Final

Question 1

Peritonitis can be caused by which of the following conditions?
A. Hepatitis
B. Peptic Ulcer
C. Irritable bowel syndrome
D. GERD

Answer 1

B. Peptic Ulcer

Question 2

Rheumatic fever, a group of streptococci infections affecting the heart, occurs primarily in children and young adults. It can…

A. Endocarditis
B. Tricuspid Valve regurgitation
C. Cardiomyopathy
D. Pericarditis

Answer 2

A. Endocarditis

Question 3

What is the normal width of the abdominal aorta?

A. 3.0 cm or less
B. Under 2.4 cm
C. Between 1-2 cm
D. 4.0 cm or less

Answer 3

A. 3.0 cm or less

Question 4

What type of condition causes this vision loss?

A. Diabetic retinopathy
B. Cataracts
C. Anterior uveitis
D. Macular degeneration

Answer 4

D. Macular degernation

Question 5

When testing the 6 cardinal fields of gaze by doing the H test, you notice the right eye cannot look up and in.

What cranial nerve is this?

A. CN 3 oculomotor - inferior oblique
B. CN 4 trochlear - inferior oblique
C. CN 4 trochlear - superior oblique
D. CN 6 abducens - lateral Rectus

Answer 5

A. CN 3 oculomotor - inferior oblique

Question 6

Which of the following statements is NOT TRUE about a ventricular gallop?

A. It can be described as Lub-Dub-ta and comes after S2
B. It can be normal in kids, athletes, and pregnant women
C. It is a S4 sound
D. It is a S3 sound

Answer 6

C. It is a S4 sound

Question 7

What is being displayed here?

A. Trigeminal nerve lesion
B. Vagus - lower motor lesion
C. Facial cranial nerve - lower motor lesion
D. This is normal
E. Hypoglossal - upper motor nerve lesion

Answer 7

E. Hypoglossal - upper motor nerve lesion

Question 8

A female complains of abdominal pain during ovulation. What term describes this pain?

A. Metrorrhagia
B. Menorrhagia
C. Mittelschmertz
D. Dysmenorrhea

Answer 8

C. Mittelschmerz

Question 9

A patient presents with acute pain in the inter scapular area. They describe the pain as a tearing sensation. identify a possible cause.

A. Pleuritis
B. Thoracic aneurysm is dissecting
C Acid reflux disease
D. Myocardial infarction

Answer 9

B. Thoracic aneurysm is dissecting

Question 10

A patient with a positive Murphy’s punch sign most likely has what condition?

A. Cystitis
B. Pyelonephritis
C. Cholecystokinin
D. Urethritis

Answer 10

B. Pyelonephritis

Question 11

When listening to the trachea what is the expected expiration to inspiration ratio?

A. Expiratory < Inspiratory
B. Expiratory = Inspiratory
C. Expiratory > Inspiratory

Answer 11

C. Expiratory > Inspiratory

Question 12

T or F
Colic, or muscle spams in the abdomen could be caused by the bowel obstruction.

Answer 12

True

Question 13

A patient complains of excessive drooling. What is the term describing the symptom and what is possibly causing it?

A. Plagiarism caused by strep throat
B. Xerostomia caused by autoimmune condition
C. Ageusia caused by an ear infection
D. Sialorrhea caused by medication

Answer 13

D. Sialorrhea caused by medication

Question 14

A patient with a known liver condition complains they need to itch frequently. What term best describes this symptom?

A. Jaundice
B. Encopresis
C. Pruritus
D. Steatorrhea

Answer 14

C. Pruritus

Question 15

Describe what you see in the following image:

A. Benign growths due to vitamin D deficiency
B. Metastatic rib cancer
C. Rachitic rosary caused by severe calcium deficiency
D. Rachitic rosary caused by severe vitamin D deficiency

Answer 15

D. Rachitic rosary caused by severe vitamin D Deficiency

Question 16

When you inspect the patient’s fingernails, you see they are concave. Identify the term that describes this finding and the condition associated with it:

A. Habit tic deformity caused by trauma
B. Koilonychia caused by liver disease
C. Terry’s nails caused by diabetes
D Koilonychia caused by iron deficiency

Answer 16

D. Koilonychia caused by iron deficiency

Question 17

Faulty veins in the legs allows blood to flow in the wrong direction or pool and causes this primary cosmetic condition:

A. Thromboangiitis obliterans
B. Peripheral arterial occlusion
C. Deep vein thrombosis
D. Varicose Veins

Answer 17

D. Varicose Veins

Question 18

A male patient has inflammation and tenderness of both testes along with painful urination. He recently had mumps…

A. Epididymis
B. Orchitis
C. Cryptochidism
D. Spermatocete

Answer 18

B. Orchitis

Question 19

Describe what you see in this image:

A. Entrophian
B. Sctrophian
C. Exotrophian
D. Esotrophian

Answer 19

D. Esotrophian

Question 20

A 17 year old athlete is training for an upcoming marathon. Outside of training, while at rest, she suddenly experiences a HR of 200 bpm. It abruptly ends. What is most likely the name of this condition?

A. Embolus
B. Aortic regurgitation
C. Paroxysmal supraventricular tachycardia
D. Mitral stenosis

Answer 20

C. Paroxysmal Supraventricular Tachycardia

Question 21

A pulse in the sternoclavicular area might suggest what condition?

A. Dissociating aneurysm of the ascending aorta
B. Lung mass
C. Cardiomegaly
D. Dissociating aneurysm of the abdominal aorta

Answer 21

A. Dissociating aneurysm of the ascending aorta

Question 22

In doing an oral exam, you see this lesion in the patient’s mouth. It is painful. Identify it:

A. Fordyce spot
B. Mucocele
C. Koplik Spot
D. Aphthous ulcer

Answer 22

D. Aphthous Ulcer

Question 23

The adventitious breath sound described as coarse rattling or snoring quality is known as

A. Strider
B. Crackles
C. Rhonchi
D. Wheezes

Answer 23

C. Rhonchi

Question 24

T or F
Hypovolemic shock occurs when a person loses 10% of their body’s blood.

Answer 24

False; 20%

Question 25

If breast cancer becomes metaphysic, where does it eventually spread to?

A. Posterior lymph nodes
B. Medial lymph nodes
C. Anterior lymph nodes
D. Lateral lymph nodes

Answer 25

C. Anterior lymph nodes

Question 26

When listening for an aortic regurgitations, what is the patient’s position, and where do you listen?

A. The patient is lying on the left lateral decubitus position. Listen to pulmonic area
B. The patient is lying in the left lateral decubitus position. Listen to mitral area.
C. The patient is seated and leaning forward. Listen to pulmonic valve area
D. The patient is seated leaning forward. Listen to pulmonic area.

Answer 26

D. The patient is seated leaning forward. Listen to pulmonic area

Question 27

What syndrome is associated with pink or purple striae on the abdominal region?

A. Previous pregnancy
B. Cushing syndrome
C. New Weight Loss
D. Old Weight Loss

Answer 27

B Cushing Syndrome

Question 28

T or F
If peristaltic waves are seen during the abdominal exam, it is always indicative of intestinal obstruction.

Answer 28

False; Can be seen in thin individuals and may see visible peristaltic movement if intestinal obstruction is suspected

Question 29

The female condition is caused by weakened pelvic floor muscles. Risk factors include pregnancy and menopause. Identify this condition.

A. Uterine Prolapse
B. Rectocele
C. Uterine fibroids
D. Cystocele

Answer 29

A. Uterine Prolapse

Question 30

What does the term cachexia mean?

A. It describes severe weight loss from debilitating disease
B. It describes an athletic body physique
C. It describes trunk girdle obesity
D. This is a type of ataxic gait

Answer 30

A. It describes severe weight loss from debilitating disease

Question 31

T or F

Borborygmi and hyperactive bowel sounds share the same causes.

Answer 31

False

Question 32

This is what you see upon inspection of the face. Identify the condition in the picture

A. Erythema Solare
B. Dermatomyositis
C. Acne Vulgaris
D. Vitiligo

Answer 32

D. Vitiligo

Question 33

A congenital anomaly causing excessive ventral curvature of the penis is known as?

A. Chordee
B. Balanitis
C. Hypospadias
D. Epispadias

Answer 33

A. Chordee

Question 34

A 25 year old woman complains of a lump in her breast. Examination reveals a 1cm mass in the tail of Spence that is described as round, rubbery, mobile, and non-tender. Which of the following breast masses is most likely?

A. Fibroadenoma
B. Cyst
C. Abscess
D. Breast Cancer

Answer 34

A. Fibroandenoma