MN 568 MIDTERM EXAM NEWEST ACTUAL EXAM
A patient is seen in the clinic with hematuria confirmed on microscopic examination.
The clinician should inquire about the ingestion of which of these substances that
might be the cause of hematuria? a) NSAIDs
b) Beets
c) Vitamin A
d) Red meat
Answer: NSAIDs, high risk for bleeding.
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
crepitus due to gas production by which anaerobic bacteria? a) Staphylococcal
aureus
b) Clostridium perfringens
c) S. pyrogenes
d) Streptococcus
Answer: Clostridium Perfringens, leading to excessive gas production under the skin
making a popping sound, crepitus.
Which of the following is, a linear crack extending from the epidermis to the dermis?
a) An ulcer
b) A fissure
c) Lichenification
d) An excoriation
Answer: A fissure.
The patient is diagnosed with ARF. Which of the following conditions is the most
common cause? a) Renal calculi
b) Acute tubular necrosis
c) Cardiac failure
d) Acute glomerulonephritis
Answer: Acute tubular necrosis.
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action? a)
Refer to a urologist immediately.
b) Obtain a computed tomography (CT) scan.
c) Instruct the patient to elevate the scrotum.
d) Prescribe ibuprofen.
Answer: Refer to a urologist immediately. *Medical Emergency.
, Which scalp problem can be caused by a fever and certain drugs? a) Telogen
effluvium (TE)-
common cause of temporary hair loss due to the excessive shedding of resting or
telogen hair after some shock to the system.
b) Trichotillomania-
pulling out hair repeatedly
c) Psoriasis
d) Alopecia areata -
common autoimmune skin disease, causing hair loss on the scalp, face and
sometimes on other areas of the body
Answer: Telogen effluvium (TE)
A 46-year-old man presents with urinary hesitancy and low back pain. He has no
history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a
diagnosis of prostatodynia is made. Which is the appropriate treatment? a)
Terazosin 2 mg PO once a day
b) Ice pack to the scrotal area
c) Saw palmetto 320 mg per day
d) All of the above
Answer: Terazosin 2 mg PO once a day.
It is an alpha-blocker. It relieves the symptoms of BPH by relaxing the muscles of the
bladder and prostate. It lowers blood pressure by relaxing the blood vessels.
What is the most common pre-cancerous skin lesion in Caucasians? a) A skin
tag
b) Actinic keratosis
c) A melanoma
d) A basal cell lesion
Answer- Actinic Keratosis.
A 27-year-old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection (UTI). What are some
additional symptoms consistent with a diagnosis of lower UTI? a) Back and
abdominal pain
b) Fever, chills, costovertebral angle (CVA) tenderness
c) Blood in urine and frequency
d) Foul-smelling discharge, perineal itch
Answer: Blood in urine and frequency. Think acute and common.
Which is the most potent and irritating dose of tretinoin? a) 0.05% liquid
formulation
b) 0.1% cream
A patient is seen in the clinic with hematuria confirmed on microscopic examination.
The clinician should inquire about the ingestion of which of these substances that
might be the cause of hematuria? a) NSAIDs
b) Beets
c) Vitamin A
d) Red meat
Answer: NSAIDs, high risk for bleeding.
Mark has necrotizing fasciitis of his left lower extremity. Pressure on the skin reveals
crepitus due to gas production by which anaerobic bacteria? a) Staphylococcal
aureus
b) Clostridium perfringens
c) S. pyrogenes
d) Streptococcus
Answer: Clostridium Perfringens, leading to excessive gas production under the skin
making a popping sound, crepitus.
Which of the following is, a linear crack extending from the epidermis to the dermis?
a) An ulcer
b) A fissure
c) Lichenification
d) An excoriation
Answer: A fissure.
The patient is diagnosed with ARF. Which of the following conditions is the most
common cause? a) Renal calculi
b) Acute tubular necrosis
c) Cardiac failure
d) Acute glomerulonephritis
Answer: Acute tubular necrosis.
A 14-year-old male is seen with complaints of severe testicular pain. The clinician
suspects testicular torsion. Which of the following is the appropriate action? a)
Refer to a urologist immediately.
b) Obtain a computed tomography (CT) scan.
c) Instruct the patient to elevate the scrotum.
d) Prescribe ibuprofen.
Answer: Refer to a urologist immediately. *Medical Emergency.
, Which scalp problem can be caused by a fever and certain drugs? a) Telogen
effluvium (TE)-
common cause of temporary hair loss due to the excessive shedding of resting or
telogen hair after some shock to the system.
b) Trichotillomania-
pulling out hair repeatedly
c) Psoriasis
d) Alopecia areata -
common autoimmune skin disease, causing hair loss on the scalp, face and
sometimes on other areas of the body
Answer: Telogen effluvium (TE)
A 46-year-old man presents with urinary hesitancy and low back pain. He has no
history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a
diagnosis of prostatodynia is made. Which is the appropriate treatment? a)
Terazosin 2 mg PO once a day
b) Ice pack to the scrotal area
c) Saw palmetto 320 mg per day
d) All of the above
Answer: Terazosin 2 mg PO once a day.
It is an alpha-blocker. It relieves the symptoms of BPH by relaxing the muscles of the
bladder and prostate. It lowers blood pressure by relaxing the blood vessels.
What is the most common pre-cancerous skin lesion in Caucasians? a) A skin
tag
b) Actinic keratosis
c) A melanoma
d) A basal cell lesion
Answer- Actinic Keratosis.
A 27-year-old female presents with a chief complaint of burning and pain on
urination. She has no previous history of urinary tract infection (UTI). What are some
additional symptoms consistent with a diagnosis of lower UTI? a) Back and
abdominal pain
b) Fever, chills, costovertebral angle (CVA) tenderness
c) Blood in urine and frequency
d) Foul-smelling discharge, perineal itch
Answer: Blood in urine and frequency. Think acute and common.
Which is the most potent and irritating dose of tretinoin? a) 0.05% liquid
formulation
b) 0.1% cream
