BANK – MIDTERM ACTUAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS &
RATIONALES / ALREADY GRADED A.
A patient presents for A) Musculoskeletal
evaluation of a sharp, aching
chest pain which increases Chest pain may be due to a musculoskeletal condition, such
with breathing. Which as costochondritis or intercostal muscle cramp. This would
be worsened by motion of the chest wall. Pleuritic chest
anatomic area would you
pain is also a sharp chest pain which increases with a deep
localize the symptom to? breath. This type of pain can occur with inflammation of
the pleura from pneumonia or other conditions and
A) Musculoskeletal pulmonary embolus.
B) Reproductive
C) Urinary
D) Endocrine
A patient comes to the Cardiac
emergency room for
evaluation of shortness of Cardiac disorders such as congestive heart failure are the
most likely on this list to result in shortness of breath. There
breath. To which anatomic
are cases within the other categories which may also result
region would you assign the in shortness of breath, such as anemia in the hematologic
symptom? category, pregnancy in the reproductive category, or sepsis
with UTI in the urinary category.
A) Reproductive
B) Urinary
C) Cardiac
D) Hematologic
Terms in this set (251)
,A patient presents for C) Cardiac
evaluation of a cough.
Which of the following The cardiac system can cause a cough if the patient has
anatomic regions can be congestive heart failure. This results in fluid buildup in the
lungs, which in turn can cause a cough that produces pink,
responsible for a cough?
frothy sputum. A foreign body in the ear may also cause a
cough by stimulating Arnold's branch of the vagus nerve,
A) Ophthalmologic but this is less likely to be seen clinically than heart failure.
B) Auditory
C) Cardiac
D) Endocrine
B) Inflammatory
A 22-year-old advertising
The description is most consistent with an inflammatory
copywriter presents for process, although all the other etiologies should be
evaluation of joint pain. The considered. Lyme disease is an infection which commonly
pain is new, located in the causes arthritis, hemophilia is a hematologic condition
which can cause bleeding in the joints, and trauma can
wrists and fingers bilaterally,
obviously cause joint pain.
with some subjective fever.
The patient denies a rash; she
also denies recent travel or
camping activities. She has a
family history significant for
rheumatoid arthritis. Based
on this information, which of
the following pathologic
processes would be the most
correct?
A) Infectious
B) Inflammatory
C) Hematologic
D) Traumatic
,A 47-year-old contractor C) Degenerative
presents for evaluation of
neck pain, which has been The description is most consistent with degenerative
intermittent for several years. arthritis in the neck. The patient has had intermittent
symptoms and the questions asked to elicit pertinent
He normally takes over-the-
negative and positive findings are negative for infectious,
counter medications to ease traumatic, or neoplastic disease.
the pain, but this time they
haven't worked as well and
he still has discomfort. He
recently wallpapered the
entire second floor in his
house, which caused him
great discomfort. The pain
resolved with rest. He denies
fever, chills, rash, upper
respiratory symptoms,
trauma, or injury to the neck.
Based on this description,
what is the most likely
pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
, A 15-year-old high school C) Allergic
sophomore comes to the
clinic for evaluation of a This description is most consistent with allergic rhinitis.
3week history
of sneezing; itchy, watery
eyes; clear nasal discharge;
ear pain; and nonproductive
cough. Which
is the most likely pathologic
process?
A) Infection
B) Inflammation
C) Allergic
D) Vascular