CLINICAL MEDICINE FINAL EXAM
REVIEW; QUESTIONS WITH
DETAILED VERIFIED ANSWERS
"Coffee-grounds" emesis is another term for:
A. gastritis
B. cirrhosis
C. hematemesis
D. vomiting due to GERD - correct answer- C
A 20 y.o male patient presents for his 6 month dental
appointment with complaint of bleeding gums for approximately
3 weeks. Upon review of systems, medical history, medications,
the patient reports that he has not been feeling well, has a sore
throat, and he has recently developed a rash on his legs. He is
obviously sweating and has a fever. Oral exam reveals
generalized, enlarged, bleeding gingival tissues,
lymphadenopathy, enlarged tonsils, and palatal petechiae. With
regards to his signs and symptoms, which of the following
diagnoses is most likely?
A. sickle cell anemia
,B. vitamin B12 deficiency
C. acute myeloid leukemia
D. chronic renal failure
E. non-Hodgkin's lymphoma - correct answer- C
A 20 y.o male patient presents for his 6 month dental
appointment with complaint of bleeding gums for approximately
3 weeks. Upon review of systems, medical history, medications,
the patient reports that he has not been feeling well, has a sore
throat, and he has recently developed a rash on his legs. He is
obviously sweating and has a fever. Oral exam reveals
generalized, enlarged, bleeding gingival tissues,
lymphadenopathy, enlarged tonsils, and palatal petechiae. Your
immediate plan for this patient should be to:
A. tell the patient to go home and call when he feels better
B. full mouth radiographic series and immediate periodontal
debridement
C. prescribe antibiotics and reschedule the patient in 2 weeks
D. order a complete blood count including differentials and
platelets - correct answer- D
,A 25 y.o female comes to your office for an initial consultation.
She states she has seizures. What would you most like to know
when completing a review of systems?
A. what type of seizures does she have?
B. when was her last seizure?
C. does anything precipitate her seizures?
D. all of the above - correct answer- D
A 25 year old female comes to your office for an initial
consultation. She states she has seizures. What would you most
like to know when completing a review of systems?
A: What type of seizures does she have?
B: When was her last seizure?
C: Does anything precipitate her seizures?
D: All of the above - correct answer- D
A 28 year old female presents for a dental appointment with a
chief complaint of pain radiating to her neck, jaws and ears. She
reports that she takes no medications and has no history of
hospitalization except for childbirth 7 months ago. Upon
, palpation of the patient's neck you note an enlargement. These
findings suggest which of the following?
A: Hyperthyroidism
B: Thyroiditis
C: Myxedema
D: Carcinoma
E: Graves' disease - correct answer- B
A 37 y.o female who reports a history of bipolar disorder and
taking lithium presents with complaint of dental pain and
swelling. Which of the following medications should you AVOID
prescribing?
A. ibuprofen
B. hydrocodone
C. amoxicillin
D. aspirin - correct answer- A and D
A 40 y.o Hispanic female arrives at your office in the afternoon
with pale gray skin, cyanotic nail beds, and blue lips. You
remember treating this patient at 9:30AM. She appears to be in
REVIEW; QUESTIONS WITH
DETAILED VERIFIED ANSWERS
"Coffee-grounds" emesis is another term for:
A. gastritis
B. cirrhosis
C. hematemesis
D. vomiting due to GERD - correct answer- C
A 20 y.o male patient presents for his 6 month dental
appointment with complaint of bleeding gums for approximately
3 weeks. Upon review of systems, medical history, medications,
the patient reports that he has not been feeling well, has a sore
throat, and he has recently developed a rash on his legs. He is
obviously sweating and has a fever. Oral exam reveals
generalized, enlarged, bleeding gingival tissues,
lymphadenopathy, enlarged tonsils, and palatal petechiae. With
regards to his signs and symptoms, which of the following
diagnoses is most likely?
A. sickle cell anemia
,B. vitamin B12 deficiency
C. acute myeloid leukemia
D. chronic renal failure
E. non-Hodgkin's lymphoma - correct answer- C
A 20 y.o male patient presents for his 6 month dental
appointment with complaint of bleeding gums for approximately
3 weeks. Upon review of systems, medical history, medications,
the patient reports that he has not been feeling well, has a sore
throat, and he has recently developed a rash on his legs. He is
obviously sweating and has a fever. Oral exam reveals
generalized, enlarged, bleeding gingival tissues,
lymphadenopathy, enlarged tonsils, and palatal petechiae. Your
immediate plan for this patient should be to:
A. tell the patient to go home and call when he feels better
B. full mouth radiographic series and immediate periodontal
debridement
C. prescribe antibiotics and reschedule the patient in 2 weeks
D. order a complete blood count including differentials and
platelets - correct answer- D
,A 25 y.o female comes to your office for an initial consultation.
She states she has seizures. What would you most like to know
when completing a review of systems?
A. what type of seizures does she have?
B. when was her last seizure?
C. does anything precipitate her seizures?
D. all of the above - correct answer- D
A 25 year old female comes to your office for an initial
consultation. She states she has seizures. What would you most
like to know when completing a review of systems?
A: What type of seizures does she have?
B: When was her last seizure?
C: Does anything precipitate her seizures?
D: All of the above - correct answer- D
A 28 year old female presents for a dental appointment with a
chief complaint of pain radiating to her neck, jaws and ears. She
reports that she takes no medications and has no history of
hospitalization except for childbirth 7 months ago. Upon
, palpation of the patient's neck you note an enlargement. These
findings suggest which of the following?
A: Hyperthyroidism
B: Thyroiditis
C: Myxedema
D: Carcinoma
E: Graves' disease - correct answer- B
A 37 y.o female who reports a history of bipolar disorder and
taking lithium presents with complaint of dental pain and
swelling. Which of the following medications should you AVOID
prescribing?
A. ibuprofen
B. hydrocodone
C. amoxicillin
D. aspirin - correct answer- A and D
A 40 y.o Hispanic female arrives at your office in the afternoon
with pale gray skin, cyanotic nail beds, and blue lips. You
remember treating this patient at 9:30AM. She appears to be in
