Bioscience Board Flashcards
1
Q
condition marked with low levels of CO2 due to breathing excessively that can lead to dizziness and numbness in hands and feet
A
respiratory alkalosis
2
Q
hypercalcemia results from excess or decreased parathyroid activity?
A
excess
3
Q
Use of prescription drug Lasix (furosemide) will cause a decrease in which:
a) vitamin B
b) vitamin C
c) iron
d) potassium
A
potassium
4
Q
elevated TSH indicates:
- hypothyroidism
- hyperthyroidism
- Graves Disease
A
hypothyroidism
5
Q
carotid arteries supply
- cerebrum
- cerebellum
A
cerebrum
6
Q
does hypercalcemia result from excess or decreased parathyroid activity?
A
excess parathyroid activity
7
Q
use of prescription drug Lasix (Furosemide) will cause a decrease in:
- vitamin C
- vitamin B
- potassium
- iron
A
potassium
8
Q
Schilling test for pernicious anemia tests blood, stool or urine?
A
urine
9
Q
parasympathomimetic activity can be mimicked by intake of:
- barbiturates
- beta agonists
- seratonin agonists
A
barbiturates
10
Q
the most likely first sign of L sided CHF in an elderly woman is difficulty breathing, nausea, or headache?
A
difficulty breathing
11
Q
is endometriosis confirmed by laparoscopy or ultrasound?
A
laparoscopy
12
Q
achilles tendon reflect is tested at which nerve root: L3, L4, L5 or S1?
A
S1
13
Q
T/F: CoQ10 decreases blood pressure and should be taken with caution with antihypertensive drugs
A
true
14
Q
dark blood in stool most likely indx: gastric bleeding, internal hemorrhoids, colon cancer
A
gastric bleeding
15
Q
patient with colicky pain in low back radiating to groin, nausea, vomiting, hematuria, and difficult urination. Rule out: cholecystitis, urolithiasis, UTI
A
urolithiasis
16
Q
erythrocyte sedimentation rate is used to measure: hematocrit, RBC formation, inflammatory processes
A
inflammation
17
Q
A CPK test measures the different forms of creatine phosphokinase (CPK) in the blood to evaluate what?
A
possible MI
18
Q
Tennis elbow is lateral or medial epicondylitis?
A
lateral
19
Q
what are the most common forms of Hepatitis
A
A, B, C
20
Q
which BMI is considered obese: 20, 25, 30?
A
30
21
Q
what is the breath to compression ratio for CPR
A
2 to 30 for adults and children
22
Q
your practice can respond to a request from a patient to amend his records within 60 days, 90 days, anytime as long as it’s relevant to patient care
A
60 days
23
Q
T/F: calcium supplements interfere with absorption of thyroid drugs such as levothyroxin for patients suffering with hypothyroidism
A
true
24
Q
A notice of privacy practices outlining how health info will be used in a practitioner’s office must be: signed by patient, posted in office, included in the medical record?
A
posted in office
25
ECG is also referred to as...
EKG
26
what class of drugs is used for hypercholestrolemia? ace inhibitors, beta blockers or HMG Co-A Reductase inhibitors
HMG Co-A reductase inhibitors
27
A Babinski is positive when:
- The big toe plantar flexes & toes fan out
- The big toe dorsiflexes & toes fan out
dorsiflex and fans
28
A potential side effect of Lipitor (atorvostatin calcium) is: loss of visual acuity, weight loss, myalgia/muscle pain
muscle pain/myalgia
29
excess niacin intake can cause: gastric bleeding, dysphagia or facial flushing/itching
facial flushing/itching
30
sulfonamide is a: anticholinergetic, antibiotic or, adronergic agonist
antibiotic
31
what tests are used to monitor effectiveness of iron therapy:
- BUN
- LV fx
- hemoglobin & reticulocyte
hemoglobin & reticulocyte
32
which is a common symptom from OD on a salicylate: bruising, decreased HT rate, tinnitus?
tinnitis
33
which cardiac dysrhythmia is fatal if not corrected immediately:
- A fib
- V fib
- ventricular tachycardia
V fib
34
the apex of the HT is level with the:
- 4th ITC
- 5th ITC
- 3rd ITC
5th ITC
35
when exercising, a person with arterial insufficiency will most likely report:
- pain in both legs
- swelling in lower leg
- lower limb turning blue
pain in both legs
36
Positive McBurney indx:
- appendicitis
- acute cholecystitis
- gastric ulcer
- pancreatitis
appendicitis
37
what does McMurray test for?
lateral and medial meniscus
38
Boas's sign is hyperaesthesia (increased or altered sensitivity) below the right scapula can be a symptom in ....
acute cholecystitis (inflammation of the gallbladder)
39
what is the dermatome of the nipple: T7, T9, T4?
T4
40
herberden nodes are a sign of osteo or rheumatoid arthritis?
Osteo
41
long term use of corticosteroids cause all but the following: cushing's syndrome, hirsutism, exophthalmos, abdominal striae
exopthalmos
42
a colonoscopy can show all of the following except: colon cancer, polyps, duodenal ulcers, hemorrhoids
duodenal ulcers
43
phenylpropanolamine is what kind of drug? (antihistamine, analgesic, decongestant or expectorant)
decongestant
44
guaifenesin is what kind of drug: decongestant, antihistamine, analgesic or expectorant?
expectorant
45
acetominophen is what kind of drug: decongestant, antihistamine, analgesic or expectorant?
analgesic
46
pseudoephedrine is what kind of drug: decongestant, antihistamine, analgesic or expectorant?
decongestant
47
chlorpheniramine is what kind of drug: decongestant, antihistamine, analgesic or expectorant?
antihistamine
48
T or F: antihistamines induce insomnia
F - cause drowsiness
49
T or F: decongestants induce insomnia
T
50
which of the following does not include acetaminophen? advil, excedrin, anacin, tylenol
Advil - its a brand of ibuprofen
51
T or F: gastric bleeding is a common s/e of acetaminophen?
F
52
T or F: acetaminophen is an NSAID?
F - its an antipyretic / analgesic
53
which of the following does not include ibuprofen? Motrin IB, Nuprin, Advil, Aleve?
Aleve - sodium naproxin NSAID
54
Tagamet, Pepsid, Axid and Zantac:
1. neutralize stomach acid
2. are H2 blockers that bind to histamine receptors in the ST wall
are H2 blockers that bind to histamine receptors in the ST wall
55
Maalox, Mylanta and Di-Gel:
1. neutralize stomach acid
2. are H2 blockers that bind to histamine receptors in the ST wall
neutralize stomach acid
56
which B vitamin leads to pernicious anemia when deficient: B1, B5, B9, B12
B12
57
which of the following vitamins leads to elevated levels of homocysteine when xu? folic acid, A, C, D
Folic acid (B9) - homocysteine is an amino acid that when elevated can lead to stroke or coronary HT disease
58
Niacin (nicotinic acid- B3) may increase the effects of what kind of drugs? HBP, antihistamines, NSAIDS
high blood pressure
59
T or F: vitamin D regulates Calcium
T
60
T or F: nicotinic acid (niacin B3) increases insulin resistance which can increase blood glucose levels in diabetics
T
61
which B vitamin is key for the nervous system: B12, B6, B2
B6 - pyridoxine
62
chromium picolinate is most often used in patients with: arthritis, gastric ulcers, diabetes?
diabetes - lowers blood sugar
63
T or F: Beta blockers are antagonists that block the receptor sites for the epinephrine (adrenaline) and norepinephrine (noradrenaline) on adrenergic beta receptors, of the sympathetic nervous system, which mediates the fight-or-flight response
T
64
what is the herb Saw Palmetto most frequently used for?
controlling enlarged prostate BPH
65
what is the herb Yohimbe most frequently used for?
ED
66
which general lab test is done to test for autoimmune disorders? ANA, ESR, HLA B27
ANA - antinuclear antibody "test against self"
67
a foreign protein or carbohydrate complex that causes an immune response: antigen or antibody
antigen
68
a protein produced by the body's immune system that fights foreign substances: antigen or antibody
antibody
69
which is most commonly found in SLE: leukopenia, leukocytosis or polycythemia?
leukopenia - deficient WBC
70
T or F: calcium channel blockers vasodilate blood vessels
T
71
A Schilling test for pernicious anemia involves the collection of Blood, Stool, or Urine?
urine
72
T or F: Buerger disease is a recurring progressive inflammation and thrombosis (clotting) of small and medium arteries and veins of the hands and feet, strongly associated with use of tobacco products
T
73
HCG is produced by: pituitary, placenta, ovary, follicle?
placenta
74
what does it indx if a woman in her 3rd trimester has increased nitrites and leukocyte esterase? possible miscarriage, preeclampsia, cystitis?
cystitis - UTI
75
inverted nipples and orange peel skin are signs of: Paget's disease of the breast, inflammatory breast cancer, mastitis
inflammatory breast cancer
76
what is the circuit that carries oxygenated blood from the L ventricle to the body and returns deoxygenated blood from body to R atrium? pulmonary circ or systemic circ
systemic circ - oxygenated away from HT and deoxy back to
77
where does the R side of the HT pump blood to?
the LU
78
where does the L side of the HT pump blood to?
the whole body except the LU
79
the dub of lub dub is the sound of what?
aortic and pulmonary valves closing
80
the lub of lub dub is the sound of what?
mitral and bicuspid valves closing
81
what artery carries deoxygenated blood away from HT to LU
pulmonary artery
82
where is the AV node located?
b/w R atrium and R ventricle
83
oxygenated blood from LU flows from pulmonary veins into .... L atrium, L ventricle, R atrium or R ventricle?
L atrium
84
which veins carry oxygenated blood?
pulmonary veins
85
95% of the protein a RBC comes from: albumin, fibrinogen, hemoglobin or collagen?
hemoglobin
86
cobalamin is another name for what vitamin?
B12
87
erythrocytes are formed from what type of stem cell?
hemocytoblasts
88
WBCs that release histamines at the site of an injury are: eosinophils, basophils or neutrophils?
basophils
89
which WBC is important to produce antibodies? neutrophils, lymphocytes, eosinophils, or monocytes?
lymphocytes
90
the average volume of blood in a male/female is:
a: 4/5 liters & 3/4 liters
b: 5/6 liters & 4/5 liters
c: 6/7 liters & 5/6 liters
b: 5/6 liters & 4/5 liters
91
what is a blood clot transported by the blood stream? embolism, thrombin clot or thrombus?
embolus
92
which mediates immune response, natural killer cells, B cells and T cells? erythrocyte, neutrophil, basophil, lymphocyte?
lymphocyte
93
what vitamin is needed for clotting? B, C, D, K
K
94
most coagulants required for clotting are produced by: KD, megakaryocytes, platelets, LV
LV
95
angiotensin II causes dilation or vasoconstriction?
vasoconstriction
96
when blood volume is low, the KD release: renin or ACE?
renin
97
aldosterone promotes:
a) angiotensin release
b) sodium retention
c) potassium retention
d) urinary excretion
b) sodium retention
98
what is the correct sequence in production of thyroid hormones:
a) thalamus - pituitary - thyroid
b) hypothalamus - pituitary - thyroid
c) pituitary - thalamus - thyroid
d) pituitary - hypothalamus - thyroid
b) hypothalamus - pituitary - thyroid
99
does parathyroid hormone (PTH) increase or decrease calcium blood concentration?
increase
100
does calcitonin increase or decrease calcium blood concentration?
decrease
101
a chronic excess of parathyroid hormone (PTH) and calcium in the blood is associated with:
a) hyperthyroidism
b) hyperparathyroidism
c) hypothyroidism
d) hypoparathyroidism
b) hyperparathyroidism
102
what lab test is the 1st screen for thyroid disorder: TRH, T4, T3, TSH?
TSH
103
what lab test is used to determine if hyper/hypothyroidism is an autoimmune disorder: TSH, TRH, TPO
TPO
104
decreased cortisol is found in:
a) cushion's disease
b) hyperthyroidism
c) obesity
d) addison's disease
Addison's - known as chronic adrenal insufficiency, hypocortisolism, hypoadrenalism
105
which urine constituent may indx bacterial infection: keytone, bilirubin, nitrites, urobilinogen
nitrites (keytones indx. dehydration)
106
Lordosis is: increased or decreased concavity of the spine curvature?
increased
107
a myelogram provides radiographic visualization of:
a) heart
b) spine
c) chest
b) spine
108
a patient with MI will increased levels of:
a) sodium & potassium
b) triponin & isoenzymes
c) plasminogen & lactic acid
b) triponin & isoenzymes are specific proteins of the HT
109
what indx R sided congestive HT failure:
a) can't lay on R side
b) feet/ankle swelling
c) persistent cough
b) feet/ankle swelling
110
what sound will be heard in a patient with pericarditis?
a) girgle
b) swish
c) crackle
d) grate
d) grate from pericardial friction rub
111
what LU sound is heard in a patient with congestive L-sided HT failure?
a) girgle
b) swish
c) crackle
d) grate
c) crackle
112
EMG measures:
a) brain activity
b) skeletal muscle
c) Ht muscle
b) skeletal muscle
113
a deficiency of platelets is called....
thrombocytopenia
114
what vitamin is given to tx pernicious anemia?
B12
115
which type of anemia causes pica and concave nails? pernicious or iron xu
iron xu
116
does chromium increase or decrease blood sugar?
decrease
117
which drug causes pinpoint pupils?
a) opium
b) cocaine
c) meth
d) heroin
d) heroin
118
vasopressin tx diabetes mellitus or insipidus?
insipidus
119
these connect muscles to bones or muscles to muscles: ligaments or tendons
tendons
120
these connect two bones
ligament
121
which part of the muscle is distal and more moveable? Origin or insertion?
insertion
122
which lobe of the brain is responsible for taste, temperature, touch, spatial orientation and perception of stimuli?
a) frontal
b) temporal
c) parietal
d) occipital
parietal lobe
123
which lobe of the brain is responsible for hearing and memory?
a) frontal
b) temporal
c) parietal
d) occipital
temporal
124
which brain area coordinates movement?
a) cerebrum
b) cerebellum
c) pons
d) brainstem
cerebellum gets sensory input from spinal cord, motor input from cortex and position from vestibular system
125
What does SOAP charting stand for?
Subjective, Objective, Assessment, Plan
126
what is maximum time a signed auth for release of records is good for:
a) 30 days
b) 60 days
c) 90 days
d) a year
c) 90 days
127
what dermatome innervates anterior ankle and foot? L3, L5, S1, S2
L5
128
what role does aldosterone play?
a) reabsorption of water
b) reabsorption of sodium
B) reabsorption of sodium
129
```
what is max time limit to comply with release of records authorization?
30 days
45 days
60 days
90 days
```
30 days
130
What innervates the palmer side of the middle finger, forefinger and thumb? radial or median nerve
median nerve
131
What innervates the skin on the back of hand (dorsal) of the middle finger, forefinger and thumb? radial or median nerve
radial nerve
132
a 42 yr old develops pneumothorax after acupuncture w/ chest pain, dyspnea, anxiety & diminished breath sounds. What is tx?
a) corticosteriods
b) catheter drainage
c) beta blockers
b) catheter drainage
133
all are inhaled corticosteroids for tx of asthma and emphysema except:
a) Flovent (fluticasone)
b) Ventolin (albuterol)
c) asmacort (triamcinolone)
b) Ventolin (albuterol) is a bronchodilator. Corticosteroids reduce swelling of airways
134
an X-ray showing consolidation of lower R LU would indx: viral, fungal or bacterial pneumonia?
bacterial pneumonia
135
BUN measures:
a) HT & LU fx
b) KD & LV fx
c) lymphatic system
b) KD & LV fx
136
AST (aminotransferase) helps evaluate LV disease and:
a) HT & KD disease
b) LU failure
c) diabetes
d) hyperthyroidism
a) HT & KD disease
137
what ACE inhibitor is used to tx patients with hypertension and chronic renal failure?
Capotin (captopril)
138
CPT insurance code for one or more needles with e-stim is:
a) 97810
b) 97814
c) 97813
c) 97813
139
Digoxin is used for:
a) HT failure
b) hypertension
c) arterial stenosis
d) hyperlipidemia
a) HT failure
140
the recommended opiate for oral controlled release pain is:
a) percodan (oxycodone)
b) demerol (meperedine)
c) MS Contin (morphine sulphate)
d) Duragesic (fentanyl)
c) MS Contin (morphine sulphate)
141
TX for acute glomerulonephritis can include all except:
a) anti-hypertensives
b) anti-fungals
c) diuretics
d) fluid & dietary sodium restrictions
b) anti-fungals
142
upper abdominal reflex is associated with:
a) T11, T12
b) T8, T9, T10
c) T10, T11, T12
b) T8, T9, T10
143
ankle deep tendon reflex is associated with:
a) T12
b) S1
c) S2
c) L 2
b) S1
144
what is tx for stage 1 endometrial cancer?
a) chemo
b) surgery
c) radiation
d) hormonal therapy
b) surgery
145
who is authorized to remove or access medical records?
a) physician only
b) anyone whose job desc indx they need access
c) anyone patient has agreed to
b) anyone whose job desc indx they need access
146
in a patient with history of HTN, what baseline BP can precipitate a hypertensive crisis:
a) 160/100
b) 180/120
c) 200/140
b) 180/120
147
what are symptoms of endometriosis?
a) midline pelvic pain, pain during menses, dypareunia, palpable bilateral ovarian masses
b) peritonitis, severe abdominal pain, pain during menses, cervical memos
c) menorraghia, urinary frequency, constipation, miscarriage
a) midline pelvic pain, pain during menses, dypareunia, palpable bilateral ovarian masses
148
for people over 50 with average risk, fecal occult blood test is recommended:
a) every yr
b) every 2 yrs
c) every 3 yrs
a) every yr
149
ambien, darvon, xanax and valium are classified as:
a) schedule I
b) schedule II
c) schedule III
d) schedule IV
e) clschedule V
d) schedule IV
150
incubation for HEP B is:
a) 4-6 wks
b) 7-26 weeks
c) 1 yr
b) 7-26 weeks
151
which urine constituent is tested for gallstones:
a) bilirubin
b) keytones
c) nitrites
d) urobilinogin
a) bilirubin
152
a middle aged patient with acute glomerulonephritis most likely:
a) abuses alcohol
b) has lost weight recently
c) appears pale and puffy
c) appears pale and puffy
153
which disease does not have the possibility to show occult blood in stool?
a) hemmorhoids
b) hypoproteinuria
c) esophagitis
d) chrohn's
b) hypoproteinuria
154
A CPK (creatine phosphokinase) lab test is used to support what dx:
a) MI
b) congestive HT failure
c) hypertension
d) anemia
a) MI
155
which teres muscle is part of the rotator cuff? Major or minor?
minor
156
CoQ10 should be used carefully with these drugs:
a) anticholesterol
b) antihypertensive
c) antidiabetes
b) antihypertensive
157
T or F: Lasix (furosimide) is a diuretic
T: used in HT failure or LV or KD disease
158
which orthopedic test for thoracic outlet syndrome is performed by hyper-abducting the arm?
a) cozen
b) mill
c) wright
c) wright
159
the transverse cervical artery is located at what point?
a) ST 12
b) SJ 17
c) GB 20
d) SI 17
a) ST 12
160
an adverse effect of Motrin/ibuprofin is:
a) GIT bleeding
b) fever
c) constipation
d) liver failure
a) GIT bleeding
161
T or F: calcium can interfere with Levothyroxin tx for hypothyroidism.
True
162
raising the arm above the shoulder with pain elicited at 90 degrees tests for:
a) acromio-clavicular injury
b) rotator cuff injury
c) herniated disc
b) rotator cuff injury
163
which cranial nerve is NOT assoc with eye movt:
a) IV
b) VI
c) III
d) II
d) II - optic nerve transmits visual info but is not assoc with movement
164
excessive licorice intake increases urinary excretion of:
a) calcium
b) potassium
c) sodium
b) potassium
165
excess niacin intake causes:
a) gastric bleeding
b) facial flushing/itching
c) petechia
b) facial flushing/itching
166
flexion of the hip activates the:
a) hip abductors
b) iliopsoas
c) glut max
d) adductors
b) iliopsoas
167
FSH is highest during all of the following except:
a) beginning of luteal stage
b) end of luteal stage
c) during ovulations
d) at the end of the follicular stage
b) end of luteal stage
168
all of the following can confirm urolithiasis dx except:
a) renal MRI
b) renal ultrasonography
c) renal CT
d) urinalysis
a) renal MRI
169
vitamin B12 and folic acid xu are associated with elevated levels of:
a) glucose
b) ferritin
c) homocysteine
d) gastrin
c) homocysteine - converts to B vitamin (so not converting when xu)
170
two main categories of E/M codes refer to:
a) treatment
b) treatment & referral
c) office consultation
d) consultation and tx
c) office consultation
171
pain and tenderness of extensor muscles of the elbow indx:
| medial or lateral epicondylitis
lateral (tennis elbow)
172
which iron related blood test is most accurate indx of iron xu:
a) ferritin
b) total iron binding capacity
c) iron level
d) transferrin saturation
a) ferritin
173
muscle strength is graded 1-5. Is 5 the best or worst?
best/normal
174
low blood chloride levels are seen in:
a) dehydration
b) prolonged vomiting/diarrhea
c) eclampsia
d) KD dysfunction
b) prolonged vomiting/diarrhea
175
which lowers blood cholesterol:
a) chromium
b) niacin
c) vitamin C
d) vitamin B12
b) niacin
176
which agency requires HEP B vaccine be made available to employees:
a) FDA
b) OSHA
c) CDC
d) WHO
b) OSHA
177
calcium blood levels are used to measure parathyroid fx and:
a) LV failure
b) HT failure
c) Renal failure
c) Renal failure
178
which hormone stimulates development of mammary glands: hCS or hCG?
hCS
179
if a woman is 3 mths pregnant, which would point to trichomonaisis vaginitis:
a) painful blisters on labia
b) painful urination
c) thick white curd like vaginal discharge
d) foul smelling, frothing vaginal discharge
d) foul smelling, frothing vaginal discharge
180
which of the following is not a serous membrane:
a) peritoneal
b) digestive
c) pleural
d) pericardial
b) digestive
181
testing the grip involves which spinal nerves?
a) C 7, 8
b) C 5, 6, 7
c) C 7, 8, T1
d) C8, T1
c) C 7, 8, T1
182
what can be heard at the 5th ITC and the midclavicular line?
a) mitral valve
b) tricuspid valve
c) aortic valve
a) mitral valve
183
which type of membrane is made solely of connective tissue?
a) serous
b) mucus
c) cutaneous
d) synovial
d) synovial
