is consistent with epiglottitis.
diagnosis of epiglottitis? Examining the throat is contraindicated, unless the airway can be maintained.
A. Croupy cough and drooling
B. Thick gray, adherent exudate
C. Beefy red uvula, palatal petechiae, white
exudate
D. Inflammation and medial protrusion of one
tonsil
Clinical Medicine Exam 1 Practice Questions
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Which of the following is diagnosed by use of The cover/uncover test is used to diagnose strabismus
the cover/uncover test? (crossed eye)
A. Strabismus
B. Glaucoma
C. Myopia
A 45 year-old male complains of loss of hearing C. Gadolinium-enhanced MRI
in his left ear. He also complains of ringing in the
ear, and has had occasional dizziness. On exam, Asymmetric SNHL, tinnitus, and vertigo suggest the patient has Acoustic neuromas which is
there is unilateral left- sided sensorineural assessed with a MRI of the auditory canal
hearing loss and a diminished corneal reflex.
Neuro exam is otherwise normal. TMs are
normal, and canals are clear. Neck is supple,
without adenopathy. Oropharynx is normal. Of
the following, the best diagnostic study to
identify the cause of this patient's complaints is
A. Vestibular Testing
B. Acoustic Reflex Testing
C. Gadolinium-enhanced MRI
D. Audiogram
A 23 year-old graduate student presents with B. Vestibular neuritis
sudden onset of severe dizziness, with nausea
and vomiting for the past couple of hours. She Vestibular neuritis presents with vertigo, nausea, and vomiting, but NOT hearing loss or
denies hearing loss or tinnitus. She has had a tinnitus. It is related to viral URIs, and develops over several hours, with symptoms worse in the
recent cold. Which of the following is the most first day, with gradual recovery over several days.
likely diagnosis?
The symptoms of labyrinthitis are the same as vestibular neuritis PLUS the additional
A. Ménière's disease symptoms of tinnitus and/or hearing loss.
B. Vestibular neuritis
C. Benign positional vertigo Labyrinthitis is similar to Meniere's disease except that labyrinthitis causes continuous
D. Labyrinthitis symptoms (vs. the episodic symptoms of Meniere's disease).
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A 4 year-old boy presents with purulent, foul- Nasal foreign body is suggested by unilateral nasal obstruction or discharge .
smelling nasal discharge for three days. He has
not had any other symptoms of respiratory
illness, cough, wheeze, or fever. His activity level
and appetite has been normal. On exam, he is
afebrile. TM's have normal light reflex, canals are
clear. Left nare is clear; there is considerable
amount of purulent exudate from the right nare,
and a bright reflection of light is noticed.
Oropharynx is without inflammation or exudate.
Neck is supple, without lymphadenopathy. Lungs
are clear, with equal breath sounds and no
wheezing. Heart has regular rhythm without
murmurs. Which of the following is the most
likely diagnosis?
A. Viral URI
B. Acute Sinusitis
C. Nasal Foreign Body
D. Allergic Rhinitis
A 59 year-old male complains of "flashing lights Retinal Detachment
behind my eye" followed by sudden loss of
vision, stating that it was "like a curtain across my Patients with retinal detachment frequently complain of flashes of light or floaters that occur
eye." He denies trauma. He takes Glucophage for during traction on the retina as it detaches. This is followed by loss of vision. In small
his diabetes mellitus and atenolol for his detachments, the retina may appear out of focus, but with larger detachments, a retinal fold
hypertension. He has no other complaints. On may be identified.
fundoscopic exam, the retina appears to be out
of focus. Which of the following is the most likely
diagnosis?
A. Central retinal vein occlusion
B. Retinal artery occlusion
C. Retinal detachment
D. Hyphema
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A 64 year-old woman complains of headache Findings of ciliary flush, mid-dilated and nonreactive pupil, and hazy cornea in a patient with
and left eye pain for about a day. She says it severe eye pain are consistent with acute angle closure glaucoma.
started yesterday as a dull ache and now is
throbbing. She also complains of nausea and
vomiting, which she attributes to the popcorn
she ate at the movie theater yesterday afternoon.
On exam, the left pupil is mid-dilated and
nonreactive. The cornea is hazy. A ciliary flush is
noted. Which of the following is the most likely
diagnosis?
A. Migraine Headache
B. Retinal Artery Occlusion
C. Closed Angle Glaucoma
D. Open Angle Glaucoma
A 6-year-old previously healthy boy is brought This patient is presenting with ear pain and a bulging tympanic membrane which is concerning
to the emergency department for right ear pain. for a middle ear infection. Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella
His mother states he has been pulling at his ear catarrhalis are the most common causes.
for the past 2 days and has complained of
discomfort. She states he felt warm but has not SMH = Acute Otitis Media
taken his temperature. His birth history is
unremarkable and he has no significant medical
history. His temperature is 100.4°F (38.0°C), blood
pressure is 94/54 mmHg, pulse is 100/min,
respirations are 17/min, and oxygen saturation is
98% on room air. PEX shows a thickened non
mobile bulging tympanic membrane. Which of
the following is the most likely etiology of this
patient's symptoms
A. Moraxella catarrhalis
B. Staphylococcus aureus
C. Pseudomonas aeruginosa
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