ACS ----45 Q Flashcards

1
Q

1.A 5­ year ­old child presents in your office with fever and tinnitus. What is the most likely reason for these findings?

a. Volvulus
b. Aspirin Toxicity
c. Antibiotics
d. Kidney Stones

A

b.Aspirin Toxicity

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2
Q

2.Which of the following organisms causes a soft and painful lesion?

a. Treponema Pallidum
b. Neisseria Gonorrhea
c. Hemophilus Ducreyi
d. Chlamydia Trachomatis

A

c. Hemophilus Ducreyi

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3
Q

3.A 25 year old male patient presents with dysuria and a green mucopurulent discharge from the urethra. Which ofthe following organisms causes this presentation?

a. Treponema Pallidum
b. Neisseria Gonorrhea
c. Hemophilus Ducreyi
d. Chlamydia Trachomatis

A

b.Neisseria Gonorrhea

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4
Q

4.Which of the following organisms is the most common cause of pelvic inflammatory disease?

a. Chlamydia Trachomatis
b. Moniliasis
c. Trichimoniasis
d. Treponema Pallidum

A

a.Chlamydia Trachomatis

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5
Q

5.Which of the following can be transmitted through the placenta?

a. Syphilis
b. Chlamydia Trachomatis
c. Trichimoniasis
d. Herpes Virus

A

a.Syphilis

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6
Q

6.Which of the following organisms most commonly produces a frothy foul smelling discharge from the vagina?

a. Staphylococcus
b. Neisseria Gonorrhea
c. Trichomonas Vaginalis
d. Chlamydia Trachomatis

A

c. Trichomonas Vaginalis

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7
Q

7.A 21­ year ­old male presents with urethritis. If this condition is allowed to progress untreated what is most likely to occur?

a. Joint septicemia
b. Chronic urinary tract infections
c. Syphilis
d. Aneurysm

A

b.Chronic urinary tract infections

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8
Q

8.Which of the following causes a vesicle that transforms into an ulcer?

a. Human Papilloma Virus
b. HSV­2
c. Pemphigus
d. Herpes zoster

A

b.HSV­2

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9
Q

9.Which of the following methods most commonly transmits HIV?

a. IV drug use
b. Fecal oral route
c. Inhalation
d. Poor sanitation

A

a.IV drug use

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10
Q

10.Which of the following conditions is most commonly associated with AIDS?

a. Osteosarcoma
b. Ewing’s Sarcoma
c. Non­Hodgkin’s Lymphoma
d. Leukemia

A

c.Non­Hodgkin’s Lymphoma

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11
Q
  1. A patient with suspected HIV obtains a positive ELISA test. Which of the following procedures will more accurately diagnose the condition

a. CBC with differential
b. Spinal fluid evaluation
c. Comprehensive metabolic profile
d. Western blot test

A

d.Western blot test

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12
Q

12.A lesion which starts out as a gray papule and then becomes a pearly white, dome shaped lesion is caused by which of the following?

a. Molluscum Contagiosum
b. Human papilloma virus
c. Granuloma Inguinale
d. Chlamydia trachomatis

A

a.Molluscum Contagiosum

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13
Q

13.Which of the following is the most common method by which an infant becomes infected with the AIDS virus?

a. Congenitally
b. Sexual contact
c. Feeding
d. Immunization

A

a.Congenitally

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14
Q

14.A patient presents with a red erythematous rash with well­ circumscribed scaly lesions on her skin. Which of the following is the most likely diagnosis?

a. Eczema
b. Psoriasis
c. Impetigo
d. Seborrheic Dermatitis

A

b.Psoriasis

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15
Q

15.An autoimmune disorder presenting with clear fluid filled lesions that are greater than 1 cm in size is associated with which of the following?

a. Staph infection
b. Pemphigus
c. Herpes
d. Impetigo

A

b.Pemphigus

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16
Q

16.Depigmentation of the skin –after birth– is known as which of the following?

a. Melasma
b. Vitiligo
c. Tinea versicolor
d. Albinism

A

b.Vitiligo

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17
Q

17.A pediatric patient presents with a honey crusted lesion around the mouth. What condition is responsible for this appearance?

a. Impetigo
b. Erysipelas
c. Seborrheic Dermatitis
d. Herpes simplex

A

a.Impetigo

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18
Q
  1. An individual staph­ infected hair follicle is termed ____________?

a. Carbuncle
b. Felon
c. Furuncle
d. Wheal

A

c.Furuncle

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19
Q

19.Which of the following would be seen while a patient is experiencing an allergic reaction?

a. Papule
b. Felon
c. Blister
d. Wheal

A

d.Wheal

20
Q
  1. Actinic keratosis leads to which of the following types of cancer?

a. Basal Cell
b. Melanoma
c. Squamous Cell
d. Oat cell carcinoma

A

c.Squamous Cell

21
Q

21.Presbyopia is best defined as _______?

a. Inability of the pupil to dilate
b. Loss of elasticity of the lens
c. Inability to accommodate to light
d. Hardening of the lens

A

b.Loss of elasticity of the lens

22
Q

22.Which of the following is a likely clinical sign of pneumonia that is peculiar to an elderly patient?

a. Bradycardia
b. Subnormal body temperature
c. Cough
d. Confusion

A

b.Subnormal body temperature

23
Q
  1. A prolonged erection is caused by __________?

a. Parasympathetic stimulation
b. Sympathetic stimulation
c. Excess cortisol
d. Cancer

A

a.Parasympathetic stimulation

24
Q
  1. The CAGE questionnaire is used to determine which of the following?

a. Extent of injury
b. Allergic status
c. Social ability
d. Alcoholism

A

d.Alcoholism

25
Q
  1. A seductive and attention seeking personality is diagnosed as which of the following?

a. Paranoid
b. Schizoid
c. Histrionic
d. Compulsive

A

c.Histrionic

26
Q
  1. The act of assigning a feeling of belief to another person is known as ______?

a. Denial
b. Repression
c. Transference
d. Projection

A

d.Projection

27
Q
  1. Autism is what type of disorder?

a. Attention Deficit
b. Cognitive
c. Developmental
d. Environmental

A

b.Cognitive

28
Q
  1. Ototoxicity is caused by an overdose of which of the following?

a. Penicillin
b. Streptomycin
c. Aspirin
d. Tylenol

A

c.Aspirin

29
Q

29.When do the beginning signs of schizophrenic behavior emerge?

a. Childhood
b. Adolescence
c. Mid Adulthood
d. Late Adulthood

A

b.Adolescence

30
Q

30.Delusions, hallucinations, social withdrawal, and bizarre behavior are seen in which of the following conditions?

a. Schizophrenia
b. Manic depression
c. Dysthymic disorder
d. Obsessive compulsive disorder

A

a.Schizophrenia

31
Q
  1. A sexually active female presents with an adnexal mass, spotting and amenorrhea for the past 8 weeks. Which of the following is most likely given these findings?

a. Ectopic pregnancy
b. Endometriosis
c. Dysmenorrhea
d. Pelvic inflammatory disease

A

a.Ectopic pregnancy

32
Q
  1. A mini mental state test is used to evaluate the patient for _______.

a. Dementia
b. Schizophrenia
c. Depression
d. Bipolar disorder

A

a.Dementia

33
Q
  1. A 5 year old boy presents with swelling and redness at the distal femur. His mother tells you that her son has recently experienced a fall. X­ray examination shows involucrum and sequestrum. Which of the following is most likely?

a. Multiple Myeloma
b. Legg Calve Perthe’s
c. Ewing’s Sarcoma
d. Osteomyelitis

A

d.Osteomyelitis

34
Q
  1. The persistent exposure to asbestos has been implicated as a cause of _______?

a. Bronchogenic Carcinoma
b. Mesothelioma
c. Leukemia
d. Squamous Cell Carcinoma

A

b.Mesothelioma

35
Q
  1. Which of the following decreases Xanthine oxidase activity and uric acid?

a. Allopurinol
b. Dicumerol
c. Chlorpromazine
d. Ritalin

A

a.Allopurinol

36
Q
  1. Which of the following cellular effects takes place with carbon monoxide poisoning?

a. Carboxyhemoglobin
b. Increased nitrogen concentration
c. Carbonic acid
d. Hydrochloric acid

A

a.Carboxyhemoglobin

37
Q

37._____ toxicity can lead to an anemia.

a. Lead
b. Zinc
c. Beryllium
d. Magnesium

A

a.Lead

38
Q
  1. You would not utilize an emetic with which of the following substances?

a. Food poisoning
b. Aspirin
c. Barbiturates
d. Gasoline

A

d.Gasoline

39
Q
  1. Which of the following is the best emetic?

a. Syrup of Ipecac
b. Water
c. Gastric lavage
d. Any decongestant

A

a.Syrup of Ipecac

40
Q

40.Which of the following minerals is deficient with pneumonia?

a. Zinc
b. Manganese
c. Magnesium
d. Copper

A

a.Zinc

41
Q
  1. Which of the following should be blocked for reuptake when treating depression?

a. Seratonin
b. Norepinehprine
c. Catecholamines
d. Glucose

A

a.Seratonin

42
Q
  1. Which of the following lung conditions most commonly affects textile factory workers?

a. Byssinosis
b. Silicosis
c. Mesothelioma
d. Siderosis

A

a.Byssinosis

43
Q
  1. Which of the following causes nausea, vomiting, tremors, and involuntary muscle contractions?

a. Strychnine
b. Nicotine
c. Atropine
d. Acetaminophene

A

a.Strychnine

**Strychnine is a highly toxic, colorless, bitter crystalline alkaloid used as a pesticide, particularly for killing small vertebrates such as birds and rodents.

44
Q

44.Which of the following is the least invasive way to detect a neural tube defect?

a. Amniocentesis
b. Serum glucose
c. Serum alpha fetoprotein
d. Umbilical vein extraction

A

c.Serum alpha fetoprotein

45
Q

45.Which of the following is indicated when a neonate has crackles heard in the lungs upon auscultation 2 hours after birth?

a. Bronchiolysis
b. Retained amniotic fluid
c. Croup
d. Cystic fibrosis

A

b.Retained amniotic fluid