1: which test is used to confirm a diagnosis of epididymitis?
Ans: Ultrasound of the scrotum.
2: Which of the following is part of the treatment plan for the patient with irritable bowel
syndrome?
Ans; High fiber diet
3: Reuben, age 24 years old has HIV and just had a routine viral load test done. The results show
a falling viral load. What does this indicates?
Ans: A favorable diagnostic trend
4: The patient with gastro esophageal reflux disease (GERD) should be instructed to eliminate
which of these activities?
Ans: Weight lifting
5: you have detected the presence of crepitus on examination of a patient with a musculoskeletal
complaint. Additionally, there is limited range of motion with both active and passive movement.
These findings suggest that the origin of the musculoskeletal complaint is
Ans: Articular
6: A 25 years old patient presents to the clinic with fatigue, cold intolerance, weight gain and
constipation for the past 3 months. On physical exam, the clinician notice a sinus bradycardia,
,muscular stiffness, coarse, dry hair, and a delay in relaxation in deep tendon reflexes (DTRs).
Which of the following test should be ordered next?
Ans: Thyroid Stimulating Hormone (TSH)
7: Sam is a 25years old man who has been diagnosis with low back stain based on his history of
localized low back pain andmuscle spasm along with a normal numerological examination. As
the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the
following symptoms would alert the clinician to the more serious finding of a herniated nucleus
pulposus or ruptured disc?
Ans: Unilateral radicular pain symptoms that extend below the knee and are equal to or
greater than the back pain.
8: Which of the following data is indication of testicular torsion?
Ans: Asecntcremasteric reflex
9: What is the recommended daily calcium intake for adults over the age of 50 with low bone
mass?
Ans: 1500mg /day
10: A 14 years old is seen with complaint of severe testicular pain. The clinician suspect
testicular torsion. Which of the following is the appropriate action?
Ans: Send the patient to the emergency room
11: Which of the following data are indicative of testicular torsion?
, Ans: Absent cremasteric reflex
12: A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and
diaphoresis, in addition to nephrolithiasis, which of the following should be added to the list of
differential diagnoses?
Ans: Pancreatitis, peptic ulcer disease, diverticulitis, All of the above
13: The patient is seen in the office complaining flank pain. The clinician should assess this
patient for which risk factor for kidney stones?
Ans: Hypertension
14: A 76 years old man is seen in the office for complaint of urinary incontinence. The clinician
should suspect which causes of incontinence in men?
Ans; Urinary Tract Infection (UTI)
14: Harvey has a rubbery smooth, round mass on his chest which is compressible and has a soft
to to very firm texture. What do you diagnose this as?
Ans: Lipoma
15: The patient is prescribed radioactive iodine (RA) and asks the clinician how this drug works.
The clinician’s response should include which of the following data?
Ans: RAI destroys thyroid tissue.
16: Most nosocomial pneumonias are caused by
Ans: Gram-negative bacteria