MN 568 MIDTERM AND FINAL EXAM NEWEST ACTUAL EXAM
After 6 months of Synthroid therapy, the clinician should expect which of the
following in the repeat thyroid studies?
Question options:
a) Elevated TSH
b) Normal TSH
c) Low TSH
d) Undetectable TSH - ANSWER: b) normal TSH
Which of the following is diagnostic for diabetes mellitus?
Question options:
a) A1C 7.0 on one occasion
b) Fasting blood sugar (FBS) of 100 mg/dL on two occasions
c) Random plasma glucose greater than or equal to 200 in a person with symptoms
of hyperglycemia
d) Two-hour post-load plasma glucose of 300 mg/dL on one occasion - ANSWER: c)
Random plasma glucose greater than or equal to 200 in a person with symptoms of
hyperglycemia
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
Question options:
a) The goal of treatment is to prevent flexion and extension movements of the wrist.
b) Splints are used in carpal tunnel syndrome, because they allow for free
movement of the fingers and thumb while maintaining the wrist in a neutral
position.
c) Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and infection.
d) All of the above - ANSWER: d) All of the above
What is the recommended daily calcium intake for adults over the age of 50 with low
bone mass?
Question options:
a) 1,200 mg/day
b) 1,000 mg/day
,c) 1,300 mg/day
d) 1,500 mg/day - ANSWER: d) 1,500 mg/day
The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The
clinician suspects thyroid cancer. Which of the following data would be most
significant for this patient?
Question options:
a) A history of tonsillectomy in the 1940s
b) Recent exposure to mumps
c) Vegetarian diet
d) Allergy to iodine - ANSWER: a) A history of tonsillectomy in the 1940s
Which of the following medications can cause hyperglycemia?
Question options:
a) Prednisone
b) Metformin
c) Synthroid
d) Cephalexin - ANSWER: a) Prednisone
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
Question options:
a) 1
b) 2
c) 3
d) 4
e) 5 - ANSWER: b) 2
Which of the following tests is considered the gold standard for definitively
diagnosing osteoporosis?
Question options:
a) Bone alkaline phosphatase levels
b) Urinary N-telopeptide assay
, c) Bone mass density measurement by densitometry
d) Magnetic resonance imaging - ANSWER: c) Bone mass density measurement by
densitometry
How often should the clinician examine the feet of a person with diabetes?
Question options:
a) Once a year
b) Every 6 months
c) Every 3 months
d) Every visit - ANSWER: d) Every visit
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left
great toe. The clinician suspects acute gout. Which of the following should the
clinician expect in the initial test results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
c) Decreased urine pH
d) Decreased C-reactive protein - ANSWER: a) Elevated uric acid level
A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and
clammy. He states that he took his insulin this morning but was late for work and did
not eat breakfast. Which action should the clinician take first?
Question options:
a) Check his blood sugar.
b) Have him drink 4 ounces of juice.
c) Call 911.
d) Ask him about his usual eating habits. - ANSWER: b) Have him drink 4 ounces of
juice.
A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False - ANSWER: b) false
After 6 months of Synthroid therapy, the clinician should expect which of the
following in the repeat thyroid studies?
Question options:
a) Elevated TSH
b) Normal TSH
c) Low TSH
d) Undetectable TSH - ANSWER: b) normal TSH
Which of the following is diagnostic for diabetes mellitus?
Question options:
a) A1C 7.0 on one occasion
b) Fasting blood sugar (FBS) of 100 mg/dL on two occasions
c) Random plasma glucose greater than or equal to 200 in a person with symptoms
of hyperglycemia
d) Two-hour post-load plasma glucose of 300 mg/dL on one occasion - ANSWER: c)
Random plasma glucose greater than or equal to 200 in a person with symptoms of
hyperglycemia
Which of the following statements is true regarding the treatment of carpal tunnel
syndrome?
Question options:
a) The goal of treatment is to prevent flexion and extension movements of the wrist.
b) Splints are used in carpal tunnel syndrome, because they allow for free
movement of the fingers and thumb while maintaining the wrist in a neutral
position.
c) Corticosteroid injections are discouraged in the treatment of carpal tunnel
syndrome because of the risks for median nerve damage, scarring, and infection.
d) All of the above - ANSWER: d) All of the above
What is the recommended daily calcium intake for adults over the age of 50 with low
bone mass?
Question options:
a) 1,200 mg/day
b) 1,000 mg/day
,c) 1,300 mg/day
d) 1,500 mg/day - ANSWER: d) 1,500 mg/day
The clinician finds numerous nodules on the thyroid of a 65-year-old woman. The
clinician suspects thyroid cancer. Which of the following data would be most
significant for this patient?
Question options:
a) A history of tonsillectomy in the 1940s
b) Recent exposure to mumps
c) Vegetarian diet
d) Allergy to iodine - ANSWER: a) A history of tonsillectomy in the 1940s
Which of the following medications can cause hyperglycemia?
Question options:
a) Prednisone
b) Metformin
c) Synthroid
d) Cephalexin - ANSWER: a) Prednisone
You are performing muscle strength testing on a patient presenting with
musculoskeletal pain and find that the patient has complete ROM with gravity
eliminated. Which numeric grade of muscle strength would you give this patient?
Question options:
a) 1
b) 2
c) 3
d) 4
e) 5 - ANSWER: b) 2
Which of the following tests is considered the gold standard for definitively
diagnosing osteoporosis?
Question options:
a) Bone alkaline phosphatase levels
b) Urinary N-telopeptide assay
, c) Bone mass density measurement by densitometry
d) Magnetic resonance imaging - ANSWER: c) Bone mass density measurement by
densitometry
How often should the clinician examine the feet of a person with diabetes?
Question options:
a) Once a year
b) Every 6 months
c) Every 3 months
d) Every visit - ANSWER: d) Every visit
Mr. S presents in the clinic with pain, tenderness, erythema, and swelling of his left
great toe. The clinician suspects acute gout. Which of the following should the
clinician expect in the initial test results for this patient?
Question options:
a) Elevated uric acid level
b) Elevated blood urea nitrogen
c) Decreased urine pH
d) Decreased C-reactive protein - ANSWER: a) Elevated uric acid level
A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and
clammy. He states that he took his insulin this morning but was late for work and did
not eat breakfast. Which action should the clinician take first?
Question options:
a) Check his blood sugar.
b) Have him drink 4 ounces of juice.
c) Call 911.
d) Ask him about his usual eating habits. - ANSWER: b) Have him drink 4 ounces of
juice.
A BMI of 29 kg/m2 is considered obesity.
Question options:
a) True
b) False - ANSWER: b) false
