,2|Page
Question 5
A 72 year old female patient reports a 6 month history of gradually progressive
swollen and painful distal interphalangeal (DIP) joints of one hand. She has no
systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear
antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is
the most likely diagnosis? - CORRECT ANSWER-Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on
urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of
urinary tract infection. The initial treatment should be: - CORRECT
ANSWERTrimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
- CORRECT ANSWER-Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
,3|Page
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made
by - CORRECT ANSWER-Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are): - CORRECT
ANSWER-81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome? - CORRECT
ANSWERExcessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: - CORRECT
ANSWER-Routinely after 3 weeks of low back pain symptoms.
, 4|Page
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks
of more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order
to see if it has been cured? - CORRECT ANSWER-An enzyme-linked
immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer's disease
provides the performance ratings on 10 complex, higher order activities? -
CORRECT ANSWER-MMSE
CAGE questionnaire
FAQ - Functional Activities Questionnaire
Holmes and Rahe social readjustment scale
Question 14
Major depression occurs most often in which of the following conditions? -
Question 5
A 72 year old female patient reports a 6 month history of gradually progressive
swollen and painful distal interphalangeal (DIP) joints of one hand. She has no
systemic symptoms but the erythrocyte sedimentation rate (ESR), antinuclear
antibody (ANA), and rheumatoid factor (RF) are all minimally elevated. What is
the most likely diagnosis? - CORRECT ANSWER-Rheumatoid arthritis (RA)
Osteoarthritis (OA)
Lupus
Peripheral neuropathy
Question 6
A 32 year old male patient complains of urinary frequency and burning on
urination for 3 days. Urinalysis reveals bacteriuria. He denies any past history of
urinary tract infection. The initial treatment should be: - CORRECT
ANSWERTrimethoprim-sulfamethoxazole for 3 days
Ciprofloxacin for 7-10 days
Trimethoprim-sulfamethoxazole for 14 days
Ciprofloxacin for 3 days
A thymectomy is usually recommended in the early treatment of which disease?
- CORRECT ANSWER-Parkinson's disease
Multiple sclerosis
Myasthenia gravis
Huntington's chorea
,3|Page
Question 8
The diagnosis of human papilloma virus (HPV) infection in males is usually made
by - CORRECT ANSWER-Clinical appearance
Viral culture
Tzanck smear
KOH prep
Question 9
The most effective intervention(s) to prevent stroke is (are): - CORRECT
ANSWER-81 mg of aspirin daily
Carotid endarterectomy for patients with high-grade carotid lesions
Routine screening for carotid artery stenosis with auscultation for bruits
Smoking cessation and treatment of hypertension
Question 10
What is the most common cause of Cushing's syndrome? - CORRECT
ANSWERExcessive ACTH production
Administration of a glucocorticoid or ACTH
Pituitary adenoma or a non-pituitary ACTH-producing tumor
Autonomous cortisol production from adrenal tissue
Question 11
Diagnostic radiological studies are indicated for low back pain: - CORRECT
ANSWER-Routinely after 3 weeks of low back pain symptoms.
, 4|Page
To screen for spondylolithiasis in patients less than 20 years of age with 2 weeks
of more of low back pain.
When there is a suspicion of a space-occupying lesion, fracture, cauda equina, or
infection.
As a part of a pre-employment physical when heavy lifting is included in the job
description.
Question 12
After treating a patient for Helicobacter pylori infection, what test do you order
to see if it has been cured? - CORRECT ANSWER-An enzyme-linked
immunosorbent assay titer
A urea breath test
A rapid urease test
A repeat endoscopy
Question 13
Which appropriate test for the initial assessment of Alzheimer's disease
provides the performance ratings on 10 complex, higher order activities? -
CORRECT ANSWER-MMSE
CAGE questionnaire
FAQ - Functional Activities Questionnaire
Holmes and Rahe social readjustment scale
Question 14
Major depression occurs most often in which of the following conditions? -
