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?
Question options:
a) Benign prostatic hyperplasia (BPH)
b) Parkinson’s disease
c) Prostate cancer
d) All of the above
Question 20 0 / 2 points
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?
Question options:
a) Testosterone level
b) Prostate-specific antigen
c) Nocturnal penile tumescence and rigidity
d) Prolactin level
Question 21 2 / 2 points
A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis?
Question options:
a) Peyronie’s disease
b) Damage to the pudendal artery
c) Scarring of the cavernosa
d) All of the above
Question 22 2 / 2 points
A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system?
Question options:
a) The cancer involves the seminal vesicles.
b) There is metastatic disease to regional lymph nodes.
c) The cancer is confined to the capsule.
d) There is metastasis to distant organs.
Question 23 0 / 2 points
During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
Question options:
a) An enlarged rubbery gland
b) A hard irregular gland
c) A tender gland
d) A boggy gland
Question 24 2 / 2 points
Tinea unguium is also known as:
Question options:
a) Onychomycosis
b) Tinea versicolor
c) Tinea manuum
d) Tinea corporis
Question 25 2 / 2 points
The patient is diagnosed with acute renal failure (ARF).Which of the following data obtained from the history should alert the provider that this is a case of prerenal azotemia?
Question options:
a) Recent heat stroke
b) Nephrolithiasis
c) Recent infection where gentamicin was used in treatment
d) All of the above
Question 26 2 / 2 points
Which of the following statements is accurate when you are removing a seborrheic keratosis lesion using liquid nitrogen?
Question options:
a) Do not use lidocaine as it may potentiate bleeding.
b) Pinch the skin taut together.
c) Use gel foam to control bleeding.
d) This should be performed by a dermatologist only.
Question 27 2 / 2 points
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should question the patient about which of these contraindications to this medication?
Question options:
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