2024 GFACT CERTIFICATION EXAM WITH 160 COMPLETE QUESTIONS AND CORRECT ANSWERS WITH PAGE REFERENCES GFACT CERTIFICATION TEST LATEST (NEW!!)

GFACT CERTIFICATION EXAM (ACTUAL 2025) g g g g g


ALL QUESTIONS AND CORRECT GRADED A+
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13. A 45-year- g


old female who works as a house cleaner presents with left sho
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ulder pain. On examination she has pain and relative weakness
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gwhen pushing toward the midline against resistance while the
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shoulder is adducted and the elbow is bent to 90°. With the elb
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ow still at 90° she is unable to keep her left hand away from he
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r body when you position her hand behind her back.
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This presentation is most consistent with an injury of which on
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e of the following tendons?
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A) Deltoid
B) Infraspinatus
C) Subscapularis
D) Supraspinatus
E) Teres minor - <<<Ansqwers>>>ANSWER: Cg g g g



This patient's pain and weakness while pushing against resistan
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ce reveals weakness on internal rotation of the shoulder, which
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suggests a possible tear of the subscapularis tendon. The inabili
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ty to keep her hand away from her body when it is placed behin
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d her back describes a positive internal lag test, also suggesting
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involvement of the subscapularis tendon. The infraspinatus an
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d teres minor are involved in external rotation rather than inter
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nal rotation. The supraspinatus and deltoid are involved in abd
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uction of the shoulder. g g g

, GFACT CERTIFICATION EXAM (ACTUAL 2025) g g g g g


ALL QUESTIONS AND CORRECT GRADED A+
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70. You admit a previously healthy 62-year-
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old female to the hospital for intractable nausea and
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vomiting with intravascular volume depletion and hypotension
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. She lives in rural northern
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New Mexico. Prior to the onset of her symptoms she had been g
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ardening and cleaning out g g g



a chicken coop, where she encountered several rodents. She is f
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ebrile and you obtain blood
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and urine cultures. Two out of four blood culture bottles are po
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sitive for gram-negative rods.
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Which one of the following is the most likely pathogen?
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A) Brucella melitensis g



B) Coxiella burnetii g



C) Escherichia coli g



D) Listeria monocytogenes g



E) Yersinia pestis - <<<Ansqwers>>>ANSWER: E g g g g



Yersinia pestis is an aerobic fermentative gram-negative rod.
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It causes a zoonotic infection with humans
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as the accidental host. The disease is spread by a bite from a fle
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a vector, direct contact with infected tissue,
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or inhalation of infectious aerosols from a person with pulmon
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ary plague. Plague occurs in two regions
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, GFACT CERTIFICATION EXAM (ACTUAL 2025) g g g g g


ALL QUESTIONS AND CORRECT GRADED A+
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in the western United States. One region includes northern Ne
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w Mexico, northern Arizona, and southern
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Colorado, and the other region includes California, southern O
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regon, and far western Nevada.
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Escherichia coli is also an aerobic fermentative gram- g g g g g g g


negative rod but it generally causes symptoms of
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gastroenteritis, hemolytic- g


uremic syndrome, urinary tract infection, intra-
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abdominal infection, and g g



meningitis. E. coli infection does not have a specific regional d
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istribution. Listeria monocytogenes is a g g g g



gram-positive rod and causes an influenza- g g g g g


like illness with or without gastroenteritis in adults. Infection
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occurs through ingestion of contaminated food products such a
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s milk, cheese, processed meats, and raw
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vegetables. Outbreaks can occur in any geographic distribution
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.
25
Coxiella burnetii is a gram- g g g g


negative intracellular bacterium that causes Q fever. Human in
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fections are g



associated with contact with infected cattle, sheep, goats, dogs,
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and cats. Brucella melitensis is a
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gram-
negative coccobacilli that causes brucellosis. Humans are acci
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dental hosts who can develop the
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disease from contact with tissues rich in erythritol, and from sh
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edding of organisms in milk, urine, and
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birth products from goats and sheep.
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, GFACT CERTIFICATION EXAM (ACTUAL 2025)
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ALL QUESTIONS AND CORRECT GRADED A+
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71. A 21-year-g


old female is being evaluated for secondary causes of refra
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ctory hypertension.
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Which one of the following would be most specific for fibrom
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uscular dysplasia? g




A) A serum creatinine level
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B) An aldosterone:renin ratio
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C) 24-hour urine for metanephrines g g g



D) Renal ultrasonography g



E) Magnetic resonance angiography of the renal arteries -
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<<<Ansqwers>>>ANSWER: E g



In young adults diagnosed with secondary hypertension, evalu
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ation for fibromuscular dysplasia of the renal
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arteries with MR angiography or CT angiography is indicated (
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SOR C). The aldosterone/renin ratio is the
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most sensitive test to diagnose primary hyperaldosteronism.
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Renal ultrasonography is an indirect test that
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is not as sensitive or specific for fibromuscular dysplasia.
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Serum creatinine elevation shows renal
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involvement but does not identify the cause. Testing for metan
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ephrines is indicated only if a
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pheochromocytoma is suspected. g g