D236 PRE-ASSESSMENT TEST
QUESTIONS AND ANSWERS
XR shows torn soft tissue ligaments surrounding MCP joint injury. Treatment includes
surgical reconstruction to realign bone and ligaments. - ANSWER -Finger dislocation
Restlessness and exhaustion; constant, dull muscle aches; tenderness. Chronic pain
that lasts a long time. Can worsen with mood flair ups. - ANSWER -Fibromyalgia
Burning, weakness, and tingling in one hand. The patient is unable to demonstrate a
strong grip and is experiencing stronger discomfort at night. Doctor recommends medial
nerve compression. - ANSWER -Carpal Tunnel Syndrome
Wrist and arm pain with limited mobility. Not able to rotate fully, no inflammation
present. Short arm splint, apply ice as needed. - ANSWER -Sprain
A patient's record indicates a skin condition in which depigmentation appears on
different parts of the body that are often exposed to sunlight. A skin biopsy reveals a
lack of melanocytes. - ANSWER -Vitiligo
A raised, red area recently developed on an eight-year-old patient's back after eating
peanuts. - ANSWER -Urticaria
Upon physical exam, a patient was found to have a small, oozing vesicles on the skin of
both hands. Both hands were hot to the touch and swollen. The patient reported itching,
burning, and stinging of the skin. Frequently wears latex gloves. - ANSWER -Contact
dermatitis
A 19-year-old patient reports persistent itching and peeling dry skin between the first
and second toes. The patient also has a burning sensation. An internal medicine
practitioner prescribes antifungal ointment and wash for the next four weeks. -
ANSWER -Tinea pedis
A patient has severe itching on the face. The physical exam reveals dry skin and small
lesions. The patient has a family history of allergic rhinitis. The physician prescribes
topical anti-itch cream and instructs daily skin care. - ANSWER -Eczema
A patient presents for follow-up of several painful vesicular lesions on the face, mouth,
and tongue. The patient is diagnosed with a condition caused by the same virus that
causes chicken pox. - ANSWER -Herpes zoster (shingles)
Patient presents to the ED complaining of a sudden onset of speech impairment, severe
headache, falling down while standing, and inability to move the arm and leg on the
, right side. A cerebral angiogram shows occlusion of blood vessels. - ANSWER -
Ischemic stroke
Which disease can vitamin B12 deficiency be attributed to? - ANSWER -Alcoholism
What are two possible causes for peripheral neuropathy? - ANSWER -Vitamin B12
deficiency & Lead poisoning
A patient has slurred speech, difficulty walking, and dilated pupils. Which condition does
this describe? - ANSWER -Subdural hematoma
A patient has tremors, bradykinesia, and abnormal gait. The patient is taking
anticholinergics; however, the symptoms are aggravated. A neurologist treats the
patient with deep brain stimulation. - ANSWER -Parkinson disease
Following pupil dilation, an opthalmoscopy shows a cloudy and crystalline lens of the
left eye. An intracapsular extraction intraocular lens inmplant is recommended. -
ANSWER -Cataract
A 47-year-old diabetic patient presents with aching eyes, visual disturbances, and a loss
of peripheral vision. Which diagnosis is described? - ANSWER -Glaucoma
A patient record shows that an ear exam revealed growth of new bone that is fixed. The
patient has permanent hearing loss. - ANSWER -Otosclerosis
A 43-year-old patient presents to the urgent care center reporting ongoing symptoms of
dizziness with ringing and buzzing in the ear and hearing loss on the left side. The
patient indicated no history of head injury that would cause this, and symptoms have
included nausea, vomiting, and having to hold on to things while walking. - ANSWER -
Meniere disease
A patient has local dilation of a blood vessel with weakening of its walls. - ANSWER -
Aneurysm
Which cardiovascular condition occurs when blood flow to a section of heart muscle
becomes blocked (usually by a clot), potentially causing heart muscle damage and
death? - ANSWER -Myocardial infarction
Which condition occurs when a blood clot blocks blood flow to the heart and damages
the heart muscle due to lack of oxygen? - ANSWER -Myocardial infarction
Which condition occurs when the blood flow to part of the heart muscle becomes
blocked, typically by a clot? - ANSWER -Myocardial infarction
A patient's record documents reports of fatigue, shortness of breath, and vomiting. The
patient was given medication for crushing chest pain that radiated to the neck and jaw.
QUESTIONS AND ANSWERS
XR shows torn soft tissue ligaments surrounding MCP joint injury. Treatment includes
surgical reconstruction to realign bone and ligaments. - ANSWER -Finger dislocation
Restlessness and exhaustion; constant, dull muscle aches; tenderness. Chronic pain
that lasts a long time. Can worsen with mood flair ups. - ANSWER -Fibromyalgia
Burning, weakness, and tingling in one hand. The patient is unable to demonstrate a
strong grip and is experiencing stronger discomfort at night. Doctor recommends medial
nerve compression. - ANSWER -Carpal Tunnel Syndrome
Wrist and arm pain with limited mobility. Not able to rotate fully, no inflammation
present. Short arm splint, apply ice as needed. - ANSWER -Sprain
A patient's record indicates a skin condition in which depigmentation appears on
different parts of the body that are often exposed to sunlight. A skin biopsy reveals a
lack of melanocytes. - ANSWER -Vitiligo
A raised, red area recently developed on an eight-year-old patient's back after eating
peanuts. - ANSWER -Urticaria
Upon physical exam, a patient was found to have a small, oozing vesicles on the skin of
both hands. Both hands were hot to the touch and swollen. The patient reported itching,
burning, and stinging of the skin. Frequently wears latex gloves. - ANSWER -Contact
dermatitis
A 19-year-old patient reports persistent itching and peeling dry skin between the first
and second toes. The patient also has a burning sensation. An internal medicine
practitioner prescribes antifungal ointment and wash for the next four weeks. -
ANSWER -Tinea pedis
A patient has severe itching on the face. The physical exam reveals dry skin and small
lesions. The patient has a family history of allergic rhinitis. The physician prescribes
topical anti-itch cream and instructs daily skin care. - ANSWER -Eczema
A patient presents for follow-up of several painful vesicular lesions on the face, mouth,
and tongue. The patient is diagnosed with a condition caused by the same virus that
causes chicken pox. - ANSWER -Herpes zoster (shingles)
Patient presents to the ED complaining of a sudden onset of speech impairment, severe
headache, falling down while standing, and inability to move the arm and leg on the
, right side. A cerebral angiogram shows occlusion of blood vessels. - ANSWER -
Ischemic stroke
Which disease can vitamin B12 deficiency be attributed to? - ANSWER -Alcoholism
What are two possible causes for peripheral neuropathy? - ANSWER -Vitamin B12
deficiency & Lead poisoning
A patient has slurred speech, difficulty walking, and dilated pupils. Which condition does
this describe? - ANSWER -Subdural hematoma
A patient has tremors, bradykinesia, and abnormal gait. The patient is taking
anticholinergics; however, the symptoms are aggravated. A neurologist treats the
patient with deep brain stimulation. - ANSWER -Parkinson disease
Following pupil dilation, an opthalmoscopy shows a cloudy and crystalline lens of the
left eye. An intracapsular extraction intraocular lens inmplant is recommended. -
ANSWER -Cataract
A 47-year-old diabetic patient presents with aching eyes, visual disturbances, and a loss
of peripheral vision. Which diagnosis is described? - ANSWER -Glaucoma
A patient record shows that an ear exam revealed growth of new bone that is fixed. The
patient has permanent hearing loss. - ANSWER -Otosclerosis
A 43-year-old patient presents to the urgent care center reporting ongoing symptoms of
dizziness with ringing and buzzing in the ear and hearing loss on the left side. The
patient indicated no history of head injury that would cause this, and symptoms have
included nausea, vomiting, and having to hold on to things while walking. - ANSWER -
Meniere disease
A patient has local dilation of a blood vessel with weakening of its walls. - ANSWER -
Aneurysm
Which cardiovascular condition occurs when blood flow to a section of heart muscle
becomes blocked (usually by a clot), potentially causing heart muscle damage and
death? - ANSWER -Myocardial infarction
Which condition occurs when a blood clot blocks blood flow to the heart and damages
the heart muscle due to lack of oxygen? - ANSWER -Myocardial infarction
Which condition occurs when the blood flow to part of the heart muscle becomes
blocked, typically by a clot? - ANSWER -Myocardial infarction
A patient's record documents reports of fatigue, shortness of breath, and vomiting. The
patient was given medication for crushing chest pain that radiated to the neck and jaw.
