Lymphatic System, Pediatrics, Cardiology - TCM Seminars Test Flashcards by Catherine Matlock-Shally

The diagnosis of AIDS is developed after the patient falls bellow how many T-Cells?

below 200 T-Cells

If the T-Cells recover back to over 200 and are able to hold it for 6 weeks, considered remission, the person is still susceptible to secondary infections

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Why is it important to wash your hands between patients?

To prevent nosocomial transmission infection because you avoiding MRSA

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If someone has multiple boils on the back of their neck whats the likely cause?

Staphylococcus

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Tachycardia begins after what number of beats per minute?

above 100 a minute

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Most common type of Heart failure is?

Left sided Congestive Heart Failure (CHF)

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A patient has an S3 gallop what cardiac condition could they have?

Congestive Heart Failure (CHF)

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Which of the following types of leukemia is most common in children?

Chronic Lymphocytic Leukemia (CLL)
Acute Myelogenous Leukemia (AML)
Chronic Myelogenous Leukemia (CML)
Acute Lymphocytic Leukemia (ALL)

Acute Lymphocytic Leukemia (ALL)

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All of the following immune cell types represent innate immunity EXCEPT:

Mast cells
B cells and T cells
Neutrophils
Monocytes

B cells and T cells

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Which of the following statements is not true about Systemic Lupus Erythematosus?

It commonly presents with a ‘butterfly’ facial rash pattern.
It commonly presents with unilateral joint pain.
It affects people of African and Asian descent more commonly than those of European descent.
Symptoms commonly worsen during menstruation.

It commonly presents with unilateral joint pain.

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Which of the following immunoglobulins is found in mother’s milk?

IgM
IgE
IgA
IgD

IgA

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Which of the following conditions is HAART (highly active antiretroviral therapy) prescribed for?

HPV
HIV
Hepatitis
Cytomegalovirus

HIV

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Which of the following immunoglobulins provides local protection of mucous membranes?

IgM
IgE
IgD
IgA

IgA

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Which of the following immunoglobulins is involved in immediate hypersensitivity responses?

IgE
IgD
IgA
IgM

IgE

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A patient tells you she has Lymphoma but is unable to tell you whether or not it is Non-Hodgkin’s Lymphoma. The lymphoma was diagnosed early. What is the one sign that would help you determine the type?

Fever
Night sweats
Swollen lymph nodes in the neck
Enlargement of the liver, spleen, and abdominal lymph nodes

Enlargement of the liver, spleen, and abdominal lymph nodes

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Which of the following immunoglobulins is an antigen receptor on lymphocyte surfaces with little known function?

IgE
IgG
IgD
IgA

IgD

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HIV targets which lymphocyte?

C7 cells
CD4+T cells
Basophils
Neutrophils

CD4+T cells

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Which immunoglobulin is the first to respond to an antigen?

IgE
IgA
IgG
IgM

IgM

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Which of the following immunoglobulins is the most common and crosses the placenta?

IgD
IgA
IgM
IgG

IgG

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Which of the following conditions is the #1 cause of death for those between 15 and 24 years of age in the U.S.?

Unintentional injury
Methamphetamine use
Urogenital disorders
Joyriding

Unintentional injury

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All of the following statements about Toxoplasmosis are true except:

It can be passed on from a pregnant woman to her fetus with the possibility of causing severe birth defects.
It is caused by a single-cell parasite.
Symptoms include enlarged lymph nodes, muscle aches and pains, and general flu-like symptoms.
It is transmitted via direct skin contact.

It is transmitted via direct skin contact.

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An 8-year-old boy is brought over to your clinic by his mother. She laments that over the last 7 months her son is easily distracted, has difficulty following instructions, is disorganized, fidgets and interrupts others at school and home. Which of the following conditions best characterize his condition?

Tic disorder
Attention deficit hyperactivity disorder
Asperger syndrome
Learning disorder

Attention deficit hyperactivity disorder

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A 14-year old comes to your practice for herbs and acupuncture for severe epigastric pain. Which of the following actions should you take?

Use ear acupuncture only
Use only herbs until the parents reply to text notification
Contact the parents to get informed consent
Have the patient sign an informed consent form

Contact the parents to get informed consent

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A mother brings her 18-month-old son to the pediatrician because he is nonverbal. He was born full term and met all milestones. Yet he rarely gestures or points at things and always plays alone. On exam, he does not respond to his name or make eye contact. A hearing test was normal. Which of the following conditions best characterize this condition?

Autism spectrum disorder
Asperger syndrome
Tic disorder
Attention deficit hyperactivity disorder

Autism spectrum disorder

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Which of the following conditions is responsible for causing patients to experience koplik spots, descending maculopapular rashes, cough, coryza, and conjunctivitis?

Rabies
Measles
Mumps
Rubella

Measles

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Which of the following conditions is responsible for causing patients to experience parotitis, orchitis, and meningitis? German measles Measles Mumps Rubella

Mumps

Which of the following types of leukemia is most common in children? Chronic Myelogenous Leukemia (CML) Acute Lymphocytic Leukemia (ALL) Chronic Lymphocytic Leukemia (CLL) Acute Myelogenous Leukemia (AML)

Acute Lymphocytic Leukemia (ALL)

Which of the following conditions is responsible for causing what is known colloquially as German (3-day) measles? Rubeola Pertusis Rubella Epidemic parotitis

Rubella

Which of the following contains a drug that is NOT a statin? Rosuvastatin Crestor, Simvastatin Zocor Fluvastatin Lescol, Pravastatin Pravachol Pitavastatin Livalo, Lovastatin Altoprev Haloperidol Haldol, Atorvastatin Lipitor

Haloperidol Haldol, Atorvastatin Lipitor

The most common adverse effects of ACE inhibitors are: Cough Flaking skin Tinnitus Gastrointestinal disturbance

Cough

Which of the following signs indicates a patient to be a candidate for Abnormal Aortic Aneurysm (AAA) surgery? Sleepy, cyanosis, altered mental status, bradycardia, hypotension. Shock, cyanosis, altered mental status, tachycardia, hypertension. Shock, cyanosis, altered mental status, tachycardia, hypotension. Sleepy, cyanosis, altered mental status, bradycardia, hypertension.

Shock, cyanosis, altered mental status, tachycardia, hypotension.

What do the CHAPS in secondary hypertension mnemonic stand for? Cushing Syndrome, Hyperthyroidism, Aorta coarctation, phaeochromocytoma, stenosis of renal arteries Cushing Syndrome, Hyperaldosteronism, Aorta coarctation, phaeochromocytoma, secondary hypercholesterolemia Cushing Syndrome, Hyperthyroidsim, Aorta coarctation, phaeochromocytoma, Systolic dysfunction Cushing Syndrome, Hyperaldosteronism, Aorta coarctation, phaeochromocytoma, stenosis of renal arteries

Cushing Syndrome, Hyperaldosteronism, Aorta coarctation, phaeochromocytoma, stenosis of renal arteries

All of the following can cause an increase in blood pressure except: Steroid use Coronary artery disease Pain Anemia

Anemia

All of these are major risk factors for ischemic heart disease EXCEPT: Family history Female gender Diabetes mellitus Hyperlipidemia

Female gender

Which of the following cardiac dysrhythmias is 100% fatal if not corrected within minutes? Atrial fasiculation Atrial fibrillation Ventricular fibrillation Ventricular tachycardia

Ventricular fibrillation

Which is the most common cause of right-sided heart failure? Left-sided heart failure Pulmonary embolism Hypertension Hypercholesterolemia

Left-sided heart failure

Which of the following is an alpha-beta blocker? Cardizem (diltiazem) Vasotec (enalapril) Trandate (labetalol) Calan (verapamil)

Trandate (labetalol)

The right side of the heart pumps blood to The brain Right ventricle The descending aorta The pulmonary circuit

The pulmonary circuit

What are the breaths-to-compressions ratio for a child CPR with a single rescuer? 2 breaths for every 5 compressions 2 breaths for every 30 compressions 2 breaths for ever 15 compressions 1 breath for every 15 compressions

2 breaths for every 30 compressions

Which of the following TWO blood vessels contain oxygenated blood? Aorta / Vena Cava Pulmonary artery / Superior Vena Cava Vena Cava / Pulmonary Artery Pulmonary vein / Aorta

Pulmonary vein / Aorta

Which of the following BP rates are considered to be pre-hypertension? SBP 140-159 or DBP 90-99 SBP 120-129 or DBP 80-89 SBP 90-119 and 60-79 SBP 100-119 and 66-80

SBP 120-129 or DBP 80-89

A 59-year-old male arrives at the ER. He is experiencing chest pain that radiates to the jaw. He was admitted and diagnosed with an acute myocardial infarction 4 days ago. Which of the enzymes is the best to test for a possible “reinfarction”? Troponin I LDH Myoglobin CK-MB

CK-MB

Which of the following BP rates are considered to be grade-2 hypertension? SBP 100-119 and 66-80 SBP 120-139 or DBP 80-89 SBP 140-159 or DBP 90-99 SBP > 160 or DBP > 100

SBP 140-159 or DBP 90-99

A 59-year-old male arrives at the emergency room. He has a history of diabetes mellitus, hypertension, hypercholesterolemia, and chest pain radiating to the jaw. The pain began 6 hours ago and the ECG confirms anterior MI. Which of the following conditions is the most “specific” test that can be performed for this patient? Troponin I CK-MB (Creatine Kinase-MB) LDH (lactate dehydrogenase) Myoglobin

Troponin I

Which of the following types of hemorrhage occur with an abrupt “thunder clap-like” type of headache? Intracranial hemorrhage Subarachnoid hemorrhage Subdural hemorrhage Epidural hemorrhage

Subarachnoid hemorrhage

Which of the following is the first step for hypertension treatment? Angiotensin Converting Enzyme Inhibitors Lifestyle modification Thiazide diuretics Calcium Channel Blockers

Lifestyle modification

A 44-year-old male enters your clinic. He complains of a headache that started an hour ago. He has vomited twice and has a stiff neck. Upon history taking you are told that he has “the worst headache” of his life. Which condition is most likely? Subarachnoid hemorrhage Intracerebral hemorrhage Subdural hematoma Epidural hematoma

Subarachnoid hemorrhage

The risk for an abdominal aortic aneurysm (AAA) is greatest in which group? 65-75yo, for everyone 45-55yo, for who have ever smoked 65-75yo, for who have ever smoked 45-55yo, for everyone

65-75yo, for who have ever smoked

All of the following are an action of Angiotensin II EXCEPT: Increase aldosterone secretion Arteriolar vasodilation Increase Na+ reabsorption Increase sympathetic activity

Arteriolar vasodilation

Tachycardia is considered to be a heart rate: Less than 100 beats per minute Less than 60 beats per minute Greater than 60 beats per minute Greater than 100 beats per minute

Greater than 100 beats per minute

Which of the following concepts are considered the new essential priority for performing proper CPR? Compressions - Airway - Breathing Breathing - Compressions - Airway Circulation - Breathing - Airway Airway - Breathing - Circulation

Compressions - Airway - Breathing

An ECG gathers information on a heartbeat based on which of the following patterns? V W X Y Z A B C D E P Q R S T D E F G A

P Q R S T

Stage 1 Hypertension is defined as a systolic pressure of: 150-169 150-159 130-139 140-159

130-139

Which of the following lab scores reflects a positive diagnosis for hypertension stage 1? BP > 160/90 on 3 separate occasions BP equal to or greater than 140 (systolic) or equal to or greater than 90 (diastolic) on 3 separate occasions BP > 130-139 (systolic) or 80-89 (diastolic) on 3 separate occasions BP > 120/75 on 3 separate occasions

BP > 130-139 (systolic) or 80-89 (diastolic) on 3 separate occasions

When blood pressure falls, the kidneys release which of the following enzymes? Renin Atrial natriuretic factor Amylase Lipase

Renin

When giving CPR to a child, what is the proper procedure ratio? 30 chest thrusts, do not give breaths 50 chest thrusts, 2 breaths 30 chest thrusts, 2 breaths 15 chest thrusts, 1 breaths

30 chest thrusts, 2 breaths

A new 54-year-old female patient enters your office complaining of double vision, jaw pain, and tenderness in the scalp. Upon further questioning, she recalls being diagnosed with Temporal arteritis last year while in Germany. What is the most feared manifestation of this disease? Blindness Weight loss Aphasia Deafness

Blindness

All of the following vessels contain deoxygenated blood EXCEPT: Pulmonary vein Superior vena cava Pulmonary artery Inferior vena cava

Pulmonary vein

Which of the following classification of drugs contain the suffix of “-olol?” Calcium channel blockers ACE Inhibitors Beta blockers HMG-CoA reductase inhibitors

Beta blockers

A 52-year-old man is a regular patient of yours. Last week, you treated his left arm after he injured it during his weekly tennis game. Today, he says the arm pain went away but has returned and is much worse. He also says that he is experiencing a tight pressure in his chest and some difficulty breathing that got worse when he climbed the stairs up to your office. What is the proper treatment for this patient today? Recommend that he tell his family doctor about these symptoms at his next check-up. Repeat the treatment on the arm but add in points for the new symptoms. Tell the patient to lie down and elevate his legs until he feels better. Call 911.

Call 911.

All of the following conditions are considered secondary hypertension EXCEPT: Hypertension due to Cushing's syndrome Hypertension due to Chronic kidney disease Hypertension due to OCPs Hypertension due to Obstructive sleep apnea Idiopathic hypertension

Idiopathic hypertension

Which of the following directives should be taken when a patient is observed to have a blood pressure of 220/140 with a headache and blurred vision? Walk the patient through self-care over the phone Treat with acupuncture and herbs Refer to Family physician Refer to ER immediately

Refer to ER immediately

A pregnant woman comes to your clinic in her last trimester with a blood pressure of 154/94, no albumin in her urine and no headaches. Your treatments were effective in helping her retain this child as she has a history of miscarriages. Months after her delivery, she comes to your clinic with her blood pressure now normalized at 118/72. What type of hypertension would she have? Essential hypertension Secondary hypertension Eclampsia Traumatic hypertension

Secondary hypertension

A male, 58 years old, comes into your office complaining of shortness of breath on supine position, edema of the legs, and severe fatigue. Which of these conditions are most likely the cause? DVT (deep vein thrombosis) Atrial flutter PE (pulmonary embolism) CHF (congestive heart failure)

CHF (congestive heart failure)

Which of the following is a commonly known adverse effect of ACE inhibitors? Dry cough Muscle ache Productive cough Petechia

Dry cough

How is infant responsiveness determined during CPR? Patting his feet and shoulders Slapping his face lightly Sprinkling water on his face Shaking him and shouting

Patting his feet and shoulders

We are unable to see the repolarization of the atria on an EKG. Why is this? The muscle fibers of the atria mask any electrical signals that might be emitted. The atria do not undergo repolarization. The depolarization of the ventricles masks the repolarization of the atria. The electric signal of atria repolarization is to weak to be detected by the EKG.

The depolarization of the ventricles masks the repolarization of the atria.

A heartbeat comprises of an initial loud sounding ‘lub’ followed by a shorter and softer sounding ‘dub.’ What causes the first louder sound? The closure of the mitral and tricuspid valve The closure of the pulmonary semilunar valve The closure of the mitral valve alone The closure of the aortic valve

The closure of the mitral and tricuspid valve

Which of the following is the chain of blood pressure regulating hormones that certain class of inhibitor-type drugs affect? Renin-angiotensin-aldosterone system Sympathetic-parasympathetic system Hypothalamus-pituitary-thyroid system Nervous-endocrine system

Renin-angiotensin-aldosterone system

Which of the following is the converting enzyme for Angiotensinogen to Angiotensin I? ACE Renin ADH Aldosterone

Renin

Which drug prohibits the conversion of Angiotensin I to Angiotensin II? Aldosterone Renin ACE Inhibitors Angiotensinogen

ACE Inhibitors

The organ(s) best represented by PSA levels is/are: Penis Testis Prostate Bladder

Prostate

Which of the following is the correct order of movement of blood through the heart? Right atrium, right ventricle, pulmonary artery, pulmonary vein, left atrium, left ventricle Right atrium, left atrium, pulmonary artery, pulmonary vein, right ventricle, left ventricle Right atrium, left atrium, pulmonary vein, pulmonary artery, right ventricle, left ventricle Right atrium, right ventricle, pulmonary vein, pulmonary artery, left atrium, left ventricle

Right atrium, right ventricle, pulmonary artery, pulmonary vein, left atrium, left ventricle.

Which of the following is not a cause of Secondary Hypertension? Untreated Sleep Apnea Renal Disease Cushing's Disease Dehydration

Dehydration

A 48-year-old female with a diagnosis of hypertension complains of headaches throughout the day. She tells you that they began 5 years ago after her divorce and that they are exacerbated by stress. The following drugs are useful in the treatment of hypertension EXCEPT: Angiotensin-converting enzyme inhibitors Thiazide diuretics Calcium channel blockers Metformin

Metformin

Which of the following conditions is characterized by substernal chest tightness and pain, SOB with a consistent amount of exertion; and relief experienced with rest or nitroglycerine? Unstable angina Acute coronary syndrome Myocardial Infarction Stable angina

Stable angina

Renin is produced in the: Adrenals Kidney Heart Brain

Kidney

Which of the following hemorrhages are berry aneurysms characteristic of __________________? Intracranial hemorrhage Subarachnoid hemorrhage Epidural hemorrhage Subdural hemorrhage

Subarachnoid hemorrhage

Which of the following tests is the standard imaging for ruling out a patient at risk for an Abnormal Aortic Aneurysm (AAA)? MRI Angiography Ultrasonography CT Scan

Ultrasonography

Which valve separates the left atrium and the left ventricle? Cardiac valve Pulmonary valve Tricuspid valve Mitral valve

Mitral valve

All of the following medications are used for the treatment of Hypertension EXCEPT? Diuretics (HCTZ) Beta blockers Tricyclics ACE inhibitors

Tricyclics