Certification Exam Review
Questions and Verified Answers,100% Guarantee Pass
1. 3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy. Low
HCT.What additional test would you order
Answer> Iron, TIBC
2. 3 months of synthroid,TSH increased,T4 normal, what do you do
Answer> increase medication
3. 3 ways to assess cognitive function in patient with signs/symptoms of
memory loss:
Answer> MMSE
4. 4 month old with strabismus, mom is worried
Answer>: tell her it is normal
5. 4 month old wont keep anything down, what is the1 m
/ 22ain thing you look at
Answer> growth chart
6. 6 month old closed anterior fontanel:
Answer> XRAY
,7. 88/yr. old patient in for follow up secondary. She's been treated
withTylenol for Joint arthritis. Her SED rate was checked after 6 weeks of
treatment and it was 28. Normal range is from something to 25. How would
you treat the
Answer>
pt: change to NSAID, SED rate is a sign of inflammation
8. a pregnant female at slightly above symphysis pubic and Fundal height
is 32cm (above the umbilical). What should be done:
Answer> order Ultrasound
9. If A1C > 9 on two oral meds what do you order
: Answer> If you are already on TWO oral drugs for diabetes and A1c is 9 or higher,
start BASAL insulin.
If you cannot tolerate metformin and your A1c is 9 or higher start BASAL insulin. ON
EXAM
Intermediate-acting- NPH (Humulin N,
Novolin N) Long-acting-
Levimir/Basalgar/Lantus
Ultra-long-acting-Degludec (Tresiba) and glargine u-300 (Toujeo)
10. Abnormal cells on PAP, what do you do next
Answer> refer for Colposcopy
11. ACE/ARB contraindications:
pregnancy Renal failure Renal Stenosis
12. Condition when ACE is contraindicated: pregnancy
13. Acne Rosacea: chronic small acne like papules/pustules
,around nose mouth chin TREATMENT- Metrogel, Azelex.
Low dose tetracycline. Clindamycin. EXAM
, 14. Acne Vulgaris: common acne
TREATMENT-Retin-A, acne worsens 4-6 weeks if no improvement in 8-12 weeks
increase dose or add erythromycin, benzoyl peroxide.
15. actinic keratoses: Precursor to squamous cell carcinoma."numerous dry round
and pink to red lesions" with a rough and scaly texture. Does not heal. Slow
growing in sun exposed areas. Diagnosis: BIOPSY Golden Standard.
Treatment: Small area- liquid nitrogen or (cryotherapy), Large area (5-FU cream)-
which causes skin to ooze, crust, scab, redness EXAM
16. Acute Angle Closure Glaucoma: acute/severe halos, cupping optic
nerve, cloudy cornea, mid-dilated oval pupil.
ER STAT. EXAM
17. Acute Bacterial Pneumonia CXR: middle lobe. ON EXAM
18. Acute Closed Angle Glaucoma Vs Open Angle: Acute-Sudden pain,
halos, cupping, dilated, cloudy , intraocular pressure, HA, refer ED
19. Open Angle Glaucoma (primary): CN 2, gradual loss peripheral vision first
TX-laser
trabeculoplasty
Eye drops (prostaglandin analogues)-latanoprost , bimatoprost ,travoprost
20. Treatment of Initial Genital Herpes: Acyclovir 200mg 5 x day
21. Addison's disease: Addison's- deficient in cortisol (pt have low sodium,
blood sugar, but Increased K.) You must give cortisol.