Janet is a 30-year-old who has recently been diagnosed with a herniated disc
at the level of L5-S1. She is currently in the emergency room with suspicion
of cauda equina compression. Which of the following is a sign or symptom of
cauda equina compression?
A. Gastrocnemius weakness
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Paresthesia of the perineum and buttocks
D. Paresthesia of the perineum and buttocks
If stimulant drugs are not tolerated or contraindicated for the treatment of
ADHD, what medication may produce a therapeutic effect?
A. Daytrana
B. Vyvanse
C. Warfarin
D. Atomoxetine
D. Atomoxetine
What is the advantage of guanfacine (i.e., Tenex, Intuniv) over clonidine (i.e.,
Catapres, Kapvay) for the treatment of ADHD?
A. Tapering off is not required on discontinuation
B. Therapeutic effect is instantaneous
C. Wider range of available dosages
D. Less sedation and longer duration of action
D. Less sedation and longer duration of action
,Which of the following would be important to monitor in a child receiving
methylphenidate for treatment of attention deficit-hyperactivity disorder
(ADHD)?
A. Liver function
B. Vision
C. Growth parameters
D. Renal function
C. Growth parameters
The current goal of treatment for a patient with HIV infection is which of the
following?
A. Viral suppression of HIV to undetectable levels in the peripheral blood
B. Compete eradication of the virus
C. Encouraging the person to have no contact with uninfected individuals
D. Complete abstinence
A. Viral suppression of HIV to undetectable levels in the peripheral blood
What does the I stand for in the mnemonic DELIRIUM used to assess causes
for delirium in an older patient?
A. Infection
B. Identity crisis
C. Influenza
D. Internal injury
A. Infection
,The clinician is using the mnemonic ETHICAL to solve a practice dilemma.
What does the "A" represent?
A. Accountability
B. Autonomy
C. Assess
D. Act
D. Act
Spontaneous bruising may be seen with platelet counts below what level?
A. 100,000 cells/mL
B. 75,000 cells/mL
C. 50,000 cells/mL
D. 30,000 cells/mL
D. 30,000 cells/mL
As a rule of thumb, the estimated level of hematocrit is how many times the
value of the hemoglobin?
A. Two
B. Three
C. Four
D. Five
B. Three
What blood alcohol level corresponds with the signs of stupor and confusion?
, A. 0.05
B. 0.1
C. 0.2
D. 0.3
D. 0.3
•Alkaline urine- what is it and how to treat
Which blood test would confirm a diagnosis of diabetes mellitus?
A. A1c 5.5%
B. Fasting plasma glucose level of 120 mg/dL
C. Oral glucose tolerance test 250 mg/dL (2-hour level)
D. Random plasma glucose level 175 mg/dL
C. Oral glucose tolerance test 250 mg/dL (2-hour level)
Which lab test would the clinician order to monitor for a significant side
effect from tenofovir disoproxil fumarate?
A. Urine protein
B. Allele genetic testing
C. Sodium level
D. Hemoglobin
A. Urine protein
at the level of L5-S1. She is currently in the emergency room with suspicion
of cauda equina compression. Which of the following is a sign or symptom of
cauda equina compression?
A. Gastrocnemius weakness
B. A reduced or absent ankle reflex
C. Numbness in the lateral foot
D. Paresthesia of the perineum and buttocks
D. Paresthesia of the perineum and buttocks
If stimulant drugs are not tolerated or contraindicated for the treatment of
ADHD, what medication may produce a therapeutic effect?
A. Daytrana
B. Vyvanse
C. Warfarin
D. Atomoxetine
D. Atomoxetine
What is the advantage of guanfacine (i.e., Tenex, Intuniv) over clonidine (i.e.,
Catapres, Kapvay) for the treatment of ADHD?
A. Tapering off is not required on discontinuation
B. Therapeutic effect is instantaneous
C. Wider range of available dosages
D. Less sedation and longer duration of action
D. Less sedation and longer duration of action
,Which of the following would be important to monitor in a child receiving
methylphenidate for treatment of attention deficit-hyperactivity disorder
(ADHD)?
A. Liver function
B. Vision
C. Growth parameters
D. Renal function
C. Growth parameters
The current goal of treatment for a patient with HIV infection is which of the
following?
A. Viral suppression of HIV to undetectable levels in the peripheral blood
B. Compete eradication of the virus
C. Encouraging the person to have no contact with uninfected individuals
D. Complete abstinence
A. Viral suppression of HIV to undetectable levels in the peripheral blood
What does the I stand for in the mnemonic DELIRIUM used to assess causes
for delirium in an older patient?
A. Infection
B. Identity crisis
C. Influenza
D. Internal injury
A. Infection
,The clinician is using the mnemonic ETHICAL to solve a practice dilemma.
What does the "A" represent?
A. Accountability
B. Autonomy
C. Assess
D. Act
D. Act
Spontaneous bruising may be seen with platelet counts below what level?
A. 100,000 cells/mL
B. 75,000 cells/mL
C. 50,000 cells/mL
D. 30,000 cells/mL
D. 30,000 cells/mL
As a rule of thumb, the estimated level of hematocrit is how many times the
value of the hemoglobin?
A. Two
B. Three
C. Four
D. Five
B. Three
What blood alcohol level corresponds with the signs of stupor and confusion?
, A. 0.05
B. 0.1
C. 0.2
D. 0.3
D. 0.3
•Alkaline urine- what is it and how to treat
Which blood test would confirm a diagnosis of diabetes mellitus?
A. A1c 5.5%
B. Fasting plasma glucose level of 120 mg/dL
C. Oral glucose tolerance test 250 mg/dL (2-hour level)
D. Random plasma glucose level 175 mg/dL
C. Oral glucose tolerance test 250 mg/dL (2-hour level)
Which lab test would the clinician order to monitor for a significant side
effect from tenofovir disoproxil fumarate?
A. Urine protein
B. Allele genetic testing
C. Sodium level
D. Hemoglobin
A. Urine protein
