Which of the following is not a mechanism of action (MOA) of cardiac glycosides?
Correct!
Wrong!
What is an antidote of digoxin toxicity?
Correct!
Wrong!
All of the following are common signs and symptoms of tuberculosis except:
Correct!
Wrong!
Which of the following is a first-line treatment for acute asthma exacerbation?
Correct!
Wrong!
In patients diagnosed with gout, food enriched with purine should be avoided. All of the following foods are rich in purine except:
Correct!
Wrong!
Which of the following are classic symptoms of diabetes mellitus (DM)?
Correct!
Wrong!
What is the earliest sign of renal damage in a patient with DM?
Correct!
Wrong!
What is the target hemoglobin HbA1c goal for effective diabetes control according to the American Diabetes Association guidelines?
Correct!
Wrong!
What do the current guidelines recommend for the LDL-C goal for DM to reduced mortality?
Correct!
Wrong!
What is the target blood pressure in patients diagnosed withcomorbidities such as chronic kidney disease (CKD), DM, and cardiovascular disease (CVD)?
Correct!
Wrong!
Which of the following antihypertensive pharmacological class is typically utilized as an initial treatment therapy for uncomplicated stage 1 hypertension?
Correct!
Wrong!
Which of the following anti-hyperlipidemic is the first line treatment for hyperlipidemia?
Correct!
Wrong!
What is the MOA of statin medications?
Correct!
Wrong!
What are two major contraindications for statin use?
Correct!
Wrong!
For patients with CKD, which of the following anti-lipidemics is the preferred treatment for elevated lipids?
Correct!
Wrong!
1. 2. 3. 4.
Which of the following is the most common etiology for sudden death in young athletes?
Correct!
Wrong!
All of the following are typical signs and symptoms of aortic valve sclerosis except:
Correct!
Wrong!
In diastolic heart failure there is an impairment in the heart’s ability to:
Correct!
Wrong!
All of the following are common signs and symptoms of left-sided heart failure symptom except:
Correct!
Wrong!
What is the typical duration of the symptoms associated with a transient ischemic attack?
Correct!
Wrong!
What is the most common etiology of hemorrhagic stroke?
Correct!
Wrong!
All of the following are common signs and symptoms of cerebrovascular accident except:
Correct!
Wrong!
What does a patent ductus arteriosus murmur sound like on cardiac auscultation?
Correct!
Wrong!
What is normal glomerular filtration rate (GFR) mL/min/1.73m2
Correct!
Wrong!
What are the two most common etiologies of CKD?
Correct!
Wrong!
Which of the following lab values indicate hypothyroidism?
Correct!
Wrong!
What is the most common etiology of hypothyroidism?
Correct!
Wrong!
All of the following medications may cause hypothyroidism except:
Correct!
Wrong!
What is the treatment of choice for hypothyroidism?
Correct!
Wrong!
What is the recommended diagnostic test for osteoporosis?
Correct!
Wrong!
All of the following are risk factors for fractures except:
Correct!
Wrong!
According to the US Preventative Services Task Force, at what age should osteoporosis screening begin for women?
Correct!
Wrong!
What are the two primary treatments for osteoporosis?
Correct!
Wrong!
What is the MOA of bisphosphate?
Correct!
Wrong!
All of the following are primary asthma signs and symptoms except:
Correct!
Wrong!
What is the first-line asthma treatment in a patient with breakthrough symptoms?
Correct!
Wrong!
What is the most common cause of acute COPD exacerbation?
Correct!
Wrong!
All of the following are common side effect of selective serotonin reuptake inhibitors (SSRIs) except:
Correct!
Wrong!
How long must a depressed patient exhibit depressive symptom in order to be clinically diagnosed with major depressive disorder?
Correct!
Wrong!
All of the following symptoms are clinical features of a manic episode except:
Correct!
Wrong!
Pharmacological treatment for bipolar disorder includes all of the following except:
Correct!
Wrong!
Which of the following antidepressants may increase the likelihood of seizure activity?
Correct!
Wrong!
What is a major side effect of electroconvulsive therapy (ECT)?
Correct!
Wrong!
What is the first-line treatment for obsessive compulsive disorder?
Correct!
Wrong!
What is the gold standard for the treatment of cluster headaches?
Correct!
Wrong!
A patient is supine on the examination table with knee and hip flexed to ninety degrees. The examiner attempts to extend the knee but has some resistance. What sign does this indicate?
Correct!
Wrong!
A thirty-seven-year-old male with a past medical history of DM and hyperlipidemia (HLD) presents to the medical clinic with complaints of pauses in respiration during sleep, snoring, and daytime sleepiness. His symptoms suggest he may have which of the following conditions:
Correct!
Wrong!
Which of the following symptoms is not associated with Meniere’s disease?
Correct!
Wrong!
A twenty-seven-year female presents to the medical clinic with a complaint of bilateral red eyes for two days. She denies fever and chills but endorses purulent drainage. What is the most likely etiology of her red eye?
Correct!
Wrong!
All of the following clinical findings are typically present in a patient with viral conjunctivitis except:
Correct!
Wrong!
All of the following causative agents are culprits of acute and chronic bacterial conjunctivitis in adults except:
Correct!
Wrong!
A thirty-six-year-old male with no significant past medical history presents with a complaint of scaling and redness along the lid margins. What is the likely diagnosis?
Correct!
Wrong!
All of the following are causative agents of bacterial acute otitis media (AOM) except:
Correct!
Wrong!
What is the first-line antibiotic treatment for AOM?
Correct!
Wrong!
Your patient presents with bulging tympanic membrane (TM) erythema, absent mobility, and otorrhea. What is the likely diagnosis?
Correct!
Wrong!
1. 2. 3. 4.
A five-year-old child presents with fever, malaise, sore mouth, and anorexia. On physical examination, oropharyngeal lesions are noted. What is the likely diagnosis?
Correct!
Wrong!
A six-year-old female presents to the urgent care with high fever, Tmax of 103.2ºF, and erythema of the oral cavity. On physical examination she endorses palpable cervical lymphadenopathy, edema, and peeling rash on hands and feet. What is the likely diagnosis?
Correct!
Wrong!
Koplik’s spots are commonly a presenting feature of what clinical condition:
Correct!
Wrong!
These clinical features, a sand paper-like rash with exudative pharyngitis, fever, and tender anterior cervical lymphadenopathy, are commonly observed in which clinical condition:
Correct!
Wrong!
The causative agent of infectious mononucleosis is:
Correct!
Wrong!
Jayden is a twenty-one-year-old male with physical features of large body habitus, large forehead, large testicles, and a developmental disability. What is the most likely diagnosis?
Correct!
Wrong!
In a healthy child, the posterior fontanel will close by age:
Correct!
Wrong!
A postpartum mother who is breastfeeding should be taught that the recommended daily dose of calcium is:
Correct!
Wrong!
When can fetal heart tones can be heard using a transabdominal ultrasound?
Correct!
Wrong!
A 34-year female at 24 weeks gestation presents for her routine prenatal visit. On physical evaluation, her blood pressure noted to be 150/100mmHg and a urine test revealed proteinuria. What is the most likely diagnosis?
Correct!
Wrong!
A 27-year female at 24 weeks gestation presents for an emergency prenatal visit she states that she recently had a seizure episode. On evaluation, her blood pressure noted to be 168/120mmHg; urine test revealed proteinuria. What is the most likely diagnosis?
Correct!
Wrong!
Identify the medication used to prevent maternal sensitization to RhD antigen:
Correct!
Wrong!
A 28-year-old female at 35 weeks gestation presents for a routine prenatal visit. She asks when would she know she is in true labor. What would be your response?
Correct!
Wrong!
What medication is used to prevent seizures in preeclampsia?
Correct!
Wrong!
Which term is associated with late decelerations?
Correct!
Wrong!
A 19 year presents to your clinic for routine evaluation on physical examination you auscultate a systolic murmur that increases with standing and Valsalva and decreases while in the supine position. What is the underlying disorder?
Correct!
Wrong!
An eighty-two-year-old male presents to the clinic for his annual examination. He expresses to you that lately he has been having difficulty understanding speech, has ringing in the ear, and high-pitched sounds are becoming more difficult distinguished. What is the likely condition?
Correct!
Wrong!
What classes of pharmacological therapy are used to treat Alzheimer’s dementia?
Correct!
Wrong!
Ortolani and Barlow maneuvers test for what abnormality?
Correct!
Wrong!
A fifty-three-year-old female presents to the urgent care center. She is noted to have ecchymosis in the periumbilical area caused by a retroperitoneal hemorrhage. Identify the likely sign:
Correct!
Wrong!
Which of the following is unlikely to be prescribed to a patient with gastroesophageal reflux (GERD)?
Correct!
Wrong!
Which of the following patients can receive the shingles vaccination?
Correct!
Wrong!
All of the following are live vaccinations except:
Correct!
Wrong!
Administration of bupropion is contraindicated in all the following disorders except:
Correct!
Wrong!
In a patient with osteoarthritis, the Heberden’s nodes are located:
Correct!
Wrong!
In a patient with osteoarthritis, the Bouchard nodes are located:
Correct!
Wrong!
It is recommended that all of the following patients should be tested for osteoporosis except:
Correct!
Wrong!
What is the most severe adverse effect of isoniazid (INH)?
Correct!
Wrong!
What is the causative agent of tuberculosis?
Correct!
Wrong!
Which of the following symptoms would unlikely be findings in a patient with active tuberculosis?
Show hint
Correct!
Wrong!
What is the cover-uncover test used to evaluate?
Correct!
Wrong!
A twenty-five-year-old male arrives at the medical clinic for a routine visit. To evaluate a neurological deficit, the provider places both hands on the patient’s shoulder and asks him to shrug. Which cranial nerve is being tested?
Correct!
Wrong!
Which definition best describes benign paroxysmal positional vertigo (BPPV)?
Correct!
Wrong!
What is the most common cause of progressive hearing loss inyoung adults?
Correct!
Wrong!
All of the following are risk factors for conductive hearing loss except:
Correct!
Wrong!
The most common pathogenic etiology of AOM in children is:
Correct!
Wrong!
What is the primary etiology of otitis media externa?
Correct!
Wrong!
What is the most common etiology of bacterial pharyngitis?
Correct!
Wrong!
A thirty-three-year-old female with a past medical history of COPD and on long-term treatment with inhaled corticosteroidpresents to your clinic with a white coating on the tongue. On physical examination, you observe white surface plaques covering the mucosa of the oral cavity, which can be easily removed. What is the likely diagnosis?
Correct!
Wrong!
What is the pharmacological treatment for the above diagnosis?
Correct!
Wrong!
A 78-year-old female presents to your clinic for routine evaluation. On physical examination, you notice a half-circle of gray appearance at the edge of the cornea. This can be identified as:
Correct!
Wrong!
What is the best management for hordeolum?
Correct!
Wrong!
All of the following signs and symptoms are typically present in bacterial conjunctivitis except:
Correct!
Wrong!
The most common etiology of enlarged cervical lymph nodes is:
Correct!
Wrong!
How is the pathogen M. tuberculosis typically transmitted?
Correct!
Wrong!
