Final Bio Test 100 questions - TCM Seminar Flashcards by Catherine Matlock-Shally

The heart apex is located at which ICS?

5th ICS
6th ICS
3rd ICS
4th ICS

5th ICS

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Which statement is false?

HCV can be spread through air particles
HCV can be spread from mother to baby
HCV can be spread through sharing drug needles
HCV can be spread through sexual contact

HCV can be spread through air particles

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Elevated TSH levels would be seen in a patient with?

Grave’s Disease
Hyperthyroidism
Renal Failure
Hypothyroidism

Hypothyroidism

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Patient suffers from pancreatitis with classic epigastric pain. Where would you see the pain refer? What would you find in the blood tests?

Lower abdomen: raised BUN
Groin: low BUN
Back: raised creatinine
Chest: low creatinine

Back: raised creatinine

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Which is NOT a side-effect of Captoril (Captopril)?

Increased sense of taste
Proteinuria
Dry cough
Orthostatic hypotension

Increased sense of taste

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Which of the following is a patient’s fundamental right under HIPAA?

The right to revoke or limit authorization
The right to get an accounting of PHI (protected health information) disclosures
All of the above
The right to request amendments to the medical record

All of the above

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A big risk factor for Atherosclerosis is:

Diabetes
Asthma
Weight gain in excess of 20 lbs. in 1 year
Hypertension

Hypertension

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What is the consequence of overinflating the lungs during CPR?

Air going to stomach and causing vomiting
Decrease of blood pressure
Coughing of phlegm
Increase of blood pressure

Air going to stomach and causing vomiting

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What is the best method of avoiding needle stick with an acupuncture needle that has been used in treatment?

Wear three pair of latex gloves
Wear one pair of latex gloves
Wear two pairs of latex gloves
Proper handling

Proper handling

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What percentage of the population may be carriers of MRSA (MethicillinResistant Staphylococcous Aureus)?

1-5%
50-75%
25-30%
10-15%

25-30%

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Salivary amylase is made by the salivary glands and is used to break down ________ when you chew your food.

Lipids
Proteins
Amino acids
Starch

Starch

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What is a severe side-effect of statin medication?

Elevated liver enzymes
Deposition of lipid in blood vessel walls
Lower cholesterol levels
Red, flushed face

Elevated liver enzymes

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The period of greatest risk of exposure to Hepatitis for healthcare workers is?

One year after start of professional practice
Two years after start of professional practice
Three years after start of professional practice
During the professional training period

During the professional training period

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Hyper-pigmentation is a major sign and symptom of which of the following diseases:

Lupus
Cushing’s
Hypothyroidism
Addison’s

Addison’s

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During a Myocardial Infarction, the most common place the patient experience raidiating pain is to?

Shoulder and arm
Neck
Lower back
Lower abdomen

Shoulder and arm

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Hepatitis B symptoms include all of the following except

Diarrhea and abdominal pain
Nausea and malaise
Shortness of breath
Chills and fever

Shortness of breath

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Anti-Arrhythmics are often added to which drug class and should not to be taken with caffeine or tyramine?

Betablockers
NSAIDS
MAO Inhibitors
SSRI

MAO Inhibitors

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Prozac blocks the uptake of which neurotransmitter?

Norepinephrine
Epinephrine
Serotonin
Dopamine

Serotonin

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A woman comes in with a history of blood deficiency. You take her blood pressure standing up and then sitting down. This might indicate that she suffers from ____________ and can predict future heart problems.

Sjogern’s disease
Orthostatic Hypotension
Lupus
Meniere’s disease

Orthostatic Hypotension

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Which of the following hepatitis types are transmitted via oral-fecal exposure?

Hepatitis A and D
Hepatitis B and C
Hepatitis A and E
Hepatitis B and D

Hepatitis A and E

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Which of the following drugs can cause an electrolyte imbalance?

Retrovir
Lasix
Lipitor
Proponol

Lasix

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You are performing adult CPR and have finished giving 30 compressions on the chest. What is the next thing to do?

Wait for a response before proceeding
Give the second round of 15 compressions
Give two breaths
Call 911

Give two breaths

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Abilify (aripiprazole) is used for which of the following conditions?

Parkinson’s
Asthma
Anxiety Disorder
Bipolar disorder

Bipolar disorder

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During the incubation period for Hepatitis B, the virus is found in all of the following except?

Blood
Sweat, tears, nasal discharge, saliva
Urine and feces
Air particles

Air particles

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Which of the following is not a common location for Rheumatoid Arthritis to present? Knees Elbows Hips Hands

Hips

When performing a bleeding technique what is the best practice to prevent exposure? Wear gloves Wear gloves with HIV patients only Wear gloves with HBV patients only Wear two pair of gloves

Wear gloves

Your patient asks to amend their medical records. You can do this by? Crossing out the incorrect portion and writing in the correct information All of the above Redoing that portion of the medical charts and throwing away what was already completed Adding additional notes

Adding additional notes

Which of the following circumstances account for the highest percentage of staff needle stick occurrences? Performing Ear Acupuncture Cleaning up sharps containers Performing injections Performing Acupuncture

Cleaning up sharps containers

When performing acupuncture, the only type of needle allowed are? Reusable needles Sterile reusable needles Single-use needles Sterile single-use needles

Sterile single-use needles

Your female patient, age 57, comes in with excessive vaginal bleeding. You want to refer to an PCP to rule out which of the following conditions? Fibroids Endometriosis Cancer Ectopic Pregnancy

Cancer

A patient goes to the hospital because she is experiencing shortness of breath and wheezing. The doctor diagnoses here with Asthma and prescribes which of the following as a first-line treatment? Cinqair (Reslizumab) Singular (Montelukast) Budesonide (Pulmicort Flexhaler) Albuterol (Salbutamol)

Albuterol (Salbutamol)

Early symptoms of HIV include all of the following except? Swollen lymph nodes in the axilla, groin or neck Oral Thrush Stabbing pain in the low back Unexplained Rash

Stabbing pain in the low back

Your patient comes in complaining of lower abdominal pain that radiates to the lower right and is worse with pressure. He has vomited twice this morning and is running a slight fever. You palpate the lower left abdomen and the patient seems fine. Upon releasing your fingers, the patient yelps in pain. He says that it hurts in the lower right. What is most appropriate next step to take for this patient? Abdominal massage to move Qi and Blood Refer to the patient's physician but give the patient an acupuncture treatment before they leave. Refer to the ER Acupuncture with estim

Refer to the ER

Which substance is needed when changing thrombin to prothrombin during blood clotting? Phosphorus Calcium Sodium Potassium

Calcium

Stem cells responsible for the production of the majority of white blood cells originate in the Thymus Spleen Red bone marrow Liver

Red bone marrow

Vaccines are available for which of the following types of hepatitis? B and C A and B B and D A and C

A and B

Which cranial nerve affects balance? VIII X III VI

VIII

When testing Hashimoto Thyroiditis, all of the following labs are tested to confirm a diagnosis except? T4 TSH (Thyroid stimulating hormone) Total or Free T3 Thyroid autoantibodies

Thyroid autoantibodies

Who are you required to report communicable disease to? The patient and their partners Health Department FDA Local police department

Health Department

The ADH (Anti-diuretic Hormone) blood test is performed on patients suspected of having Lupus Parkinson's Diabetes Liver Disease

Diabetes

The heart makes the lub-dub sound when it’s pumping blood. What is the “”dub”” sound? Closing of mitral and tricuspid valves: ending of diastole/beginning of the systole Opening of aortic and pulmonary valves: beginning of systole/ending of diastole Closing of aortic and pulmonary valves: ending of systole/beginning of diastole Opening of mitral and tricuspid valves: beginning of systole/ending of the diastole

Closing of aortic and pulmonary valves: ending of systole/beginning of diastole

Sarah was prescribed Levaquin (levofloxcin) by her doctor. Which condition does she have? Bacterial Pneumonia Chronic Sinusitis Common Cold Viral Pneumonia

Bacterial Pneumonia

What is the first step in CPR? Determine if there are any body injuries Determine if patient has a pulse Determine if patient is breathing Determine if patient is conscious

Determine if patient is conscious

Your patient comes in with bone pain. He has seen his doctor who recommended an x-ray. The x-ray revealed that the bones looked like lace with more black areas then white. He has also been losing weight steadily. What is the possible diagnosis for this case? Osteoporosis Osteopenia Lack of Calcium Osteo Sarcoma

Osteo Sarcoma

This hormone surges mid-cycle and is responsible for ovulation? FSH Progesterone LH Estrogen

Your patient complains to your state’s acupuncture board about an incident that happened during their appointment in your clinic. The state licensing body demands a copy of the patient’s medical records for review of the care you provided. Do state licensing bodies have the right to assess patient medical records? Yes, all state licensing bodies in all 51 states and US territories have the right to access patient medical records They can never access your patient records They must have a search warrent signed by a judge It will depend on the state you are practicing in

It will depend on the state you are practicing in

Which of the following is NOT associated with increased WBC count (leukocytosis)? Leukemia Bone marrow failure Infection Inflammation

Bone marrow failure

Skip lesions are wounds or inflammation that is clearly patchy. These types of lesions are a common symptom of which disease? Diverticulitis Crohn's disease IBS HIV

Crohn's disease

A patient with an orange tint to his skin with white sclera most likely has? Juandice Hepatitis Damp Heat Hypervitaminosis A

Hypervitaminosis A

Diane’s doctor told her she could not take Fish Oils. Given this information, which of the following conditions would she have? Diabetes Hemophilia High Triglycerides Heart Disease

Hemophilia

What is most commonly used sequence for examining the abdomen? Ausculation, palpation, percussion, inspection Inspection, ausculation, percussion, palpation Percussion, ausculation, palpation, inspection Inspection, palpation, percussion, ausculation

Inspection, ausculation, percussion, palpation

All of the following are true about patient medical records except? Documents quality of care Documents treatment for payment purposes A source of information about communicable diseases Primarily a legal document

Documents quality of care

Your patient comes in with shoulder pain, you have them lift up their arms to shoulder level with the palms facing downwards. This is called? Abduction Flexion Adduction Extension

Abduction

Which of the following types of Hepatitis is a blood borne pathogen. Infection occurs if someone comes into contact with blood or body fluids? Hep D Hep E Hep B Hep A

Hep B

Which lumbar vertebrae is located level with the free end of the 12th rib? Below the spinous process of 2nd lumbar Below the spinous process of 1st lumbar Below the spinous process of 4th lumbar Below the spinous process of 5th lumbar

Below the spinous process of 2nd lumbar

Which of the following is the greatest risk factor for heart disease? Low HDL and high LDL High HDL and low LDL Low HDL and low LDL High HDL and high LDL

Low HDL and high LDL

Which of the following is not considered an anti-hypertensive drug? Calcium antagonists Dopamine Diuretics Beta blockers

Dopamine

Singulair (montelokast) is used for which of the following conditions? Osteoarthritis Rheumatoid arthritis Asthma Fibromyalgia

Asthma

_______________ tend to be hereditary and affect women between the ages of 25-55: triggers include smells, certain foods, and menstrual cycle. Migraines Weight gain Mood swings Menstrual cramps

Migraines

Naomi is 68 years old. She has been a marathon runner for many years but she isn’t running these days. She was diagnosed with Osteoporosis three years ago and had to give it up. Last weekend while hiking, Naomi fell down and bruised her leg. There is sudden pain and tenderness to the area. Pain is worse when she walks. The calf looks swollen and there is redness over the area of the pain only. She is in the clinic today hoping to have a treatment. You notice that she has shortness of breath. How do you proceed? First use moving cups and Gua Sha and then treat with acupuncture Treat with electro acupuncture Refer to the ER Treat with acupuncture but also have her make an appointment with her doctor within the next two to three weeks

Refer to the ER

The right side of the heart pumps blood to the Left atrium Entire Body Left Ventricle Lungs

Lungs

Which of the following is an increased risk of hormone replacement therapy? All of the above Heart Attack Endometrial cancer Stroke

All of the above

Your patient was diagnosed with a painful step off. Which of the following conditions lead to this condition? Subluxation Fracture Dislocation Bursitis

Fracture

Susan has noticed that her legs and hands are progressively getting weaker. What is most noticable is that she can no longer easily grip a pen. She is only 28 and can’t understand what is happening. She noticed these symptoms started after having a cold -like symptoms. During your intake, it is important to ask about which of the following to determine that the cause of disease is not entirely due to an infectious cause? Family history of Parkinson's STD's Vaccines Aspirin use

Aspirin use

Sarah, age 74, recently moved into an assisted living facility. She is in your office today complaining of a red rash on her arm. She says it started on the back of her hand along the LI line and is now traveling up the arm. What is the appropriate next step you should take? Prescribe herbs for her Call an abulance to take her to the ER Refer her to a dermatologist that you know who is very good but won't be able to see her for at least two weeks Refer her to her primary doctor

Refer her to her primary doctor

Beth, 60, comes in with unexplained uterine bleeding which fluctuates between a trickle and a gush. She constantly feels irritable and thirsty. Her tongue is red and the pulse is rapid. What is your treatment for this case? Prescribe cooling foods Acupuncture with Sp1 Refer to an Oncologist Treat with Gu Jing Wan

Refer to an Oncologist

While evaluating a patient, the doctor notices that the patient’s scapula seems to protrude forward on one side. What muscle could be damaged? Infraspinatus Subscapularis Pectoralis major Serratus anterior

Serratus anterior

What is the average incubation period for HIV to AIDS? 16 - 25 years 1 - 2 years 8 - 10 years 30 - 120 days

8 - 10 years

Patient comes in with the following side effects: shortness of breath, anorexia, nausea and vomiting. There is also a skin rash, dizziness, heartburn and GI bleeding. Which pharmaceutical drugs could he be taking? Ace Inhibitors Diuretics Bronchodilators NSAIDs

NSAIDs

All of the following except __________________ can cause Adult Respiratory Distress Syndrome. Pneumonia Toxic Irritants Aspiration of Water Asthma

Asthma

For handwashing in clinic, which of the following is recommended? Liquid soap and water Anti-microbial products An alcohol-based disinfectant Betadine

Liquid soap and water

A patient with heart disease comes in to see his doctor. The doctor takes his stethoscope and places it at the junction of the 5th intercostal space and the mid-clavicular line. The doctor is listen to? Pulmonary Valve Tricuspid Valve Mitral Valve Aortic Valve

Mitral Valve

A patient comes in with neck injury from an accident. He has pain in his shoulders and scapula. Which nerve root has been affected during the accident? T1 C7 C5 T3

______________ is responsible for pupil constriction and slow heartbeat (bradycardia). _____________ is responsible for pupil dilation and fast heartbeat (tachycardia) and also reduced saliva and digestive fluids. CNIII: CNVI Parasympathetic: Sympathetic CNVI: CNX Sympathetic: Parasympathetic

Parasympathetic: Sympathetic

When treating a patient with acupuncture, the alcohol swab used to prep the acupuncture point should be changed? For each new body part Every 2nd acupuncture point For every new patient Every 5th acupuncture point

For each new body part

Which of the following is the correct way to check standing blood pressure? Have the patient lie in supine position for up to 3 minutes. Have the patient stand up. Check the blood pressure within the first minute. Check the blood pressure after the patient stands for 3 minutes Have the patient lie in supine position for 3-10 minutes. Have the patient stand up. Check the blood pressure within 3 minutes of the patient standing up Have the patient lie in supine position for more than 10 minutes. Have the patient stand up. Check the blood pressure after the patient stands for more than 5 minutes Have the patient lie in supine position until the heart rate slows. Have the patient stand up. Check the blood pressure after the patient stands for 2 minutes

Have the patient lie in supine position for up to 3 minutes. Have the patient stand up. Check the blood pressure within the first minute. Check the blood pressure after the patient stands for 3 minutes.

For babies, you: ____________________. Tap the shoulders and pat the feet Shake the baby and see if they respond Tickle their belly All of the above

Tap the shoulders and pat the feet

Once an acupuncture point has been swabbed and the site prepared for acupuncture, which of the following is correct about touching the acupuncture point before needling? Once swabbed, the acupuncture point can be touch but needs to be reswabbed after doing so Once swabbed, the acupuncture can not be touched Once swabbed, the acupuncture point can only be touched if the practitioner is wearing a latex glove Once swabbed, the acupuncture point can be touched

Once swabbed, the acupuncture point can be touched. This is definitely a tricky question. This is interpreted from CNT 7th ed. Remember that your cleaned hands, the patient's skin and tray with the needles, etc are all part of the clean field. Once your hands are cleaned and you have swabbed the patient's skin, you are free to palpate the swabbed area. It will not break the clean field and does not need to be reswabbed.

Which of the following circumstances requires the practitioner to wear gloves? When working with patients who are diagnosed with HIV or HCV When examining every scheduled patient and changed between patients When performing orthopedic tests When there is a chance of exposure to blood or body fluids

When there is a chance of exposure to blood or body fluid

You are out on a walk with your friend and find a person lying on the side walk. She has a pulse but is not breathing. What is the first thing you should do? Needle Du26 to revive them Start chest pumps Tell your friend to call 911 Give one full CPR breath

Tell your friend to call 911

Portal Systemic Encephalopathy can be caused by excessive intake of? Fats All of the above Carbohydates Protein

Protein

Estrogen increases during which two phases of the menstrual cycle? Follicular and Luteal phases Ovulatory and Luteal phases Follicular and Ovulatory phases Follicular and Anovulatory phases

Follicular and Luteal phases

A woman is at the dermatologist for evaluation of a suspicious mole. Which of the following characteristics is incorrect? Color Location Diameter Border

Location

An acupuncturist must be very careful not to needle into an enlarged liver or spleen in patients affected with this pathogen. EBV H. pylori Herpes virus 2 Mycobacterium tuberculosis

EBV

Which of the following is NOT a mode of transmission for HIV? Semen Air Vaginal secretions Blood

Air

What is the most common cause of hypothroidism? Radiation therapy Thyroid Surgery Hashimoto's thyroiditis Hyperthyroidism

Hashimoto's thyroiditis

Naomi is a young 72 years old. She loves to watch the Warriors play at her neighborhood bar. She sits at the bar and drinks wine and talks with the other locals there. Her friends notice that Naomi seems rather tipsy after only 1/2 a glass of wine. She is slurrying her words and then collapse onto the bar. The bar tender calls an ambulance that takes her to the ER. Naomi has suffered a massive stroke of the left cerebral hemisphere (pons to be specific). Which of the following are the correct symptoms that would appear after such a stroke? Right facial weakness and right body weakness Left facial weakness and body weakness Left facial weakness, right body weakness Right facial weakness, left body weakness

Left facial weakness, right body weakness

Which of the following is not an essential element of informed consent? The proposed treatment The risk and benefits of alternative treatments including no treatment The social security number Potential risks, benefits, and side effects of treatment

The social security number

Which type of hepatitis is transmitted via fecal contamination of food and water? B and E C and D A and E B and C

A and E

People with significant damage to their _________ should not take Ace Inhibitors because the medication can increase blood potassium to a dangerous level. Stomach Liver Heart Kidney

Kidney

Where is angiotensin converting enzyme made? Spleen Kidney Lung Liver

Lung

What is the likely first symptom and MOST COMMON symptom for left-sided congest heart failure in the elderly? The MOST likely first signal of left-sided CHF (congestive heart failure) in an elderly woman is Poor appetite Shortness of breath on exertion Weakness Headaches

Shortness of breath on exertion

Which cranial nerves are involved with the movement of the eye? Cranial nerve II and III Cranial nerves I and VI Cranial nerves II, III and IV Cranial nerves III, IV and VI

Cranial nerves III, IV and VI

Siara is 3 months pregnant. She has just come from the doctor who diagnosed her with trichomoniasis vaginitis. What symptoms would you expect to see? Thick, white curd-like discharge Pain during urination with some blood in the urine Foul smelling, frothy vaginal discharge Painful blisters on the labia and vaginal opening

Foul smelling, frothy vaginal discharge

Acupuncture is generally a safe technique however there is still the risk of infection. What are the two types of infection associated with acupuncture? Clostridia and brucellosis Spirochaetes and yeast Erysipeloid and listeriosis Autogenous and cross-infections

Autogenous and cross-infections

When measuring a person’s body mass index, a health weight is BMI between _______. 19 - 25 15 - 20 25 - 30 20 - 28

19 - 25

You haven’t seen your patient in some time. She comes in because she hasn’t had a period in 12 weeks (3 months). Today she started having heavy uterine bleeding accompanied by fainting, nausea, and vomiting. She has a history of amenorrhea. What should you rule out? Hypothyroidism Ectopic pregnancy Pelvic Inflammatory Disease PMS

Ectopic pregnancy

When using a diluted bleach solution in clinic, the solution should not more than _______ hours old. 12 48 36 24

Patient complains of firm, non-tender nodules that are not attached to overlying skin. They are attached to the underlying periosteum. They are slightly distal to the olecranon bursa. Your most likely diagnosis is? Smith's nodules Epicondylitis Olecranon bursitis Rheumatoid nodules

Rheumatoid nodules

What is another name for Hepatitis A? Hepatitis Simplex A HAB HVA HAV

HAV

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Final Bio Test 100 questions - TCM Seminar Flashcards

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