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Question 1
1..32 pts
A patient presents for evaluation of a sharp, aching chest pain which increases with breathing. Which anatomic area would you
localize the symptom to?
Musculoskeletal
Reproductive
Urinary
Endocrine
Question 2
1..32 pts
A 22-year-old advertising copywriter presents for evaluation of joint pain. The pain is new, located in the wrists and fingers bilaterally.
The patient denies a rash and also denies recent travel or camping activities. She has a family history significant for rheumatoid
arthritis. Based on this information, which of the following pathologic processes would be the most correct?
Infectious
Inflammatory
Hematologic
Traumatic
IncorrectQuestion 3
.32 pts
Mr. Larson is a 42-year-old widowed father of two children, ages 4 and 11. He works in a sales office to support his family. Recently
he has injured his back and you are thinking he would benefit from physical therapy, three times a week, for an hour per session. What
would be your next step?
Write the physical therapy prescription.
Have your office staff explain directions to the physical therapy center.
Discuss the plan with Mr. Larson.
Tell Mr. Larson that he will be going to physical therapy three times a week.
Question 4
1..32 pts
You are seeing an elderly man with multiple complaints. He has chronic arthritis, pain from an old war injury, and headaches. Today
he complains of these pains, as well as dull chest pain under his sternum. What would the order of priority be for your problem list?
Arthritis, war injury pain, headaches, chest pain
War injury pain, arthritis, headaches, chest pain
Headaches, arthritis, war injury pain, chest pain
Chest pain, headaches, arthritis, war injury pain
Question 5
1..32 pts
A 37-year-old nurse comes for evaluation of constant right upper quadrant abdominal pain. The pain is worse 1 to 2 hours after eating
greasy foods and is associated with nausea and vomiting. Which one of the following physical examination descriptions would be
most consistent with the diagnosis of acute cholecystitis?
Abdomen is soft, nontender, and nondistended, without hepatosplenomegaly or masses.
Abdomen is soft and slightly tender to palpation in the left lower quadrant, without rebound or guarding.
Abdomen is soft and tender to palpation in the right upper quadrant with positive Murphy sign.
Abdomen is soft and slightly tender to palpation in the left flank area.
Question 6
1
,1..32 pts
A 15-year-old high school sophomore comes to the clinic for evaluation of a 3-week history of sneezing, itchy watery eyes, clear nasal
discharge, and nonproductive cough. Which is the most likely pathologic process?
Infection
Inflammation
Allergic
Vascular
IncorrectQuestion 7
2
, .32 pts
You have just seen a 5-year-old girl who wheezes when exposed to cats. The patient's family history is positive for asthma. You think
the child possibly has asthma, but is uncertain if asthma is actual cause of child's symptom. What have you just accomplished?
3