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DR.B EMAIL -- THE 6 > GENERAL DIAGNOSIS -----50 Q > Flashcards

GENERAL DIAGNOSIS -----50 Q Flashcards

1
Q

1.Following the symptoms of the flu, the patient develops a cough. Examination of the chest indicates an increase in tactile fremitus and dullness to percussion. Which of the following is most likely to produce this finding?

A.Pneumonia
B.Pulmonary edema
C.Bronchitis
D.Bronchiectasis

A

A.Pneumonia

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2
Q

2.What is the normal percussive note heard over the majority of the abdomen?

a. Dull
b. Resonant
c. Tympanic
d. Flat

A

c.Tympanic

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3
Q

3.Indirect or unconjugated bilirubin in the blood stream is an indication of_____.

A.Biliary duct obstruction
B.Cholecystitis
C.Pancreatic cancer
D.Hemolysis

A

D.Hemolysis

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4
Q
  1. Which of the following laboratory tests is taken to determine kidney malfunction?

A.Alkaline phosphatase
B.Acid phosphatase
C.AST
D.Creatinine

A

D.Creatinine

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5
Q

5.Which of the following supplements is considered to be the glucose tolerance factor?

A.Selenium
B.Chromium
C.Folate
D.Cyanocobalamin

A

B.Chromium

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6
Q

6.Which area of the body should be investigated if the patient has an unusually high glucose tolerance test?

A.Spleen
B.Adrenal glands
C.Pancreas
D.Kidneys

A

C.Pancreas

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7
Q

7.A 6 year old girl has white blood cell casts in the urine. What is suspected?

A.Cystitis
B.Glomerulonephritis
C.Pyelonephritis
D.Nephrosis

A

C.Pyelonephritis

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8
Q

8.Evaluation of a patient indicates an increase in ketones in the blood and urine. All other laboratory tests arenegative. This finding indicates ____.

A.Diabetes mellitus
B.Adrenal malfunction
C.Nephrosis
D.Starvation

A

D.Starvation

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9
Q

9.Untreated otitis media will most commonly lead to which of the following?

A.Mastoiditis
B.Tympanic membrane rupture
C.Permanent hearing loss
D.Ringing in the ears

A

A.Mastoiditis

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10
Q

10.A six year old presents with a fever, sore throat, rash on the skin and a strawberry colored tongue. Which condition is described?

A.Scarlet fever
B.Rubeola
C.Rubella
D.Varicella

A

A.Scarlet fever

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11
Q

1.Which of the following conditions is noted for increased calcium in the blood and a decrease in phosphorous?

A.Mononucleosis
B.Hyperparathyroidism
C.Rickets
D.Heart disease

A

B.Hyperparathyroidism

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12
Q

12.Invagination of the intestine into the inguinal canal and then into the scrotum is termed a/an ___ hernia

.A.Direct
B.Indirect
C.FemoralD.Spigellian

A

B.Indirect

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13
Q

13.In order to properly absorb iron, the body needs an ample amount of ___.

A.Vitamin B6
B.Vitamin C
C.Vitamin D
D.Vitamin B12

A

B.Vitamin C

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14
Q

14.Which of the following conditions is produced by a deficiency of B vitamins and leads to dementia?

A.Beri Beri
B.Pernicious
C.Wernicke’s disease
D.Posterolateral sclerosis

A

C.Wernicke’s disease

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15
Q

15.Physical examination of a male indicates hyperresonance of the lungs upon percussion and decreased tactile fremitus. Which of the Following is most likely the cause?

A.Emphysema
B.Asthma
C.Bronchitis
D.Pneumonia

A

A.Emphysema

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16
Q

16.Which of the following heart murmurs is best heard in diastole?

A.Mitral regurgitation
B.Pulmonic stenosis
C.Tricuspid regurgitation
D.Aortic regurgitation

A

D.Aortic regurgitation

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17
Q

17.If there is an increase in the PR interval as noted on an EKG study, which of the following is the best diagnosis?

A.Myocardial infarction
B.Primary Heart block
C.Secondary heart block
D.Wenckbock’s phenomenon

A

B.Primary Heart block

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18
Q

18.Frank red blood in the stool is likely an indication of ___.

A.Hemorrhoids
B.Diverticulitis
C.Regional ileitis
D.Duodenal ulcer

A

A.Hemorrhoids

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19
Q

19.Which of the following findings is suggested when there is an atrioventricular block noted on an EKG study?

A. Increased PR interval
B. Two P waves present
C. Inverted ST segment
D. Absent QRS complex

A

A. Increased PR interval

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20
Q

20.Which of the following organisms is most commonly responsible for acute glomerulonephritis?

A.Streptococcus pyogenes
B.Escherichia coli
C.Staphylococcus aureus
D.Chlamydia trachomatis

A

A.Streptococcus pyogenes

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21
Q

21.A 14­year­old male presents with a fever and malaise. His mother states that two days ago he had pain around the umbilicus and now the pain is located primarily in the right lower quadrant. This would indicate which ofthe following?A.Ulcerative colitis
B.Diverticulitis
C.Appendicitis
D.Pancreatitis

A

C.Appendicitis

22
Q

22.Which of the following body substances found in the urine is responsible for the production of brown urine and an increase in specific gravity?

A.Albumin
B.Urobilinogen
C.Creatinine
D.Creatine

A

B.Urobilinogen

23
Q

23.A 67­ year ­old male complains about urinary hesitancy, urgency, and frequency. Which of the following would be an appropriate initial examination?

A.Digital rectal exam
B.PSA
C.Alkaline phosphatase
D.Acid phosphatase

A

A.Digital rectal exam

24
Q

24.A 45­ year­ old male accountant presents with pain that starts at the right flank and has moved to the groin area over the last 24 hours. He has a slight fever, nausea and it unable to sit still due to the pain. Which of the following would be an appropriate diagnosis?

A.Cystitis
B.Urethritis
C.Renal lithiasis
D.Renal failure

A

C.Renal lithiasis

25
Q
  1. A patient has waxy casts present in a urinalysis. This would indicate which of the following?

A.Bacterial infection
B.Glomerulonephritis
C.Pyelonephritis
D.Chronic renal failure

A

D.Chronic renal failure

26
Q

26.Which breath sounds are heard over the mid axillary line?

A.Tracheal
B.Bronchial
C.Bronchovesicular
D.Vesicular

A

D.Vesicular

27
Q

27.Which of the following is the correct order for an abdominal exam?

A.Inspection, auscultation, palpation
B.Inspection, palpation, percussion
C.Auscultation, palpation, percussion
D.Inspection, auscultation, percussion

A

D.Inspection, auscultation, percussion

28
Q

28.A 20 ­year­ old male presents for a sports physical. He confides in you that he has had enlargement of the scrotum. Which of the following diagnosis would produce transillumination of the scrotum?

A.Varicocele
B.Indirect hernia
C.Hydrocele
D.Benign prostatic hypertrophy

A

C.Hydrocele

29
Q

29.The sweat test is used in the diagnosis of which of the following?

Cystic fibrosis
Tuberculosis
Chronic asthma
Leukemia

A

Cystic fibrosis

30
Q

30.An increase in BUN is associated with disease of which of the following organs?

Liver
Heart
Kidney
Pancreas

A

Kidney

31
Q

31.A 22­ year­ old athlete states she has been feeling revved up as of late. She further states that, her hands are shaking, and she has lost 10 lbs without trying. Which of the following would be an appropriate diagnosis for this woman?

a. Myxedema
b. Graves disease
c. Hashimoto’s disease
d. Metastasis

A

b.Graves disease

32
Q

32.A 45­ year­ old female presents with loss of the lateral 1/3 of the eyebrows and an increase in weight without trying. She also states she has been feeling colder than usual. Which of the following is a correct diagnosis?

A.Panhypoplasia
B.Systemic lupus erythematosus
CHyperthyroidism
D.Myxedema

A

D.Myxedema

33
Q
  1. Which of the following is the most common reason for a patient to present with protruding orbits?

A.Hypothyroidism
B.Hyperthyroidism
C.Hyperadrenalism
D.Hypoadrenalism

A

B.Hyperthyroidism

34
Q

34.Which of the following vitamins is responsible for cheilosis?

a. Thiamine
b. Riboflavin
c. Folic acid
d. Pyridoxine

A

b.Riboflavin

35
Q

35.Lack of the intrinsic factor in the stomach will produce pernicious anemia because of the inability of the body to absorb which of the following vitamins?

a. Folic acid
b. Cyanocobalamin
c. Niacin
d. Biotin

A

b.Cyanocobalamin

36
Q

36.The best way to detect pleurisy is to auscultate the lung while the patient is placed in the ___ position during___.

a. Supine; expiration
b. Left decubitus; inspiration
c. Leaning forward; expiration
d. Seated: inspiration

A

d.Seated: inspiration

37
Q
  1. Into which part of the heart does the blood enter from the jugular veins?

a. Right atrium
b. Right ventricle
c. Left atrium
d. Left ventricle

A

a.Right atrium

38
Q

38.The diastolic pressure is a measure of ____.

a. Stroke volume
b. Arterial pressure
c. Peripheral resistance
d. Ventricular pressure

A

b.Arterial pressure

39
Q

9.Which of the following is most common cause of Cholecystitis?

a. Gallstones
b. Excessive cholesterol in the diet
c. Genetic
d. Alcohol abuse

A

a.Gallstones

40
Q

40.A 48 ­year­ old male heavy drinker complains about abdomen pain. He states that the pain is relieved when he leans forward. Which of the following probably caused the pain?

a. Hepatitis
b. Pancreatitis
c. Peptic ulcer
d. Bowel obstruction

A

b.Pancreatitis

41
Q

41.Which of the following is the most common cause of death following a myocardial infarction?

a. Aneurysm
b. Pneumonia
c. Embolism
d. Cardiac shock

A

d. Cardiac shock

42
Q

42.The patient present with the report of a sore throat two weeks ago. He now complains about flank pain and dysuria. Evaluation of the urine indicates red blood cell casts. Which organism is probably responsible for these findings?

a. Escherichia
b. Staphylococcus
c. Chlamydia
d. Streptococcus

A

d.Streptococcus

43
Q

43.Which of the following laboratory findings are expected in a patient with iron deficiency anemia?

a. Decreased TIBC and increased ferratin
b. Increased TIBC and increased ferratin
c. Increased TIBC and decreased ferratin
d. Decreased TIBC and decreased ferratin

A

c.Increased TIBC and decreased ferratin

44
Q

44.What are the expected laboratory results in a patient with myxedema?

a. Increased T3 increased T4 and decreased TSH
b. Decreased T3 decreased T4 and increased TSH
c. Decreased adrenocorticoids
d. Decreased catecholamines

A

b.Decreased T3 decreased T4 and increased TSH

45
Q

45.Alpha­fetoprotein in the blood stream is an indication of which of the following?

a. Cancer
b. Multiple embryos
c. Chromosomal defect
d. Illness of the expectant mother

A

c.Chromosomal defect

46
Q

46.While performing the Weber test you note that the sound lateralizes to the right ear. Rhinne test in the right ear indicates a 2:1 ratio of air conduction to bone conduction. The hearing loss is due to _____.

a. Sensorineural deafness on the left
b. Sensorineural deafness on the right
c. Conduction loss on the left
d. Conduction loss on the right

A

a.Sensorineural deafness on the left

47
Q

47.Which breath sound is longer in inspiration than expiration?

a. Vesicular
b. Bronchovesicular
c. Bronchial
d. Tracheal

A

a.Vesicular

48
Q

48.The patient presents with an increase in appetite, weight loss and easily agitated. What condition should be explored?

a. Myxedema
b. Addison’s disease
c. Cushing’s disease
d. Thyrotoxicosis

A

d.Thyrotoxicosis

49
Q
  1. Which of the following is considered to be a normal value?

a. Rectal temperature 97.6
b. Adult respiratory rate 14–­21
c. Adult pulse rate 120–­160
d. Children’s blood pressure 90/60

A

b.Adult respiratory rate 14–­21

50
Q

50.An 82 ­year­ old female presents with weakness, malaise, low ­grade fever and weight loss. She also has a headache, which radiates to the neck, jaw and scalp. Her scalp is tender and she experiences visual disturbances. The best diagnosis is___.

a. Thromboangitis obliterans
b. Systemic lupus erythematosus
c. Berry aneurysm
d. Temporal arteritis

A

d.Temporal arteritis

DR.B EMAIL -- THE 6 (6 decks)

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