MN 566 Final
A 21-year-old student presents with complaints of fatigue, headache, anorexia,
and a runny nose, all of which began about 2 weeks ago. She started taking
vitamins and over-the-counter cold preparations but feels worse. The smell of
food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago,
and she wonder if she might have it also. Examination reveals cervical
adenopathy and an enlarged liver and spleen. Which of the following labs would
be most helpful in the differential diagnosis at this point?
a. Stool culture
b. Liver enzymes
c. Anti-hepatitis D virus
d. Thyroid-stimulating hormone test - ANS - c. Anti-hepatitis D virus
\A 29-year-old is seen in the office with complaints of pain in his chest and belly.
He quit smoking 6 months ago. He has been suffering the pain for 2 weeks and
gets temporary relief from Alka-Seltzer and Pepto-Bismol. The burning pain
wakes him at night and radiates up to his chest. Which factor favors a diagnosis
of gastric ulcer?
a. His use of Pepto-Bismol
b. His age
c. His use of Alka-Seltzer
d. His smoking cessation - ANS - c. His use of Alka-Seltzer
\A 35-year-old female patient is seen in the clinic complaining of abdominal pain.
Which of the following should be included in the examination?
a. Lumbar puncture
b. Family history of cardiac problems
c. Contrast venography
d. Pelvic exam - ANS - d. Pelvic exam
\A 45-year-old patient presents with chief complaint of generalized abdominal
pain. Her physical examination is remarkable for the left lower quadrant
tenderness. At this time, which of the following should be considered in the
differential diagnosis?
a. Endometriosis
b. Yersinia enterocolitica infection
, c. Appendicitis
d. GERD - ANS - a. Endometriosis
\A clinician is examining a vertebral fracture, and the examination and diagnostic
findings have shown a compression of the anterior column that includes both
endplates. What type and subtype are these?
a. Compression Fracture, Type A
b. Burst fracture, Type B
c. Seat-belt type injury, level two
d. Fracture-dislocation, shear - ANS - a. Compression Fracture, Type A
\A patient is diagnosed with GERD, and his endoscopic report reveals that
presence of Barrett's epithelium. Which of the following should the PCP include
in the explanation of the pathology report?
a. This is not premalignant tissue
b. This tissue is not resistant to gastric acid
c. This tissue supports healing of the esophagus
d. This tissue does not have an increased risk of developing esophageal
adenocarcinoma. - ANS - c. This tissue supports healing of the esophagus
\A patient present with nonvesicular lesions that are 2 to 10mm, symmetrical, and
scattered on the oropharynx and mouth. What is their most likely diagnosis?
a. Corynebacterium diphtheriae
b. Primary Syphilis
c. Candida infection
d. Secondary syphilis - ANS - b. Secondary Syphilis
\A patient presents to the clinician complaining of ear pain. On examination, the
clinician finds that the patient has tenderness on traction of the pinna as well as
when applying pressure over the tragus. These findings are classic signs of
which condition?
a. Otitis media
b. Meniere's disease
c. Tinnitus
d. Otitis externa - ANS - d. Otitis externa
\A provider is examining a patient with temporomandibular joint disease (TMJ).
Which of the following results would the provider expect from the exam?
a. The mandibular opening is 40 mm
b. There are no sounds elicited from the exam
A 21-year-old student presents with complaints of fatigue, headache, anorexia,
and a runny nose, all of which began about 2 weeks ago. She started taking
vitamins and over-the-counter cold preparations but feels worse. The smell of
food makes her nauseated. Her boyfriend had mononucleosis about 1 month ago,
and she wonder if she might have it also. Examination reveals cervical
adenopathy and an enlarged liver and spleen. Which of the following labs would
be most helpful in the differential diagnosis at this point?
a. Stool culture
b. Liver enzymes
c. Anti-hepatitis D virus
d. Thyroid-stimulating hormone test - ANS - c. Anti-hepatitis D virus
\A 29-year-old is seen in the office with complaints of pain in his chest and belly.
He quit smoking 6 months ago. He has been suffering the pain for 2 weeks and
gets temporary relief from Alka-Seltzer and Pepto-Bismol. The burning pain
wakes him at night and radiates up to his chest. Which factor favors a diagnosis
of gastric ulcer?
a. His use of Pepto-Bismol
b. His age
c. His use of Alka-Seltzer
d. His smoking cessation - ANS - c. His use of Alka-Seltzer
\A 35-year-old female patient is seen in the clinic complaining of abdominal pain.
Which of the following should be included in the examination?
a. Lumbar puncture
b. Family history of cardiac problems
c. Contrast venography
d. Pelvic exam - ANS - d. Pelvic exam
\A 45-year-old patient presents with chief complaint of generalized abdominal
pain. Her physical examination is remarkable for the left lower quadrant
tenderness. At this time, which of the following should be considered in the
differential diagnosis?
a. Endometriosis
b. Yersinia enterocolitica infection
, c. Appendicitis
d. GERD - ANS - a. Endometriosis
\A clinician is examining a vertebral fracture, and the examination and diagnostic
findings have shown a compression of the anterior column that includes both
endplates. What type and subtype are these?
a. Compression Fracture, Type A
b. Burst fracture, Type B
c. Seat-belt type injury, level two
d. Fracture-dislocation, shear - ANS - a. Compression Fracture, Type A
\A patient is diagnosed with GERD, and his endoscopic report reveals that
presence of Barrett's epithelium. Which of the following should the PCP include
in the explanation of the pathology report?
a. This is not premalignant tissue
b. This tissue is not resistant to gastric acid
c. This tissue supports healing of the esophagus
d. This tissue does not have an increased risk of developing esophageal
adenocarcinoma. - ANS - c. This tissue supports healing of the esophagus
\A patient present with nonvesicular lesions that are 2 to 10mm, symmetrical, and
scattered on the oropharynx and mouth. What is their most likely diagnosis?
a. Corynebacterium diphtheriae
b. Primary Syphilis
c. Candida infection
d. Secondary syphilis - ANS - b. Secondary Syphilis
\A patient presents to the clinician complaining of ear pain. On examination, the
clinician finds that the patient has tenderness on traction of the pinna as well as
when applying pressure over the tragus. These findings are classic signs of
which condition?
a. Otitis media
b. Meniere's disease
c. Tinnitus
d. Otitis externa - ANS - d. Otitis externa
\A provider is examining a patient with temporomandibular joint disease (TMJ).
Which of the following results would the provider expect from the exam?
a. The mandibular opening is 40 mm
b. There are no sounds elicited from the exam
