Biomed Board Exam #10

Front 1

Which of the following nerves innervates the deltoid muscle?
(A) Ulnar nerve.
(B) Radial nerve.
(C) Median nerve.
(D) Axillary nerve

Back 1

D) Axillary nerve

Front 2

Each of the following is a member of rotator cuff muscles EXCEPT
(A) Teres major.
(B) Infraspinatus.
(C) Subscapularis.
(D) Supraspinatus.

Back 2

A) Teres major

Front 3

Inability to flex the thigh over the body trunk is most likely caused by paralysis of
(A) Iliopsoas.
(B) Quadriceps.
(C) Hamstrings.
(D) Gluteus maximus.

Back 3

A) Iliopsoas

Front 4

The most abundant white blood cells in the circulating blood are
(A) Monocytes.
(B) Eosinophils.
(C) Neutrophils.
(D) Lymphocytes.

Back 4

C) Neutrophils

Front 5

The majority of the fluid leave the body as
(A) Sweat through the skin.
(B) Feces through the GI tract.
(C) Urine through the kidneys.
(D)Water in expired air through the lungs.

Back 5

C) Urine through the GI tract

Front 6

A child is immune to certain infectious diseases after being properly vaccinated. This
represents a type of
(A) Naturally acquired active immunity.
(B) Naturally acquired passive immunity.
(C) Artificially acquired active immunity.
(D) Artificially acquired passive immunity.

Back 6

C) Artificially acquired active immunity

Front 7

Which of the following is NOT a communicable infectious disease?
(A) Tetanus.
(B) Leprosy.
(C) Hepatitis.
(D) Tuberculosis.

Back 7

A) Tetanus

Front 8

A value of 28 in the body mass index (BMI) is interpreted as being
(A) Normal.
(B) Overweight.
(C) Stage I obese.
(D) Stage II obese.

Back 8

B) Overweight

Front 9

A male patient has suffered from shooting sciatic pain with radiation down to both
legs. The pain is worsened by spinal movement and by sneezing or coughing. A
positive straight leg-raising sign and decreased ankle jerks are found. These
symptoms and signs are highly suggestive of
(A) Ankylosing spondylitis.
(B) Degenerative joint disease.
(C) Paravertebral muscle spasm.
(D) Herniated intervertebral disc.

Back 9

D) Herniated intervertebral disc

Front 10

Which drug affecting blood interferes with the function of platelets?
(A) Aspirin.
(B) Heparin.
(C) Warfarin.
(D) Alteplase.

Back 10

A) Aspirin

Front 11

A patient with fibromyalgia is best referred to what specialty doctor?
(A) Neurologist.
(B) Cardiologist.
(C) Dermatologist.
(D) Rheumatologist.

Back 11

D) Rheumatologist

Front 12

Which endogenous neurotransmitter resembles opiates in their abilities to produce
pain relief and a feeling of well-being?
(A) Endorphin.
(B) Epinephrine.
(C) Acetylcholine.
(D) Norepinephrine.

Back 12

A) Endorphin

Front 13

b-Lactam antibiotics, such as penicillins and cephalosporins, are used to treat
bacterial infections by
(A) Inhibiting the bacterial protein synthesis.
(B) Disrupting the bacterial DNA replication.
(C) Preventing the synthesis of bacterial folic acid.
(D) Interfering with the bacterial cell wall synthesis.

Back 13

D) Interfering with the bacterial cell wall synthesis

Front 14

Albuterol (Ventolin®), a non-catecholamine direct-acting adrenergic agonist, is
clinically used to control the symptoms of
(A) Asthma.
(B) Influenza.
(C) Pneumonia.
(D) Sinus infection.

Back 14

A) Asthma

Front 15

Donepezil (Aricept®) is an acetylcholinesterase inhibitor that is currently approved
for the treatment of
(A) Insomnia.
(B) Depression.
(C) Parkinson’s disease.
(D) Alzheimer’s disease.

Back 15

D) Alzheimer's disease

Front 16

What action should an acupuncturist take if a needle breaks off below the skin while
treating the patient?
(A) Do not inform the patient because he or she may pass out.
(B) Consult a physician for surgical removal of the broken needle.
(C) Tell the patient to calm down and call another more experienced
acupuncturist.
(D) Use aseptic technique to cut open the skin and try to withdraw the broken
needle.

Back 16

B) Consult a physician for surgical removal of the broken needle.

Front 17

An elderly patient suddenly faints while waiting for the acupuncture treatment in the
clinic. He has a history of coronary artery disease. On checking the vital signs, you
find that his blood pressure is 80/50 mmHg, and his pulse and breathing are weak.
What immediate action should you take?
(A) Call 911.
(B) Perform CPR.
(C) Contact the patient’s family doctor.
(D) Resuscitation by needling Du 20 and Du 26.

Back 17

A) Call 911

Front 18

Bending the head forward on the chest is a movement known as
(A) Flexion.
(B) Extension.
(C) Protraction.
(D) Depression.

Back 18

A) Flexion

Front 19

Chief complaints are the patient’s
(A) Objective sign.
(B) Own diagnosis.
(C) Presenting symptom.
(D) Most current problem.

Back 19

C) Presenting symptom

Front 20

For a case of suspected diabetes insipidus, which laboratory test below is most
diagnostic?
(A) Uric acid level.
(B) Blood ADH level.
(C) Fasting blood sugar.
(D) 2-hour postprandial glucose.

Back 20

B) Blood ADH level.

Front 21

The visual center of the brain is located in the
(A) Frontal lobe.
(B) Parietal lobe.
(C) Occipital lobe.
(D) Temporal lobe.

Back 21

C) Occipital lobe.

Front 22

Which of the following is NOT one of the actions of aspirin and other nonsteroidal
anti-inflammatory drugs (NSAIDs)?
(A) Analgesic.
(B) Antibiotic.
(C) Antipyretic.
(D) Anti-inflammatory.

Back 22

B) Antibiotic

Front 23

Sphygmomanometer is a medical instrument used to measure the
(A) Intraocular pressure.
(B) Intracranial pressure.
(C) Arterial blood pressure.
(D) Jugular venous pressure.

Back 23

C) Arterial blood pressure

Front 24

A patient is seen in the clinic with a chief complaint of pain in the epigastric area. The
pain seems to be partly relieved by sitting up or leaning forward and also radiates
toward the mid-back. Which organ listed below is most likely involved?
(A) Liver.
(B) Stomach.
(C) Pancreas.
(D) Gallbladder.

Back 24

C) Pancreas

Front 25

Which type of hepatitis is transmitted via fecal-oral route?
(A) Hepatitis A.
(B) Hepatitis B.
(C) Hepatitis C.
(D) Hepatitis D.

Back 25

A) Hepatitis A

Front 26

A study of the recorded electrical changes in corneoretinal potential caused by
movements of the eye is known as
(A) Electromyography (EMG).
(B) Electrocardiography (ECG).
(C) Electronystagmography (ENG).
(D) Electroencephalography (EEG).

Back 26

C) Electronystagmography

Front 27

An elevated blood creatinine level supports the diagnosis of diseases related to the
(A) Lung.
(B) Liver.
(C) Heart.
(D) Kidney.

Back 27

d) Kidney

Front 28

Bipolar disorder is a broad term used to describe a recurrent
(A) Anxiety or panic disorder.
(B) Manic or depressive disorder.
(C) Obsessive or compulsive disorder.
(D) Anorexia nervosa or bulimia nervosa.

Back 28

B) Manic or depressive disorder

Front 29

Occult blood (OB) test is a part of routine screening for people over the age of 50
years. It is used to detect small quantities of blood in the
(A) Stool.
(B) Urine.
(C) Sputum.
(D) Vaginal discharge.

Back 29

A) Stool

Front 30

A 75-year-old woman comes to the clinic with a chief complaint of pain in the hip
and knee joint (especially on use), stiffness after inactivity, and functional impairment
of gait. Her radiography shows some structural changes, such as loss of joint space,
formation of osteophytes (spurs), etc. What is the most likely medical diagnosis?
(A) Fracture.
(B) Osteoporosis.
(C) Osteoarthritis.
(D) Rheumatoid arthritis.

Back 30

C) Osteoarthritis

Front 31

Carpal tunnel syndrome is caused by compression of
(A) Ulnar nerve.
(B) Radial nerve.
(C) Median nerve.
(D) Axillary nerve.

Back 31

C) Median nerve

Front 32

Smoking as a risk factor increases the incidence of all of the following medical
conditions EXCEPT
(A) Sudden infant death syndrome (SIDS).
(B) Intrauterine growth retardation (IUGR).
(C) Acquired immunodeficiency syndrome (AIDS).
(D) Chronic obstructive pulmonary disease (COPD).

Back 32

C) Acquired immunodeficiency syndrome (AIDS)

Front 33

A young patient is brought to the emergency department because of nausea, vomiting,
and severe pain in the right lower abdomen. Upon physical examination, rebound
tenderness and rigidity are found on the point, which is located at the lower one-third
of the distance between the umbilicus and right anterior superior iliac spine (ASIS).
This is a typical positive
(A) Psoas sign.
(B) Obturator sign.
(C) Rovsing’s sign.
(D) McBurney’s sign.

Back 33

D) McBurney's sign

Front 34

A female patient presents with a low-grade fever, a frequent, urgent need to urinate,
and a burning and painful sensation during urination. A diagnosis of cystitis (UTI)
may be made on the basis of
(A) Urinalysis.
(B) Clinical manifestations.
(C) Midstream urine culture.
(D) All of the above.

Back 34

D) All of the above

Front 35

Which of the following is the effect of the parasympathetic stimulation?
(A) Bronchodilation.
(B) Pupil constriction.
(C) Decreased GI activities.
(D) Secretion of epinephrine.

Back 35

B) Pupil constriction

Front 36

Dual-energy X-ray absorptiometry (DEXA) is used for determining
(A) Bone mineral content.
(B) Metabolic activity of the liver.
(C) Radiographic density of the lung.
(D) Absorption of the small intestine.

Back 36

A) Bone mineral content

Front 37

One of the classic venereal diseases (sexually transmitted diseases or STDs) is
syphilis, which is caused by a
(A) Virus.
(B) Fungus.
(C) Parasite.
(D) Bacterium.

Back 37

D) Bacterium

Front 38

Biceps reflex, a deep tendon reflex, is designed to test the integrity of
(A) C5 and C6.
(B) C7 and C8.
(C) C5, C6, and C7.
(D) C6, C7, and C8.

Back 38

A) C5 and C6

Front 39

In which of the following situations parent or legal guardian consent is NOT required
to treat a minor?
(A) Care during pregnancy.
(B) Prescription of contraceptives.
(C) Sexually transmitted diseases (STDs).
(D) All of the above.

Back 39

D) All of the above

Front 40

A 58-year-old male patient presents to the emergency department with acute onset of
excruciating substernal pain. He has a history of cigarette smoking for 40 years. He
was diagnosed with hypertension 20 years ago. Immediate ECG shows ST segment
elevation and T wave inversion. What is the most likely medical diagnosis?
(A) Aortic aneurysm.
(B) Erosive esophagitis.
(C) Myocardial infarction.
(D) Ventricular arrhythmia.

Back 40

C) Myocardial infarction

Front 41

Which blood test is specifically used to monitor the response of the bone marrow to
the therapy for anemia?
(A) Leukocyte count.
(B) Erythrocyte count.
(C) Reticulocyte count.
(D) Thrombocyte count.

Back 41

C) Reticulocyte count

Front 42

In the US, the top three leading causes of death from diseases in adults are
respectively
(A) AIDS, cancer, and heart disease.
(B) Cancer, heart disease, and AIDS.
(C) Heart disease, cancer, and stroke.
(D) Cancer, heart disease, and stroke.

Back 42

C) Heart disease, cancer, stroke

Front 43

In addition to the central cavities of the brain and spinal cord, cerebrospinal fluid
(CSF) also circulates in the
(A) Epidural space.
(B) Subdural space.
(C) Subarachnoid space.
(D) All of the above.

Back 43

C) subarachnoid space

Front 44

A female patient has intermittent diarrhea with occasional blood and mucus in the
stools and abdominal pain. Her symptoms are aggravated by emotional stress. What is
the most likely medical diagnosis?
(A) Celiac disease.
(B) Ulcerative colitis.
(C) Lactose intolerance.
(D) Irritable bowel syndrome (IBS).

Back 44

B) Ulcerative colitis

Front 45

A 24-year-old female patient has suffered from high fever, generalized muscle
aching, malaise, headache, and watery diarrhea for 3 days. Her last menstrual period
was 2 weeks ago. She uses contraceptive sponge and diaphragm as her birth control
method. Which of the following is the most serious medical condition that needs to be
ruled out immediately in this case?
(A) Influenza.
(B) Food poisoning.
(C) Ruptured ectopic pregnancy.
(D) Toxic shock syndrome (TSS).

Back 45

D) Toxic shock syndrome (TSS)

Front 46

Parathyroid hormone (PTH) is involved in the regulation of calcium metabolism. Its
target organs include all of the following EXCEPT
(A) Skin.
(B) Bone.
(C) Kidney.
(D) Small intestine.

Back 46

A) Skin

Front 47

For a patient with seizures of unknown cause, which of the following would be the
most appropriate initial step of investigation?
(A) Evoked potential studies.
(B) Neural conduction studies.
(C) Lumbar puncture (spinal tap).
(D) Electroencephalography (EEG).

Back 47

D) Electroencephalography (EEG)

Front 48

Four key components to informed consent include all of the following EXCEPT
(A) The patient must have no right to withdraw consent at any time.
(B) The patient must be aware of outcome if he or she does not consent.
(C) The patient must understand the health implications of their diagnosis.
(D) The patient must be informed of risks, benefits, and alternatives to treatment.

Back 48

A) The patient must have no right to withdraw consent at any time.

Front 49

Clinical and epidemiologic studies have shown that which component of the lipid
profile is an independent INVERSE risk factor for coronary artery disease (CAD)?
(A) Cholesterol.
(B) Triglyceride.
(C) Low-density lipoprotein (LDL).
(D) High-density lipoprotein (HDL).

Back 49

D) High-density lipoprotein (HDL)

Front 50

The manager of a company calls your office, requesting information about the health
issue of his employee, who has also been your regular patient for 2 years. The
manager explains that his employee may be promoted to a higher position if no major
health problems are were found. How are you supposed to respond to this request?
(A) Refuse to give out the patient’s information.
(B) Ask about the details of the patient’s promotion.
(C) Tell him to let the company’s lawyer talk to you.
(D) Provide the patient’s information only in your office.

Back 50

A) Refuse to give out the patient's information.