DIFFERENTIAL DIAGNOSIS COMPREHENSIVE
CLINICAL ASSESSMENT 2026 COMPLETE
SOLUTIONS 100% CORRECT
◉ Which of the following statements is true concerning the
management of the client with a herniated disc?
a. muscle relaxants and narcotics can be used to control moderate
pain but should be discontinued after 3 weeks of use
b. an epidural injection is helpful in reducing leg pain that has
persisted for at least 3 weeks after the herniation occurred.
c. intolerable pain for more than 3 months is an indication for
surgical intervention
d. all of the above. Answer: c. intolerable pain for more than 3
months is an indication for surgical intervention
◉ After 6 months of synthroid therapy, the clinician should expect
which of the following in the repeat thyroid studies?
a. elevated TSH
b. normal TSH
c. low TSH
d. undetectable TSH. Answer: b. normal TSH
,◉ The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician
order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium. Answer: a. thryoid stimulating
hormone (TSH) and free T4
◉ Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus. Answer: a. pasteurella
multocida
◉ The 56 year old man with chronic prostatitis should be treated
with trimethoprim 80mg-sulfamethoxazole 400 (TMP-SMX,
Bactrim) for how long?
,a. 3-7 days
b. 14-21 days
c. 3-6 weeks
d 6-12 weeks. Answer: d 6-12 weeks
◉ The A in SNAPPS stands for Assessment
a. true
b. false. Answer: b. false
◉ A patient is diagnosed with Giardia after backpacking trip in the
mountains. Which of the following would be the appropriate
treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim. Answer: c. Metronidazole
◉ The most cost effective screening test to determine HIV status is
which of the following?
, a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load. Answer: b. enzyme-linked immunosorbent assay
(ELISA)
◉ The clinician sees a patient who is 5 feet tall and weighs 150
pounds (:BMI 29.3). How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
d. morbid obesity. Answer: b. Mild Obesity
◉ One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an
articular srtucture?
A. Fascia
B. Bone
C. Synovium
D. Tendons. Answer: C. Synovium
CLINICAL ASSESSMENT 2026 COMPLETE
SOLUTIONS 100% CORRECT
◉ Which of the following statements is true concerning the
management of the client with a herniated disc?
a. muscle relaxants and narcotics can be used to control moderate
pain but should be discontinued after 3 weeks of use
b. an epidural injection is helpful in reducing leg pain that has
persisted for at least 3 weeks after the herniation occurred.
c. intolerable pain for more than 3 months is an indication for
surgical intervention
d. all of the above. Answer: c. intolerable pain for more than 3
months is an indication for surgical intervention
◉ After 6 months of synthroid therapy, the clinician should expect
which of the following in the repeat thyroid studies?
a. elevated TSH
b. normal TSH
c. low TSH
d. undetectable TSH. Answer: b. normal TSH
,◉ The clinician suspects that a client seen in the office has
hyperthyroidism. Which of the following tests should the clinician
order on the initial visit?
a. thryoid stimulating hormone (TSH) and free T4
b. TSH and thyrotoxin antibodies
•High sensitivity thyroid stimulating hormone TSH and free T4
• Free T4 and serum calcium. Answer: a. thryoid stimulating
hormone (TSH) and free T4
◉ Cat bites are commonly associated with which of the following
pathogens?
a. pasteurella multocida
b. vibri vulnificus
c. group B streptococcus
d. Group A beta hemolytic streptococcus. Answer: a. pasteurella
multocida
◉ The 56 year old man with chronic prostatitis should be treated
with trimethoprim 80mg-sulfamethoxazole 400 (TMP-SMX,
Bactrim) for how long?
,a. 3-7 days
b. 14-21 days
c. 3-6 weeks
d 6-12 weeks. Answer: d 6-12 weeks
◉ The A in SNAPPS stands for Assessment
a. true
b. false. Answer: b. false
◉ A patient is diagnosed with Giardia after backpacking trip in the
mountains. Which of the following would be the appropriate
treatement?
a. Vancomycin
b. Penicillin
c. Metronidazole
d. Bactrim. Answer: c. Metronidazole
◉ The most cost effective screening test to determine HIV status is
which of the following?
, a. western blot
b. enzyme-linked immunosorbent assay (ELISA)
c. venereal disease research laboratory test (VDRL)
d. Viral load. Answer: b. enzyme-linked immunosorbent assay
(ELISA)
◉ The clinician sees a patient who is 5 feet tall and weighs 150
pounds (:BMI 29.3). How would the clinician classify this patient?
a. overweight
b. Mild Obesity
c. Moderate Obesity
d. morbid obesity. Answer: b. Mild Obesity
◉ One of the initial steps in assessing patients with musculoskeletal
complaints is to determine whether the complaint is articular or
nonarticular in origin. Which of the following is an example of an
articular srtucture?
A. Fascia
B. Bone
C. Synovium
D. Tendons. Answer: C. Synovium
