Biomed Board Exam #9

Front 1

Rotation of the head involves the first and second cervical vertebrae, which are
respectively known as
(A)Axis and atlas.
(B) Atlas and axis.
(C) Sacrum and coccyx.
(D) Sternum and clavicle.

Back 1

B) Atlas and axis

Front 2

Which one of the following hormones is NOT an example of steroid hormones?
(A) Estrogen.
(B) Prolactin.
(C) Testosterone.
(D) Progesterone.

Back 2

B) Prolactin

Front 3

Body systems that are involved in the stress response include
(A) Immune system.
(B) Nervous system.
(C) Endocrine system.
(D)All of the above.

Back 3

D) All of the above

Front 4

A middle-aged man with a history of high blood uric acid level presents with a
sudden nocturnal onset of excruciating pain and swelling in the metatarsophalangeal
joint of the great toe. What medical condition is highly suspected?
(A)Gout.
(B) Osteoarthritis.
(C) Septic arthritis.
(D) Rheumatoid arthritis.

Back 4

A) Gout

Front 5

Infectious mononucleosis is believed to be related to a
(A) Viral infection.
(B) Fungal infection.
(C) Parasitic infection.
(D) Bacterial infection.

Back 5

A) viral infection

Front 6

Which of the following definitions regarding SOAP notes is WRONG?
(A) S: Subjective.
(B) O: Objective.
(C) A: Assessment.
(D) P: Progression.

Back 6

D) Progression.

Subjective, Objective, Assessment, Plan.

Front 7

A calibrated device for measuring the angle of a joint or its range of motion (ROM) is
known as
(A) Tonometer.
(B) Spirometer.
(C) Goniometer.
(D) Sphygmomanometer.

Back 7

C) Goniometer

Front 8

Digital rectal exam (DRE) combined with a blood PSA test can detect nearly 90% of
clinically significant
(A) Rectal cancer.
(B) Bladder cancer.
(C) Cervical cancer.
(D) Prostatic cancer.

Back 8

D) Prostatic cancer

Front 9

Over-the-counter (OTC) drugs, such as cimetidine (Tagamet®), ranitidine (Zantac®),
famotidine (Pepcid®), etc., act as
(A) Proton pump inhibitors.
(B) Histamine H1 receptor blockers.
(C) Histamine H2 receptor blockers.
(D)Aluminum or magnesium antacids.

Back 9

C) Histamine H2 receptor blockers

Front 10

A nonsteroidal anti-inflammatory drug (NSAID) that contains naproxen would be
(A)Advil®.
(B) Aleve®.
(C) Motrin®.
(D)Nuprin®.

Back 10

B) Aleve

Front 11

Which of the following best describes the process of autoclaving?
(A) 250°F at 15 lbs psi of steam pressure for 30 minutes.
(B) 250°F at 30 lbs psi of steam pressure for 15 minutes.
(C) 338°F at 15 lbs psi of steam pressure for 30 minutes.
(D) 338°F at 30 lbs psi of steam pressure for 15 minutes.

Back 11

A) 250°F at 15 lbs psi of steam pressure for 30 minutes.

Front 12

Approximately how many skeletal muscles are found in the human body?
(A)Over 200.
(B) Over 600.
(C) Over 800.
(D)Over 1,000.

Back 12

B) over 600

Front 13

According to the Health Insurance Portability and Accountability Act (HIPAA), all of
the following are your health information privacy rights EXCEPT
(A)Ask to see and get a copy of your health records.
(B) Have corrections added to your health information.
(C) Receive a notice that tells you how your health information is used and
shared.
(D)Always give permission as long as your health information is used or shared
for medical research purposes.

Back 13

D)Always give permission as long as your health information is used or shared
for medical research purposes.

Front 14

A Papanicolaou (Pap) smear test is performed to detect abnormal or atypical cells in
or on the
(A)Uterus.
(B) Cervix.
(C) Vagina.
(D)Urethra.

Back 14

B) Cervix

Front 15

A positive Brudzinski’s sign, in which both hips and knees are actively flexed in
response to passive flexion of the neck, suggests the inflammation of the
(A)Hip joint.
(B) Meninges.
(C) Knee joint.
(D) Cervical vertebra.

Back 15

B) Meninges

Front 16

The most common form of cancer in men between the ages of 15 and 35 would be
(A) Lung cancer.
(B) Brain cancer.
(C) Prostatic cancer.
(D) Testicular cancer.

Back 16

D) Testicular cancer

Front 17

A daughter brings her 80-year-old mother to the clinic and states that over the last 6
months, her mother has become forgetful. The mother has difficulty in remembering
recent events and often forgets to pay her bills, but otherwise she has been in good
health and takes no medications. Vital signs and physical examination are within the
normal range. Which of the following is the best next step in making the diagnosis?
(A) Thyroid function test.
(B) Psychiatric evaluation.
(C) Imaging study of the brain.
(D)Mini-mental status examination (MMSE).

Back 17

D) Mini-mental status examination (MMSE)

Front 18

Under normal conditions, hyperglycemia stimulates the pancreas to secrete
(A) Insulin.
(B) Glucose.
(C) Glycogen.
(D)Glucagon.

Back 18

A) Insulin

Front 19

Anti-DNA and antinuclear antibodies are primarily tested for the screen, diagnosis,
and follow-up of
(A) Cystic fibrosis (CF).
(B) Multiple sclerosis (MS).
(C) Rheumatoid arthritis (RA).
(D) Systemic lupus erythematosus (SLE).

Back 19

D) Systemic lupus erythematosus (SLE)

Front 20

Currently recommended breath and compression ratio for adult CPR is
(A) 1:15.
(B) 1:30.
(C) 2:15.
(D) 2:30.

Back 20

D) 2:30

Front 21

Standing on one’s heels is the action of which muscle or muscle group?
(A)Quadriceps.
(B) Hamstrings.
(C) Gastrocnemius.
(D) Tibialis anterior.

Back 21

D) Tibialis anterior

Front 22

A young man is brought to the hospital, highly agitated and aggressive and
demonstrating paranoid ideation. Physical examination reveals tachycardia,
hypertension, pupillary dilation, and nasal inflammation. A most probable substance
abused and responsible for this presentation would be
(A)Heroin.
(B) Alcohol.
(C) Cocaine.
(D)Marijuana.

Back 22

C) Cocaine

Front 23

The pathophysiologic mechanism involved in the generation of edema from
hypoproteinemia is
(A) Lymphatic obstruction.
(B) Increased hydrostatic pressure.
(C) Renal retention of salt and water.
(D)Decreased plasma osmotic pressure.

Back 23

D) decreased plasma osmotic pressure

Front 24

Chest X-ray (CXR) is NOT indicated in which of the following medical conditions?
(A) Pneumonia.
(B) Rib fracture.
(C) Enlarged heart.
(D) Coronary artery occlusion.

Back 24

D) Coronary artery occlusion

Front 25

Which of the following coagulation tests is used specifically to monitor warfarin
(Coumadin®) therapy?
(A) Platelet count.
(B) Bleeding time.
(C) Prothrombin time (PT).
(D) Partial thromboplastin time (PTT).

Back 25

C) Prothrombin time (PT)

Front 26

According to the recommendation from the American Cancer Society, monthly breast
self-examination should begin at the age of
(A) 20.
(B) 30.
(C) 35.
(D) 40.

Back 26

A) 20

Front 27

A deficiency of vitamin C may result in
(A) Scurvy.
(B) Anemia.
(C) Pellagra.
(D)Night blindness.

Back 27

A) Scurvy

Front 28

Which of the following procedures is required to confirm the diagnosis of
endometriosis?
(A) CAT scan.
(B) Sonography.
(C) Laparoscopy.
(D)Hormonal testing.

Back 28

C) Laparoscopy

Front 29

An elevated blood ammonia level suggests a pathological condition in the
(A) Liver.
(B) Kidney.
(C) Pancreas.
(D)Urinary bladder.

Back 29

A) Liver

Front 30

What nerve roots contribute to the formation of the sciatic nerve?
(A) L1 - L5 and S1 - S4.
(B) L2 - L4 and S1 - S2.
(C) L3 - L5 and S1 - S3.
(D) L4 - L5 and S1 - S3.

Back 30

D) L4 - L5 and S1 - S3.

Front 31

A patient presents with steatorrhea (fatty diarrhea). The stools are pale-colored,
extremely smelly, floating in the toilet bowl and difficult to flush away. He has no
abdominal pain, nausea, vomiting, or jaundice. What is the most probable type or
cause of his diarrhea?
(A)Malabsorption.
(B) Osmotic diarrhea.
(C) Parasitic infection.
(D)Abnormal intestinal motility.

Back 31

A) Malabsorption

Front 32

A pulsatile mass palpated in the middle of the abdomen is most likely to be an
(A)Aortic aneurysm.
(B) Ovarian malignancy.
(C) Epigastric distention.
(D) Intestinal obstruction.

Back 32

A) Aortic aneurysm

Front 33

Pernicious anemia results from defective secretion of the intrinsic factor by the gastric
mucosal cells, causing diminished absorption of which vitamin?
(A)Vitamin B1.
(B) Vitamin B3.
(C) Vitamin B6.
(D)Vitamin B12.

Back 33

D) Vit B12

Front 34

The head of the humerus is to the glenoid fossa as the head of the femur is to the
(A)Obturator.
(B) Acetabulum.
(C) Symphysis pubis.
(D)Greater trochanter.

Back 34

B) Acetabulum

Front 35

Raising the arm above the shoulder with elicited pain and paresthesias (pins-andneedles
sensations) in the shoulder, arm and hand is a finding that suggests
(A) Frozen shoulder.
(B) Carpal tunnel syndrome.
(C) Thoracic outlet syndrome.
(D) Tennis elbow or golfer’s elbow.

Back 35

C) Thoracic outlet syndrome

Front 36

A commonly used assessment tool with estimates of the percentages of the total body
surface area (TBSA) burned is the rule of nines. If a person has a second-degree burn
covering the entire right upper limb and right lower limb without affecting the genital
area, what would be the approximate percentage of TBSA burned?
(A) 9%.
(B) 18%.
(C) 27%.
(D) 36%.

Back 36

C) 27%

Front 37

An athlete receives a severe blow to the lateral side of the right knee while playing
football. Examination two hours later reveals a stiffly swollen knee with aspiration of
hemorrhagic effusion of the joint. Each of the following structures may be
significantly torn in the patient’s right knee EXCEPT
(A)Achilles tendon.
(B) Medial meniscus.
(C) Medial collateral ligament.
(D)Anterior cruciate ligament.

Back 37

A) Achilles tendon

Front 38

Which one of the following immunoglobulins (Igs) is involved in type I
hypersensitivity or allergic reactions?
(A) Ig A.
(B) Ig E.
(C) Ig G.
(D) Ig M.

Back 38

B) Ig E

Front 39

Contraction of the sternocleidomastoid (SCM) muscle on one side results in
(A) Flexion of the head.
(B) Extension of the head.
(C) Turning of the head to the same side.
(D) Turning of the head to the opposite side.

Back 39

D) Turning of the head to the opposite side

Front 40

b-Adrenergic blockers belong to what class of antiarrhythmic drugs?
(A) Class I.
(B) Class II.
(C) Class III.
(D) Class IV.

Back 40

B) Class II

Front 41

Which cranial nerve controls the movement of the tongue?
(A) CN V (Trigeminal).
(B) CN VII (Facial).
(C) CN IX (Glossopharyngeal).
(D) CN XII (Hypoglossal).

Back 41

D) CN XII (hypoglossal)

Front 42

Clinical manifestations of a patient with pins-and-needles sensations down the arm
and around the lips as well as muscle spasms would most likely suggest
(A)Hypokalemia.
(B) Hyperkalemia.
(C) Hypocalcemia.
(D)Hypercalcemia.

Back 42

C) Hypocalcemia

Front 43

On neurological examination, a patient is found to have grade 3 muscle strength in
hamstrings and triceps brachii without obvious muscle wasting. The biceps reflex is
recorded as 3+, while the knee and ankle jerks are recorded as 4+ with clonus. There
is also an extensor plantar response (i.e. positive Babinski’s sign). Where is the
neuronal lesion of this patient located?
(A)Upper motor neuron only.
(B) Lower motor neuron only.
(C) Both upper and lower motor neurons.
(D)Neither upper nor lower motor neurons.

Back 43

A) Upper motor neuron only.

Front 44

Antioxidant vitamins include all of the following EXCEPT
(A)Vitamin A.
(B) Vitamin C.
(C) Vitamin D.
(D)Vitamin E.

Back 44

C) Vitamin D

Front 45

Which one of the following muscles is NOT a member of hamstrings?
(A) Biceps femoris.
(B) Rectus femoris.
(C) Semitendinosus.
(D) Semimembranosus.

Back 45

B) Rectus femoris

Front 46

Hepatitis D must be co-infected with
(A)Hepatitis A.
(B) Hepatitis B.
(C) Hepatitis C.
(D)Hepatitis E.

Back 46

B) Hepatitis B

Front 47

What medical imaging study is most suitable for evaluating muscular or soft tissue
injuries?
(A) Contrast radiography.
(B) Computerized tomography (CT).
(C) Magnetic resonance imaging (MRI).
(D) Positron emission tomography (PET).

Back 47

C) Magnetic resonance imaging (MRI)

Front 48

Ascites, an abnormal accumulation of serous fluid in the peritoneal cavity, is most
likely caused by
(A)Gallstones.
(B) Acute hepatitis.
(C) Hepatic cirrhosis.
(D) Chronic pancreatitis.

Back 48

C) Hepatic cirrhosis

Front 49

Visual examination of the uterus and uterine lining using an endoscope inserted
through the vagina is called
(A) Cystoscopy.
(B) Colposcopy.
(C) Colonoscopy.
(D)Hysteroscopy.

Back 49

D) Hysteroscopy

Front 50

Alternating diarrhea and constipation associated with abdominal pain is highly
suggestive of
(A) Colorectal carcinoma.
(B) Campylobacter enteritis.
(C) Irritable bowel syndrome (IBS).
(D) Inflammatory bowel disease (IBD).

Back 50

C) Irritable Bowel Syndrome (IBS)