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ANSWERS
An 85-year-old patient relates that on the way to an annual physical
examination, the patient suffered a sudden loss of vision in the right eye
characterized by "a bunch of lights" and a feeling that "a curtain came
down." The most likely diagnosis is: ---------CORRECT ANSWER--------------
---Retinal detachment.
A 32-year-old patient reports a 6-month history of intermittent symmetrical
swelling of the wrists and daily morning stiffness lasting 1 hour or more in
and around other joints. What is the most likely diagnosis? ---------
CORRECT ANSWER ---------------- Rheumatoid arthritis
A 38-year-old male experiences a sudden onset of acute abdominal pain
radiating to his groin. He is having difficulty walking and is nauseated. He
denies any trauma or previous groin injuries. Examination reveals diffuse
swelling of the left testicle and negative cremasteric reflex. The most likely
diagnosis is: ---------CORRECT ANSWER ---------------- testicular torsion.
A 65-year-old female presents with shoulder and pelvic girdle pain for the
past 6 months. She reports recent unintentional weight loss. On physical
examination, there is pain on ROM, with no weakness noted. Laboratory
studies show a low hemoglobin and an elevated sedimentation rate. Which
of the following is the most likely diagnosis? ---------CORRECT ANSWER---
- ------------ Polymyalgia rheumatica
, A 20-year-old male presents with a 1-month history of a "bump on my
testicle." He reports being sexually active, with frequent episodes of
unprotected intercourse with multiple partners. Which condition should be
suspected? ---------CORRECT ANSWER ---------------- Cancer of the
testicles
A 10-month-old presents with a rash, runny nose, and cough. Examination
reveals a cluster of tiny white papules with an erythematous base on the
buccal mucosa. What does this suggest? ---------CORRECT ANSWER-------
- -------- Measles
A nurse practitioner is evaluating a 40-year-old patient suspected of having
a pulmonary embolus. The patient complains of anxiety and cough. A stat
chest X-ray is normal. Which of the following tests should the nurse
practitioner perform next? ---------CORRECT ANSWER ----------------Helical
CT pulmonary angiography
A 72-year-old female presents with a medical history unremarkable except
for the occasional headache. She enjoyed emotional health throughout
marriage and childrearing, although her family history is significant for
strokes and nervous breakdowns. Since her husband died a year ago,
however, she has been waking every morning at 3:00 A.M., is reluctant to
go out although she has family members living nearby, and feels a
continual urge to sleep. She cannot discuss her late husband without
crying. Differential diagnoses would include: ---------CORRECT ANSWER---
- ------------ depression, unresolved grief, and hypothyroidism.
Trigeminal neuralgia manifests itself primarily with: --------CORRECT
ANSWER ---------------- electric-shock-like unilateral facial pain.