MN568 Primary Care Across the Span
Unit 6 Exam
Question 1
Harvey has a rubbery, smooth, round mass on his chest that is compressible and has a soft-to-very-firm texture. What do you diagnose this as?
Question options:
a)
A lipoma
b)
A nevi
c)
A skin tag
d)
A possible adenoma
Question 2
Of the following types of cellulitis, which is a streptococcal infection of the superficial layers of the skin that does not involve the subcutaneous layers?
Question options:
a)
Necrotizing fasciitis
b)
Periorbital cellulitis
c)
Erysipelas
d)
“Flesh-eating” cellulitis
Question 3
The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mg-sulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long?
Question options:
a)
3 to 7 days
b)
14 to 21 days
c)
3 to 6 weeks
d)
6 to 12 weeks
Question 4
The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects?
Question options:
a)
Erectile dysfunction
b)
Glaucoma
c)
Hypotension
d)
Headache
Question 5
Tinea unguium is also known as:
Question options:
a)
Onychomycosis
b)
Tinea versicolor
c)
Tinea manuum
d)
Tinea corporis
Question 6
Which is the most potent and irritating dose of tretinoin?
Question options:
a)
0.05% liquid formulation
b)
0.1% cream
c)
1% foam
d)
0.02% cream
Question 7
Sally, age 25, presents with impetigo that has been diagnosed as infected with Staphylococcus. The clinical presentation is pruritic tender, red vesicles surrounded by erythema with a rash that is ulcerating. Her recent treatment has not been adequate. Which type of impetigo is this?
Question options:
a)
Bullous impetigo
b)
Staphylococcal scalded skin syndrome (SSSS)
c)
Nonbullous impetigo
d)
Ecthyma
Question 8
Why do people of African descent have a lower incidence of non-melanoma skin cancer?
Question options:
a)
They have an increased number of melanocytes.
b)
Their darker skin protects from ultraviolet radiation.
c)
Their skin is thicker.
d)
Their immune system is stronger.
Question 9
A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan?
Question options:
a)
Every month
b)
Every 3 to 4 months
c)
Every 6 to 12 months
d)
Every year
Question 10
A patient is diagnosed with urge incontinence. Before prescribing Detrol XL, the provider should question the patient about which of these contraindications to this medication?
Question options:
a)
Diarrhea
b)
Parkinson’s disease
c)
Closed-angle glaucoma
d)
Breast cancer
Question 11
What is the treatment of choice for a patient diagnosed with testicular cancer?
Question options:
a)
Radical orchidectomy
b)
Lumpectomy
c)
Radiation implants
d)
All of the above
Question 12
The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis?
Question options:
a)
Gram-positive cocci
b)
Gram-negative cocci
c)
Gram-positive bacillus
d)
Gram-negative bacillus
Question 13
Marci has a wart on her hand. She says she heard something about “silver duct tape therapy.” What do you tell her about his?
Question options:
a)
It is an old wives’ tale.
b)
It is used as a last resort.
c)
Salicylic acid is more effective.
d)
It is a simple treatment that should be tried first.
Question 14
Which of the following instructions should be given to the patient with nephrolithiasis?
Question options:
a)
Take ibuprofen, 600 mg every 8 hours.
b)
Take Tums? for stomach upset.
c)
Drink more black tea.
d)
Increase intake of vegetables, like spinach.
Question 15
An 82-year-old woman with renal failure is seen in the clinic. The provider should question the patient about the intake of which of these substances that can cause renal toxicity?
Question options:
a)
Ibuprofen
b)
Captopril
c)
Losartan
d)
All of the above
Question 16
The patient is diagnosed with acute renal failure (ARF). Which of the following data obtained from the history should alert the provider that this is a case of prerenal azotemia?
Question options:
a)
Recent heat stroke
b)
Nephrolithiasis
c)
Recent infection where gentamicin was used in treatment
d)
All of the above
Question 17
Prevalence of psoriasis is highest in which group?
Question options:
a)
Scandinavians
b)
African Americans
c)
Asians
d)
Native Americans
Question 18
Which of the following clinical manifestations are consistent with a patient in ARF?
Question options:
a)
Pruritis
b)
Glycosuria
c)
Irritability
d)
Hypotension
Question 19
Jeffrey has atopic dermatitis. You are prescribing a low-dose topical corticosteroid for him. Which would be a good choice?
Question options:
a)
Betamethasone dipropionate 0.05%
b)
Hydrocortisone base 2.5%
c)
Halcinonide 0.1%
d)
Desonide 0.05%
Question 20
A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no previous history of urinary tract infection (UTI). What are some additional symptoms consistent with a diagnosis of lower UTI?
Question options:
a)
Back and abdominal pain
b)
Fever, chills, costovertebral angle (CVA) tenderness
c)
Blood in urine and frequency
d)
Foul-smelling discharge, perineal itch
Question 21
Ian, age 62, presents with a wide, diffuse area of erythematous skin on his lower left leg that is warm and tender to palpation. There is some edema involved. You suspect:
Question options:
a)
Necrotizing fasciitis
b)
Kaposi’s sarcoma
c)
Cellulitis
d)
A diabetic ulcer
Question 22
Simon presents with alopecia areata with well-circumscribed patches of hair loss on the crown of his head. How do you respond when he asks you the cause?
Question options:
a)
“You must be under a lot of stress lately.”
b)
“It is hereditary. Did your father experience this also?”
c)
“The cause is unknown, but we suspect it is due to an immunologic mechanism.”
d)
“We’ll have to do some tests.”
Question 23
An 86-year-old woman is seen in the clinic for recurrent hematuria. The provider suspects bladder cancer. Which of the following data from the history is considered a risk factor for this type of cancer?
Question options:
a)
History of alcoholism
b)
Sedentary lifestyle
c)
Obesity
d)
65-year smoking history
Question 24
A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis?
Question options:
a)
Testosterone level
b)
Prostate-specific antigen
c)
Nocturnal penile tumescence and rigidity
d)
Prolactin level
Question 25
A patient is seen in the clinic and diagnosed with Stage I renal cancer. The provider should refer the patient to a nephrologist for which of these treatments?
Question options:
a)
Chemotherapy
b)
Nephrectomy
c)
Palliative treatment
d)
Radiation
Question 26
Which of the following diagnostic tests should be ordered for a patient suspected of having bladder cancer?
Question options:
a)
Kidneys, ureter, bladder x-ray
b)
Cystoscopy with biopsy
c)
Magnetic resonance imaging
d)
Urine tumor marker (NMP22)
Question 27
Which of the following tests is most useful in determining renal function in a patient suspected of CRF?
Question options:
a)
BUN and creatinine
b)
Electrolytes
c)
Creatinine clearance
d)
Urinalysis
Question 28
A bulla is:
Question options:
a)
A vesicle larger than 1 cm in diameter
b)
An elevated solid mass with a hard texture; the shape and borders can be regular or irregular
c)
A superficial elevated lesion filled with purulent fluid
d)
Thinning of the skin (epidermis and dermis) that appears white or translucent
Question 29
A patient is seen complaining of “leaking urine when I sneeze.” Which of the following actions should the clinician take first?
Question options:
a)
Order a cystometrogram.
b)
Obtain a computed tomography scan.
c)
Instruct the patient on Kegel exercises.
d)
Prescribe imipramine.
Question 30
A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system?
Question options:
a)
The cancer involves the seminal vesicles.
b)
There is metastatic disease to regional lymph nodes.
c)
The cancer is confined to the capsule.
d)
There is metastasis to distant organs.
Question 31
A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses?
Question options:
a)
Testicular cancer
b)
Inguinal hernia
c)
Varicocele
d)
All of the above
Question 32
A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis?
Question options:
a)
Peyronie’s disease
b)
Damage to the pudendal artery
c)
Scarring of the cavernosa
d)
All of the above
Question 33
Which of the following foods should be limited in a patient with CRF?
Question options:
a)
Milk
b)
Bananas
c)
Soy sauce
d)
All of the above
Question 34
A patient is seen with a sudden onset of flank pain accompanied by nausea, vomiting, and diaphoresis. In addition to nephrolithiasis, which of the following should be added to the list of differential diagnoses?
Question options:
a)
Pancreatitis
b)
Peptic ulcer disease
c)
Diverticulitis
d)
All of the above
Question 35
A 78-year-old man is diagnosed with Stage D bladder cancer and asks the provider what that means. Which is the best response?
Question options:
a)
“There is no such thing as Stage D cancer.”
b)
“You have cancer that has spread to the surrounding tissue.”
c)
“Your cancer has spread to other organs.”
d)
“Your cancer can be cured by removing your bladder.”
Question 36
Which of the following statements is accurate when you are removing a seborrheic keratosis lesion using liquid nitrogen?
Question options:
a)
Do not use lidocaine as it may potentiate bleeding.
b)
Pinch the skin taut together.
c)
Use gel foam to control bleeding.
d)
This should be performed by a dermatologist only.
Question 37
When using the microscope for an intravaginal infection, you see something translucent and colorless. What do you suspect?
Question options:
a)
A piece of hair or a thread
b)
Hyphae
c)
Leukocytes
d)
Spores
Question 38
An example of ecchymosis is:
Question options:
a)
A hematoma
b)
A keloid
c)
A bruise
d)
A patch
Question 39
The most common precancerous skin lesion found in Caucasians is:
Question options:
a)
A skin tag
b)
Actinic keratosis
c)
A melanoma
d)
A basal cell lesion
Question 40
A patient presents with CVA tenderness and a several-day history of high fever, chills, and dysuria. Which of the following diagnoses is most likely given the above information?
Question options:
a)
Pyelonephritis
b)
Cystitis
c)
Renal calculi
d)
Bladder tumor
Question 41
A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?
Question options:
a)
NSAIDs
b)
Beets
c)
Vitamin A
d)
Red meat
Question 42
The “B” in the ABCDEs of assessing skin cancer represents:
Question options:
a)
Biopsy
b)
Best practice
c)
Boundary
d)
Border irregularity
Question 43
A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action?
Question options:
a)
Refer to a urologist immediately.
b)
Obtain a computed tomography (CT) scan.
c)
Instruct the patient to elevate the scrotum.
d)
Prescribe ibuprofen.
Question 44
A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis?
Question options:
a)
Psychogenic nocturia
b)
Urethral polyp
c)
Irritative posterior urethral lesion
d)
Benign prostatic hypertrophy
Question 45
A 42-year-old woman is seen in the clinic with fever, chills, vomiting, and severe dysuria. She is diagnosed with acute pyelonephritis. How should this patient be managed?
Question options:
a)
3-day course of oral antibiotics
b)
Hospitalization
c)
Encourage cranberry juice intake.
d)
6-week course of antibiotics
Question 46
Josh, aged 22, has tinea versicolor. Which description is the most likely for this condition?
Question options:
a)
There are round, hypopigmented macules on his back.
b)
Josh has red papules on his face.
c)
There are crusted plaques in Josh’s groin area.
d)
There are white streaks on his neck.
Question 47
A 23-year-old sexually active man is seen in the clinic with unilateral painful testicular swelling, and he is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of these is the most common causative organism?
Question options:
a)
Escherichia coli
b)
Staphylococcus aureus
c)
Chlamydia trachomatis
d)
Pseudomonas aeruginosa
Question 48
A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects?
Question options:
a)
Risk of osteoporosis
b)
May have hot flushes
c)
May have impotence
d)
All of the above
Question 49
Which of the following is “a linear crack extending from the epidermis to the dermis?”
Question options:
a)
An ulcer
b)
A fissure
c)
Lichenification
d)
An excoriation
Question 50
Your patient is in her second trimester of pregnancy and has a yeast infection. Which of the following is a treatment that you usually recommend/order in nonpregnant patients, but is listed as a Pregnancy category D?
Question options:
a)
Vagistat vaginal cream
b)
Monistat combination pack
c)
Terazol vaginal cream
d)
Diflucan, 150 mg
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