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ANCC EXAM QUESTIONS
WITH ALL ANSWERS
ONLY
Ab50-year-oldbwomanbpresentsbtobthebclinicbforbfollow- upbonbherbtypeb 2 bdiabetesbmellitus.bShebisbcurrentlybtakingbmetforminb(Glumetza)ba tbherbmaximumbtoleratedbdose,bandbherbHbA1Cbatbthebcurrentbappointmentbisb8.6% .bThebpatientbisbnotbopenbtobinsulinbandbwantsbtobtrybalternativebmedicationsbtobredu cebherbHbA1C.bWhichbofbthebfollowingbmedicationsbwillbdirectlybstimulatebthebreleas ebofbinsulinbfrombpancreaticbbetabcells,btherebybloweringbbloodbglucosebconcentratio ns? A. Acarboseb(Precose) Incorrect B. Dulaglutideb(Trulicity) Incorrect C. Empagliflozinb(Jardiance) Incorrect D. Glipizideb(Glucotrol)b-bcorrectbanswer-Glipizideb(Glucotrol)
Anb18-year- oldbpatientbpresentsbwithbunilateralbearbpainbforb 2 bdays.bOnbanbotoscopicbexam,bthe btympanicbmembranebisbbulgingbandbappearsbinflamed.bThebposteriorblandmarksbar ebobscured,bandbtheblightbreflexbisbdistorted.bWhichbofbthebfollowingbisbthebmostblikel ybdiagnosis? A. Mastoiditis Incorrect B. Otitisbexterna Incorrect C. Otitisbmedia Correct D. Presbycusisb-bcorrectbanswer-Otitisbmedia Ab7-year- oldbboybwithbabpastbmedicalbhistorybofbatopicbdermatitisbpresentsbtobthebclinicbwithbh isbfatherbforbconcernbaboutbanballergicbreaction.bThebboybstatesbthatb 2 bhoursbago,ba fterbeatingblunch,bhebdevelopedbanbitchybthroatbandbeyebswelling.bHebreportsbnobwh eezingborbshortnessbofbbreath.bThebphysicalbexambdoesbnotbshowburticaria,bandbhis bairwaybisbpatent.bWhichbofbthebfollowingbwouldbbebresponsiblebforboralballergybsynd rome? A. Cowbmilk Incorrect B. Eggs Incorrect C. Peaches Correct D. Salmonb-bcorrectbanswer-Peaches Anb8-year- oldbboybpresentsbtobthebofficebwithbanberythematous,bnonpruritic,bmaculopapularbras hbinbablacybpatternbonbhisbtrunkbandbarms.bHisbcheeksbarebalsobnoticeablybred.bHisb motherbreportsbthatbhebhadbabfeverb 1 bweekbagobthatbresolvedbwithinb 2 bdaysbwithout banybotherbsymptomsbuntilbnow.bHebisbafebrilebatbthebcurrentbvisit.bWhichbofbthebfoll owingbisbthebmostblikelybdiagnosis? A. Erythemabinfectiosum Correct B. Hand,bfoot,bandbmouthbdisease Incorrect C. Roseola
Incorrect B. Prescribebphentermineb(Lomaira) Incorrect C. Recommendbstressbmanagement Correct D. Referbpatientbforbbariatricbsurgeryb-bcorrectbanswer- Recommendbstressbmanagement Abnursebpractitionerbisblecturingbstudentsbonbthebimportancebofbsleepbandbhowbitbca nbaffectbtheboverallbhealthbofbanbolderbpatient.bThebnursebpractitionerbexplainsbthatb abcomprehensivebhistorybandbphysicalbexaminationbmaybhelpbtobidentifybdifferentialb diagnosesbthatbnegativelybimpactbthebsleepbcycle.bWhichbofbthebfollowingbdiagnoses bisbabsleep- relatedbmovementbdisorderbcharacterizedbbybuncontrollableburgesbtobmovebthebextr emities? A. Essentialbtremor Incorrect B. Parkinsonianbtremor Incorrect C. Peripheralbarterybdisease Incorrect D. Restlessblegbsyndromeb-bcorrectbanswer-Restlessblegbsyndrome Ab27-year-oldbwomanbpresentsbtobthebclinicbforbabwell- womanbvisit.bShebreportsbtobthebnursebpractitionerbthatbshebhasbnoticedbmorebvagin albdischargebthanbusual,bandbitbstingsbwhenbsheburinates.bThebpelvicbexambrevealsb mucopurulentbdischargebfrombthebcervicalbos,bandbbloodbisbnotedbwhenbthebcervixbi sbswabbed.bShebhasbabhistorybofbsexuallybtransmittedbinfections,bandbtherebisbconc ernbthatbshebwillbnotbbebcompliantbwithbmedications.bWhichbofbthebfollowingbisbtheb mostbappropriatebtherapy? A. Acyclovirb(Zovirax)b 400 bmgborallybthreebtimesbdailybforb 10 bdays Incorrect B. Ceftriaxoneb 500 bmgbintramuscularlybandbazithromycinb(Zithromax)b 1 bgborallybbothbin babsinglebdose Correct C. Doxycyclineb(Vibramycin)b 100 bmgborallybtwicebdailybforb 7 bdays Incorrect D.
Nitrofurantoinb(Macrobid)b 100 bmgborallybtwicebdailybforb 5 bdaysb-bcorrectbanswer- Ceftriaxoneb 500 bmgbintramuscularlybandbazithromycinb(Zithromax)b 1 bgborallybbothbin babsinglebdose Ab5-year-oldbboybpresentsbtobthebclinicbforbabwell- childbcheckup.bHebhasbnobmedicalbhistorybandbisbdevelopmentallybappropriatebforbhi sbage.bDuringbthebphysicalbexamination,bthebnursebpractitionerbnotesbthatbwhenbthe bchildbstandsbupbstraight,bhisbkneesbtouch,bbutbhisbanklesbdobnot.bWhichbofbthebfollo wingbisbthebmostblikelybdiagnosis? A. Genubvalgum Correct B. Genubvarum Incorrect C. Osgood-Schlatterbdisease Incorrect D. Slippedbcapitalbfemoralbepiphysisb-bcorrectbanswer-Genubvalgum Abnursebpractitionerbisbperformingbroundsbonbonebofbthebunitsbinbabskilledbnursingbfa cility.bManybofbthebolderbpatientsbarebexperiencingbdysphagia,bandbtheybarebprescrib edbtotalbenteralbnutritionbviabtheirbgastrostomybtubes.bWhatbisbthebmostbcommonbris kbfactorbforbdysphagiabinbthebolderbpopulation? A. Alzheimerbdisease Incorrect B. Extrapyramidalbsyndromes Incorrect C. Stroke Correct D. Tardivebdyskinesiab-bcorrectbanswer-Stroke Ab7-year- oldbboybpresentsbtobthebclinicbwithbhisbparentsbforbdaytimebsleepiness.bThebparentsb seembconcernedbthatbhebwakesbfrequentlybduringbthebnightbandbsnores.bWhichbofbt hebfollowingbclinicalbmanifestationsbsupportsbthebabdiagnosisbofbobstructivebsleepba pnea? A. Bradycardia Incorrect B. Cataplexy Incorrect C. Gaspingbduringbsleep
emarkable.bHisbvitalbsignsbarebstable.bWhatbisbthebmostblikelybdiagnosisbbasedbonbh isbpresentation? A. Atrialbfibrillationbrecurrence Incorrect B. Drug-inducedbliverbinjury Correct C. Hepaticbsteatosis Incorrect D. Viralbhepatitisbinfectionb-bcorrectbanswer-Drug-inducedbliverbinjury Ab4-week- oldbmalebinfantbpresentsbtobthebclinicbwithbhisbparents,bwhobexpressbconcernbaboutb hisbepisodesbofbprojectilebvomitingbfollowingbfeedings.bThebparentsbreportbthat,bdes pitebthebvomiting,bthebinfantbseemsbtobremainbhungry.bThebchartbrevealsbthatbhebha sblostb 1 bpoundboverbtheblastbweek.bThebphysicalbexaminationbrevealsbabsmallbpalpa blebmassbinbthebrightbupperbquadrantbofbthebabdomen.bWhichbofbthebfollowingbisbthe bbestbnextbstepbinbthebmanagementbofbthebsuspectedbdiagnosis? A. OrderbanbabdominalbU/S Incorrect B. Prescribebabprotonbpumpbinhibitorbandbfollowbupbinb 1 bweek Incorrect C. Recommendbabnondairybformulabandbfollowbupbinb 1 bweek Incorrect D. ReferbtobthebEDbforbimmediatebsurgicalbconsultationb-bcorrectbanswer- ReferbtobthebEDbforbimmediatebsurgicalbconsultation Ab24-year- oldbwomanbpresentsbwithbacutebonsetbofbseverebstabbingbpainbinbtheblowerbabdome nbandbpelvis.bHerbsymptomsbstartedblastbnightbduringbintercourse.bShebhasbmildblow erbabdominalbtendernessbwithbincreasedbvaginalbdischargebandbabfriablebcervixbnot edbonbspeculumbexam.bSalinebmicroscopybofbvaginalbdischargebrevealsbnumerousb whitebbloodbcells.bTheburinebpregnancybtestbisbnegative.bWhichbofbthebfollowingbisbt hebappropriatebnextbstepbtobaidbinbdiagnosis? A. Bimanualbpelvicbexamination Correct B. Endometrialbbiopsy Incorrect C. Laparoscopy Incorrect
D.
Transvaginalbultrasoundb-bcorrectbanswer-Bimanualbpelvicbexamination Ab40-year- oldbwomanbpresentsbtobthebprimarybcarebclinicbreportingbdizzinessbandbheadbspinni ngbthatboccursbwhenbshebmakesbcertainbmovements,bsuchbasbrollingboverbinbbed.bT hesebsymptomsbstartedb 3 bmonthsbagobandblastbapproximatelyb 30 bsecondsbatbabtim e.bShebreportsbnobhearingbloss,blightheadedness,bsyncope,bpain,bnausea,borbvomiti ng.bWhichbofbthebfollowingbisbthebmostbappropriatebtoolbtobdiagnosebthisbpatient'sbs uspectedbcondition? A. CMP Incorrect B. Dix-Hallpikebmaneuver Correct C. Epleybmaneuver Incorrect D. HeadbCTb-bcorrectbanswer-Dix-Hallpikebmaneuver Ab68-year- oldbmanbpresentsbtobthebclinicbreportingbdifficultybswallowing.bHebreportsbthatbthisbs ymptombstartedb 3 bmonthsbagobandbhasbprogressivelybworsened.bHebdescribesbabfe elingbofbfoodbstickingbinbhisbthroatbafterbhebeatsbsolidbfoods,bbutbhebhasbnobissuesb withbliquidsborbsoftbfoods,bsuchbasbyogurt.bHebreportsbnobrecentbweightbloss,banorex ia,bchestbpain,bthroatbpain,bnausea,borbvomiting.bWhichbofbthebfollowingbfindingsbinbt hisbpatient'sbhistorybwouldbincreasebsuspicionbforbesophagealbstrictures? A. Familybhistorybofbasthma Incorrect B. PersonalbhistorybofbGERD Correct C. Personalbhistorybofbliverbcirrhosis Incorrect D. Recentbpersonalbhistorybofbinfluenzab-bcorrectbanswer-PersonalbhistorybofbGERD Ab16-year- oldbgirlbpresentsbtobthebclinicbwithbreportsbofbfeelingbtiredbforb 1 bmonth.bShebstatesbth atbshebrecentlybbecamebabveganbandbexercisesbregularly.bWhichbofbthebfollowingbvit aminbdeficienciesbisbmostblikelybcausingbherbfatigue? A. VitaminbA Incorrect B. VitaminbB
lbexambfindingsbincludebasymmetricbfacialbmovement,binabilitybtobclosebthebeyebonbt hebaffectedbside,bandbexcessiveblacrimationbandbsalivation.bWhichbofbthebfollowingbi sbthebmostblikelybdiagnosis? A. Bellbpalsy Correct B. Parotitis Incorrect C. Temporomandibularbjointbsyndrome Incorrect D. Trigeminalbneuralgiab-bcorrectbanswer-Bellbpalsy Ab32-year- oldbpatientbwhobisbpregnantbatb 10 bweeksbgestationbpresentsbtobthebclinicbforbabrouti nebprenatalbvisit.bShebreportsbsomebdiscomfortbduringburinationbforbtheblastb 2 bdays.b Herbvitalbsignsbarebwithinbnormalblimits,bandbthebphysicalbexaminationbrevealsbnobc ostovertebralbanglebtenderness.bHerburinalysisbisbpositivebforbnitrites.bWhichbofbthebf ollowingbisbthebmostbappropriatebtherapy? A. Amoxicillin-clavulanateb(Augmentin) Correct B. Clindamycinb(Cleocin) Incorrect C. Nitrofurantoinb(Macrobid) Incorrect D. Trimethoprim-sulfamethoxazoleb(BactrimbDS)b-bcorrectbanswer-Amoxicillin- clavulanateb(Augmentin) Ab10-year- oldbboybpresentsbtobthebclinicbwithbhisbmotherbafterbbeingbsentbhomebfrombschoolbfo rbabfeverbofb101.7°F.bThebmotherbreportsbthatbthebpatientbdidbnotbeatbabnormalbdinn erbthebpreviousbnightbandbwentbtobbedbearly.bThebpatientbreportsbabsorebthroatbandb painfulbswallowing.bOnbphysicalbexam,btherebarebfindingsbofbwhitebexudatesbonbbot hbtonsils,bpalatalbpetechiae,bandbbilateralbtonsillarbenlargement.bWhichbofbthebfollowi ngbisbthebmostbappropriatebtherapy? A. Azithromycinb(Zithromax) Incorrect B. Cefdinir Incorrect C. Clindamycinb(Cleocin) Incorrect
D.
Penicillinb-bcorrectbanswer-Penicillin Ab30-year- oldbwomanbpresentsbtobthebclinicbforbherbannualbwellnessbvisit.bShebhasbnobmedical bhistorybandbabBMIbofb 23 bkg/ m2,bandbherbvitalbsignsbarebwithinbnormalblimits.bShebstatesbthatbshebwasblaidboffbfr ombworkb 6 bmonthsbagobandbhasbbeenbeatingbfastbfoodboften.bShebreportsbthatbsheb stoppedbgoingbtobthebgym,basbshebcanbnoblongerbaffordbthebmembership.bWhichbofb thebfollowingbconditionsbisbshebatbthebgreatestbriskbfor? A. Colonbcancer Incorrect B. Dyslipidemia Correct C. Metabolicbsyndrome Incorrect D. Pancreatitisb-bcorrectbanswer-Dyslipidemia Ab40-year- oldbmanbwithbnobsignificantbmedicalbhistorybpresentsbtobthebclinicbforbabfollow- upbonbhisbpreviousbvisit.bAsbpartbofbhisbpre- employmentbexamination,bhebmustbundergobtuberculinbskinbtesting.bThebindurationbf rombthebtuberculosisbtestbplacedb 2 bdaysbagobmeasuresb 16 bmm.bWhatbisbthebbestbn extbstepbinbthebtreatmentbofbthisbpatient? A. OrderbabchestbX-ray Correct B. Nothing,basbthisbtestbisbnotbpositivebforbthisbpatient Incorrect C. Repeatbthebtuberculosisbskinbtestbinb 1 bweek Incorrect D. Startbisoniazidbforblatentbtuberculosisb-bcorrectbanswer-OrderbabchestbX-ray Ab25-year- oldbmanbwhobisbotherwisebhealthybpresentsbtobthebclinicbwithbreportsbofbabworsenin gbrashbonbthebleftbforearm.bThebrashbbeganb 2 bweeksbagobasbabsmall,bitchybspotbtha tbhasbnowbdevelopedbintobablargerbrash.bThebphysicalbassessmentbrevealsbabcircula r,berythematous,bscalybpatchbwithbcentralbclearing.bTherebisbnobbleeding,bcrusting,b weeping,borbdrainagebnotedbonbthebexam.bTherebarebnobotherbrashesbpresent.bHebr eportsbnobknownballergiesborbfever.bWhichbofbthebfollowingbisbthebmostbappropriatebt reatment? A. Clotrimazolebcreamb(Lotrimin)
bdizzinessbandbabrecentbfall.bThebpatientbreportsbshebhasbhadbsomebintermittentbdiz zinessbforbthebpastbfewbweeks,bwhichboccursbprimarilybwhenbshebisbstandingborbwal king.bAbfewbdaysbago,bshebfellbinbherbapartmentbandbstatesbshebisbunsurebwhetherb sheblostbconsciousness.bShebreportsbnobheadbtrauma,bheadaches,bnausea,bvomitin g,bchestbpain,bshortnessbofbbreath,borbchangesbinbherbmoodborbmemory.bShebreport sbnobsensationbofbthebroombspinning.bHerbneurologicalbexambandbgaitbarebnormal.b Whichbofbthebfollowingbshouldbbebassessedbtoday? A. Cogwheelbrigidity Incorrect B. Dix-Hallpikebmaneuver Incorrect C. ECG Correct D. EEGb-bcorrectbanswer-ECG WhatbisbthebrecommendedbdailybdosebofbvitaminbDbforbolderbindividualsbatbmoderat ebtobhighbriskbforbfalls,baccordingbtobthebAGSbandbthebInstitutebofbMedicine? A. 1,000-1,200bunits/day Incorrect B. 1,200-1,400bunits/day Incorrect C. 600-800bunits/day Incorrect D. 800-1,000bunits/dayb-bcorrectbanswer-800-1,000bunits/day Ab75-year- oldbmanbpresentsbtobthebclinicbasbabnewbpatient.bAsbpartbofbthebinitialbvisit,bthebnurs ebpractitionerbreviewsbhisbcurrentbmedicationblist.bWhichbofbthebfollowingbmedication sbshouldbbebavoidedbaccordingbtobthebAmericanbGeriatricsbSocietybBeersbCriteriabfo rbpotentiallybinappropriatebmedicationbusebinbolderbadults? A. Hydralazine Incorrect B. Hydrochlorothiazide Incorrect C. Hydrocortisoneb(Cortef) Incorrect D. Hydroxyzineb(Vistaril)b-bcorrectbanswer-Hydroxyzineb(Vistaril)
Ab2-year- oldbboybpresentsbtobthebclinicbwithbhisbmotherbforbabfacialbrash.bHisbmotherbsaysbth ebrashbbeganb 1 bdaybagobasbtwobsmallbbumpsbandbhasbgraduallybspreadbaroundbhis bnosebandbmouthbregion.bThebchildbfrequentlybscratchesbthebarea,bandbthebmotherb hasbnoticedbdrainage.bThebpatientbhasbotherwisebbeenbactingbhisbusualbselfbandbha sbhadbnobfevers,bnasalbdrainage,borbcough.bThebphysicalbexambrevealsbseveralbpap ulesbandberythematousbvesiclesbwithbanboverlyingbhoney- coloredbcrustbsurroundingbhisbnosebandbmouth.bWhichbofbthebfollowingbisbthebmostbl ikelybdiagnosis? A. Contactbdermatitis Incorrect B. Herpesblabialis Incorrect C. Impetigo Correct D. Varicellabinfectionb-bcorrectbanswer-Impetigo Ab40-year- oldbwomanbwithbnobcardiovascularbriskbfactorsbisbscreenedbforbdyslipidemiabatbabrou tinebphysicalbexamination.bShebhasbtotalbcholesterolbofb 175 bmg/ dL,bLDLbofb 100 bmg/dL,bandbHDLbofb 40 bmg/ dL.bWhenbisbitbrecommendedbthatbshebhavebherbnextblipidbpanel? A. 1 byear Incorrect B. 10 byears Incorrect C. 2 byears Incorrect D. 5 byearsb-bcorrectbanswer-5byears Duebtobabrecentbincreasebinbfallsbinbthebolderbpopulationbatbabskilledbnursingbfacility, babnumberbofbthebresidentsbhavebexperiencedbhipbfracturesbandbrequiredbsurgery.bT hebnursebpractitionerbconductsbabchartbreviewbofbthebresidentsbtobidentifybpotentialbr iskbfactorsbforbfall- relatedbhipbfractures.bWhichbofbthebfollowingbfactorsbisbstronglybassociatedbwithbtheb riskbforbbonebfracturesbinbthebolderbadultbpopulation? A. Chronicbprotonbpumpbinhibitorbuse Correct B. Familybhistorybofbfalls Incorrect
Incorrect B. Furosemideb(Lasix) Correct C. Lisinoprilb(Zestril) Incorrect D. Spironolactoneb(Aldactone)b-bcorrectbanswer-Furosemideb(Lasix) Ab55-year- oldbmanbwithbCOPDbpresentsbtobthebclinicbforbabroutinebexamination.bHebhasbab 20 b pack- yearbsmokingbhistorybandbrequestsbabprescriptionbforbsmokingbcessation.bHisblastbc olonoscopybwasb 5 byearsbago,bwhichbwasbnegativebforbabnormalbfindings,bandbhebre ceivedbthebinfluenzabvaccinebearlierbthisbyear.bWhichbofbthebfollowingbshouldbbeboff eredbtobthebpatientbatbthisbtime? A. AbdominalbaorticbU/S Incorrect B. Colonoscopy Incorrect C. Influenzabvaccine Incorrect D. Pneumococcalbvaccineb-bcorrectbanswer-Pneumococcalbvaccine Ab45-year-oldbmanbpresentsbtobthebclinicbforbabfollow- upbonbhisbmostbrecentblabs.bHisbA1Cbwasb7%.bWhichbofbthebfollowingbdrugbclasses bisbthebmostbappropriatebinitialbtherapy? A. Alpha-glucosidasebinhibitors Incorrect B. Biguanides Correct C. Meglitinides Incorrect D. Sulfonylureasb-bcorrectbanswer-Biguanides Ab28-year- oldbwomanbwasbdiagnosedbwithbgenitalbherpesb 1 byearbago.bShebhasbanboutbreakbm ostbmonthsbthatblastsb3- 4 bdays.bShebisbstartingbabnewbsexualbrelationshipbandbwantsbtobknowbhowbshebcanb preventbgivingbherbnewbpartnerbherpes.bWhichbofbthebfollowingbinterventionsbwillbbe bmostbeffectivebinbpreventingbtransmissionbofbgenitalbherpes?
A.
Avoidbsexualbactivitybafterbabherpesblesionbisbpresent Incorrect B. Consistentbusebofblatexbcondomsbduringboutbreaksborbprodromalbsymptoms Incorrect C. Startbvalacyclovirb(Valtrex)b 1 bgborallyboncebdailybforb 5 bdaysbwithinb 1 bdaybofblesionbo nset Incorrect D. Takebvalacyclovirb(Valtrex)b 1 bgborallyboncebdailybasbsuppressivebtherapyb- bcorrectbanswer- Takebvalacyclovirb(Valtrex)b 1 bgborallyboncebdailybasbsuppressivebtherapy Ab2-month- oldbfemalebinfantbisbbroughtbtobthebofficebforbabroutinebcheckup.bThebparentsbaskbw hetherbitbisbnormalbforbthebinfant'sbsoftbspotsbtobappearbdippingbinward.bOnbphysical bexamination,bthebnursebpractitionerbnotesbsunkenbfontanels.bThebinfant'sbweightbisb inbtheb50thbpercentile,bandbshebappearsbotherwisebhealthy.bWhichbofbthebfollowingbi sbthebmostbappropriatebnextbstep? A. Administerbintravenousbfluidsbimmediately Incorrect B. Prescribebabcoursebofbantibioticsbandbreassessbinb 1 bweek Incorrect C. Reassurebthebparentsbandbschedulebabfollow-upbinb 1 bmonth Incorrect D. ReferbtobthebEDbforbfurtherbevaluationb-bcorrectbanswer- ReferbtobthebEDbforbfurtherbevaluation Ab50-year- oldbwomanbwithbabhistorybofbtypeb 2 bdiabetesbmellitusbisbtakingbabhighbdosebofbmetfo rminb(Glumetza).bHerbA1Cbtodaybisb8.5%,bsobthebnursebpractitionerbaddsbglipizideb( Glucotrol)btobherbmedicationbregimen.bWhichbofbthebfollowingbisbthebmostbappropriat ebtimebframebtobretestbherbA1C? A. 1 bmonth Incorrect B. 3 bmonths Correct C. 6 bmonths Incorrect D. 9 bmonthsb-bcorrectbanswer-3bmonths
C.
Hematemesisbandbodynophagia Incorrect D. Hoarsenessbandbdiarrheab-bcorrectbanswer- Dysphagia,bodynophagia,bandbweightbloss Ab48-year- oldbmanbpresentsbtobthebclinicbforbanbannualbcheckup.bHebrevealsbtobthebnursebprac titionerbthatbhebhasbbeenbunablebtobhavebsexualbintercoursebforbthebpastb 3 bmonthsb duebtobanbinabilitybtobmaintainbanberection.bWhichbofbthebfollowingbisbanborganicbca usebofberectilebdysfunction? A. Depression Incorrect B. Diabetesbmellitus Correct C. Lifebstressors Incorrect D. Lowbprolactinb-bcorrectbanswer-Diabetesbmellitus Ab42-year- oldbmanbpresentsbwithbabhistorybofbworseningbepigastricbpainboverbthebpastb 2 bweek s.bWhichbofbthebfollowingbisbthebgoldbstandardbtestbtobconfirmbHelicobacterbpyloribinf ectionbasbthebcausebofbhisbsymptoms? A. CTbofbthebabdomen Incorrect B. Stoolbantigenbtesting Incorrect C. Upperbendoscopybwithbgastricbbiopsy Correct D. Ureabbreathbtestingb-bcorrectbanswer-Upperbendoscopybwithbgastricbbiopsy Downbsyndromebisbabchromosomalbabnormalitybalsobknownbasbtrisomyb21,basbitbres ultsbfrombthebpersonbhavingbthreebcopiesbofbchromosomeb21.bWhichbofbthebfollowin gbisbabclinicalbfeaturebassociatedbwithbthisbsyndrome? A. Downwardbslantbofbpalpebralbfissures Incorrect B. Highbfootbarch Incorrect C.
High-setbears Incorrect D. Palmarbcreaseb-bcorrectbanswer-Palmarbcrease Ab12-year- oldbboybpresentsbtobyourbofficebwithbrightbkneebpainbforbthebpastbweek.bOnbexamina tion,bhebhasbabBMIbofb 29 bkg/ m2.bHebwalksbwithbabmildlybantalgicbgait,bwithbthebrightbfootbslightlybexternallybrotate dbcomparedbwithbthebleft.bHebhasbnobtendernessbtobpalpationbinbthebrightblowerbextr emity,bandbthebkneebrangebofbmotionbappearsbsymmetric.bThebrightbhipbhasbdecrea sedbrangebofbmotionbwithbinternalbrotation,bflexion,bandbabduction.bWhichbofbthebfoll owingbisbthebmostblikelybdiagnosisbinbthisbpatient? A. Legg-Calve-Perthesbdisease Incorrect B. Osgood-Schlatterbdisease Incorrect C. Quadricepsbmusclebstrain Incorrect D. Slippedbcapitalbfemoralbepiphysisb-bcorrectbanswer- Slippedbcapitalbfemoralbepiphysis Ab5-day- oldbnewbornbwasbdischargedbfrombthebhospitalbafterbdeliveryb 3 bdaysbagobandbhasbr eceivedbabconfirmedbpositivebphenylketonuriabscreeningbresult.bThebparentsbarebinbt hebofficebseekingbguidance.bWhichbofbthebfollowingbisbthebbestbnextbstep? A. Advisebthebparentsbtobstartbabphenylalanine-restrictedbdiet Incorrect B. ImmediatelybreferbthebpatientbtobthebED Incorrect C. Referbthebfamilybforbgeneticbcounseling Incorrect D. Referbthebfamilybtobabmetabolicbspecialistb-bcorrectbanswer- Referbthebfamilybtobabmetabolicbspecialist Whichbofbthebfollowingbpatientsbshouldbbebscreenedbforbmacrocyticbanemia? A. 18-year-oldbmanbwithbabhistorybofbCrohnbdisease Correct B. 30-year-oldbwomanbwhobisbpregnant Incorrect
