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
Which of the following is not a common location for Rheumatoid Arthritis to present? Knees Elbows Hips Hands
Hips
26
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
27
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
28
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
29
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
30
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
31
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)
32
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
33
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
34
Which substance is needed when changing thrombin to prothrombin during blood clotting? Phosphorus Calcium Sodium Potassium
Calcium
35
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
36
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
37
Which cranial nerve affects balance? VIII X III VI
VIII
38
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
39
Who are you required to report communicable disease to? The patient and their partners Health Department FDA Local police department
Health Department
40
The ADH (Anti-diuretic Hormone) blood test is performed on patients suspected of having Lupus Parkinson's Diabetes Liver Disease
Diabetes
41
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
42
Sarah was prescribed Levaquin (levofloxcin) by her doctor. Which condition does she have? Bacterial Pneumonia Chronic Sinusitis Common Cold Viral Pneumonia
Bacterial Pneumonia
43
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
44
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
45
This hormone surges mid-cycle and is responsible for ovulation? FSH Progesterone LH Estrogen
LH
46
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
47
Which of the following is NOT associated with increased WBC count (leukocytosis)? Leukemia Bone marrow failure Infection Inflammation
Bone marrow failure
48
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
49
A patient with an orange tint to his skin with white sclera most likely has? Juandice Hepatitis Damp Heat Hypervitaminosis A
Hypervitaminosis A
50
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
51
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
52
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
53
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
54
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
55
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
56
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
57
Which of the following is not considered an anti-hypertensive drug? Calcium antagonists Dopamine Diuretics Beta blockers
Dopamine
58
Singulair (montelokast) is used for which of the following conditions? Osteoarthritis Rheumatoid arthritis Asthma Fibromyalgia
Asthma
59
_______________ 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
60
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
61
The right side of the heart pumps blood to the Left atrium Entire Body Left Ventricle Lungs
Lungs
62
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
63
Your patient was diagnosed with a painful step off. Which of the following conditions lead to this condition? Subluxation Fracture Dislocation Bursitis
Fracture
64
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
65
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
66
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
67
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
68
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
69
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
70
All of the following except __________________ can cause Adult Respiratory Distress Syndrome. Pneumonia Toxic Irritants Aspiration of Water Asthma
Asthma
71
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
72
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
73
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
C5
74
______________ 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
75
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
76
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.
77
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
78
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.
79
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
80
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
81
Portal Systemic Encephalopathy can be caused by excessive intake of? Fats All of the above Carbohydates Protein
Protein
82
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
83
A woman is at the dermatologist for evaluation of a suspicious mole. Which of the following characteristics is incorrect? Color Location Diameter Border
Location
84
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
85
Which of the following is NOT a mode of transmission for HIV? Semen Air Vaginal secretions Blood
Air
86
What is the most common cause of hypothroidism? Radiation therapy Thyroid Surgery Hashimoto's thyroiditis Hyperthyroidism
Hashimoto's thyroiditis
87
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
88
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
89
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
90
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
91
Where is angiotensin converting enzyme made? Spleen Kidney Lung Liver
Lung
92
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
93
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
94
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
95
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
96
When measuring a person’s body mass index, a health weight is BMI between _______. 19 - 25 15 - 20 25 - 30 20 - 28
19 - 25
97
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
98
When using a diluted bleach solution in clinic, the solution should not more than _______ hours old. 12 48 36 24
24
99
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
100
What is another name for Hepatitis A? Hepatitis Simplex A HAB HVA HAV
HAV