Question 2: Which drug for Alzheimer's disease should be administered beginning at the
time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - ANSWER a. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - ANSWER b. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following re-
sponses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to know for
sure."
d. "Because your lump is painful, it is most likely not cancer." - ANSWER "We will order a
mammogram and ultrasound to help establish a diagnosis."
1
,Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - ANSWER d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANSWER Abrupt onset
Question 8: Which clinical feature is the first to be affected in increased intracranial pressure
(ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - ANSWER Decrease in level of consciousness (LOC)
Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall dur-
ing a soccer game. Jennifer explains that she fell on her left side and kept her arm out
straight to break her fall. She has been experiencing severe pain and limited range of motion
in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of
the following statements are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
2
,b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check
for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice. - ANSWER There is a risk of neuro-
vascular and neurosensory trauma, so the clinician should check for distal pulses.
Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ANSWER morning stiffness
Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How
would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - ANSWER Mild obesity
Question 13: A 23-year-old sexually active woman presents for her first Pap smear. Her his-
tory includes nulligravida, age at first intercourse 14, and more than 10 sexual partners.
Which of the following conditions should the clinician be particularly alert for during her
exam?
a. Human papillomavirus (HPV)
3
, b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - ANSWER Human papillomavirus (HPV)
Question 14: Which of the following classes of drugs should be used as first-line therapy for
treatment of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - ANSWER Antipsychotic
Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - ANSWER treatment of choice for a patient diagnosed with testicular
cancer?
Radical orchidectomy
Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal ure-
thritis. What sexually transmitted disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
4
time of diagnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics - ANSWER a. cholinesterase inhibitors pg
Question 3: Most adult poisonings are:
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the person.
d. not attributed to any reason. - ANSWER b. accidental.
Question 4: A 58-year-old woman presents with a breast mass. Which of the following re-
sponses by the clinician would be most appropriate?
a. "It is probably just a cyst, because that is the most common breast mass."
b. "We will order a mammogram and ultrasound to help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy because that is the only way to know for
sure."
d. "Because your lump is painful, it is most likely not cancer." - ANSWER "We will order a
mammogram and ultrasound to help establish a diagnosis."
1
,Question 5: Which of the following is a specific test for multiple sclerosis (MS)?
a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test. - ANSWER d. There is no specific test.
Question 7: Which characteristic of delirium helps to distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions - ANSWER Abrupt onset
Question 8: Which clinical feature is the first to be affected in increased intracranial pressure
(ICP)?
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure - ANSWER Decrease in level of consciousness (LOC)
Question 9: Jennifer is an 18-year-old girl who comes to the emergency room after a fall dur-
ing a soccer game. Jennifer explains that she fell on her left side and kept her arm out
straight to break her fall. She has been experiencing severe pain and limited range of motion
in her left shoulder. The clinician has diagnosed Jennifer with a dislocated shoulder. Which of
the following statements are true concerning shoulder dislocation?
a. Posterior dislocations are more common than anterior dislocations.
2
,b. There is a risk of neurovascular and neurosensory trauma, so the clinician should check
for distal pulses.
c. Recurrent dislocations are uncommon and would require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice. - ANSWER There is a risk of neuro-
vascular and neurosensory trauma, so the clinician should check for distal pulses.
Question 10: Which of the following signs or symptoms indicate an inflammatory etiology to
musculoskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain - ANSWER morning stiffness
Question 11: The clinician sees a patient who is 5 feet tall and weighs 150 pounds. How
would the clinician classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity - ANSWER Mild obesity
Question 13: A 23-year-old sexually active woman presents for her first Pap smear. Her his-
tory includes nulligravida, age at first intercourse 14, and more than 10 sexual partners.
Which of the following conditions should the clinician be particularly alert for during her
exam?
a. Human papillomavirus (HPV)
3
, b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome - ANSWER Human papillomavirus (HPV)
Question 14: Which of the following classes of drugs should be used as first-line therapy for
treatment of delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants - ANSWER Antipsychotic
Question 15: What is the treatment of choice for a patient diagnosed with testicular cancer?
a. Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above - ANSWER treatment of choice for a patient diagnosed with testicular
cancer?
Radical orchidectomy
Question 16: A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a
mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal ure-
thritis. What sexually transmitted disease (STD) has she most probably been exposed to?
a. Gonorrhea
b. Human papillomavirus (HPV)
4
