blood d/o, cardiac d/o, back pain

Question 1

which is a predictive risk factor for varicose veins?

a) sitting too long
b) heredity

Answer 1

b) heredity

heredity and advancing age are the predominant risk factors.

Question 2

Pernicious anemia is common among people who have had

a) hepatitis
b) a gastrectomy

Answer 2

b) a gastrectomy

impaired B12 absorption

Question 3

When treating a pt w/diagnosed AIDS what should you do?

a) wear gloves
b) avoid accidental needle stick

Answer 3

b) avoid accidental needle stick

Question 4

Which lab test is used to evaluate the presence of HIV antibodies?

a) BUN test
b) ELISA

Answer 4

b) ELISA

ELISA = enzyme linked immunosorbent assay

Question 5

Which of the following can result in a loss of red blood cells?

a) arteriosclerosis
b) peptic ulcer disease

Answer 5

b) peptic ulcer disease

Question 6

what is Buerger’s disease?

Answer 6

recurring progressive inflammation and thrombosis of small and medium arteries and veins of the hands and feet

Question 7

how would you describe the lymph nodes of a patient w/Hodgkin’s disease?

a) enlarged and painless
b) swollen and tender

Answer 7

a) enlarged and painless

Question 8

A Schilling test for pernicious anemia involves collecting

a) urine
b) blood

Answer 8

a) urine

Question 9

What can a patient w/peripheral arterial insufficiency w/cold feet do?

a) do foot stretches
b) wrap feet in a warm blanket

Answer 9

b) wrap feet in a warm blanket

Question 10

A pt has pericarditis. What sound can be heard when listening to the chest?

a) a gurgling sound
b) a grating sound

Answer 10

b) a grating sound

Question 11

How can you tell if the drug furosemide is working?

a) slow heart beat
b) increased urination

Answer 11

b) increased urination

furosemide is the generic name for lasix

Question 12

What would you do to open the airway of an elderly patient who has fainted and is not breathing?

a) clear the mouth
b) lift the chin

Answer 12

b) lift the chin

Question 13

What are you listening for when measuring the adult diastolic pressure?

a) when the swishing sound fades away
b) when the last knocking sound is heard

Answer 13

b) when the last knocking sound is heard

Question 14

What can relieve the chest pains of stable angina pectoris?

a) vitamin C
b) rest

Answer 14

b) rest

Question 15

A pulsatile mass indicates

a) hiatal hernia
b) aortic aneurysm

Answer 15

b) aortic aneurysm

Question 16

Which oil has lower amounts of saturated fats?

a) coconut oil
b) corn oil

Answer 16

b) corn oil

Question 17

_____ can indicate right sided CHF

a) a jugular vein distention
b) a fast heart beat

Answer 17

a) a jugular vein distention

Question 18

a pt w/ an MI will have increased levels of which of the following?

a) troponin and isoenzymes
b) palsmnogen and lactic acid

Answer 18

a) troponin and isoenzymes

Question 19

a side effect most closely related to taking nitroglycerin tablets for chest pain is the occurence of

a) headaches
b) myalgia, muscle pains

Answer 19

a) headaches

Question 20

which of the following bp readings would you want to see to indicate normal bp?

a) 140/100
b) 120/80

Answer 20

b) 120/80

Question 21

What lung sound is heard in a pt w/left sided CHF?

a) crackling sound
b) gurgling sound

Answer 21

a) crackling sound

Question 22

A pt has back pain which worsens w/the Valsalva maneuver and coughing. The pt has tingling and lancinating pain down the right leg. You diagnose sciatica. At which level do you suspect disk herniation?

a) L4-L5
b) L5 -S1

Answer 22

b) L5 -S1

Question 23

A 17 yo athlete has lbp which worsens after exercise esp. w/lumbar extension. He complains of tight hamstrings. Exam reveals decreased range of motion in the lower back w/leg and buttock pain worsening when bending over or w/twisting the back. The pain started after a mild fall during bball practice. During the past few days he has started experiencing leg numbness and tingling. A lateral xray reveals anterior subluxation betw L4-L5. What is the dx?

a) back pain d/t trauma
b) spondylolisthesis

Answer 23

b) spondylolisthesis

spondylolisthesis is where one vertebra slips forward compared to the next vertebra

Question 24

Which part of the physical exam of lbp tests for compression radiculopathy?

a) Babinsky reflex
b) straight leg raise test

Answer 24

b) straight leg raise test

Question 25

Pt has back pain w/numbness down the right leg. The leg cramps up and feels tired. The leg pain starts when the pt stands or walks and improves when sitting or lyign down in the fetal position. Walking uphill is less painful than walking down hill. What would most likely be causign the back pain w/the sciatic sx?

a) lumbar spinal stenosis
b) piriformis syndrome

Answer 25

a) lumbar spinal stenosis