STRUCTURED QUESTIONS WITH CORRECT
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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
1
,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
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)
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.
2
,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
A 16-year-old female in the first month of taking Ortho-Novum 7/7/7 complains 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
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?
3
, 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
87 y/o NH patient is drowsy and barely responsive. Temp 95, BP: 110/70, Pulse 60, R
10. The best action is to:
1) initiate passive warming
2) apply a rebreather
3) Perform fluid replacement
4) initiate active warming ANSWER >> 1) initiate passive rewarming
A patient is referred with DM, HTN and CAD. He is on insulin and a beta blocker. How
would you educate this patient on recognizing the signs and symptoms of
hypoglycemia?
4