FMS 3 Quiz 5
Which of the following tumor markers is sufficiently sensitive to serve alone as a diagnostic marker?
PSA (Prostate Specific Antigen)
CA 125
Human Chorionic Gonadotropin (hCG)
Alpha - fetoprotein (AFP)
None of the above
Which of the following is NOT a quality of an ideal tumor marker?
Can indicate the site, type and size of malignancy
Detects the cancer while it is still localized and curable
Is undetectable in healthy patients
Remains detectable even after successful treatment
Which of the following is a correctly matched tumor marker and cancer type?
Carcinoembryonic antigen - breast cancer
Prostate Specific Antigen - testicular cacner
Aplha-fetoprotein - ovarian carcinoma
Monoclonal peak - multiple myeloma
CA 19-9 - breast carcinoma
Which enzyme shows a genetics bimodal distribution, and is associated with metabolism of Isoniazid
N-acetyltransferase 2
Thiopurine S-methyltransferase
VKORC1
Alcohol Dehydrogenase
Aldehyde dehydrogenase
Patients who carry the wild-type phenotype of CYP2C9 are said to be:
Moderate warfarin metabolizers
Minimal warfarin metabolizers
Extensive warfarin metabolizers
Non-warfarin metabolizers
Which of the following examples of viral tropism is INCORRECTLY matched?
Rhinovirus found in upper airways
HIV infects cells with CD4, CXCR4, and CCR5
Enterovirus primarily infects the esophagus
HSV infects primarily epithelial cells
Suppurative inflammation is usually in response to which type of pathogen?
Viruses
Extracellular bacterial pathogens
Intracellular pathogens
Fungi
What type of inclusion body is characteristic of Rabies infection?
Negri bodies
Cowdry type A bodies
Cowdry type B bodies
Pseudohyphae
Non-yeast forms
Which of the following should you take into consideration when taking a past medical history of a pediatric patient?
Toilet training
Meal and bedtime behavior
Pregnancy history
Labor and delivery history
Nutrition
Consider all the above
Which of the following is NOT transferred via breast milk?
IgG
IgA
Cytokines
Macrophages
Antibacterial peptides
Which of the following is TRUE regarding children and OTC medications?
They are not recommended for children under 2 years of age
They generally have inactive ingredients
OTC medications rarely contain antihistamines or expectorants
They are safe to use and never cause seizures
Which of the following would you screen healthy children for?
Iron-deficiency anemia
TB screening
Lead poisoning
Dyslipidemia screening
All of the above
Which of the following statements is FALSE regarding sex-linked disorders?
X-linked dominant disorders are more common than X-linked recessive
Hemophilia is an X-linked recessive disorder
Some X-linked dominant disorders are Rett's syndrome and fragile X syndrome
Most of the time genetic sex determines phenotypic sex
When comparing male and female hormones, which of the following is true?
Males and females have the same types of steroid hormones
Males and females are both continuously secreting their respective hormones
Females continue to produce hormones throughout aging
Males continue to produce hormones throughout agins
Which disease is INCORRECTLY matched with the sex it is more commonly found in?
Alzheimer's - Women
Autism/ADHD - Boys
Parkinson's - Women
Trauma - Men
Eating Disorders - Girls
________ occurs in clean wounds with apposed edges, and ________ occurs in wound edges separated by a large tissue defect.
Secondary union ; primary union
Second Intention; first intention
Primary Union ; first intention
Primary union ; secondary union
Which of the following does hypoxia NOT stimulate in wound healing?
Fibroblast proliferation
Collagen synthesis
Exudate formation
Angiogenesis
Growth factors
Which of the following is NOT a factor that inhibits wound healing?
Malnutrition
Zinc
Hypoxia
Tissue mobility
Hypothermia
Ionizing radiation
The term "dishwater liquid" is used to describe fluid seen during surgical exploration of what disease, caused by what pathogen?
Diabetic foot ulcers - zygomycoses
Cellulitis - Staph aureus
Cellulitis - Strep pyogenes
Necrotizing fasciitis - Strep pyogenes
Necrotizing Fasciitis - Staph aureus
What are 3 contributing factors to health disparities?
Systems Based Factors, hospital management, individual based factors
Care process-level factors, individual factors, demographics factors
Systems based factors, care process-level factors, individual based factors
Care process-level factors, systems based factors, racism
The _________________ study has propagated a lack of trust for african american patients towards doctors.
Milgram obedience
Tuskegee syphilis
Stanford prison
Which of the following is NOT an instrumental activity of daily living?
Ability to fulfill family roles
Shopping for groceries
Driving
Taking medications
Meal preparation
The confusion assessment method is used to diagnose what?
Schizophrenia
Altered level of consciousness
Delirium
IQ
Dementia
Which of the following is NOT an assessment method in the elderly?
Confussion Assessment Method (CAM)
Animal-naming test
Clock-Drawing test
Montreal Cognitive Assessment (MOCA)
Which of the following tumor markers is useful for prenatal diagnosis of neural tube defects
Carcinoembryonic antigen (CEA)
Prostate specific antigen (PSA)
Alpha fetal protein (AFP)
Human chorionic gonadotropin (hCG)
What is a common finding in cancer, occurring in 20-30% of all patients?
Hypokalemia
Hyperkalemia
Hypocalcemia
Hypercalcemia
The fact that most viruses can only infect specific type or types of cells is called:
Tropism
Tissue Specificity
Directed Attack
Sensitivity
Multinucleated giant cells are specifically associated with which viral infection?
Rabies
Measles
Mumps
Cytomegalovirus
Rubella
Slow acetylators of Isoniazid are most likely to experience __________, corrected with treatment of pyridoxine (vit. B6).
Hepatitis
Peripheral neuropathy
Gouty attacks
Warfarin toxicity
Tamoxifen is an Estrogen-Receptor Positive Breast Cancer treatment. This drug is activated by which enzyme?
CYP1A
CYP2E1
CYP2D6
CYP2C9
Which of the following is not a characteristic of Streptococcus pyogenes?
Catalase negative
Gram Positive Cocci
PYR positive
Alpha-hemolytic
Lancefield group A
Which of the following is true about e.coli?
Gram positive bacilli
Lactose fermenter on MacConkey Agar
Oxidase Positive
Anaerobic
The most common uropathogens are:
Aerobic gram negative bacteria
Anaerobic gram negative bacteria
Aerobic gram positive bacteria
Anaerobic gram positive bacteria
Which of the following does NOT describe clostridium perfringens?
Gram positive
"box-car" shaped
Double zone of hemolysis on brucella agar
Negative reverse cAMP reaction
Lecithinase activity on egg yolk agar
Which of the following is true regarding serology testing and IgM?
IgM may be absent early in infection
Usually persists for a long time
Always detectable with re-infection
Has less false positives than IgG
Diagnosis of Rocky Mountain Spotted Fever is done by what type of serology?
Enzyme immunoassay (EIA)
Microimmunofluorescence
Western blot
Complement fixation
Latex/particle agglutination
What is now the standard method for respiratory viral detection?
RT-PCR (nucleic acid amplification testing)
Rapid Antigen Testing
Viral Culture
Direct fluorescence antibody (DFA)
Which yeast can be visualized using India Ink because it is encapsulated?
Candida albicans
Cryptococcus neoformans
__________ samples must be refrigerated, while _____________ samples should be kept at room temperature.
Blood, Urine
Urine, Blood
Urine, Fungal
Fungal, Urine
What are the top three pathogenic stool pathogens in the U.S.?
Schistosoma, Giardia, and Cryptosporidium
Ascaris lumbricoides, Entamoeba histolytica, Schistosoma
Ascaris lumbricoides, Giardia, Entamoeba histolytica
Entamoeba histolytica, Giardia, Cryptosporidium
Which of the following pathogens CAN be detected from an Ova & Parasite stool exam?
Giardia
Cryptosporidium
Cyclospora
Microsporidia
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