Old Wall Quiz #6 Flashcards
1
Q
- Which of the following is the most likely an
adverse effect of bisphosphonate therapy?
A. Diarrhea
B. Gastrointestinal ulceration
C. Nausea and Vomiting
D. Deep Venous thrombosis
E. Osteonecrosis of the Jaw
A
b
2
Q
- A 22 y/o gravida at 32 weeks is noted to be
somnolent, her pupils are pinpoint, and she
often misses her prenatal appointments. What
is the most likely diagnosis?
A. Alcohol abuse
B. Cocaine abuse
C. Methamphetamine abuse
D. Opioid abuse
E. Normal pregnancy
A
d
3
Q
3. Which of the following medications is NOT a cause of hirsutism or hypertrichosis? A. Danazol B. Minoxidil C. Methyldopa D. Ketoconazole E. Corticosteroids
A
d
4
Q
4. A 24 year old presents to your office. On breast exam you palpate a firm nodular breast mass. What is the next step? A. Ultrasound B. Core needle biopsy C. Wide local excision D. Diagnostic Mammography E. Ductography
A
a
5
Q
- What is a first-line controller therapy for
persistent asthma during pregnancy?
A. Albuterol MDI B. Albuterol nebulized C. Humidifier D. Low dose inhaled steroids E. Antibiotics
A
d
6
Q
- Which of the following diagnostic studies are
warranted to confirm a bowel obstruction?
A. Flat plate and upright
B. CT with contrast
C. MRI
D. Barium Enema
E. Upper GI series
A
b
7
Q
8. A 2 year old child with labial adhesion and difficulty urinating presents to your office. What is the best management? A. Estrogen Cream B. Surgical Repair C. Testosterone cream D. Labial separation E. Corticosteroids
A
a
8
Q
- A 22 year-old G1P0 at 6 weeks gestation is
exposed to an estimated dose of 250 mGy of
radiation, what is the likely teratogenic effect?
A. Growth restriction
B. Microcephaly
C. Intellectual disability
D. Limb hypoplasia
E. Death of embryo
A
a
9
Q
10. What HPV serotype is the most common type present in 55% of vaginal cancer samplings? A. 16 B. 18 C. 31 D. 33 E. 45
A
a
10
Q
12. Which of the following cancers is least likely associated with Lynch II (HNPCC)? A. Brain B. Ovarian C. Small Bowel D. Cervical E. Endometrial
A
d
11
Q
- A 44 year old presents with a TSH of 14
Patient is started on 100 mcgs of thyroxine. Two
months later her repeat TSH is now 7. What is
the next step in management?
A. Repeat TSH in 3 months
B. Continue same dose of Thyroxine
C. Add Polypropylurical (PTU)
D. Increase Thyroxine dose
E. Add Methimazole
A
d
12
Q
- A patient of yours has been involved in series
of domestic disputes with her partner. On
evaluation, all of the following should be part of
the conversation EXCEPT:
A. Assess the immediate safety of the patient
B. Report any abuse or neglect to the children
C. Patient made aware of help hotlines
D. Assistance is offered to her to develop a
escape plan
E. Call state attorney to immediately enforce an
order of protection
A
e
13
Q
15. A 65 year old with distal interphalangeal joint pain and swelling, which of the following is the recommended first line therapy? A . Methotrexate B. Acetaminophen C. Opioids D. Steroids E. Tofacitinib (Xeljanz)
A
B
14
Q
17. A 45 year old patient presents to your office with a blood pressure 160/104, and is asymptomatic, what is the next best step? A. Start Thiazide diuretic B. Repeat Blood pressure C. Start Beta blocker D. Electrocardiogram E. Lifestyle modifications
A
b
15
Q
- A neonate was delivered and was found to
have fused labioscrotal folds. What is the
inheritance pattern?
A. Autosomal recessive
B. X linked recessive
C. Autosomal dominant
D. Multifactorial
A
a
