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Visceral Disorders > Vis Dis Final Practice Questions > Flashcards

Vis Dis Final Practice Questions Flashcards

1
Q

9 year old patient has the following UA results: smoky color, cloudy, 6.3pH, +2 proteins, moderate amounts of occult blood, neg nitrites,
1.008 SpG, 60 RBC’s, 5 WBC’s, small amounts of epithelial cells, neg
bacteria, 1granular cast, 3 RBC casts. What is the most likely Dx?

a. liver dx
b. pyelonephritis
c. renal stones
d. glomerulonephritis
e. lowet UTI
f. cystitis

A

d

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2
Q

For the 9 year old patient with glomerulonephritis, which of the following serological tests would be most helpful in determining the etiology of this
patient’s problem?

a. CBC
b. ESR
c. ANA
d. ASOT
e. RPR
f. BCP
g. VDRL

A

d

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3
Q

39 year female patient with a butterfly rash exacerbated by sunlight has the following UA results: smoky color, cloudy, 6.3pH, +2 proteins, moderate amounts of occult
blood, neg nitrites, 1.008 SpG, 60 RBC’s, 5 WBC’s, small amounts of epithelial cells,
neg bacteria, 1granular cast, 3 RBC casts. What is the most likely Dx?

a. liver dx
b. glomerulonephritis
c. pyelonephritis
d. renal stones
e. lowet UTI
f. cystitis

A

b

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4
Q

For the 39 year female patient with a butterfly rash and glomerulonephritis, which of the following serological tests would be most helpful in determining the etiology of this patient’s problem?

a. CBC
b. ESR
c. ANA
d. ASOT
e. RPR
f. BCP
e. VDRL

A

c

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5
Q

Your patient has a suspected chancre in his genital region. Which of the following tests would be most
helpful to determine the etiology?

a. CBC
b. UA
c. ESR
d. VDRL
e. ASOT
f. Darkfield exam
g. HLA-B27
h. treponema pallidium immobilization

A

f

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6
Q

Your patient has pharyngitis. Which of the following is the most helpful to determine the etiology?

a. UA
b. CBC
c. ASOT titer
d. RPR
e. monospot test
f. DBRL
g. BCP
h. protein electrophoresis

A

b

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7
Q

19 year old patient presents with fatigue, sore throat, swollen lymph nodes in their neck. The CBC reveals decreased segs, increased
lymphocytes, high percent of atypical lymphocytes. And a total WBC
count of 16. What is the most likely Dx?

a. bacterial pharyngitis
b. early mono
c. late mono
d. NHL
e. Hodgkin’s
f. Neutrophilic leukamoid rxn

A

c

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8
Q

UA results: dark yellow, slightly hazy, 7.2 pH, neg protein, .6 urobilinogen, positive occult blood, neg nitrites, 30 RBC, 3 WBC, neg bacteria, few epi cells. What is the most likely Dx?

a. hematuria
b. microhematuria
c. hemoglobinuria
d. myoglobinuria
e. microhemoglobinuria
f. micromyoglobinuria

A

b

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9
Q

UA results: dark yellow color, hazy, 8.2 pH, +1 protein, +occult blood, + nitrites, 4 RBC, 15 WBC, +2 bacteria. Which of the following is the most likely Dx?

a. LUTI
b. Hematuria due to kidney stones
c. UUTI
d. Contamination
e. Biliary tract obstruction
f. Microhemoglobinuria due to hemolytic anemia

A

c

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10
Q

UA results: dark yellow color, hazy, 8.2 pH, neg protein, +occult blood, + nitrites, 4 RBC, 15 WBC, +2 bacteria. Which of the following is the most likely Dx?

a. LUTI
b. Hematuria due to kidney stones
c. UUTI
d. Contamination
e. Biliary tract obstruction
f. Microhemoglobinuria due to hemolytic anemia

A

a

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11
Q

55 year old female presents with a cough and pulmonary congestion. These are her CBC results: 13.4 WBC, inc segs, inc bands, dec lymphs. What is the most likely diagnosis?

a. viral pneumonia
b. viral pharyngitis
c. bacterial pharyngitis
d. normal
e. bacterial pneumonia
f. neutrophilic leukamoid rxn

A

e

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12
Q

3 year old girl presents with a high fever. These are her CBC results: 18.5 WBC, normal segs, inc bands, dec lymphs, inc baso. What is the most likely diagnosis?

a. viral infection
b. bacterial infection
c. ALL
d. AML
e. CML
f. CLL

A

b

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13
Q

Johnny from island of Crete has following CBC results: normal RBC, low Hct, Low Hgb, low MCV and a biochemical profile reveals elevated TIBC. What is the most likely diagnosis?

a. ACD
b. ARD
c. Thalassemia
d. sickle cell anemia
e. B12 deficiency
f. aplastic anemia
g. CBL anemia
h. ABL anemia

A

g

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14
Q

Johnny from island of Crete has following CBC results: normal RBC, low Hct, Low Hgb, low MCV and a biochemical profile reveals normal TIBC. What is the most likely diagnosis?

a. ACD
b. ARD
c. Thalassemia
d. sickle cell anemia
e. B12 deficiency
f. aplastic anemia
g. CBL anemia
h. ABL anemia
i. IDA

A

c

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15
Q

Patient microcytic anemic and has polycystic kidney dx with blood in stool. Decreased TIBC. What is the most likely diagnosis?

a. IDA
b. CBL
c. thalassemia
d. aplastic anemia
e. B12 deficiency
f. sickle cell anemia
g. folic acid deficiency
h. ARD
i. ABL

A

h

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16
Q

Patient is anemic (microcytic) and has RA. Which Dx is most likely?

a. IDA
b. CBL
c. Thalassemia
d. Aplastic anemia
e. B12 def
f. Sickle cell
g. ACD
h. ARD

A

g

17
Q

Your patient has 42 WBC, elevated segs, bands, myelos, metas and reduced lymphs. They have a negative bone marrow biopsy and negative Philadelphia chromosome
findings. What is the most likely dx?

a. viral pneumonia
b. viral pharyngitis
c. neutrophilic leukamoid reaction
d. CML
e. CLL
f. AML
g. ALL
h. lymphocytic leukamoid reaction

A

c

18
Q

Your patient has 88 WBC, decreased segs, increased lymphs and there are 50 L-blasts
present. What is the most likely dx?

a. neutrophilic leukamoid reaction
b. ALL
c. CLL
d. AML
e. CML
f. lymphocytic leukamoid reaction

A

b

19
Q

Your patient has 92 WBC, decreased segs, decreased lymphs, normal monocytes. And there are metas, myelos, blasts and pros
present. What is the most likely dx?

a. neutrophilic leukamoid reaction
b. ALL
c. CLL
d. AML
e. CML
f. lymphocytic leukamoid reaction

A

d

20
Q

Patient has 38 WBC with an inverted ratio. They have a negative biopsy finding. Most likely dx?

a. viral pneumonia
b. neutrophilic leukemoid rxn
c. CML
d. CLL
e. AML
f. ALL
g. lymphocytic leukamoid rxn

A

g

21
Q

After performing a OGTT on your patient, the results came back with a value of 156. What category does your patient fall under?

a. normal
b. diabetic
d. prediabetic

A

d

22
Q

Your pateint has a value of 6.6 on their A1c test. What category do they fall under?

a. diabetic
b. prediabetic
c. normal

A

a

23
Q

After performing a FBG on your patient, the results came back with a value of 126. What category do they fall under?

a. prediabetic
b. diabetic
c. normal

A

b

24
Q

If a patient has elevated alkaline phosphatase and GGTP, where is the issue?

a. kidney disease
b. heart disease
c. liver disease
d. skeletal disease

A

c

25
Q

Which is the MOST sensitive and specific test for myocardial damage?

a. cardiac troponin
b. ALT/SPGT
c. AST/SGOT
d. LDH
e. GGTP

A

a

26
Q

Your patient has elevated alkaline phosphatase and GGTP is normal. What is the most likely diagnosis?

a. liver disease
b. skeletal disease
c. heart disease
d. thyroid disease

A

b

27
Q

In the patient’s UA, urobilinogen is increased and bilirubin is positive. What is the most likely etiology?

a. biliary obstruction
b. hemolytic anemia
c. normal
d. liver/biliary dx

A

d

28
Q

In the patient’s UA, urobilinogen is absent and bilirubin is positive. What is the most likely etiology?

a. biliary obstruction
b. hemolytic anemia
c. normal
d. liver/biliary dx

A

a

29
Q

In the patient’s UA, urobilinogen is increased and bilirubin is negative. What is the most likely etiology?

a. biliary obstruction
b. hemolytic anemia
c. normal
d. liver/biliary dx

A

b

30
Q

Your patient has elevated alkaline phosphatase, elevated phosphorus and normal calcium levels. What is the most likely diagnosis?

a. tertiary HPT
b. secondary HPT
c. primary HPT

A

b

31
Q

Your patient has elevated alkaline phosphatase, decreased phosphorus and elevated calcium levels. What is the most likely diagnosis?

a. tertiary HPT
b. secondary HPT
c. primary HPT

A

c

32
Q

Your patient has normal alkaline phosphatase, elevated phosphorus and elevated calcium levels. What is the most likely diagnosis?

a. primary HPT
b. tertiary HPT
c. secondary HPT

A

b

33
Q

Your patient has elevated calcium levels and suffers from renal failure. What is the most likely diagnosis?

a. primary HPT
b. tertiary HPT
c. secondary HPT

A

b

Visceral Disorders (3 decks)

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