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rash, headache, and Gl upset
Which of the following shoulder movements is INCORRECTLY paired with the
instructions you give to the patient?
A. internal rotation / "place one hand behind your back and touch your shoulder
blade"
B. flexion / "raise your arms in front of you and overhead"
C. external rotation / "cross your arms in front of your body"
D. extension / "raise your arms behind you"
E. abduction / "raise your arms out to the side and overhead"
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, WRONG: external rotation / "cross your arms in front of your body"
According to the DSM-5 for a diagnosis of chronic insomnia the insomnia must be
present at least
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3 times per week for at least 3 months
Which pre-existing disease predisposes a patient to acupuncture related
pneumothorax?
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marfan syndrome
What is the abdominal palpation procedure for detecting splenomegaly?
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on the abdomen press inwards and upwards toward the left costal margin
On palpating the abdomen of a patient with appendicitis you expect
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, more pain when pressure is released (rebound)
Which hormone affects blood pressure by directly influencing sodium concentration
in the blood?
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aldosterone
-The action of aldosterone is to increase the retention of sodium and water
and to increase the excretion of potassium by the kidneys.
Most drugs used to treat Alzheimer's disease (AD) affect the
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cholinergic pathways, enzymes, and receptors
Edward is a 67-year-old building inspector. He complains of repeated falls. He is
being treated for high blood pressure with a diuretic and alpha blocker. He reports
that he drinks 5-6 shots of tequila every night and has been doing so for four years.
The physical examination shows a BP of 140/88 in both arms while lying down and
115/80 when standing. He reports that he feels dizzy when he stands up but quickly
clears away. There is a liver edge 3 FBs down which is tender. There is normal liver
percussion. There are no ascites or telangiectases or other signs of liver failure. The
neurological exam is normal. What is the underlying diagnosis of AL the symptoms
and signs?
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, Cirrhosis of the liver
-Symptoms of cirrhosis include poor appetite, fatigue, weight loss or
sudden weight gain, bruises, jaundice, itchy skin, edema (ankles, legs,
abdomen), urine with an orange tint, light colored stool, blood in stool,
confusion and personality changes.
Which of the following is often used for alcohol dependence screening?
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MAST (oldest)
-The MAST questionnaire is one of the oldest and most accurate alcohol
screening tests available in identifying dependent drinkers with up to 98
percent accuracy. Questions on the MAST survey relate to the self-
appraisal of social, vocational, and family problems frequently associated
with problem drinkers.
What knee test is used to assess patellofemoral function?
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Unilateral squat (Waldron's Test)
Amy is a 32 year old park manager. She has been smoking 1.5 packs per day ssince
she was 17. She is 5'4"tall and weighs 155 pounds. As a child she had recurrent
episodes of bronchitis. She once had a strep throat with a high fever. She later
developed a mild heart murmur. As a young adult she was diagnosed with a mild
aortic stenosis. She currently has a persistent cough and has trouble climbing a flight
of stairs resulting in shortness of breath. Physical exam shows that she is mildly
cyanotic. She is breathing rapidly, 24 breaths per minute. Coarse rhonchi can be