With Verified Answers
1. An 88-year-old presents with right-side weakness after being unable to rise
unassisted following a fall to the bathroom floor. History includes aphasia and
noncompliance with hypertension medication regimen. What is the most likely
diagnosis?
Left-sided or right-sided CVA?: ANSWER LEFT-SIDED CVA
2. Which of the following signs/symtpoms are often associated with headahces
due to intracranial tumor?
1) pain worse laying down, focal neurological signs
2) Hyperflexia, personality change
3) acute onset: hours to days
4) pupillary constriction; stupor: ANSWER 1) pain worse laying down, focal neurological signs
,3. Which of the following pharmacotherapeutics would be most important to
administer to a patient who has a corneal abrasion?
1) Timolol
2) Gentamicin ophthalmic
3) Cromolyn optha
4) Olopatadine: ANSWER 2) Gentamicin ophthalmic (Genoptic)
4. A 25-year-old presents with the chief complaint of decreased mobility and
pain of the right shoulder exacerbated by movement. The patient reports that
he participated in extensive house painting 24 hours prior to the onset of pain.
He denies any trauma. Passive ROM is intact. No redness or ecchymosis is
present. What is the next step to be taken in order to make a diagnosis?
1) Xray of shoulder
2) Palpate structures around the shoulder.
3) MRI of shoulder
,4) EMG: ANSWER 2) palpate structures
5. A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 com-
plains of midcycle spotting. She has not missed any doses and uses no other
, medication. Which of the following is appropriate?
1) Changing to Ortho-Novum 1/35
2) Discontinue use
3) Providing reassurance
4) Double dose-for two days: ANSWER 3) provide reassurance
6. According to the Report of the U.S. Preventive Services Task Force, which of
the following is NOT a current recommendation guideline for preventive care
in elderly female patients?
1) Mammogram and clinical breast exams
2) Fecal Occult blood test and/or sig
3) Rubella serology or vaccination history
4) Pnuemo and influenza vaccines: ANSWER 3) Rubella serology or vaccination history
7. 87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse