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1. Question 2: Which drug for Alzheimer's disease a. cholinesterase in-
should be administered beginning at the time of di- hibitors pg
agnosis?
a. Cholinesterase inhibitors
b. Anxiolytics
c. Antidepressants
d. Atypical antipsychotics
2. Question 3: Most adult poisonings are: b. accidental.
a. intentional and self-inflicted.
b. accidental.
c. caused by someone wishing to do harm to the per-
son.
d. not attributed to any reason.
3. Question 4: A 58-year-old woman presents with a "We will order a mammo-
breast mass. Which of the following responses by the gram and ultrasound to
clinician would be most appropriate? help establish a diagno-
sis."
a. "It is probably just a cyst, because that is the most
common breast mass."
b. "We will order a mammogram and ultrasound to
help establish a diagnosis."
c. "We will go ahead and schedule you for a biopsy
because that is the only way to know for sure."
d. "Because your lump is painful, it is most likely not
cancer."
4. Question 5: Which of the following is a specific test for d. There is no specific test.
multiple sclerosis (MS)?
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a. Magnetic resonance imaging (MRI)
b. Computed tomography (CT) scan
c. A lumbar puncture
d. There is no specific test.
5. Question 7: Which characteristic of delirium helps to Abrupt onset
distinguish delirium from dementia?
a. Abrupt onset
b. Impaired attention
c. Affective changes
d. Delusions
6. Question 8: Which clinical feature is the first to be Decrease in level of con-
affected in increased intracranial pressure (ICP)? sciousness (LOC)
a. Decrease in level of consciousness (LOC)
b. Headache
c. Nausea
d. Widening pulse pressure
7. Question 9: Jennifer is an 18-year-old girl who comes There is a risk of neu-
to the emergency room after a fall during a soccer rovascular and neurosen-
game. Jennifer explains that she fell on her left side sory trauma, so the clini-
and kept her arm out straight to break her fall. She cian should check for dis-
has been experiencing severe pain and limited range tal pulses.
of motion in her left shoulder. The clinician has diag-
nosed Jennifer with a dislocated shoulder. Which of
the following statements are true concerning shoul-
der dislocation?
a. Posterior dislocations are more common than ante-
rior dislocations.
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b. There is a risk of neurovascular and neurosensory
trauma, so the clinician should check for distal pulses.
c. Recurrent dislocations are uncommon and would
require a greater force to result in injury.
d. Surgery is most commonly the treatment of choice.
8. Question 10: Which of the following signs or symp- morning stiffness
toms indicate an inflammatory etiology to muscu-
loskeletal pain?
a. Decreased C-reactive protein
b. Hyperalbuminemia
c. Morning stiffness
d. Weight gain
9. Question 11: The clinician sees a patient who is 5 feet Mild obesity
tall and weighs 150 pounds. How would the clinician
classify this patient?
a. Overweight
b. Mild obesity
c. Moderate obesity
d. Morbid obesity
10. Question 13: A 23-year-old sexually active woman pre- Human papillomavirus
sents for her first Pap smear. Her history includes (HPV)
nulligravida, age at first intercourse 14, and more than
10 sexual partners. Which of the following conditions
should the clinician be particularly alert for during her
exam?
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a. Human papillomavirus (HPV)
b. Endometrial hyperplasia
c. Vagismus
d. Polycystic ovarian syndrome
11. Question 14: Which of the following classes of drugs Antipsychotic
should be used as first-line therapy for treatment of
delirium?
a. Benzodiazepines
b. Antipsychotics
c. Anticonvulsants
d. Antidepressants
12. Question 15: What is the treatment of choice for a treatment of choice for
patient diagnosed with testicular cancer? a patient diagnosed with
testicular cancer?
a. Radical orchidectomy Radical orchidectomy
b. Lumpectomy
c. Radiation implants
d. All of the above
13. Question 16: A 24-year-old woman presents to the Chlamydia
clinic with dysuria, dyspareunia, and a mucopurulent
vaginal discharge. Her boyfriend was recently treated
for nongonococcal urethritis. What sexually transmit-
ted disease (STD) has she most probably been ex-
posed to?
a. Gonorrhea
b. Human papillomavirus (HPV)