ACTUAL EXAM TEST COMPREHENSIVE
QUESTIONS AND CORRECT DETAILED
ANSWERS(VERIFIED ANSWERS)| ALREADY
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Treatment for epididymitis includes which of the following? - ANSWER✔️scrotal elevation
Robin presents with tearing in her right eye that started this morning. What is the most likely
cause in the provider's differential diagnosis? - ANSWER✔️foreign body in the eye
Which of the following must be completed prior to administering TPA (tissue plasminogen
activator)? - ANSWER✔️Head CT
When giving discharge instructions to a patient with a laceration injury to his lower leg. Which is
the most important one? - ANSWER✔️keep the leg elevated at waist level to prevent any edema
,jean has acute otitis externa with fluid that is black and malodorous. Which of the following is
responsible for the infection? - ANSWER✔️fungal infection
A patient is diagnosed with GERD, and his endoscopic report reveals the presence of Barrett's
epithelium. Which of the following should the PCP include in the explanation of the pathology
report? - ANSWER✔️this tissue is to resistant to gastric acid
Billy presents with edematous and erythematous lid margins and closer visual inspection with a
Wood's lamp reveals scaling. Which of the following conditions could be the diagnosis? -
ANSWER✔️blepharitis
Marie has diabetes mellitus with proliferative retinopathy. how often should she see her
ophthalmologist? - ANSWER✔️annually
A score of 12 to 24 on this test indicates intermediate Alzheimer's disease: - ANSWER✔️MMSE
Clinicians should ask older adults about their end-of-life plans when older patients are: -
ANSWER✔️undergoing an outpatient procedure
The forced vital capacity is decreased in: - ANSWER✔️restrictive disease
The clinician is speaking with Bernadette, who has recently been diagnosed with urinary
incontinence. She has had this condition for a number of years, she is 5 feet 5 inches, and she
weighs 140 pounds. Which of the following should the health-care provider be aware of? -
ANSWER✔️Bernadette may be suffering from depression and may need a psychiatric consult
Which blood test would confirm a diagnosis of diabetes mellitus? - ANSWER✔️oral glucose
tolerances test 250mg/dL (2-hour level)
Which method is used to remove heavy metals, such as lead? - ANSWER✔️chelation
The clinician is examining the skin of Mary, who would like to be cleared to play beach
volleyball. What is the clinician's most important focus point when looking at her skin? -
ANSWER✔️Freckles, to assess if she potentially has a melanoma
Julie has relapsing-remitting muscular sclerosis. She has not had a good response to interferon.
Which medication might help given IV once a month? - ANSWER✔️Natalizumab
What is the bulls-eye rash of Lyme disease called? - ANSWER✔️erythema migraines
Which of the following is an aerobic gram-negative bacteria involved in prostatitis? -
ANSWER✔️pseudomonas
,Which of the following statements is correct regarding the leading cause of blindness in the US
known as macular degeneration? - ANSWER✔️it is slow or sudden painless loss of central vision
What describes a pandemic? - ANSWER✔️An event of epidemic magnitude affecting multiple
communities and countries in a short period of time.
A 78-year-old man says he has been diagnosed with stage 0 bladder cancer and asks the provider
what that means. Which is the best response? - ANSWER✔️You have cancer that has spread to
the surrounding tissue
Which of the following antihypertensive medications would you avoid prescribing for an elderly
white female with the comorbid diagnosis of osteoporosis?
a. Beta blockers
b. Calcium channel blockers
c. Ace inhibitors
d. Diuretics - ANSWER✔️Calcium channel blockers
Which of the following class of drugs is preferred treatment for a diabetic with stage II
hypertension?
a. Calcium channel blockers
b. Alpha blockers
c. Angiotensin converting enzyme inhibitor
d. Loop diuretics - ANSWER✔️Angiotensin converting enzyme inhibitor
You are caring for a 30-year-old white male in your office with a BP of 144/90. He has never
had a diagnosis of hypertension. He doesn't check his blood pressure at home. He has a family
history of hypertension. What are your recommendations?
a. Start HCTZ 12.5mg daily, purchase a blood pressure cuff, and return to your office in 1 mth
b. Instruct to purchase a BP cuff, record blood pressures, call if over 140's over 90's, low salt
diet, return in 2 weeks.
c. Order EKG, CMP, CBC, and lipid panel, and refer to cardiology.
d. Order a cardiac stress test and lipid panel. - ANSWER✔️Instruct to purchase a BP cuff, record
blood pressures, call if over 140's over 90's, low salt diet, return in 2 weeks
You are treating a young adult female with HTN and migraine headaches. Which class of
medications could you choose to treat both?
Ace inhibitors
Calcium channel blockers
Beta blockers
, Angiotensin receptor blockers - ANSWER✔️Beta blockers
A 42-year-old male presents with the following lipid profile. He is not on any medications for
cholesterol or herbal supplements.
Total: 210
LDL: 145
TG 162
HDL 52
What medication would you recommend?
a. Low dose statin
b. Low dose bile acid sequestrant
c. Low dose fibrate
d. Fish oil - ANSWER✔️Low dose statin
You are caring for a 68-year-old male who has been taking atorvastain (Lipitor) for 8 weeks. He
complains of fatigue, muscle aches, and dark-colored urine. Which of the following is the most
appropriate treatment plan?
a. Order a CBC and CMP.
b. Order lipid level and serum creatine phosphokinase
(CPK, creatine kinase)
c. Order a 24 hr urine
d. Recommend increasing his fluids and rest. - ANSWER✔️Order lipid level and serum creatine
phosphokinase (CPK, creatine kinase).
What would you advise this patient regarding taking his atrovastatin (Lipitor)?
Continuing taking the medication until the labs are
available
Take atorvastatin every other day until labs are
available
Take half of the atorvastatin every other day until labs
are available
Stop taking the atorvastatin until the labs are
available - ANSWER✔️Stop taking atorvastatin until the labs are available.
A 58 year old male presents to your office with an episode of chest tightness in his substernal
area that radiated to his back while he was jogging. It was relieved with rest. Which of the
following does this best describe?
Acute myocardial infarction
Gastroesophageal reflux disease
Angina pectoris
Acute costochondritis - ANSWER✔️Angina pectoris