Biomed Board Practice # 1

Front 1

A medical condition that is marked by an abnormally large number of red blood cells
in the circulatory system is known as
(A) Polycythemia.
(B) Lymphocytosis.
(C) Erythroblastosis.
(D) Thrombocytopenia.

Back 1

A) Polycythemia

Front 2

Which organ below is LEAST likely to be punctured if needling is done incorrectly or
the depth of the needle is inappropriate?
(A) Liver.
(B) Kidney.
(C) Gallbladder.
(D) Urinary bladder.

Back 2

C) Gallbladder

Front 3

A patient presents to the clinic with reduced vision, weakness, pain, paresthesia (pinsand-
needles sensations), and urinary incontinence. MRI has detected the
characteristic lesions in the CNS. What is the most likely medical diagnosis?
(A) Fibromyalgia.
(B) Osteoarthritis.
(C) Diabetes mellitus.
(D) Multiple sclerosis.

Back 3

D) Multiple sclerosis

Front 4

Which of the following is the single most preventable cause of disease, disability, and
death in the United States?
(A) Tobacco use.
(B) Drinking and driving.
(C) Alcohol consumption.
(D) Excessive body weight.

Back 4

A) Tobacco use

Front 5

A college student comes to the campus clinic, complaining of painful urination with
pus-containing urethral discharge. He mentions a weekend fling of his promiscuous
sexual activity not long ago. Upon examination, there is no skin eruption discovered
around the genital area. But numerous Gram-negative diplococci are observed under
the light microscope from his urethral discharge sample. What is the most likely
medical diagnosis?
(A) Syphilis.
(B) Gonorrhea.
(C) Chlamydia.
(D) Genital herpes.

Back 5

B) Gonorrhea

Front 6

Iron deficiency anemia is the most common type of anemias, and often results from
(A) Traumatic injury.
(B) Excessive menstruation.
(C) Gastrointestinal bleeding.
(D) All of the above.

Back 6

D) All of the above

Front 7

All of the following are specific markers for damage to the myocardium EXCEPT
(A) Creatine kinase (CK).
(B) Troponin T and troponin I.
(C) Antistreptolysin O (ASO) titer.
(D) Lactate dehydrogenase (LDH).

Back 7

C) Antistreptolysin O (ASO) titer

Front 8

A 2-year-old boy is brought by his parents to the clinic with a 3-day history of fever,
listlessness, and cough. Physical examination reveals a lethargic child with a
congested throat. Tiny irregular red spots with central bluish-white specks (Koplik’s
spots) are found in his buccal mucosa. Maculopapular skin rashes are also visible
over the body. What is the most likely medical diagnosis?
(A) Measles.
(B) Pertussis.
(C) Diphtheria.
(D) Chickenpox.

Back 8

A) Measles

Front 9

Antidote for overdose of anticoagulant warfarin is
(A) Vitamin A.
(B) Vitamin C.
(C) Vitamin E.
(D) Vitamin K.

Back 9

D) Vitamin K

Front 10

Abdominal cramping, muscle weakness, or breathing difficulty caused by the use of
diuretics are due to decreased blood
(A) Sodium.
(B) Calcium.
(C) Potassium.
(D) Magnesium.

Back 10

C) Potassium

Front 11

Which cranial nerve innervates muscles of mastication?
(A) CN V (Trigeminal).
(B) CN VII (Facial).
(C) CN IX (Glossopharyngeal).
(D) CN X (Vagus).

Back 11

A) CN V (Trigeminal)

Front 12

Holter monitoring is used to record
(A) Blood pressure.
(B) Body temperature.
(C) Heart rate and rhythm.
(D) Breathing rate and depth.

Back 12

C) Heart rate and rhythm

Front 13

Onycholysis or destruction of nails is commonly seen in patients with
(A) Eczema.
(B) Psoriasis.
(C) Rheumatoid arthritis.
(D) Iron deficiency anemia.

Back 13

B) Psoriasis

Front 14

Which blood test is ordered for a patient with suspected prostatic carcinoma?
(A) Acid phosphatase.
(B) Alkaline phosphatase.
(C) Alanine aminotransferase.
(D) Aspartate aminotransferase.

Back 14

A) Acid phosphatase

Front 15

A patient, who appears hostile, always blames the physician for the illness, and
repeatedly attempts suicide (but never successful!), often has a(n)
(A) Mood disorder.
(B) Anxiety disorder.
(C) Personality disorder.
(D) Conversion disorder.

Back 15

C) Personality disorder

Front 16

Fetal umbilical cord contains
(A) One umbilical artery and one umbilical vein.
(B) One umbilical artery and two umbilical veins.
(C) Two umbilical arteries and one umbilical vein.
(D) Two umbilical arteries and two umbilical veins.

Back 16

C) Two umbilical arteries and one umbilical vein

Front 17

Which of the following diseases may lead to renal complications?
(A) Gout.
(B) Hypertension.
(C) Diabetes mellitus.
(D) All of the above.

Back 17

D) All of the above

Front 18

Which pair of the following vitamins is water-soluble?
(A) Vitamin A and vitamin B.
(B) Vitamin B and vitamin C.
(C) Vitamin C and vitamin D.
(D) Vitamin D and vitamin E.

Back 18

B) Vitamin B and Vitamin C

Front 19

“Unhappy triad” is an injury to the knee, which commonly occurs in contact sports
when the knee is hit from the outside. What structure is NOT affected in this injury?
(A) Patellar ligament.
(B) Medial meniscus.
(C) Anterior cruciate ligament.
(D) Medial collateral ligament.

Back 19

A) Patellar ligament

Front 20

A nosocomial infection is
(A) Only the result of surgical operations.
(B) Always caused by pathogenic bacteria.
(C) Diagnosed at the time of hospitalization.
(D) Acquired during the course of hospitalization

Back 20

D) Acquired during the course of hospitalization

Front 21

Scleral icterus is a sign of
(A) Anemia.
(B) Jaundice.
(C) Hemorrhage.
(D) Inflammation.

Back 21

B) Jaundice

Front 22

Montelukast (Singulair®) is used to prevent difficulty breathing, chest tightness,
wheezing and coughing caused by asthma. Its mechanism of action is to inhibit
(A) Serotonin.
(B) Histamine.
(C) Leukotriene.
(D) Prostaglandin.

Back 22

C) Leukotriene

Front 23

Claw hand is a condition characterized by curved or bent fingers, which is caused by
injury to the
(A) Ulnar nerve.
(B) Radial nerve.
(C) Median nerve.
(D) Axillary nerve.

Back 23

A) Ulnar nerve

Front 24

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

Back 24

C) Gastrocnemius

Front 25

Shifting dullness on percussion is a sign of
(A) Ascites.
(B) Pleurisy.
(C) Splenomegaly.
(D) Hepatomegaly.

Back 25

A) Ascites

Front 26

In cardiopulmonary resuscitation (CPR), circulation is assessed by feeling which
pulse?
(A) Aortic pulse.
(B) Radial pulse.
(C) Carotid pulse.
(D) Femoral pulse.

Back 26

C) Carotid pulse

Front 27

Oral contraceptive pills (OCPs) effect through a negative feedback on which
hormones listed below?
(A) Estrogen and progesterone.
(B) Gonadotropin-releasing hormone (GnRH).
(C) Follicle-stimulating hormone (FSH) and luteinizing hormone (LH).
(D) All of the above.

Back 27

C) FSH and LH

Front 28

Sonography (ultrasound) is most useful in the evaluation of the diseases related to the
(A) Lung.
(B) Bone.
(C) Bowel.
(D) Uterus.

Back 28

D) Uterus

Front 29

Hodgkin’s disease is a cancer of the
(A) Nervous system.
(B) Endocrine system.
(C) Lymphatic system.
(D) Cardiovascular system.

Back 29

C) Lymphatic system

Front 30

A patient presents to the clinic with a chief complaint of flushing, which occurs
within 2 hours of taking a prescribed medicine for high blood levels of cholesterol
and triglycerides. What is this medicine?
(A) Niacin.
(B) ACE inhibitor.
(C) Oral hypoglycemic agent.
(D) HMG-CoA reductase inhibitor.

Back 30

A) Niacin

Front 31

Vomiting of blood is medically termed as
(A) Hematuria.
(B) Hemoptysis.
(C) Hematemesis.
(D) Hematochezia.

Back 31

C) Hematemesis

Front 32

Which of the following is NOT one of the CAGE questions for patients with alcohol
abuse?
(A) Have you ever felt the need to CHANGE the amount of drinking?
(B) Have you ever felt ANNOYED by criticism of drinking?
(C) Have you ever felt GUILTY about drinking?
(D) Have you ever taken a drink first thing in the morning to open your EYES?

Back 32

A) Have you ever felt the need to CHANGE the amount of drinking?
The correct answer would be "Have you ever felt the need to CUT-Down on the amount of drinking?"

Front 33

High doses of which vitamin may cause bleeding problems, particularly in patients
who are taking anticoagulants?
(A) Vitamin A.
(B) Vitamin D.
(C) Vitamin E.
(D) Vitamin K.

Back 33

C) Vitamin E

Front 34

Heberden and Bouchard nodes found in the fingers are characteristic of
(A) Osteoporosis.
(B) Osteoarthritis.
(C) Rheumatoid arthritis.
(D) Systemic lupus erythematosus.

Back 34

B) Osteoarthritis

Front 35

Babinski’s response (plantar reflex) is used to identify the disease of the
(A) Cardiovascular system.
(B) Gastrointestinal system.
(C) Central nervous system.
(D) Peripheral nervous system.

Back 35

C) Central nervous system

Front 36

A document, signed by a competent adult (i.e. principal) and designating a person that
the principal trusts to make health care decisions on the principal’s behalf should the
principal be unable to make such decisions, is known as
(A) Living will.
(B) Incompetence.
(C) Informed consent.
(D) Durable power of attorney.

Back 36

D) Durable power of attorney

Front 37

Possible side effects of ibuprofen include
(A) Peptic ulcer.
(B) Stomach upset.
(C) GI tract bleeding.
(D) All of the above.

Back 37

D) All of the above

Front 38

An increase in the anteroposterior (AP) diameter of the thorax or barrel-shaped chest
is indicative of
(A) Pneumothorax.
(B) Pleural effusion.
(C) Congenital heart disease.
(D) Chronic obstructive pulmonary disease (COPD).

Back 38

D) Chronic obstructive pulmonary disease (COPD)

Front 39

Shingles is a viral disease, and its clinical course is most likely to be
(A) Acute.
(B) Latent.
(C) Chronic.
(D) Subacute.

Back 39

B) Latent

Front 40

Barium studies are most commonly used in the diagnosis of the disorders of the
(A) Urinary tract.
(B) Digestive tract.
(C) Respiratory tract.
(D) Reproductive tract.

Back 40

B) Digestive tract

Front 41

Hormonal therapy may be applied in the treatment of which of the following cancers?
(A) Breast cancer.
(B) Prostate cancer.
(C) Leukemia and lymphoma.
(D) All of the above.

Back 41

D) All of the above

Front 42

A bone with what structure(s) listed below would be a vertebra?
(A) Pedicle.
(B) Lamina.
(C) Spinous process.
(D) All of the above.

Back 42

D) All of the above

Front 43

Inferior angle of the scapula is at the level of
(A) Spinous process of the 7th cervical vertebra.
(B) Spinous process of the 7th thoracic vertebra.
(C) Spinous process of the 12th thoracic vertebra.
(D) Spinous process of the 4th lumbar vertebra.

Back 43

B) Spinous process of the 7th thoracic vertebra

Front 44

Asking the patient to shrug shoulders upward against your hands and turn the head to
each side against your hand is the test for which cranial nerve?
(A) CN IX (Glossopharyngeal).
(B) CN X (Vagus).
(C) CN XI (Accessory).
(D) CN XII (Hypoglossal).

Back 44

C) CN XI (Accessory)

Front 45

For a 24-year-old sexually inactive woman, how often should a Pap smear be done?
(A) Every 6 months.
(B) Every 12 months.
(C) Every 2 years.
(D) Every 3 years.

Back 45

B) Every 12 months

Front 46

Therapeutic uses of diazepam (Valium®) include
(A) Seizures.
(B) Sleep disorders.
(C) Muscle spasticity.
(D) All of the above.

Back 46

D) All of the above

Front 47

Excess of aldosterone may result in all of the following EXCEPT
(A) Hypertension.
(B) Hyperkalemia.
(C) Hypervolemia.
(D) Hypernatremia.

Back 47

B) Hyperkalemia

Front 48

Vaccines against which of the following infectious diseases of the bacterial origin are
available now?
(A) Hepatitis B.
(B) Chickenpox.
(C) Poliomyelitis.
(D)Whooping cough.

Back 48

D) Whooping cough

Front 49

Functioning of what brain structure is essential for maintaining normal
consciousness?
(A) Cerebellum.
(B) Basal nuclei.
(C) Limbic system.
(D) Reticular activating system.

Back 49

D) Reticular activating system

Front 50

In addition to blood coagulation test, diagnostic procedures for deep vein thrombosis
(DVT) include
(A) Ultrasound.
(B) Venography.
(C) CT or MRI scans.
(D) All of the above.

Back 50

D) All of the above