10. Your 31-year-old female patient states they are experiencing lateral lower back pain
and urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24
hours of growth. Which of the following is least likely agent to cause her urinary tract
infection?
Give this one a go later!
Enterococcus
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to
establish care. She was without any medical care for a long time and being newly
established to your clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily,
betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg
daily as well as diet and exercise. After the visit she calls your office nurse and states she
,has been experiencing considerably lower extremity edema and constipation since
starting these medicines after your visit. Which of the pharmacology agents she is
prescribed is most likely the common cause of the side effects?
Give this one a go later!
Norvasc
Your 72-year-old female patient with a pertinent medical history of coronary artery
bypass graft and aortic valve replacement seven years ago with a porcine bioprosthetic
valve has been previously stable on their medical regimen. Today she complains of near
syncope when standing, which she states has been getting worse over the past six
months but failed to tell anyone as she felt it was just part of natural aging and taking
medications. Your workup should include evaluation of which of the following potential
cardiac complications?
Give this one a go later!
Bioprosthetic aortic valve stenosis
86. A diabetic patient presents with persistent proteinuria. Which of the following
medications can help reduce progression of diabetic nephropathy?
Give this one a go later!
ACE inhibitors
,69. A 29-year-old female with irregular menses is being evaluated for infertility. Her
progesterone level during the luteal phase is low. What does this indicate?
Give this one a go later!
Anovulation
61. A 43-year-old patient with macrocytic anemia should be evaluated for which lab
levels to help narrow down the etiology?
Give this one a go later!
Vitamin B12
71. Which of the following is a common side effect of depot medroxyprogesterone
acetate (Depo-Provera)?
Give this one a go later!
Weight gain
37. Your 68-year-old male patient presents with difficulty starting urination and a weak
urinary stream. He also reports nocturia and urgency. What is the most likely diagnosis?
Give this one a go later!
, Benign prostatic hyperplasia
79. A 60-year-old man presents with weight loss, diarrhea, and hyperpigmentation. Lab
results show low sodium and high potassium. What is the most likely diagnosis?
Give this one a go later!
Addison's disease
67. A 33-year-old woman presents with complaints of infertility and hirsutism. On exam
she is obese and has acne. Which of the following is the most likely diagnosis?
Give this one a go later!
Polycystic ovarian syndrome
80. Which of the following lab findings is consistent with Addison's disease?
Give this one a go later!
Hyponatremia and hyperkalemia
and urinalysis reveals bacteria in the urine, culture reveals gram negative rods after 24
hours of growth. Which of the following is least likely agent to cause her urinary tract
infection?
Give this one a go later!
Enterococcus
Melissa, your 56-year-old Caucasian female patient presents with a health history of
hypertension, migraines, hyperlipidemia, seasonal depression and obesity for a visit to
establish care. She was without any medical care for a long time and being newly
established to your clinic is prescribed aspirin 81 mg daily, atorvastatin 40 mg daily,
betide 10 mg daily, lisinopril 20 mg daily, amlodipine 10 mg daily, and Wellbutrin 300 mg
daily as well as diet and exercise. After the visit she calls your office nurse and states she
,has been experiencing considerably lower extremity edema and constipation since
starting these medicines after your visit. Which of the pharmacology agents she is
prescribed is most likely the common cause of the side effects?
Give this one a go later!
Norvasc
Your 72-year-old female patient with a pertinent medical history of coronary artery
bypass graft and aortic valve replacement seven years ago with a porcine bioprosthetic
valve has been previously stable on their medical regimen. Today she complains of near
syncope when standing, which she states has been getting worse over the past six
months but failed to tell anyone as she felt it was just part of natural aging and taking
medications. Your workup should include evaluation of which of the following potential
cardiac complications?
Give this one a go later!
Bioprosthetic aortic valve stenosis
86. A diabetic patient presents with persistent proteinuria. Which of the following
medications can help reduce progression of diabetic nephropathy?
Give this one a go later!
ACE inhibitors
,69. A 29-year-old female with irregular menses is being evaluated for infertility. Her
progesterone level during the luteal phase is low. What does this indicate?
Give this one a go later!
Anovulation
61. A 43-year-old patient with macrocytic anemia should be evaluated for which lab
levels to help narrow down the etiology?
Give this one a go later!
Vitamin B12
71. Which of the following is a common side effect of depot medroxyprogesterone
acetate (Depo-Provera)?
Give this one a go later!
Weight gain
37. Your 68-year-old male patient presents with difficulty starting urination and a weak
urinary stream. He also reports nocturia and urgency. What is the most likely diagnosis?
Give this one a go later!
, Benign prostatic hyperplasia
79. A 60-year-old man presents with weight loss, diarrhea, and hyperpigmentation. Lab
results show low sodium and high potassium. What is the most likely diagnosis?
Give this one a go later!
Addison's disease
67. A 33-year-old woman presents with complaints of infertility and hirsutism. On exam
she is obese and has acne. Which of the following is the most likely diagnosis?
Give this one a go later!
Polycystic ovarian syndrome
80. Which of the following lab findings is consistent with Addison's disease?
Give this one a go later!
Hyponatremia and hyperkalemia
