All the following are correct statements regarding the S3 component of the
heart sound except.
A) It occurs early in diastole and is sometimes called an opening snap
B) It is a normal finding in some children, healthy young adults, and athletes
C) It can be a normal variant if heard in a person age 40 or older
D) It signifies CHF (congestive heart failure) ANS✔✔ C) It can be a normal
variant if heard in a person age 40 or older
A positive straight leg raising test is indicative of which of the following?
A) Myasthenia gravis
B) Inflammation of the sciatic nerve/herniated disc
C) Multiple sclerosis
D) Parkinson's disease ANS✔✔ B) Inflammation of the sciatic
nerve/herniated disc
Which of the following would you recommend on an annual basis for an
elderly type 2 diabetic?
A) Eye exam with an ophthalmologist
B) Follow-ups visit with a urologist
C) Periodic visits to an optometrist
D) Colonoscopy ANS✔✔ A) Eye exam with an ophthalmologist
, Solution 2024/2025
Pepper
72-year-old female complains to you of a crusty and nonhealing small ulcer
on her upper lip that
she has had for several years. Which of the following would you
recommend?
A) Triamcinolone acetonide (Kenalog) cream BID for 2 weeks
B) Triple antibiotic ointment BID x 2 weeks
C) Hydrocortisone 1% cream BID for 2 weeks
D) The patient needs to be evaluated by a dermatologist ANS✔✔ D) The
patient needs to be evaluated by a dermatologist
All the following statements about phototherapy are correct except.
A) Light from the blue to white spectrum is used
B) It is not always necessary to use a shield for the infant's eyes
C) Unconjugated bilirubin in the skin is converted to a water-soluble
nontoxic substance that is excreted in the bile
D) The infant's eyes should be shielded ANS✔✔ B) It is not always necessary
to use a shield for the infant's eyes
Heberden's nodes are commonly found in which of the following diseases?
A) Rheumatoid arthritis
B) Degenerative joint disease
C) Psoriatic arthritis
D) Septic arthritis ANS✔✔ B) Degenerative joint disease
The red blood cells in pernicious anemia will show:
A) Microcytic and hypochromic cells
, Solution 2024/2025
Pepper
B) Microcytic and normochromic cells
C) Macrocytic and normochromic cells
D) Macrocytic and hypochromic cells ANS✔✔ C) Macrocytic and
normochromic cells
You notice a medium pitched harsh systolic murmur during an episodic
exam. It is best heard at the right upper border of the sternum. What is
most likely?
A) Mitral stenosis
B) Aortic stenosis
C) Pulmonic stenosis
D) Tricuspid regurgitation ANS✔✔ B) Aortic stenosis
A small abscess on a hair follicle on the eyelid is called:
A) Hordeolum
B) Pterygium
C) Pinguecula
D) Ptosis ANS✔✔ A) Hordeolum
*** Hordeolum - sty
Pterygium - eye web (triangular growth) Pinguecula - white or yellow colored
raised growth on conjunctiva
Which of the following is indicated for the prophylactic treatment of
migraine headache?
A) Ibuprofen (Motrin)
B) Naproxen sodium (Anaprox)
, Solution 2024/2025
Pepper
C) Propranolol (Inderal)
D) Sumatriptan (Imitrex) ANS✔✔ C) Propranolol (Inderal)
A 40-year-old male complains to the nurse practitioner of severe stabbing
pains behind his left eye for the past 2 days. It is accompanied by some
nasal congestion and rhinorrhea, which is clear in color. The patient denies
pharyngitis and fever. Which of the following conditions is most likely?
A) Migraine headache with aura
B) Cluster headache
C) Tic douloureux
D) Cranial neuralgia ANS✔✔ B) Cluster headache
Ken has type 2 diabetes mellitus and a "sensitive stomach". Which
medication is least likely to cause him gastrointestinal distress?
All the following statements are true regarding domestic abuse except:
A) There is no delay in seeking medical treatment
B) The pattern of injuries is inconsistent with the history reported
C) Injuries are usually in the 'central' area of the body instead of the
extremities
D) Pregnant women have a higher risk of domestic abuse ANS✔✔ A) There
is no delay in seeking medical treatment
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