Exam (elaborations)

Clinical Integration 2 Student Questions - Exam 1 previous years questions

0 purchase

Course
LECOM HEALTHCARE MANAGEMENT II

Institution
LECOM HEALTHCARE MANAGEMENT II

An 85 year old smoker presents with hypotension and sudden, severe abdominal pain. Physical exam reveals a pulsatile, non-tender mass below the umbilicus. What is the likely diagnosis? A - Ruptured Abdominal Aortic Aneurysm B - Marfan's syndrome C - Raynaud's Phenomenon D - Pompe Disease E -...

[Show more]

Preview 4 out of 33 pages

View example

Uploaded on November 2, 2024
Number of pages 33
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

clinical integration 2 student questions exam 1

Institution LECOM HEALTHCARE MANAGEMENT II
Course LECOM HEALTHCARE MANAGEMENT II

DocLaura Member since 1 year 73 documents sold

$10.39

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Clinical Integration 2 Student Questions
- Exam 1 previous years questions

An 85 year old smoker presents with hypotension and sudden, severe abdominal pain. Physical
exam reveals a pulsatile, non-tender mass below the umbilicus. What is the likely diagnosis?

A - Ruptured Abdominal Aortic Aneurysm
B - Marfan's syndrome
C - Raynaud's Phenomenon
D - Pompe Disease
E - Hereditary Spherocytosis - ANS A - Ruptured Abdominal Aortic Aneurysm

A 34 year old man visits his PCP with complaints of frequent cramping of his legs and hands at
his job in construction. He has smoked a pack of cigarettes every day for the past 10 years. The
physician notices swelling around a vein in his leg and decides to take a biopsy of it, showing a
thrombus without involvement of structures of the vessel wall. What is the most likely diagnosis?

A) Raynaud's phenomenon
B) Takayasu's arteritis
C) Buerger's disease
D) AV fistula
E) Giant cell arteritis - ANS C) Buerger's disease

A 72 year old male presents to the ED with chest pain. Attached are the findings on the CT
angiogram of his descending aorta. It shows a large penetrating aortic ulcer above the
diaphragm. Which of the following is a major complication of both penetrating ulcers and
intramural hematomas?

A - Arteriovenous fistula
B - Aortic rupture
C - Pulmonary hypertension
D - Venous thromboembolic disease
E - Deep vein thrombosis - ANS B - Aortic rupture

A 60-year-old male patient complains of shoulder pain, visual disturbances and a headache.
Physical and Laboratory tests reveal low grade fever, scalp-tenderness and significantly
elevated C-reactive protein. Diagnosis is confirmed via histologic examination of arterial tissue,

,showing infiltration of "giant cells" in the vascular wall. Which of the following is the best course
of treatment for the patient?

A) Calcium channel blockers
B) High dose corticosteroids
C) Transcatheter embolization
D) Corticosteroids and surgical revascularization
E) Tobacco abstinence
F) Low dose corticosteroids then increase dose over time - ANS B) High dose
corticosteroids

A 27 year old Asian female presents to the clinic with coronary ischemia and congestive heart
failure. Physical findings include bruits over the aorta with diminished brachial pulses. What is
the most appropriate first-line treatment step?

A) Folate
B) Gentamicin
C) Corticosteroids
D) Zanamivir
E) Amlodipine - ANS C) Corticosteroids

Darla comes into the emergency department yelling and running around. She throws up all over
the doctor and suddenly loses consciousness. Quick testing shows that she has an abundant
amount of cocaine in her system. A CT scan confirms Darla has an aortic dissection and needs
immediate care. The scan shows a complete aortic dissection. What type of dissection does
Darla have ?

A) Type I
B) Type III
C) Type A
D) Type II
E) Type B - ANS A) Type I

A 60 year old male presents to the office with complaints of severe calf pain while completing
his daily walk for the past 3 weeks. He states that the calf pain is alleviated when he returns
home and rests. He also feels as though he is losing hair on his legs and toes despite no
change in diet or toiletries. Upon physical exam, it is noted that the skin to his lower extremities
are shiny and have a cyanotic tint. The most likely diagnosis is:

1) Peripheral Artery Disease (PAD)
2) Aortic Aneurysm
3) Aortic Dissection
4) Giant-cell Arteritis
5) Takayasu's Arteritis - ANS 1) Peripheral Artery Disease (PAD)

,A 40 year old female presents to her PCP complaining of recurrent episodes of pallor followed
by cyanosis and then erythema of her fingers and toes. She states that she experiences these
symptoms particularly in colder temperatures. The physician prescribes a calcium channel
blocker to reduce the frequency and severity of her symptoms. What is the most likely diagnosis
for this patient?

1) Buerger's disease
2) Raynaud's phenomenon
3) Giant cell arteritis
4) Takayasu's arteritis
5) Arteriovenous fistula - ANS 2) Raynaud's phenomenon

A 5-year-old female presents with retinoblastoma and is confirmed to have inherited a mutant
Rb1 allele. Although her father wasn't affected, his own mother was. Family history is
insignificant on her mother's side. What is the most likely reason her father never exhibited a
disease phenotype?

A. The father did not possess a disease-causing genotype
B. Variable expression
C. Germline mosaicism
D. Incomplete penetrance
E. Locus heterogeneity - ANS D. Incomplete penetrance

A 6-year-old patient is diagnosed with a mutation in the CFTR gene. As the disease progresses
what phenotype would not present in the patient?

A. Fibrotic lesions in the pancreas
B. Cystic medial necrosis
C. Inability to reabsorb chloride from the lumen of sweat glands
D. Pulmonary fibrosis
E. Chronic malabsorption of nutrients - ANS B. Cystic medial necrosis

The 3-year-old child of a young couple has just been diagnosed with cystic fibrosis, an
autosomal recessive disorder. Recently it has come to light that the couple shares familial
lineage and are technically cousins. What phenomena best explains the increased risk of this
autosomal recessive disorder in their child?

A. Variable expression
B. Allelic heterogeneity
C. Consanguinity
D. Locus heterogeneity
E. Marfan syndrome - ANS C. Consanguinity

, A 35-year-old patient is diagnosed with a mutation in the NF1 gene. What clinical features would
present in this patient?

A) Café-au-lait spots & Lisch nodules
B) Myopia & arachnodactyly
C) Aspiration pneumonia
D) Long limbs & narrow face
E) Bronchial infection - ANS A) Café-au-lait spots & Lisch nodules

A married couple decides that they want to start to try and have children; before beginning to try
they decide to conduct a genetic screening as the man has concerns as his family has a history
of Tay-Sachs. The counselor confirms to the man that he and, in fact, his wife are both carriers
for Tay-Sachs. The couple is now considered for the risk of having a child dominant for
Tay-Sachs, what is the recurrence risk of Tay-Sachs disease in this situation?

A. 50%
B. 25%
C. 33%
D. 100%
E. 0% - ANS B. 25%

Postaxial polydactyly, the presence of an extra digit next to the fifth digit, is inherited as an
autosomal dominant trait. A newborn male is found to have six digits on his hands. The father is
a homozygous, unaffected parent. Which of the following cases is a possible explanation as to
why the newborn has postaxial polydactyly?

a. The mother of the child is heterozygous and affected for postaxial polydactyly
b. The mother of the child is heterozygous and unaffected for postaxial polydactyly
c. The mother of the child is homozygous and unaffected for postaxial polydactyly
d. Postaxial polydactyly is also X-linked, so the mother must either be homozygous or
heterozygous for postaxial polydactyly.
e. The newborn's phenotype is an example of incomplete penetrance - ANS a. The mother
of the child is heterozygous and affected for postaxial polydactyly

An 11-year-old male presents to his pediatrician for a well-child examination. During the visit, the
child expresses interest in getting a sports physical—his middle school gym teacher has been
encouraging him to try out for the basketball team because of his flexibility, tall height, long
arms, and lengthy fingers. Concerned the patient may have an autosomal dominant condition,
the pediatrician conducts some tests. The Walker Murdoch wrist sign and Steinberg thumb sign
are both positive, the patient's arm span is about 3 inches greater than his height, and ocular
examinations reveal no myopia or displaced lens. The patient has no history of chest pain,
shortness of breath, or heart palpitations with exercise and his aortic root diameter falls within
the normal range. Genetic testing reveals the pediatrician's initial suspicion for a diagnosis is
wrong—the patient has a disorder caused by a mutation in a homologo - ANS D. FBN2

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller DocLaura. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.39. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

Clinical Integration 2 Student Questions - Exam 1 previous years questions

Document information

Subjects

Written for

Seller

Reviews received

Content preview