Bio-Medicine NCCAOM Board Exam 100% Solved A patient says he's going to commit suicide, what should do? - answer✔✔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. Diag nosis: - answer✔✔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. Wha t do you suspect? - answer✔✔Depression Which one is example of abuse? - answer✔✔Retinal hemorrhage in infant (baby shaking) Child abuse reporting process, what type of law? - answer✔✔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? - answer✔✔Child Abuse Confused elderly suspects someone in his health care steals his money, and patient said d on't tell anybody. Your response? - answer✔✔Call social worker Domestic violence - answer✔✔Encourage patient seeking for legal consultant and consider keep away form abusive partner. McBurney sign - answer✔✔Tender point in right lower abdomen of a patient with appendicitis. Patient with lower right quadrant abdominal pain - answer✔✔Appendicitis Diverticulitis case study, it asked about what test would you use to diagnose it: - answer✔✔CT scan Patient has abdominal pain is aggravated when defecting? - answer✔✔Aortic aneurysm Patient has diarrhea and constipation, stools show mucus and blood, why is the diagnosis: - answer✔✔Ulcerative Colitis Which drug category will you select if you want to reduced gastric acid in the stomach? - answer✔✔Antacids What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) - answer✔✔Cytochrome Benzodiazepines are used for what? - answer✔✔Anti-anxiety, relax muscle, help insomnia, muscles spasms, seizure. = BZD ( -zepam) Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? - answer✔✔Antipsychotic What disease is the most common causing renal failure in US? - answer✔✔Type I diabetes Group A B -hemolytic streptococcus infection is responsible for? - answe r✔✔Glomerulonephritis Erectile dysfunction is due to - answer✔✔Organic or psychosomatic Adverse effects from drugs that treat ED? - answer✔✔Hypotension Adverse effects of Erectile Dysfunction drugs: - answer✔✔Stuffy and runny nose A patient was pricked by a thorn in yard, symptoms occur next day -fever, chills, redness swollen and tenderness. What to suspect? - answer✔✔Cellulitis Woman gets a splinter from wooden branch, the next day started spreading around the wound area, wound becomes red, swollen and sor e grows in size, warm and tender upon touch, what problem does this patient have? - answer✔✔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? - answer✔✔Impetigo One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is your diagnosis? - answer✔✔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? - answer✔✔Measles 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? - answer✔✔Infectious mononucleosis Most common pathogen for PID (pelvic inflammatory disease) - answer✔✔Chlamydia and Gonorrhea CNT: Universal Precautions should be taught to: - answer✔✔All employees with occupational exposure to blood borne pathog ens Fatigue, night sweats, weight loss: - answer✔✔Need to rule out cancer 67 old man with cachexia. What does it suggest? - answer✔✔Probably Cancer Reasons for EPO increase: - answer✔✔Anemia Which Vitamin helps iron deficiency anemia: - answer✔✔Vitamin C Which one of these is a risk factor for blood clots? - answer✔✔Pregnancy If taking anticoagulant avoid which supplement? - answer✔✔Vitamin K What is primary cause of secondary hypertension? - answer✔✔Renal and endocrine diseases What category of drugs has s ide effect of muscle ache (myalgia)? - answer✔✔HMG -CoA redactase inhibitor Chronic Diabetic patient testing to check blood sugar level: - answer✔✔HbA1C hemoglobin What hormone spikes during ovulation ? - answer✔✔LH = Luteinizing hormone What hormone is ele vated in menopause? - answer✔✔FSH = Follicle stimulating hormone Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms - answer✔✔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: - answer✔✔Foreign object in airway What conditions causes "Prolonged expiration"? - answer✔✔Asthma CPK levels indicate: - answer✔✔Heart damage Woman calf lesion, enlarge over one day, red swollen, suspect: - answer✔✔DVT 12 hours flight, presents with calf pain. Check for what? - answer✔✔DVT Patient suspected to have a DVT, what is the be st way to confirm. - answer✔✔Doppler Ultrasound Older man with lower back pain during bowel movement and pulsating mass near umbilicus, what is the cause? - answer✔✔Abdominal aortic aneurysm
