Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
44 Cards in this Set
- Front
- Back
|
What is the most likely dx for a patient with a TSH of 22 and a total T4 of 3.0?
a. hypothyroid b. hyperthyroid c. euthroid (normal thyroid) d. undetermined |
a. hypothyroid
|
|
|
What is the most likely dx for a patient with a TSH of < 0.1 and a total T4 of 12.9?
a. hypothyroid b. hyperthyroid c. euthroid (normal thyroid) d. undetermined |
b. hyperthyroid
|
|
|
What is the most likely dx for a patient with a TSH of < 0.1 and a total T4 of 2.0 and a T3 that is lower than normal?
a. primary hyperthyroidism b. secondary hyperthyroidism c. hypersecreting pituitary adenoma d. undetermined |
b. secondary hyperthyroidism
|
|
|
A woman comes in with HA and galactorrhea. Her prolactin is 35 ng/ml. What is her probable diagnosis?
a. hypopituitarism b. acromegaly c. pituitary adenoma d. undetermined |
c. pituitary adenoma
|
|
|
A 35 year old man complains that he needs to keep changing his shoe size and wonders when his feet will stop growing. You notice a prominent jaw and forehead. What might you expect to see in his labs?
a. GH 15ng/ml b. ATCH 90 pg/ml c. AM plasma cortisol 4 microgm/dL d. TSH < 0.1 microU/mL |
a. GH 15ng/ml
|
|
|
The predominant cell type in pus and bacterial infection is:
a. neutrophil b. lymphocyte c. platelet d. red cell |
a. neutrophil
|
|
|
The cell most likely to be involved in allergy or parasitic infection is:
a. neutrophil b. eosinophil c. monocyte d. platelet |
b. eosinophil
|
|
|
A patient with chronic lymphocytic leukemia has the following diagnostic blood smear:
a. large number of abnormal mature lymphocytes b. abnormal platelets c. normal platelets d. no change in platelets |
a. large number of abnormal mature lymphocytes
|
|
|
You get the following lab result on one of your 30 y/o female patients with fatigue. What is the most likely diagnosis?
Hemoglobin 10.6 (normal 12-16 g/dL) Hematocrit 30 (normal 37-48%) MCV 70 (normal 80-100) a. folic acid deficiency b. iron deficiency anemia c. B12 deficiency d. megaloblastic anemia |
b. iron deficiency anemia (microcytic)
|
|
|
You get the following lab result on one of your 30 y/o female patients on a "weird" diet because of her st issues. What is the most likely diagnosis?
Hemoglobin 10.6 (normal 12-16 g/dL) Hematocrit 30 (normal 37-48%) MCV 110 (normal 80-100) a. iron deficiency anemia b. B12 deficiency c. thrombocytopenia d. microcytic thrombocytopenia |
b. B12 deficiency
|
|
|
If you are a 65 y/o male with a hx of coronary artery disease, diabetes, HTN, peripheral artery disease or a family history of heart disease. What is the current recommendation for the ideal LDL level?
a. 160 b. 130 c. 100 d. 70 or less |
d. 70 or less
|
|
|
For a high risk male what is the ideal HDL level?
a. 25 or greater b. 30 or greater c. 35 or greater d. 40 or greater |
d. 40 or greater
|
|
|
The metabolic syndrome includes a problem with sugar regulation and any 2 of the following items except:
a. increased waist circumference b. abnormal lipids c. microalbuminemia d. HTN e. low triglycerides |
e. low triglycerides
|
|
|
On a chest xray which items would not show up as some shade of white?
a. pacemaker b. ribs c. heart d. air |
d. air
|
|
|
The difference between a routine treadmill or exercise stress test and a thallium stress test (nuclear) is that the first measures electrical conduction while the second shows blood flow or lack of.
True or False |
True
|
|
|
The coronary angiogram can be used for diagnosis and for therapeutic intervention.
True or False |
True
|
|
|
The diagnosis of diabetes mellitus is usually made by two or more fasting blood sugars of ****** or more.
a. 100 b. 120 c. 200 d. 150 |
b. 120
|
|
|
The hemoglobin A1C and the microalbumin are used:
a. for dx of diabetes mellitus b. assess potential early damage from diabetes mellitus c. for evaluation of dimentia d. to screen for inflammatory bowel disease |
b. assess potential early damage from diabetes mellitus
|
|
|
Elevated serum ketones and acidosis of the blood are typically found in:
a. type I diabetes b. type II diabetes c. inflammatory bowel disease d. COPD |
a. type I diabetes
|
|
|
A routine diabetic kidney check could include all except one of the following:
a. microalbumin b. serum creatinine c. GFR d. serum aldosterone |
d. serum aldosterone
|
|
|
A routine diabetic kidney check could include all except one of the following:
a. microalbumin b. serum creatinine c. GFR d. serum aldosterone |
d. serum aldosterone
|
|
|
a non-insulin dependent diabetic male presents with the following lab tests:
microalbumin 120 (normal < 30mgm/day) serum creatinine 2.5 (normal male 0.6 - 1.2 mg/dL) GFR 30 (normal 80-100 ml/min) All of the following are important but which is the most important in this case? a. educate him on diet and exercise b. order a HgbA1C c. refer the patient to a western doctor d. carefully check the BP |
c. refer the patient to a western doctor
|
|
|
A DEXA T-score below -2.5 is the diagnosis for osteoporosis.
True or False |
True
|
|
|
Which diagnosis is associated with the presence of thyroid antibodies?
a. Hashimoto's thyroiditis b. hypothyroidism c. euthyroid d. iodine deficiency |
a. Hashimoto's thyroiditis
|
|
|
The ultrasound is particularly good at differentiating a solid nodule from a cystic nodule.
True or False |
True
|
|
|
A thyroid nuclear scan is good at differentiating a hot from a cold nodule.
True or False |
True
|
|
|
Side effects of iodine based on IV contrast can include all except which one?
a. anaphalaxsis b. itching c. diminished renal fxn thyroid goiter |
c. diminished renal fxn
|
|
|
The following are disadvantages of doing and MRI except:
a. claustrophobia b. pacemaker c. morbid obesity d. pregnant women |
d. pregnant women
|
|
|
Which is not usually a cause of hypercalcemia?
a. multiple myeloma b. hyperfunctioning parathyroid adenoma c. vitamin D excess d. Zollinger-Ellison syndrome |
d. Zollinger-Ellison syndrome
|
|
|
The causes of Cushing's disease include all except:
a. adrenal cortical tumor b. adrenal medullary tumor c. large dose, chronic oral prednisone (cortisone) d. hypersecreting pituitary tumor (increased ACTH) |
b. adrenal medullary tumor
|
|
|
Which of the following does not belong to the anterior pituitary?
a. ADH (vassopressin) b. TSH c. GH d. Prolactin |
a. ADH (vassopressin)
|
|
|
A 30 y/o woman presents with new lower abdominal pain and irregular menstrual bleeding. She may or may not have missed one of her birth control pills. What would be the first test that you would order?
a. stat urine or serum HCG (human chorionic gonadotropin) b. routine urine culture c. prolactin level d. TSH |
a. stat urine or serum HCG (human chorionic gonadotropin)
|
|
|
What is the name of the test that is used to aspirate bloody fluid from the pelvic cul-de-sac via the vagina in cases of suspected ectopic pregnancy?
a. paracentesis b. culdocentesis c. culposcopy d. pleurocentesis |
b. culdocentesis
|
|
|
What test would you use to diagnose candida?
|
KOH smear
|
|
|
What test would you use to diagnose a staph infection?
|
gram stain
|
|
|
What test would you use to diagnose tuberculosis?
|
AFB smear
|
|
|
Pulmonary fxn tests are used to measure and diagnose emphysema, brochospasm, restrictive lung disease by measuring the speed of air flow and the comparative lung volumes.
True or False |
True
|
|
|
An ABG (arterial blood gas) will tell you all except:
a. serum iron b. pH of the blood c. pO2 d. pCO2 |
a. serum iron
|
|
|
What do you measure for a patient suspected of having gout?
a. calcium b. magnesium c. uric acid d. parathormone |
c. uric acid
|
|
|
You are afrain that your patient has multiple myeloma. The test that would help you the most would be all except:
a. bence jones urine protein b. serum calcium c. protein electrophoresis d. HLA B27 |
c. protein electrophoresis
|
|
|
Which test would help you the most in diagnosing ankylosing spondylitis?
a. lumber spine xray and HLA B27 b. calcium and phosphorus c. uric acid and cbc d. magnesium and calcium |
a. lumber spine xray and HLA B27
|
|
|
A patient comes into the ER with chest pain. Which diagnostic blood tests are ordered to specifically rule out a myocardial infarction?
a. CPK (cpk-mb) & troponin b. urine and blood ketones c. liver fxn tests d. renal panel |
a. CPK (cpk-mb) & troponin
|
|
|
A young woman comes in and you find that her thyroid feels slightly enlarged and slightly lumpy. You suspect Hashimoto's thyroiditis. Which blood test would you consider inappropriate if the calcium is normal?
a. parathormone b. free t4, t3, TSH c. thyroid antibodies d. thyroid scan |
a. parathormone
|
|
|
The following is all true about the PSA except:
a. a mild elevation of PSA can be seen in BPH as well as in early prostate cancer b. an increasing level of PSA can indicate prostate cancer c. PSA and DRE (digital rectal exam) are both part of annual prostate screening in men over 50 d. PSA can also be transiently elevated in prostatitis e. none of the above |
e. none of the above
|
