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Sam is a 25-year-old man who has been diagnosed with low back strain based
on his history of localized low back pain and muscle spasm along with a
normal neurological examination. As the clinician, you explain to Sam that low
back pain is a diagnosis of
exclusion. Which of the following symptoms would alert the clinician to the more
serious finding of a herniated nucleus pulposus or ruptured disc?
a. morning stiffness and limited mobility of the lumbar spine
b. unilateral radicular pain symptoms that extend below the knee and are
equal to or greater than the back pain
c. Fever, chills, and elevated erythrocyte sedimentation rate
d. pathologic fractures, severe night pain, weight loss and fatigue
b. unilateral radicular pain symptoms that extend below the knee and are equal
to or greater than the back pain
Preceptors must always see the patients that the students see in the clinical
setting
a. true
b. false
a. true
,An 82 year old man is seen in the primary care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differentials?
a. BPH
b. Prostate cancer
c. UTI
d. all of the above
d. all of the above
Which causes the greatest percentage of mammalian bites?
a. dogs
b. cats
c. humans
d. rodents
a. dogs
Endoscopic report reveals the presents of Barrett's epithelium. Which of the
following information should the clinician include in the explaination of the
pathology report?
a. this is a premalignant tissue
b. this tissue is resistant to gastric acid
c. this tissue supports healing of the esophagus
d. all of the above
d. all of the above
,Which of the following data are indicative of testicular torsion?
a. absent cremasteric reflux
b. pain relived on testicular elevation
c. testicle very low in the scrotum
d. swollen scrotum with a red dot sign
a. absent cremasteric reflux
A family practice office for all 5 of your clinical rotations will guarantee that you
will gain the required pediatric exposure
a. true
b. false
b. false
, Most nosocomial pneumonias are caused by:
a. Fungi.
b. Viruses
c. Gram-negative bacteria.
d. Pneumococcal pneumonia.
c. Gram-negative bacteria.
The most common precancerous skin lesion found in Caucasians is
a. skin tags
b. actinic keratosis
c. melanoma
d. basal skin lesion
b. actinic keratosis
Which obstructive lung disease is classified as reversible?
a. Asthma
b. Chronic bronchitis
c. Emphysema
d. COPD
a. Asthma
Which of the following is an example of an articular structure
a. bone
b. synovium
c. tendons
d. fascia
b. synovium