High-Yield Review Guide
1. Which of the following patients would most need an X-Ray?
A patient who injured her ankle, has crepitus and pain with
movement and palpation and can bear minimal weight with pain
A patient who developed marked swelling and discoloration but is
able to bear weight
A patient who injured her ankle and who could not weight bear
immediately after the injury but can now apply some pressure to the
ankle.
A patient who injured her ankle but is crying even before you touch
her ankle
2. Why is eliminating coffee recommended for individuals suffering from
gastroesophageal reflux disease (GERD)?
Coffee helps in digestion and reduces symptoms.
Coffee has no effect on GERD symptoms.
Coffee increases stomach acid production without affecting reflux.
Coffee can relax the lower esophageal sphincter, leading to
increased reflux.
3. Why is it important to know the last menstrual period of a patient before
prescribing antibiotics like Bactrim DS?
It helps to rule out pregnancy and assess any potential risks
associated with the medication.
It helps to identify the patient's overall health status.
It is required for insurance purposes.
, It is necessary for determining the dosage of the medication.
4. What is one possible condition that should be considered in the differential
diagnosis for a hard lump in the testicle?
Hernia
Appendicitis
Testicular cancer
Kidney stones
5. A patient presents with low back pain and reports increased pain when
bending forward, along with morning stiffness. What should the clinician
consider as a potential diagnosis?
osteoarthritis
muscle strain
sciatica
herniated nucleus pulposus
6. Which two tests are commonly ordered to assess for hyperthyroidism during
an initial visit?
High sensitivity thyroid stimulating hormone TSH and free T4
TSH and thyrotoxin antibodies
thyroid stimulating hormone (TSH) and free T4
Free T4 and serum calcium
7. We should monitor thyroid levels (TSH, T4, T3) after synthroid is started?
5 to 7 days
, every 6 months
1 to 2 weeks
6 to 8 weeks
8. Which statement is true about barretts epithelium in the pt with GERD?
barretts epithelium is resistant to the development of cancer
esophageal strictures are less likely to occur with this type of
epithelium
it is considered premalignant and is associated with higher risk for
cancer
this new temperature is less resistant to acid so it must be removed
9. What type of bacteria is most commonly responsible for nosocomial
pneumonia?
Gram-negative bacteria
Pneumococcal pneumonia
Fungi
Viruses
10. Describe the significance of measuring thyroid stimulating hormone (TSH)
and free T4 in the diagnosis of hyperthyroidism.
They are primarily used to assess blood glucose levels.
These tests are irrelevant in diagnosing thyroid conditions.
Measuring TSH and free T4 helps determine thyroid function and
diagnose hyperthyroidism.
These tests are used to evaluate kidney function.
, 11. Jennifer is an 18-year-old girl who comes to the emergency room after a fall
during a soccer game. Jennifer explains that she fell on her left side and kept
her arm out straight to break her fall. She has been experiencing severe pain
and limited range of motion in her left shoulder. The clinician has diagnosed
Jennifer with a dislocated shoulder. Which of the following statements are
true concerning shoulder dislocation?
posterior dislocations are more common than anterior dislocations
there is a risk of neurovascular and neurosensory trauma, so the
clinician should check for distal pulses
12. Describe why hospitalization may be necessary for a patient with acute
pyelonephritis.
Hospitalization is required for surgery.
Hospitalization is necessary to provide intravenous antibiotics and
monitor for complications.
Hospitalization is only for severe cases.
Hospitalization is needed for dietary management.
13. What is the most common epithelial precancerous lesion?
Seborrheic keratosis
Solar lentigines
Cutaneous horn
Actinic keratosis
14. Risk associated with obesity include
Diabetes
Heart disease