FITZGERALD REVIEW QUESTIONS &
VALID COMPLETE SOLUTIONS PASSED
LATEST VERSION
You see a 24-year-old male with small flesh-colored verruca-form lesions on the shaft and tip of
the penis. He reports some itching and discomfort in the genital area, but no voiding symptoms.
For the patient described above, the most appropriate treatment would be:
A. IM ceftriaxone (Rocephin®).
B. Topical imiquimod (Aldara®).
C. Oral doxycycline (Doryx®).
D. Topical acyclovir (Zovirax®).
B
The duration of antimicrobial treatment for active tuberculosis infection is typically:
A. 10 days.
B. 4-6 weeks.
C. 6-9 months.
D. 1-2 years.
C
According to current nationally recognized recommendations (True/False):
1. Screening for lung cancer with a low-dose CT scan is indicated for a 62-year-old man in good
health who is a current smoker and has a 40 pack-year smoking history.
2. PSA testing is indicated for a 68-year-old man with end-stage heart failure.
HPV test and Pap test are recommended for a 37-year-old woman who had negative cervical
cytology results 5 years ago.
A 24-year-old woman who completed the HPV vaccination regimen 2 years ago is not
recommended to undergo cervical cancer screening until she reaches 30 years of age.
1. T - Any >55 with a 35 ppy hx and risks
2. F - PSA only done w expectation of living long
,3. T
4. F
1. Refers to the ability of a test to correctly identify those with a condition
2. Refers to the ability of a test to correctly identify those without a condition
3. Proportion or number of individuals with a condition at a given time
4. Number of new cases occurring within a period of time
1. Sensitivity
2. Specificity
3. Prevalence
4. Incidence
A person with a latent tuberculosis infection (True/False):
1. Does not exhibit any signs or symptoms of active infection.
2. Can spread the disease to others.
3. Will have a positive tuberculin skin test.
4. Will have >50% lifetime risk of developing active tuberculosis.
1. T
2. F
3. T
4. F - likelyhood of latent TB to active TB is highly variable.
Identify which of the following patients should undergo testing for tuberculosis (Yes/No):
1. A 22-year-old male with HIV.
2. A healthy 18-year-old woman who lives with her father who was recently diagnosed with
active tuberculosis infection.
3. A 45-year-old man who was recently released from prison after 2 years of incarceration.
4.A 32-year-old woman who recently immigrated from Southeast Asia.
1. Y
2. Y
3. Y
4. Y
, A 37-year-old woman with ulcerative colitis with poor symptom control without rectal bleeding
presents with the following hemogram:
Hg=9.9 g/dL (12-14 g/dL) LOW
MCV=86 fL (80-96 fL) NORMOCYTIC
MCHC=33 g/dL (31-37 g/dL) NORMOCHROMIC
RDW=12% (11%-15%) NL
These findings are most consistent with:
A. Iron deficiency.
B. Beta thalassemia minor.
C. Anemia of chronic disease.
D. Pernicious anemia.
C
A 67-year-old man taking NSAIDs daily for back pain and reporting fatigue presents with the
following hemogram:
Hg=8.4 g/dL (12-14 g/dL) LOW
MCHC=26 g/dL (31-37 g/dL) HYPOCHROMIC
MCV=69 fL (80-96 fL) MICROCYTIC
RDW=19% (11%-15%) HIGH
These findings are most consistent with:
A. Iron deficiency anemia
B. Beta thalassemia minor
C. Vitamin B12 deficiency
D. Drug-induced macrocytosis
A
A 54-year-old man of Asian ancestry presents with the following hemogram:
Hg=11.6 g/dL (12-14 g/dL) LOW
Hct=37% (42-48%) LOW
MCHC=24 g/dL (31-37 g/dL) HYPOCHROMIC
MCV=64 fL (80-96 fL) MICROCYTIC
RDW=14% (11%-15%) NL
VALID COMPLETE SOLUTIONS PASSED
LATEST VERSION
You see a 24-year-old male with small flesh-colored verruca-form lesions on the shaft and tip of
the penis. He reports some itching and discomfort in the genital area, but no voiding symptoms.
For the patient described above, the most appropriate treatment would be:
A. IM ceftriaxone (Rocephin®).
B. Topical imiquimod (Aldara®).
C. Oral doxycycline (Doryx®).
D. Topical acyclovir (Zovirax®).
B
The duration of antimicrobial treatment for active tuberculosis infection is typically:
A. 10 days.
B. 4-6 weeks.
C. 6-9 months.
D. 1-2 years.
C
According to current nationally recognized recommendations (True/False):
1. Screening for lung cancer with a low-dose CT scan is indicated for a 62-year-old man in good
health who is a current smoker and has a 40 pack-year smoking history.
2. PSA testing is indicated for a 68-year-old man with end-stage heart failure.
HPV test and Pap test are recommended for a 37-year-old woman who had negative cervical
cytology results 5 years ago.
A 24-year-old woman who completed the HPV vaccination regimen 2 years ago is not
recommended to undergo cervical cancer screening until she reaches 30 years of age.
1. T - Any >55 with a 35 ppy hx and risks
2. F - PSA only done w expectation of living long
,3. T
4. F
1. Refers to the ability of a test to correctly identify those with a condition
2. Refers to the ability of a test to correctly identify those without a condition
3. Proportion or number of individuals with a condition at a given time
4. Number of new cases occurring within a period of time
1. Sensitivity
2. Specificity
3. Prevalence
4. Incidence
A person with a latent tuberculosis infection (True/False):
1. Does not exhibit any signs or symptoms of active infection.
2. Can spread the disease to others.
3. Will have a positive tuberculin skin test.
4. Will have >50% lifetime risk of developing active tuberculosis.
1. T
2. F
3. T
4. F - likelyhood of latent TB to active TB is highly variable.
Identify which of the following patients should undergo testing for tuberculosis (Yes/No):
1. A 22-year-old male with HIV.
2. A healthy 18-year-old woman who lives with her father who was recently diagnosed with
active tuberculosis infection.
3. A 45-year-old man who was recently released from prison after 2 years of incarceration.
4.A 32-year-old woman who recently immigrated from Southeast Asia.
1. Y
2. Y
3. Y
4. Y
, A 37-year-old woman with ulcerative colitis with poor symptom control without rectal bleeding
presents with the following hemogram:
Hg=9.9 g/dL (12-14 g/dL) LOW
MCV=86 fL (80-96 fL) NORMOCYTIC
MCHC=33 g/dL (31-37 g/dL) NORMOCHROMIC
RDW=12% (11%-15%) NL
These findings are most consistent with:
A. Iron deficiency.
B. Beta thalassemia minor.
C. Anemia of chronic disease.
D. Pernicious anemia.
C
A 67-year-old man taking NSAIDs daily for back pain and reporting fatigue presents with the
following hemogram:
Hg=8.4 g/dL (12-14 g/dL) LOW
MCHC=26 g/dL (31-37 g/dL) HYPOCHROMIC
MCV=69 fL (80-96 fL) MICROCYTIC
RDW=19% (11%-15%) HIGH
These findings are most consistent with:
A. Iron deficiency anemia
B. Beta thalassemia minor
C. Vitamin B12 deficiency
D. Drug-induced macrocytosis
A
A 54-year-old man of Asian ancestry presents with the following hemogram:
Hg=11.6 g/dL (12-14 g/dL) LOW
Hct=37% (42-48%) LOW
MCHC=24 g/dL (31-37 g/dL) HYPOCHROMIC
MCV=64 fL (80-96 fL) MICROCYTIC
RDW=14% (11%-15%) NL
