b) Peptic ulcer disease
Question 1 2 / 2 points
A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses?
Question options:
a) Pancreatitis
b) Peptic ulcer disease
c) Diverticulitis
d) All of the above
Question 2 2 / 2 points
Which of the following would be an appropriate treatment for a patient with mild BPH?
Question options:
a) Refer to a urologist for surgery.
b) Prescribe a trial of tamsulosin.
c) Recommend cranberry supplements.
d) Reevaluate symptoms in 1 to 3 months.
Question 3 2 / 2 points
The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should take which of the following actions?
Question options:
a) Repeat the test.
b) Refer to a nephrologist.
c) Measure the serum protein.
d) Obtain a blood urea nitrogen (BUN) and creatinine.
Question 4 2 / 2 points
Which is the most potent and irritating dose of tretinoin?
Question options:
a) 0.05% liquid formulation
b) 0.1% cream
c) 1% foam
d) 0.02% cream
Question 5 2 / 2 points
Which of the following clinical manifestations are consistent with a patient in ARF?
Question options:
a) Pruritis
b) Glycosuria
c) Irritability
Question 6 2 / 2 points
Which of the following is an infraorbital fold skin manifestation in a patient with atopic dermatitis?
Question options:
a) Keratosis pilaris
b) Dennie’s sign
c) Keratoconus
d) Pityriasis alba
Question 7 2 / 2 points
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?
Question options:
a) Erectile dysfunction
b) Glaucoma
c) Hypotension
d) Headache
Question 8 2 / 2 points
When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect?
Question options:
a) A piece of hair or a thread
b) Hyphae
c) Leukocytes
d) Spores
Question 9 2 / 2 points
Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is a treatment that you usually recommend/order in nonpregnant patients, but is listed as a Pregnancy category D?
Question options:
a) Vagistat vaginal cream
b) Monistat combination pack
c) Terazol vaginal cream
d) Diflucan, 150 mg
Question 10 2 / 2 points
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?
Question options:
a) NSAIDs
b) Beets
c) Vitamin A
d) Red meat
Question 11 2 / 2 points
Which of the following tests is most useful in determining renal function in a patient suspected of CRF?
Question options:
a) BUN and creatinine
b) Electrolytes
c) Creatinine clearance
d) Urinalysis
Question 12 2 / 2 points
Eighty percent of men have noticeable hair loss by what age?
Question options:
a) 35
b) 50
c) 70
d) 85
Question 13 0 / 2 points
When looking under the microscope to diagnose an intravaginal infection, you see a cluster of small and oval to round shapes.What do you suspect they are?
Question options:
a) Spores
b) Leukocytes
c) Pseudohyphae
d) Epithelial cells
Question 14 2 / 2 points
Which of the following information is essential before prescribing Bactrim DS to a 24-year-old woman with a UTI?
Question options:
a) Last menstrual period
b) Method of birth control
c) Last unprotected sexual contact
d) All of the above
Question 15 2 / 2 points
What is the treatment of choice for a patient diagnosed with testicular cancer?
Question options:
a) Radical orchidectomy
b) Lumpectomy
c) Radiation implants
d) All of the above
Question 16 2 / 2 points
Which test is used to confirm a diagnosis of epididymitis?
Question options:
a) Urinalysis
b) Gram stain of urethral discharge
c) Complete blood cell count with differential
d) Ultrasound of the scrotum
Question 17 2 / 2 points
Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this?
Question options:
a) Bullous impetigo
b) Staphylococcal scalded skin syndrome (SSSS)
c) Nonbullous impetigo
d) Ecthyma
Question 18 2 / 2 points
An example of ecchymosis is:
Question options:
a) A hematoma
b) A keloid
c) A bruise
d) A patch
Question 19 2 / 2 points
An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses?
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