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Biomedicine > Final Bio Test 100 questions - TCM Seminar > Flashcards

Final Bio Test 100 questions - TCM Seminar Flashcards

1
Q

The heart apex is located at which ICS?

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

A

5th ICS

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2
Q

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

A

HCV can be spread through air particles

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3
Q

Elevated TSH levels would be seen in a patient with?

Grave’s Disease
Hyperthyroidism
Renal Failure
Hypothyroidism

A

Hypothyroidism

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4
Q

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

A

Back: raised creatinine

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5
Q

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

Increased sense of taste
Proteinuria
Dry cough
Orthostatic hypotension

A

Increased sense of taste

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6
Q

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

A

All of the above

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7
Q

A big risk factor for Atherosclerosis is:

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

A

Hypertension

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8
Q

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

A

Air going to stomach and causing vomiting

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9
Q

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

A

Proper handling

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10
Q

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

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

A

25-30%

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11
Q

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

Lipids
Proteins
Amino acids
Starch

A

Starch

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12
Q

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

A

Elevated liver enzymes

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13
Q

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

A

During the professional training period

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14
Q

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

Lupus
Cushing’s
Hypothyroidism
Addison’s

A

Addison’s

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15
Q

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

Shoulder and arm
Neck
Lower back
Lower abdomen

A

Shoulder and arm

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16
Q

Hepatitis B symptoms include all of the following except

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

A

Shortness of breath

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17
Q

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

Betablockers
NSAIDS
MAO Inhibitors
SSRI

A

MAO Inhibitors

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18
Q

Prozac blocks the uptake of which neurotransmitter?

Norepinephrine
Epinephrine
Serotonin
Dopamine

A

Serotonin

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19
Q

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

A

Orthostatic Hypotension

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20
Q

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

A

Hepatitis A and E

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21
Q

Which of the following drugs can cause an electrolyte imbalance?

Retrovir
Lasix
Lipitor
Proponol

A

Lasix

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22
Q

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

A

Give two breaths

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23
Q

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

Parkinson’s
Asthma
Anxiety Disorder
Bipolar disorder

A

Bipolar disorder

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24
Q

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

A

Air particles

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25
Q

Which of the following is not a common location for Rheumatoid Arthritis to present?

Knees
Elbows
Hips
Hands

A

Hips

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26
Q

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

A

Wear gloves

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27
Q

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

A

Adding additional notes

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28
Q

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

A

Cleaning up sharps containers

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29
Q

When performing acupuncture, the only type of needle allowed are?

Reusable needles
Sterile reusable needles
Single-use needles
Sterile single-use needles

A

Sterile single-use needles

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30
Q

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

A

Cancer

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31
Q

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)

A

Albuterol (Salbutamol)

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32
Q

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

A

Stabbing pain in the low back

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33
Q

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

A

Refer to the ER

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34
Q

Which substance is needed when changing thrombin to prothrombin during blood clotting?

Phosphorus
Calcium
Sodium
Potassium

A

Calcium

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35
Q

Stem cells responsible for the production of the majority of white blood cells originate in the

Thymus
Spleen
Red bone marrow
Liver

A

Red bone marrow

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36
Q

Vaccines are available for which of the following types of hepatitis?

B and C
A and B
B and D
A and C

A

A and B

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37
Q

Which cranial nerve affects balance?

VIII
X
III
VI

A

VIII

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38
Q

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

A

Thyroid autoantibodies

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39
Q

Who are you required to report communicable disease to?

The patient and their partners
Health Department
FDA
Local police department

A

Health Department

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40
Q

The ADH (Anti-diuretic Hormone) blood test is performed on patients suspected of having

Lupus
Parkinson’s
Diabetes
Liver Disease

A

Diabetes

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41
Q

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

A

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

42
Q

Sarah was prescribed Levaquin (levofloxcin) by her doctor. Which condition does she have?

Bacterial Pneumonia
Chronic Sinusitis
Common Cold
Viral Pneumonia

A

Bacterial Pneumonia

43
Q

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

A

Determine if patient is conscious

44
Q

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

A

Osteo Sarcoma

45
Q

This hormone surges mid-cycle and is responsible for ovulation?

FSH
Progesterone
LH
Estrogen

A

LH

46
Q

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

A

It will depend on the state you are practicing in

47
Q

Which of the following is NOT associated with increased WBC count (leukocytosis)?

Leukemia
Bone marrow failure
Infection
Inflammation

A

Bone marrow failure

48
Q

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

A

Crohn’s disease

49
Q

A patient with an orange tint to his skin with white sclera most likely has?

Juandice
Hepatitis
Damp Heat
Hypervitaminosis A

A

Hypervitaminosis A

50
Q

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

A

Hemophilia

51
Q

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

A

Inspection, ausculation, percussion, palpation

52
Q

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

A

Documents quality of care

53
Q

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

A

Abduction

54
Q

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

A

Hep B

55
Q

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

A

Below the spinous process of 2nd lumbar

56
Q

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

A

Low HDL and high LDL

57
Q

Which of the following is not considered an anti-hypertensive drug?

Calcium antagonists
Dopamine
Diuretics
Beta blockers

A

Dopamine

58
Q

Singulair (montelokast) is used for which of the following conditions?

Osteoarthritis
Rheumatoid arthritis
Asthma
Fibromyalgia

A

Asthma

59
Q

_______________ 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

A

Migraines

60
Q

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

A

Refer to the ER

61
Q

The right side of the heart pumps blood to the

Left atrium
Entire Body
Left Ventricle
Lungs

A

Lungs

62
Q

Which of the following is an increased risk of hormone replacement therapy?

All of the above
Heart Attack
Endometrial cancer
Stroke

A

All of the above

63
Q

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

Subluxation
Fracture
Dislocation
Bursitis

A

Fracture

64
Q

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

A

Aspirin use

65
Q

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

A

Refer her to her primary doctor

66
Q

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

A

Refer to an Oncologist

67
Q

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

A

Serratus anterior

68
Q

What is the average incubation period for HIV to AIDS?

16 - 25 years
1 - 2 years
8 - 10 years
30 - 120 days

A

8 - 10 years

69
Q

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

A

NSAIDs

70
Q

All of the following except __________________ can cause Adult Respiratory Distress Syndrome.

Pneumonia
Toxic Irritants
Aspiration of Water
Asthma

A

Asthma

71
Q

For handwashing in clinic, which of the following is recommended?

Liquid soap and water
Anti-microbial products
An alcohol-based disinfectant
Betadine

A

Liquid soap and water

72
Q

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

A

Mitral Valve

73
Q

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

A

C5

74
Q

______________ 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

A

Parasympathetic: Sympathetic

75
Q

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

A

For each new body part

76
Q

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

A

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.

77
Q

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

A

Tap the shoulders and pat the feet

78
Q

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

A

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.

79
Q

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

A

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

80
Q

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

A

Tell your friend to call 911

81
Q

Portal Systemic Encephalopathy can be caused by excessive intake of?

Fats
All of the above
Carbohydates
Protein

A

Protein

82
Q

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

A

Follicular and Luteal phases

83
Q

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

Color
Location
Diameter
Border

A

Location

84
Q

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

A

EBV

85
Q

Which of the following is NOT a mode of transmission for HIV?

Semen
Air
Vaginal secretions
Blood

A

Air

86
Q

What is the most common cause of hypothroidism?

Radiation therapy
Thyroid Surgery
Hashimoto’s thyroiditis
Hyperthyroidism

A

Hashimoto’s thyroiditis

87
Q

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

A

Left facial weakness, right body weakness

88
Q

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

A

The social security number

89
Q

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

A and E

90
Q

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

A

Kidney

91
Q

Where is angiotensin converting enzyme made?

Spleen
Kidney
Lung
Liver

A

Lung

92
Q

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

A

Shortness of breath on exertion

93
Q

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

A

Cranial nerves III, IV and VI

94
Q

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

A

Foul smelling, frothy vaginal discharge

95
Q

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

A

Autogenous and cross-infections

96
Q

When measuring a person’s body mass index, a health weight is BMI between _______.

19 - 25
15 - 20
25 - 30
20 - 28

A

19 - 25

97
Q

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

A

Ectopic pregnancy

98
Q

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

12
48
36
24

A

24

99
Q

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

A

Rheumatoid nodules

100
Q

What is another name for Hepatitis A?

Hepatitis Simplex A
HAB
HVA
HAV

A

HAV

Biomedicine (10 decks)

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