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✔✔ 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?
ANS✔✔ Inflammation of the sciatic nerve/herniated disc
Which of the following would you recommend on an annual basis for an
elderly type 2 diabetic? ANS✔✔ Eye exam with an ophthalmologist
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? ANS✔✔ The patient needs to be evaluated by a
dermatologist
All the following statements about phototherapy are correct except. ANS✔✔
It is not always necessary to use a shield for the infant's eyes
, Solution 2024/2025
Pepper
Heberden's nodes are commonly found in which of the following diseases?
ANS✔✔ Degenerative joint disease
The red blood cells in pernicious anemia will show: ANS✔✔ 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? ANS✔✔ Aortic stenosis
A small abscess on a hair follicle on the eyelid is called: ANS✔✔ Hordeolum
Which of the following is indicated for the prophylactic treatment of
migraine headache? ANS✔✔ 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?
ANS✔✔ Cluster headache
Ken has type 2 diabetes mellitus and a "sensitive stomach". Which
medication is least likely to cause him gastrointestinal distress? ANS✔✔
Sucralfate (Carafate)
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
, Solution 2024/2025
Pepper
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
A new mother is breastfeeding her full term 4-week-old infant. She wants to
know whether she should give vitamin supplements. The best advice is:
ANS✔✔ Breastfed infants require iron and Vitamin D right away
Beta thalassemia minor is considered a: ANS✔✔ Microcytic anemia
Potential complications of mitral valve prolapse include all the following
except: ANS✔✔ Mitral Stenosis
A patient is complaining of severe pruritus that is worse at night. Several
family members have the same symptoms. On exam, areas of excoriated
papules are noted on the interdigital webs of both hands and the axillae.
This is consistent with: ANS✔✔ Renal system
A 15-year-old is staying with a foster family and has no record of
immunizations. Which of the following does he need before entering high
school?
A) Meningococcal
B) MMR
C) Tdap
D) All the above ANS✔✔ All the above
, Solution 2024/2025
Pepper
Which cranial nerve is being evaluated when a patient shrugs their
shoulders? ANS✔✔ CN XI
A lab tech has a 10.5 mm area of redness and induration in lift forearm after
getting a mantoux 72 hours ago. Last test done 12 months ago was
negative. Denies cough, night sweats, and weight loss. What is the next
best intervention? ANS✔✔ Obtain CXR
Which of the following is most likely to be at a higher risk for osteoporosis?
ANS✔✔ 42-year-old obese woman from Cuba who has been taking
prednisone daily for over 12 years for severe asthma
What is the primary carbohydrate found in breast mild and commercial
infant formulas? ANS✔✔ Lactose
Which of the following is least likely to become an alcoholic? ANS✔✔ Patient
who drinks one cup of wine nightly
The following conditions are absolute contraindications for the use of oral
contraceptives except:
A) Hepatomas
B) History of emboli that resolved with heparin therapy 15 years ago
C) A family history of migraines with aura
D) A history of gallbladder disease during pregnancy ANS✔✔ A family
history of migraines with aura
The most common cause of cancer deaths in males is: ANS✔✔ Lung cancer
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