LATEST UPDATED 2026 (GRADED A+)
The groove of the metacarpophalangeal joint can be palpated by having the
patient: - correct answer-flex his hand
When auscultating breath sounds in a patient who has leſt sided heart failure, the breath sounds are: -
correct answer-
vesicular with late inspiratory crackles in the dependent portions of the lungs and resonant on percuss
ion (looses ability to pump out blood)
You are evaluating a 15 year old patient for bipolar disorder. His parents tell you that he has severe m
ood swings, is easily distracted, and constantly corrects his teachers. You have the high suspicion for bi
polar if which symptom was present? - correct answer-he sleeps less than 4 hours nightly
Using GTPAL nomenclature, how would document a patient currently pregnant with a hx of uncomplic
ated term vaginal delivery, preterm delivery of liveborn twins, and an 8 week elective abortion? -
correct answer-G4 T1 P1 A1 L3 (mult births count as 1 pregnancy and 1 birth)
What is the most likely presenting symptom in a pediatric patient with croup? - correct answer-
barking cough
47 year old woman post total hysterectomy and estrogen hormone therapy. Which is contraindicated?
- correct answer-Heart disease
Severe aortic regurgitation symptoms with dyspnea - correct answer-
dry cough, angina, hypotension, systolic murmur
Unipolar depression. What medications are not considered? - correct answer-
TCA (tricyclic antidepressants); Buspar, SSR, wellbutin are all okay
, Which of the following statements is most accurate about cough associated with ACEI? -
correct answer-Asthma
Conductive Hearing loss - correct answer-External ear, middle ear, or both problem
Which of the following is a risk factor for the development of prostate enlargement? - correct answer-
Diabetes; Obesity, heart and circulatory disease, DM2
Patients with suspected PAD may be asymptomatic or may complain of which symptom in the lower e
xtremity? - correct answer-Pain during activity
A patient who presents with nocturia, dyspnea on exertion, and peripheral edema and is found to hav
e ascites and JVDxshouldxbex evaluatedxfor:x -xcorrectx answer-heartx failure
23x yearx oldxwomanxisxhavingx frequentxmigrainesx andx needsxaxprophylacticxmedication.xShexalsoxhasxa
st xThexmedicationxshouldxbex avoidedxinxthisxpatient:x-
hma.
x correctx answer-
Propranololx (inderal);x canxcausex increasex bronchospasm
45x yearx oldxwomanxwithxfirstx episodexofxDVTxisxbeingxtreatedx forx CAP,x whichxantibioticxisxsafex tox use
thxxwi
warfarin?x -xcorrectx answer-Clarithromycinx(PCNxandxcephalosporinsxarex okay)
OnxPAx ofx50xyearxoldxwomanxwhoxhasxcomplainsxofxjointx pain,xthexNPx findsxswanxneckx andxboutoni
ere
deformitiesxwhichxshexknowsxarex relatedx tox thexdiagnosisxofx-xcorrectx answer-rheumatoidxarthritis
28x yearx oldxwomanxhasxsymptomsxofxasthmaxdailyxandxseveralxnightsx axweek.xShexusesx axSABAxandx
will
be x startingxfluticasone/salmeterolx (Advair).x Advair:x -xcorrectx answer-
isxnotxeffectivexduringxanx acutex asthmaxattack
Thexmainxlymphaticxchannelxthatx drainsx lymphxbackxtox thexsystemicx circulationxfromx thexentirexbody,x
w
ithxthexexceptionxofxthexRTxarm,xthorax,x headxandxneckx isxthex-xcorrectxanswer-thoracicx duct
Intrauterinex growthxrestrictionxisxsuspectedxinxanx18xyearxoldxpregnantx patientxatx 35xweeksxgestation
x if
thexfundalxheightxmeasurementx isx-xcorrectxanswer-32