Questions & Answers 2026 | Latest Study Guide
1. Describe the significance of leukoplakia in relation to HIV infection in a
clinical setting.
Leukoplakia is a common symptom of pneumonia regardless of
immune status.
Leukoplakia has no relevance to HIV diagnosis.
Leukoplakia can indicate an underlying HIV infection, especially in
patients without other signs of immune suppression.
Leukoplakia is primarily associated with syphilis in all patients.
2. What is the typical appearance of tinea versicolor?
round hypopigmented macules on his back
red papules on his face
white streaks on the neck
crusted plaques in the groin area
3. Which test is considered the most cost-effective for screening HIV status?
western blot
Viral load
venereal disease research laboratory test (VDRL)
enzyme-linked immunosorbent assay (ELISA)
4. Why is the symptom of relief after a bowel movement significant in
diagnosing irritable bowel syndrome?
, It indicates a functional gastrointestinal disorder where bowel
movements alleviate symptoms.
It points to an infectious cause of diarrhea.
It suggests a structural abnormality in the intestines.
It implies the presence of a tumor in the gastrointestinal tract.
5. What is the expected TSH level after 6 months of Synthroid therapy?
low TSH
elevated TSH
normal TSH
undetectable TSH
6. What symptom is commonly associated with irritable bowel syndrome that
may provide diagnostic insight?
Weight loss
Severe abdominal pain
Relief after a bowel movement
Persistent vomiting
7. ____ 10. Joyce is seen in the clinic complaining of vague symptoms of
nervousness and irritability. She says that her hair will not hold a permanent
wave anymore. On physical examination, the clinician finds an irregular
heartbeat and brisk reflexes. The differential diagnosis should include which
of the following conditions?
Thyrotoxicosis
Pan-hypopituitarism
, Myxedema
Cushing's syndrome
8. A 20-year-old Caucasian college student comes in with a complaint of
hypopigmented patches which appeared gradually during the summer. He
reports no history of unprotected sex. Scaly patches are present, but no
pruritus. On examination, he has hypopigmented patches over the face and
chest, but no vesicles or pustules. What is the most likely diagnosis?
Vitiligo
Tinea capitis
Leprosy
Tinea versicolor
Tinea cruris
9. If a patient presents with round hypopigmented macules on their back, what
would be the most appropriate initial management strategy for suspected
tinea versicolor?
Moisturizing creams
Oral corticosteroids
Topical antifungal treatment
Antihistamines for itching
10. A 22-year-old male is seen in the clinic because he found a hard lump in his
testicle during a testicular self-exam (TSE). Which of the following should be
included in the differential diagnosis?
testicular cancer
inguinal hernia
, varicocele
all of the above
11. The presence of hairy luekoplakia in a person with no other symptoms of
immune suppression is strongly suggestive of
HIV
Pneumonia
HSV 2
Syphillis
12. Which is the SINGLE MOST appropriate lifestyle intervention for the
management of overactive bladder (OAB) in women?
Increased dietary fibre
Smoking cessation
Daily cranberry juice drinks
Core body strength exercises
Caffeine reduction
13. An 82-year-old man is seen in the primary care office with complaints of
dribbling urine and difficulty starting his stream. Which of the following
should be included in the list of differential diagnoses?
BPH
Parkinson's disease
Prostate cancer
All of the above