Patient c/o wrist and hand pain, elevated ESR
swollen, redness and pain that is
worse in the
morning and resolves as the day goes
on.
What findings would support your
suspected diagnosis of RA?
a. narrowing of joint space
b. osteophyes
c. elevated ESR
d. juxta-articular
Patient presents nausea, vomiting, AC via OGT
dehydrated and anxious. Friends
reported finding empty bottle of
ASA by patient's bed. What is
the primary intervention?
You are examining a patient with diazepam (Valium) 5-10 mg IV
PMH of seizures. Patients sustains a
seizure lasting
around 12 minutes during exam. What is
the most appropriate intervention?
urine Na 28, serum osmolality 250, SIADH
urine osmolality 115. Suspected
cause?
True or False: Barium enema is false
indicated in the conservative
management of
diverticulitis.
,Patient has low diastolic rumble mitral stenosis
murmur in the left lateral position
with no radiation. What murmur
do you suspect?
Which of the following labs hypoglycemia
would you not expect to see in a
patient that presents with
Cushing's:
a. hypokalemia
b. glucosuria
c. hypernatremia
d. hypoglycemia
At what age do males start 50
colonoscopy every 10 years?
Which of the following drugs procandmide
cause lupus- like symptoms:
a. beta blocker
b. ASA
c. procanamide
d. sertaline
35 yo. F presents to ED with c/o b/l security to ensure safety
wrist pain. You suspect spousal
abuse. You notice a handgun in
the patients purse. What would
be your next action?
a. contact social services about
spousal abuse
b. take the handgun away from the
patient
c. call security to ensure safety
d. call the police and report a
dangerous weapon
You patient is worried about insurance after insurance and third-party payers have paid
coverage and asks you for advice on
Medicaid. You instruct the patient that
Medicaid pays:
a. patient pays 80% of bill
b. for individuals that cannot afford
health care
c. after other insurance companies or
third- party payers have paid
, Stephen, 47 years old, comes to your sodium fluorescein stain for corneal abrasion
office complaining of intense pain in
the right eye which has worsened
since he woke up this morning.
During the eye exam, you find
copious tearing and redness in his
right eye. Which of the following
would confirm the most likely
diagnosis?
a. Tonometry
b. AV nicking
c. Synovial aspirate
d. Sodium fluorescein stain