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JAMES NBCE, Part II Study Guide (Key Revie Nd w Questions and Answers) > Pages: 79-87 (General Diagnosis) > Flashcards

Pages: 79-87 (General Diagnosis) Flashcards

1
Q

Bilirubin test is used to evaluate how the _____ is functioning.

a. stomach
b. liver
c. kidney
d. heart

A

b. liver

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2
Q

An interruption of bile excretion is most closely defined as: _____?

a. cholelithiasis
b. cholestasis
c. amophorous sediment
d. hepatitis

A

b. cholestasis

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3
Q

The most common type of headache is a _____?

a. tension headache
b. classic migraine
c. cluster headache
d. common migraine

A

a. tension headache

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4
Q

HLA-B27 will have high values in all of the following except:

a. AS
b. multiple sclerosis
c. psoriasis
d. malaria

A

d. malaria

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5
Q

The most serious type of malaria is _____?

a. P.ovale
b. P.malariae
c. P.falciparum
d. P.vivax

A

c. P.falciparum

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6
Q

Which type of hepatitis is spread through needles?

a. A
b. B
c. C
d. both b and c

A

d. both b and c

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7
Q

Which of the following is not part of the Tetralogy of Fallot that is common in infants?

a. left ventricular hypertrophy
b. pulmonary artery stenosis
c. ventricular septal defect
d. aorta is dextroposed

A

a. left ventricular hypertrophy

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8
Q

All of the following causes a fixed specific gravity or urine except:

a. pyelonephritis
b. GMN
c. SLE
d. RA

A

d. RA

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9
Q

Normal total serum bilirubin levels are _____?

a. 1.3 mg/dl
b. 6.0 mg/dl
c. 7.0 mg/dl
d. 0.3 mg/dl

A

a. 1.3 mg/dl

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10
Q

Prominent eyes and lid retraction are most commonly found in which condition?

a. myxedema
b. acromegaly
c. hyperthyroidism
d. microcephaly

A

c. hyperthyroidism

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11
Q

High ESR is found in all of the following except:

a. sickle-cell anemia
b. TB
c. RA
d. inflammation

A

a. sickle-cell anemia

- also polycythemia is decreased ESR

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12
Q

All of the following will usually display a percussive note of dull over the affected area except:

a. atelectasis
b. pneumonia
c. empyema
d. closed pneumothorax

A

d. closed pneumothorax

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13
Q

WBC count is usually low in all of the following except:

a. rubella
b. mononucleosis
c. typhoid fever
d. leukemia

A

d. leukemia

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14
Q

Cooked white eggs shape at 55 degrees Celsius is found in a urinalysis of Bence-Jones protein. This is one step that tests for the condition of _____?

a. RA
b. SLE
c. multiple myeloma
d. benign proteinuria

A

c. multiple myeloma

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15
Q

A 39-year-old male with hyponatremia, corticosteroid deficiency, excessive levels of potassium in the blood, and chronic dehydration. The most likely diagnosis is?

a. myxedema
b. diabetes mellitus
c. Addison’s disease
d. Von Willebrand’s disease

A

c. Addison’s disease

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16
Q

RA latex of greater than _____ will indicate rheumatoid arthritis.

a. 1:20
b. 1:80
c. 1:10
d. 1:3

A

b. 1:80

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17
Q

All of the following are causes of proteinuria except:

a. multiple myeloma
b. DJD
c. glomerulonephritis
d. nephrotic syndrome

A

b. DJD

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18
Q

Spider angioma is a vascular skin condition that can be caused by which of the following?

a. syphilis
b. vitamin B deficiency
c. vitiligo
d. psoriasis

A

b. vitamin B deficiency

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19
Q

Ptosis of the eyelid is due to injury of cranial nerve _____ and Bell’s Palsy is a disorder of cranial nerve _____?

a. 3, 7
b. 6, 7
c. 2, 5
d. 3, 5

A

a. 3, 7

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20
Q

A 53-year-old female complains of stiff swollen wrist bilateral ad occasional fevers. Hyper pigmentation is present in her thighs. Lab findings: decreased white blood cells, +ANA. The most likely diagnosis is?

a. scleroderma
b. SLE
c. Felty’s syndrome
d. AS

A

c. Felty’s syndrome

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21
Q

Bence-Jones protein is associated with _____?

a. RA
b. SLE
c. GMN
d. multiple myeloma

A

d. multiple myeloma

22
Q

Alpha-fetoprotein found in an adult male may indicate _____?

a. spina bifida
b. malaria
c. DJD
d. multiple myeloma

A

a. spina bifida

23
Q

Polycythemia vera does not result from which of the following?

a. increase in hematocrit levels above 55%
b. increase in total RBC mass
c. cause from being in extreme altitudes
d. from iron deficiency anemia

A

d. from iron deficiency anemia

24
Q

Which is a normal level of urinary output in a 24 hour interval?

a. 500 ml
b. 1200-1600 ml
c. 3000 ml
d. 200-800 ml

A

b. 1200-1600 ml

25
Q

Which of the following have a quartan type of temperature spike?

a. P.ovale
b. P.malariae
c. P.falciparum
d. P.vivax

A

b. P.malariae

26
Q

An elevated level of _____ is most closely related to testicular cancer.

a. creatinine
b. estrogen
c. lipase
d. alpha-feto protein

A

d. alpha-feto protein

27
Q

Which is not associated with having the HLA-B27 antigen?

a. psoriasis
b. pancreatitis
c. AS
d. Chron’s disease

A

b. pancreatitis

28
Q

High levels of direct bilirubin is associated with _____?

a. tumors
b. worms
c. cholestasis
d. all of the above

A

d. all of the above

29
Q

Cluster headaches are associated with _____?

a. peau d’orange skin
b. T.I.A.
c. men in their late twenties
d. women mostly

A

c. men in their late twenties

30
Q

Which is not a sign or symptom of malaria?

a. chills
b. splenomegaly
c. fever
d. increased appetite

A

d. increased appetite

31
Q

Which is a normal range of pronate specific antigen (PSA)?

a. 0-4 ug/L
b. 25-30 ug/L
c. 12.1-25 ug/L
d. 37-45 ug/L

A

a. 0-4 ug/L

32
Q

The renal pelvis lining is composed of _____?

a. caudate epithelial cells
b. stratified squamous epithelial cells
c. transitional epithelial cells
d. none of the above

A

c. transitional epithelial cells

33
Q

Nitrites are found in a routine urinalysis. What does this finding indicate?

a. pyuria
b. SLE
c. diabetes
d. alcohol intoxication

A

c. diabetes

34
Q

Which is not a normal value of specific gravity?

a. 1.010
b. 1.003
c. 1.30
d. 1.030

A

c. 1.30

35
Q

High levels of lipase in the blood are usually not observed in?

a. pancreatitis
b. cirrhosis
c. ankylosing spondylitis
d. cancer of pancreas

A

c. ankylosing spondylitis

36
Q

Which type of malaria is least common?

a. P.ovale
b. P.malariae
c. P.falciparum
d. P.vivax

A

a. P.ovale

37
Q

All of the following have high erythrocyte sedimentation rates except:

a. RA
b. DJD
c. gouty arthritis
d. viral infection

A

b. DJD

38
Q

WBC count of _____ mm3 is considered normal.

a. 5,000 to 10,000
b. 1,000 to 2,000
c. 10, 000 to 20,000
d. 3,000 to 3,300

A

a. 5,000 to 10,000

39
Q

Which is usually not associated with proteinuria?

a. multiple myeloma
b. toxemia or pregnancy
c. nephrotic syndrome
d. trigeminal neuralgia

A

d. trigeminal neuralgia

40
Q

Which is an abnormal amount of total serum bilirubin in neonates?

a. 1.0 mg/dl
b. 7.0 mg/dl
c. 1.3 mg/dl
d. 20 mg/dl

A

d. 20 mg/dl

41
Q

WBC count is high in which condition?

a. influenza
b. typhoid fever
c. rubella
d. inflammation

A

d. inflammation

42
Q

Which of the following is not a sign or symptom associated with Horner’s syndrome?

a. ptosis
b. ipsilateral miosis
c. mediastinal tumor
d. cataract

A

d. cataract

43
Q

Which is not true of hepatitis A?

a. causes disruption of bile flow
b. causes clay colored stools
c. is called infectious hepatitis
d. has an insidious onset

A

d. has an insidious onset

44
Q

High SGOT levels are found in _____?

a. MI
b. viral hepatitis
c. Duchenne muscular dystrophy
d. all of the above

A

d. all of the above

45
Q

The pH of urine is not within normal limits with a value of _____?

a. 4
b. 5.6
c. 6.9
d. 7.6

A

a. 4

- Values between 4.5 and 8 are within normal limits.

46
Q

LE Prep show high values in all of the following conditions except:

a. Scleroderma
b. Hepatitis
c. Lupus erythematosis
d. Ectopic pregnancy

A

d. Ectopic pregnancy

47
Q

Black or brown urine is not associated with _____?

a. malaria
b. black water fever
c. cholestasis
d. psoriasis

A

d. psoriasis

48
Q

A 15-year-old male has a history of drug abuse. He presents with puffy eyelids and nausea. Lab findings: proteinuria, decreased albumin in the blood, decreased sodium in urine. The most likely diagnosis is?

a. multiple myeloma
b. drug withdrawal
c. nephrotic syndrome
d. bile duct tumor

A

c. nephrotic syndrome

49
Q

Iron deficiency anemia has low values in all of the following except:

a. RBC’s
b. hematocrit
c. hemoglobin
d. WBC’s

A

d. WBC’s

50
Q

All of the following will be seen with high specific gravity except:

a. decreased fluid intake
b. diabetes mellitus
c. diabetes insipidus
d. fever

A

c. diabetes insipidus

51
Q

Consumption of alcohol is associated with which type of headache?

a. Cluster
b. Tension
c. Tumor
d. Trigeminal neuralgia

A

a. Cluster

52
Q

A highly common cause of cirrhosis is?

a. Alpha-antitrypsin deficiency
b. Wilson’s disease
c. Alcohol abuse
d. Vitamin C deficiency

A

c. Alcohol abuse

JAMES NBCE, Part II Study Guide (Key Revie Nd w Questions and Answers) (12 decks)

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