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Board Review May 7 2020

Quiz by Jumana Antoun

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10 questions
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  • Q1
    A 44-year-old male sees you for evaluation of an episode of pink-tinged urine last week. He denies any flank or abdominal pain, as well as frequency, urgency, and dysuria. He has no prior history of renal or other urologic disease, and no other significant medical problems. He has a 24-pack-year smoking history. A urinalysis today reveals 8–10 RBCs/hpf. You refer him to a urologist for cystoscopy. Which one of the following would be the most appropriate additional evaluation?
    KUB radiography
    CT urography
    Transabdominal ultrasonography
    Voiding cystourethrography
  • Q2
    The test of choice for immediate evaluation of an acutely swollen scrotum is:
    radionuclide imaging
    color Doppler ultrasonography
    a pelvic radiograph
  • Q3
    A 34-year-old white female visits your office complaining of a sore throat. She takes haloperidol, 2 mg after each meal, for schizophrenia, and you notice that she seems unable to sit still and is extremely anxious. The most likely diagnosis is:
    drug-induced parkinsonism
    tardive dyskinesia
  • Q4
    A 58-year-old male complains of leg claudication. Subsequent tests reveal that he has significant bilateral peripheral arterial disease. His current medications include atenolol (Tenormin), 50 mg/day, and aspirin, 325 mg/day. His blood pressure is 128/68 mm Hg, and his pulse rate is 64 beats/min. His LDL-cholesterol level is 123 mg/dL. The addition of which one of the following could reduce this patient’s symptoms?
    Simvastatin (Zocor)
    Warfarin (Coumadin) titrated to an INR of 2.0–3.0
    Nifedipine (Procardia)
    Testosterone supplementation
  • Q5
    A 55-year-old female sees you because of a constant leakage of small amounts of urine. Her obstetric/gynecologic history includes two pregnancies, with vaginal deliveries. Her current medications include hydrochlorothiazide, metformin (Glucophage), and glyburide (DiaBeta). On examination she has mild diabetic retinopathy, decreased sensation to monofilament testing on her feet, and suprapubic fullness. The most appropriate initial treatment for this problem would be:
    estrogen replacement therapy
    tolterodine (Detrol LA)
    duloxetine (Cymbalta)
    a set schedule for urination
  • Q6
    A 35-year-old white male presents to the emergency department with chest pain of 30 minutes duration. He describes the pain as feeling like pressure on his chest, and says it radiates into his left arm. It is accompanied by dyspnea, diaphoresis, anxiety, and palpitations. His past medical history is unremarkable and he has no family history of premature heart disease. He smokes 2 packs of cigarettes per day and admits to intranasal cocaine use 2 hours ago. Vital signs include a blood pressure of 180/110 mm Hg, a pulse rate of 110 beats/min, a respiratory rate of 24/min, and a temperature of 37.2°C (99.0°F). Other than the anxiety and diaphoresis, the general examination is unremarkable. An EKG shows sinus tachycardia with an early repolarization pattern. Aspirin and nitroglycerin have been administered, as well as oxygen via nasal cannula. Which one of the following would be most appropriate at this point?
    Nifedipine (Procardia)
    Metoprolol (Toprol) intravenously
    Thrombolytic therapy
    Lorazepam (Ativan) intravenously
  • Q7
    According to both the Centers for Disease Control and the American College of Sports Medicine, in order to burn fat stores obese patients should exercise:
    minimum of 10 minutes at least 3 times daily
    minimum of 30 minutes 3 days/week
    minimum of 20 minutes every day
    minimum of 30 minutes at least 5 days/week
  • Q8
    In which one of the following scenarios would additional consent from a child’s parent or guardian be necessary prior to treatment?
    16-year-old female who has driven herself to her clinic appointment reports a 2-day history of ear pain; she says her mother made this appointment for her
    A 6-year-old female with divorced parents who lives primarily with her mother is brought to the clinic by her father to discuss his concerns of possible abuse
    A 15-year-old female who is considered emancipated under state law comes to your office to discuss family planning
    An 8-year-old unconscious male is brought to the emergency department by a neighbor after falling out of a tree and striking his head
  • Q9
    A 50-year-old female presents with a 2-day history of four vesicles on her upper eyelid, but no pain or swelling. She has not experienced any eye trauma, has had no vision changes, and has no other skin changes. Which one of the following would be the most appropriate next step in treating this patient?
    A methylprednisolone (Medrol) dose pack
    Referral to an ophthalmologist
    Topical mupirocin (Bactroban)
    A topical corticosteroid
  • Q10
    A 70-year-old white male with hypertension has several abnormal liver function tests on routine testing. He says he does not drink alcohol, and the prescription medications he is taking are unlikely to cause hepatotoxicity. However, during more extensive history taking, he tells you that he does use some over-the-counter medications. Which one of these is most likely responsible for the abnormal laboratory findings?
    One long-acting niacin tablet per day
    One 250-mg vitamin C tablet daily
    Chewable simethicone after meals, almost daily
    A fiber supplement taken to promote regular bowel habits

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