N502 Final Exam Questions With Complete Solutions
_____ is restricted on DASH diet because it causes fluid
retention and raises blood pressure Correct Answer Salt
" Severe exacerbations in an individual with intermittent asthma
are appropriately treated with: a) Mast cell stabilizers b) Short
acting inhaled B2 agonists c) Systemic corticosteroids d)
Theophylline" Correct Answer C
"Acute otitis media is characterized by all of the following
physical exmination findings except: a. distorted light reflex b.
obscurred bony landmarks c. Erythema of the ear canal d.
Preauricular lymphadenopathy" Correct Answer C
"Peptic ulcer disease associated with presence of H. Pylori can
be diagnosed by: a. Visualization of H. Pylori on gram-stained
preparation b. Negative urea breath analysis c. Negative urease
assay via endoscopy d. Serology positive for H. pylori
antibodies" Correct Answer D
"The recommended initial pharmacologic agent for type 2
diabetes is: a) Insulin b) Metformin c) Sulfonylurea d)
Thiazolidinedione" Correct Answer B
"The U.S. Preventive Services Task Force is a national
organization used by many healthcare providers in their clinical
practice. Which of the following is true about the U.S.
Preventive Services Task Force (USPSTF)? (select all that
apply) Answers: a. Provides evidence based recommendations
on the treatment of certain diseases b. Primary focus is the
,tertiary prevention of common disease c. Was created in 1984 as
an independent group of national experts d. All of the above
Correct Answer A
"Which of the following is not a symptom of TB? Cough, night
sweats, weight loss, anorexia" Correct Answer Anorexia
"Which of the following would not be a risk factor for
Peripheral Artery Disease? Correct Answer Marathon running
"Your paitent is experiencing 3-4 migraine headaches per
month. You decide to begin prophylactic medication. Which of
the following is recommended for migraine headache
prophylaxis? A. Ergotamine b. Propranolol (beta blocker) c.
Sumatriptin d. SSRI" Correct Answer B
A - Asymmetry Correct Answer
A 20 yr old female presents with 2 annular lesions with a scaly
border and central clearing on her trunk. The lesions have been
present for 1 wee and are mildly pruritic. What is the most likely
diagnosis? A. Psoriasis b. ptyriasis rosea c. tinea versicolor d.
tinea corporis" Correct Answer D
A 21 y/o female complains of intermittent abdominal pain,
bloating, and loose stools 3-4 times a month for the past 3
months. Which of the following additional information would
lead you toward a diagnosis of irritable bowel syndrome? a)
Abdominal pain is relieved with defecation b) Antacids relieve
the pain c) She is awakened at night by need to defecate d) She
,has noted a small amount of bright red blood in the loose stools
Correct Answer A
A 24 year old female client with major depression tells you that
she feels like her life is falling apart with no hope of improving.
She recently lost her job, had to move out of her apartment and
now lives with her sister. Her risk factors for a suicide attempt
include: a. Age between 20 and 30 years b. Female gender c.
current living situation d. sense of hopelessness" Correct
Answer D
A 25 year-old patient presents to the clinic with irregular
menses, fatigue, weight gain, and constipation for 3 months. On
physical exam, you notice sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation of deep tendon
reflexes (DTRs). All of the following tests would be helpful to
evaluate these symptoms EXCEPT: Answers: a. Free thyroxine
(T4) b. Total triiodothyronine (T3) c. Thyroid antibodies d.
Thyroid-stimulating hormone (TSH) Correct Answer B
A 26 y/o female presents with complaint of watery diarrhea,
abdominal cramping, and nausea that started a few days after
she returned from a trip to Mexico. She has not noted any blood
in her stools and has no fever. You suspect traveler's diarrhea.
The most common causative agent is: a) E coli b) Giardia
lamblia c) Norwalk virus d) Staphylococcus" Correct Answer
A
A 28 yr old female presents with complaints of low back pain
after helping a friend move 2 days ago. She denies any radiation
of the pain, numbness or tingling in the lower extremities or
, problems with elimination. On physical exam, mild
paravertebral muscle spams is noted with decreased range of
motion of the spine. THere are no focal neurologic findings.
Appropriate management would include: a. radiograph of the
lumbosacral spine b. bed rest for 3-4 days c. NSAIDS d.
Referral to neurologist" Correct Answer C
A 35 y/o overweight female presents with intermittent heartburn
for several months. The use of Tums provides temporary relief.
During the past week, she has been awakened during the night
with a burning sensation in her chest. She is not taking any other
medications and has no major health problems. What additional
information would support a diagnosis of GERD as the cause of
her symptoms? a) She has occasional nausea and vomiting b)
She often notes coughing during the night and a bad taste in her
mouth c) The pain is usually relieved by eating d) Constipation
has been a chronic problem and she uses laxatives twice a week
Correct Answer B
A 44 y/o female presents with type 2 diabetes and
hyperlipidemia. Which of the following should be your main
treatment goal? a) HDL > 40 mg/dL b) LDL cholesterol <100
mg/dL c) Total cholesterol < 200 mg/dL, LDL cholesterol < 100
mg/dL d) Triglycerides < 250 mg/dL" Correct Answer B
A 44 yr old female presents with type 2 diabetes and
hyperlipidemia. Which of the following should be your main
treatment goal? A. HDL>40 mg/dl b. LDL cholesterol < 100
mg/dl c. Total cholesterol <200 mg/dl, LDL cholesterol < 100
mg/dl d. Triglycerides <250 mg/dl" Correct Answer B
_____ is restricted on DASH diet because it causes fluid
retention and raises blood pressure Correct Answer Salt
" Severe exacerbations in an individual with intermittent asthma
are appropriately treated with: a) Mast cell stabilizers b) Short
acting inhaled B2 agonists c) Systemic corticosteroids d)
Theophylline" Correct Answer C
"Acute otitis media is characterized by all of the following
physical exmination findings except: a. distorted light reflex b.
obscurred bony landmarks c. Erythema of the ear canal d.
Preauricular lymphadenopathy" Correct Answer C
"Peptic ulcer disease associated with presence of H. Pylori can
be diagnosed by: a. Visualization of H. Pylori on gram-stained
preparation b. Negative urea breath analysis c. Negative urease
assay via endoscopy d. Serology positive for H. pylori
antibodies" Correct Answer D
"The recommended initial pharmacologic agent for type 2
diabetes is: a) Insulin b) Metformin c) Sulfonylurea d)
Thiazolidinedione" Correct Answer B
"The U.S. Preventive Services Task Force is a national
organization used by many healthcare providers in their clinical
practice. Which of the following is true about the U.S.
Preventive Services Task Force (USPSTF)? (select all that
apply) Answers: a. Provides evidence based recommendations
on the treatment of certain diseases b. Primary focus is the
,tertiary prevention of common disease c. Was created in 1984 as
an independent group of national experts d. All of the above
Correct Answer A
"Which of the following is not a symptom of TB? Cough, night
sweats, weight loss, anorexia" Correct Answer Anorexia
"Which of the following would not be a risk factor for
Peripheral Artery Disease? Correct Answer Marathon running
"Your paitent is experiencing 3-4 migraine headaches per
month. You decide to begin prophylactic medication. Which of
the following is recommended for migraine headache
prophylaxis? A. Ergotamine b. Propranolol (beta blocker) c.
Sumatriptin d. SSRI" Correct Answer B
A - Asymmetry Correct Answer
A 20 yr old female presents with 2 annular lesions with a scaly
border and central clearing on her trunk. The lesions have been
present for 1 wee and are mildly pruritic. What is the most likely
diagnosis? A. Psoriasis b. ptyriasis rosea c. tinea versicolor d.
tinea corporis" Correct Answer D
A 21 y/o female complains of intermittent abdominal pain,
bloating, and loose stools 3-4 times a month for the past 3
months. Which of the following additional information would
lead you toward a diagnosis of irritable bowel syndrome? a)
Abdominal pain is relieved with defecation b) Antacids relieve
the pain c) She is awakened at night by need to defecate d) She
,has noted a small amount of bright red blood in the loose stools
Correct Answer A
A 24 year old female client with major depression tells you that
she feels like her life is falling apart with no hope of improving.
She recently lost her job, had to move out of her apartment and
now lives with her sister. Her risk factors for a suicide attempt
include: a. Age between 20 and 30 years b. Female gender c.
current living situation d. sense of hopelessness" Correct
Answer D
A 25 year-old patient presents to the clinic with irregular
menses, fatigue, weight gain, and constipation for 3 months. On
physical exam, you notice sinus bradycardia; muscular stiffness;
coarse, dry hair; and a delay in relaxation of deep tendon
reflexes (DTRs). All of the following tests would be helpful to
evaluate these symptoms EXCEPT: Answers: a. Free thyroxine
(T4) b. Total triiodothyronine (T3) c. Thyroid antibodies d.
Thyroid-stimulating hormone (TSH) Correct Answer B
A 26 y/o female presents with complaint of watery diarrhea,
abdominal cramping, and nausea that started a few days after
she returned from a trip to Mexico. She has not noted any blood
in her stools and has no fever. You suspect traveler's diarrhea.
The most common causative agent is: a) E coli b) Giardia
lamblia c) Norwalk virus d) Staphylococcus" Correct Answer
A
A 28 yr old female presents with complaints of low back pain
after helping a friend move 2 days ago. She denies any radiation
of the pain, numbness or tingling in the lower extremities or
, problems with elimination. On physical exam, mild
paravertebral muscle spams is noted with decreased range of
motion of the spine. THere are no focal neurologic findings.
Appropriate management would include: a. radiograph of the
lumbosacral spine b. bed rest for 3-4 days c. NSAIDS d.
Referral to neurologist" Correct Answer C
A 35 y/o overweight female presents with intermittent heartburn
for several months. The use of Tums provides temporary relief.
During the past week, she has been awakened during the night
with a burning sensation in her chest. She is not taking any other
medications and has no major health problems. What additional
information would support a diagnosis of GERD as the cause of
her symptoms? a) She has occasional nausea and vomiting b)
She often notes coughing during the night and a bad taste in her
mouth c) The pain is usually relieved by eating d) Constipation
has been a chronic problem and she uses laxatives twice a week
Correct Answer B
A 44 y/o female presents with type 2 diabetes and
hyperlipidemia. Which of the following should be your main
treatment goal? a) HDL > 40 mg/dL b) LDL cholesterol <100
mg/dL c) Total cholesterol < 200 mg/dL, LDL cholesterol < 100
mg/dL d) Triglycerides < 250 mg/dL" Correct Answer B
A 44 yr old female presents with type 2 diabetes and
hyperlipidemia. Which of the following should be your main
treatment goal? A. HDL>40 mg/dl b. LDL cholesterol < 100
mg/dl c. Total cholesterol <200 mg/dl, LDL cholesterol < 100
mg/dl d. Triglycerides <250 mg/dl" Correct Answer B
