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1. A woman had a biopsy of a breast mass. Which of the following findings are
considered precancerous? - ANSWER Atypical hyperplasia
2. ______ syndrome occurs when there is an extra X chromosome. - ANSWER
Klinefelter
3. Children with PKU must avoid phenylalanine in the diet. Phenylalanine is
most likely a component of: - ANSWER protein.
4. A 20-year-old man just took a home human immunodeficiency virus (HIV)
antibody test. He states That it was positive. What is the next step? -
ANSWER A p24 antigen test will be done.
5. The major disadvantage of passive immunization is that it: - ANSWER D)
induces short-term protection.
,6. In addition to a positive antinuclear antibody test, which of the following
diagnostic test findings is consistent with diagnosis of systemic lupus
erythematous? - ANSWER Positive anti-double stranded DNA
7. A 5-year-old child is brought in by his parents who report that she has not
been eating well, and they think she is losing weight even though her belly
looks bloated. They also noticed that she is limping when she walks.
Physical examination reveals a pale, quiet girl. Small bruises are noted on
her shins and upper arms. Her heart sounds and lung sounds are normal.
She has hepatomegaly and splenomegaly. The remainder of the exam is
normal. Which type of hematologic cancer should be suspected? - ANSWER
Acute lymphoblastic leukemia
8. Which of the following triggers can precipitate a sickle cell crisis? - ANSWER
Fever, dehydration, and stress
9. A 55-year-old woman has a hypochromic, microcytic anemia. The most
likely cause is: - ANSWER iron deficiency resulting from chronic
gastrointestinal blood loss.
10.An infant is diagnosed with a small patent ductus arteriosus (PDA). Which of
the following is accurate pertaining to this case? - ANSWER The infant
has an opening between the pulmonary artery and aorta.
11.A 19-year-old athlete went out for his first day of football practice. He
experienced sudden cardiac death. The cause of death was determined to
be cardiomyopathy. It was most likely __________ cardiomyopathy. -
ANSWER hypertrophic
,12.The most likely place for a thrombosis to form postoperatively is: - ANSWER
The legs
13.Which of the following can be used to measure hypercapnia? - ANSWER
End tidal carbon dioxide detector
14.A mother brings her 5-year-old child in because the child snores and has
difficulty breathing when sleeping and seems to move around a lot when
sleeping. Obstructive sleep apnea syndrome (OSAS) is suspected. What is a
likely physical exam finding to support the most common cause of OSAS in
children? - ANSWER Noted mouth breathing and enlarged tonsils
15.The most common manifestations of acute epiglottitis in children is(are -
ANSWER tripod positioning, "hot potato" voice, and acutely high fever.
16.Which of the following would be appropriate treatment for a patient on a
ventilator with respiratory alkalosis, a low CO2, and normal sodium
bicarbonate? - ANSWER Decrease the respiratory rate on the ventilator
17.Classify the following arterial blood gas: pH = 7.35, PaCO2 = 50 mm Hg,
HCO3 = 29 mEq/L. - ANSWER Compensated respiratory acidosis
18.Causes of painless, asymptomatic hematuria include: - ANSWER
urothelial cell carcinoma and renal cell carcinoma
, 19.Which of the following diagnostic findings is present in pyelonephritis but
not in acute cystitis? - ANSWER White blood cell casts
20.A patient with end-stage renal disease (ESRD) has tall, peaked T waves on
his electrocardiogram (ECG). Which of the following is the best action? -
ANSWER Check the serum potassium level.
21.A father brought his son to the emergency room because he has a painful
erection that is not abating. His son has sickle cell anemia. He is diagnosed
with priapism. How does sickle cell lead to priapism? - ANSWER The
sickled red blood cells get trapped in the penis.
22.Erectile dysfunction can be an early warning sign of: - ANSWER
cardiovascular disease
23.Human chorionic gonadotropin is generally detected in some pregnancy
tests, and a positive result reflects pregnancy. What is the purpose of this
hormone during pregnancy? - ANSWER It stimulates corpus luteum to
produce estrogen and progesterone.
24.A 3-week-old male infant is brought to the ER with projectile vomiting and
irritability. The mother said that he seems to be hungry a lot but vomits
after, and it has gotten worse over 2-3 days. She also notes he is
constipated. The most likely diagnosis is: - ANSWER pyloric stenosis.
25.Clinical manifestations of new onset, uncomplicated gastroesophageal
reflux disease include: - ANSWER heartburn and sour taste in mouth.