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53 Cards in this Set
- Front
- Back
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Which is not one of the CAGE questions for alcohol abuse?
a. Cutting Down b. Angry c. Guilty d. Eye Opener |
b. Angry
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Which is not part of the acronym, SOAP?
a. Subjective b. Office Notes c. Assessment d. Plan |
b. Office Notes
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The Glasgow Scale is used clinically to assess:
a. Functions at birth b. Olfactory sense c. Level of consiousness/coma d. Subjective pain response |
c. Level of consiousness/coma
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Which is not one of the three aspects of the Glasgow scale:
a. Response to pressure b. Eye reactivity c. Motor response d. Verbal response |
a. Response to pressure
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What does a sudden loss or gain of weight indicate?
a. Tumor formation b. Alcohol abuse c. Inflammatory response d. Body fluid changes |
d. Body fluid changes
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Which part of the body is used to differentiate between central and peripheral cyanosis?
a. Nail beds b. Lips c. Periorbital area d. Tongue |
d. Tongue
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Onycholysis is associated with:
a. Kidney failure b. Psoriasis c. Skin cancer d. Liver failure |
b. Psoriasis
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Koilonychias is associated with:
a. Vitamin A deficiency b. Folate deficiency c. Iron deficiency d. Vitamin B12 deficiency |
c. Iron deficiency
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Tonometry tests for:
a. Muscle tone b. Intraocular pressure c. Hearing changes d. Tone-deafness |
b. Intraocular pressure
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Which are the foundations of Western medical diagnostics
a. History taking b. Physical examination c. Medical billing and coding d. a and b |
d. a and b
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How is cigarette smoking reported?
a. Packs per day b. Pack-years c. Cigarettes per day d. Subjective description of cravings |
b. Pack-years
(# of packs per day x # of years smoking) |
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Symptoms reported by the patient are:
a. Subjective b. Objective c. Irrelevant d. Annoying |
a. Subjective
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New patients receive:
a. A focused health history b. A comprehensive health history c. A sugar-free lollipop d. Complimentary wine and cheese |
b. A comprehensive health history
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The 4 elements of the physical examination do not include:
a. Inspection b. Palpation c. Olfaction d. Percussion e. Auscultation |
c. Olfaction
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A patient arrived complaining of a dull, achy feeling in the abdomen, rates the pain as a 4-5/10 on the pain scale, which happens about 15-20 minutes after eating. She states that it feels better after drinking something warm, and is worse if she drinks something cold. She states that if she lies down soon after eating, she gets heartburn, and props her upper body up at night with additional pillows to prevent acid reflux.
Which symptom element is missing in the above statement? a. Location b. Quality c. Quantity or severity d. Timing e. Setting in which it occurs f. Remitting (relieving) or exacerbating (aggravating) factors g. Associated manifestations |
a. Location
(Too general; should include one of the 9 regions or 4 quadrants of the abdomen) |
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Smoking and alcohol use are located in which section of the adult health history:
a. Identifying data b. History of present illness (HPI) c. Personal and social history (PSH) d. Past medical history (PMH) |
c. Personal and social history (PSH)
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Which clinical associations/ complications are common among smoking and alcohol abuse?
a. Cardiovascular disease b. Gastrointestinal disease c. Hematologic disease d. Genitourinary disease e. A and B f. C and D |
e. A and B
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Where should all positive answers from review of systems be added?
a. Review of systems b. Chief complaint c. Identifying data d. Past and present medical history |
d. Past and present medical history
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Which of the following descriptions of percussion sounds is mismatched?
a. Percussion over a solid structure, such as the liver or a consolidated area of the lung (e.g. lobar pneumonia), produces a dull note b. Percussion over a fluid-filled area, such as a pleural effusion, produces an extremely dull (stony dull or flat) note c. Percussion over the normal lung produces a resonant note d. Percussion over hollow structures, such as the bowel or a pneumothorax or emphysema, produces a hyperresonant note e. Percussion over gastric air bubble or puffed-out cheek produces a hollow note |
e. Percussion over gastric air bubble or puffed-out cheek produces a hollow note
(should be tympanic) |
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The symptoms or chief complaint brought by the patient are considered:
a. Disease b. Illness |
b. Illness
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Which of the following is not a technique of skilled interviewing?
a. Active listening b. Guided questioning c. Nonverbal communication d. Empathic responses e. Validation f. False Reassurance g. Partnering h. Summarization i. Transitions j. Empowering the patient |
f. False Reassurance
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Which is not a clue to possible physical abuse?
a. Injuries are unexplained, inconsistent with the patient’s story, concealed by the patient, or cause embarrassment b. Patient has has been prompt in getting treatment for trauma c. There is a past history of repeated injuries or “accidents” d. The patient or person close to the patient has a history of alcohol or drug abuse e. The partner tries to dominate the interview, will not leave the room, or seems unusually anxious or solicitous/ kind. |
b. Patient has has been prompt in getting treatment for trauma
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Which of the following is mismatched?
a. Nonmaleficence - First, do no harm b. Beneficence - Doctor’s actions are motivated by what is in the patient’s best interest c. Autonomy -The doctor has the right to determine what is in the patient's best interest d. Confidentiality - The doctor is obligated not to repeat what he or she learns from or knows about the patient |
c. Autonomy -The doctor has the right to determine what is in the patient's best interest
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Which of the steps in clinical reasoning is incorrect?
a. Gather information through history and physical examination b. Identify abnormal findings c. Consult with peers d. Interpret findings in terms of probable process e. Make hypotheses about the nature of the patient’s problem f. Test the hypotheses and establish a working diagnosis g. Develop a plan agreeable to the patient |
c. Consult with peers
(Should be: Localize findings anatomically) |
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Obesity is defined as a BMI of:
a. > 18.5 b. > 20 c. > 25 d. > 30 |
d. > 30
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Which of the following is correct?
a. Weakness is a general feeling, fatigue is a measurable degree of muscular strength b. Fatigue is a general feeling, weakness is a measurable degree of muscular strength |
b. Fatigue is a general feeling, weakness is a measurable degree of muscular strength
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Which of the following is not a medical condition that is associated with night sweating?
a. Menopause b. Malignancy (disease or tumor) c. Malaria d. Tuberculosis |
c. Malaria
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A patient presents with great thirst, reduced skin turgor and decreased eyeball pressure, collapsed veins, sunken eyes, “gaunt” face, postural hypotension, oliguria (< 400 ml urine per 24 hours). What level of dehydration is the patient exhibiting?
a. Mild b. Moderate c. Severe d. Very severe |
c. Severe
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What is the criteria for normal vital signs?
a. Systolic <120, Diastolic <80 b. Systolic <130, Diastolic <90 c. Systolic <140, Diastolic <90 d. Systolic <120, Diastolic <70 |
a. Systolic <120, Diastolic <80
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Systolic blood pressure of 120-139 over diastolic blood pressure of 80-89 is termed:
a. Normal b. Pre-hypertension c. Stage 1 hypertension d. Stage 2 hypertension |
b. Pre-hypertension
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Which of the following does not need to be described for a skin lesion?
a. Location and distribution b. Pattern and shape c. Depth d. Types of rashes (macule, papule, pustule, vesicle, ulcer, etc.) e. Color |
c. Depth
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Which of the following is not a risk factor for skin cancer?
a. 50 or more moles with 1-4 or more atypical or dysplastic b. Age c. Light-skinned d. Heavy sun exposure e. Family history |
b. Age
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Which ABCDE method for screening moles for melanomas is incorrect?
A: Asymmetry B: Irregular border C: Vascularization D: Diameter ≥ 6 mm or ¼ inch E: Elevation or enlargement |
C: Vascularization
(Should be: Variation or change in color) |
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Which diagnostics face is mismatched?
a. Healthy complexion - Hippocratic face b. Down’s syndrome - Epicanthic eyelid, underdeveloped nose, moon-shaped face c. Cushing’s syndrome - Moon-shaped face d. Parkinson’s disease - mask-like face e. Nephrotic syndrome - puffy pale and periorbital edema f. Myxedema - puffy dull with dry skin g. Hyperthyroidism - Exophthalmos (eyeball protrusion) h. Acromegaly - soft tissue enlargement, brow and jaw prominent |
a. Healthy complexion - Hippocratic face
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Which is not one of the causes of loss of smell sensation?
a. URT infection b. head trauma (skull fracture) c. smoking d. aging e. alcohol abuse f. use of cocaine |
e. alcohol abuse
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Which of the following is not a cranial nerve that controls extraocular movement?
a. Oculomotor b. Optic c. Trochlear d. Abducens |
b. Optic
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Fundoscopy checks for:
a. Uterine fundus muscular tone b. Intraocular pressure c. Lesions in the fundus of the stomach d. Discrepancies in the retina, optic disc, and blood vessels |
d. Discrepancies in the retina, optic disc, and blood vessels
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Otoscopy examines the:
a. Nasal passages b. External ear canal c. Vaginal canal d. Rectum |
b. External ear canal
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The afferent cranial nerve for the gag reflex is:
a. Vagus (X) b. Glossopharyngeal (IX) |
b. Glossopharyngeal (IX)
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The afferent cranial nerve for the corneal reflex is:
a. Trigeminal (V) b. Facial (VII) |
a. Trigeminal (V)
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Which direction of deviation is incorrect regarding cranial nerve injuries?
a. Jaw - Opposite side b. Uvula - Opposite side c. Tongue - Affected side |
a. Jaw - Opposite side
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Which nerve is affected in Bell's Palsy?
a. Trigeminal (V) b. Trochlear (IV) c. Facial (VII) d. Spinal Accessory (XI) |
c. Facial (VII)
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What device is used for the Weber and Rinne test?
a. Otoscope b. Ophthalmoscope c. Nasal Speculum d. Tuning Fork |
d. Tuning Fork
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How is the spinal accessory nerve examined?
a. Pressing along the cervical spine b. Pressing down on the shoulders while the patient attempts to shrug c. Providing resistance while the patient attempts to turn the head d. Pressing on the forehead e. B and C |
e. B and C
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The functional sound of the arteries in the breast during late pregnancy and early lactation is known as:
a. Hum b. Murmur c. Souffle d. Bruit |
c. Souffle
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Which of the following is not a primary headache?
a. Tension b. Analgesic rebound c. Migraine d. Cluster |
b. Analgesic rebound
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Which of the following is the most common headache?
a. Tension b. Analgesic rebound c. Migraine d. Cluster |
a. Tension
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Which is the most common symptom of cluster headaches?
a. Tension like a band around the skull b. Wakes you from sleep c. Warning symptoms d. Nasal congestion |
b. Wakes you from sleep
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Which is not one of the 7 attributes of heart murmurs?
a. Timing: systolic or diastolic b. Shape: crescendo, decrescendo, or plateau c. Tone d. Radiation or transmission from PMI e. Intensity: 6-point scale (Grade 1 through 6) f. Pitch: high, medium, or low g. Quality: blowing, harsh, rumbling, or musical |
c. Tone (Should be: Location of maximal intensity: valve area
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Which of the following is not a cause of central vertigo?
a. Atherosclersis b. Multiple Sclerosis c. Meniere's Disease d. Transient Ischemic Attack |
c. Meniere's Disease
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Which is the most potentially dangerous cause of chest pain?
a. Angina b. Dissecting aortic aneurism c. Esophageal spasm d. Bronchitis |
b. Dissecting aortic aneurism
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Difficulty breating is called:
a. Orthopnea b. Dyspnea |
b. Dyspnea
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What does a barrel-shaped chest indicate?
a. Chronic bronchitis b. COPD c. Asthma d. CHF |
b. COPD
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