Medical Knowledge Mastery Quiz

How many cartilages does the larynx formed of:

Telangiectasias are defined as dilated non palpable subcutançous veins:

2) Which one isnt the four muscles facial expression?

3) a 55 year old legal secretary comes into your office to establish care. She starts the interview by telling you her whole he story, tells you about her husband, children and grandchildren, and then pulls out a written list of 20 different items that relate to her health that she wants to address with you in today's interview. She is very friendly and relaxed What spastic type of patient is this?

4) the lymphatic system consists of all the following except

5) A 55-year-old postal worker presents to the emergency room with chest pain. On a scale of 1 to 10, he rates the pain a g. It started 30 minutes ago and hasn't gone away. He has never had it before. He dies any injury or trauma: he has no medical conditions that are being treated, Nothing makes the pain better or worse. When questioned tutter, he has noticed nausea and increased sweating wath the pain. Based on this description which of the seven attributes of this symptom have not been addressed!

A 25-year-old graduate student presents to your clinic: she is concerned about her exposure to a communicable disease that occurred at a party she recently attended. You, the interviewer, enter the room and greet the patient and then ask what brought her into your office today. She states that she wants to establish care, so you start by asking her it she has any specific concerns that she would like you to address. She states that she is concerned that she may have gotten an STD. You continue to maintain eye contact and state, "Go on.* Which type of interviewing technique have you demonstrated:

7) The components of the health history include all of the following except which one

8) A 16-year-old sophomore presents to the clinic for a sports physical she is accompanied by her mother. She is involved in gymnastics and has been since age 5. In addition te training tor the gymnastics team, she runs to miles per daw. She is proud of her athleticism and states that she is still too fat and wants to lose more weight. You note that her BMI is 15, She denies cheating excessively or making herself vomit the patient's mother states she barely eats. This patient is at risk for which medical problem:

9) A 69-year-old woman presents to your office with the complaint of pain. She was diagnosed with breast cancer that has metastasized to the bone 6 months ago. At the time, she did not want radiation therapy even for telet of the pain. You then discussed with her that her prognosis is poor and that her time to live is limited. She was not interested in hearing about it. You observe that she has lost more weight and that she is even more anorexic than at her previous visit 1 month ago. Today, she is frustrated because she hurts when she gets up and thes to walk around. She has planned a trip to the Bahamas to take place in 4 more months. What stage of grief is this patient currently in?

10) A 20-year-old college junior presents to the clinic for a physical; he is going to be a camp counselor for the summer. He is healthy and exercises regularly. His BMI is 22. You take his blood pressure and obtain a value of 160/100. Which of the following is the most likely reason for the unexpected blood pressure measurement

11) A 42-vear-old retail manager is sitting in vour clinic exam room, warting for a routine checkup for hipertension. You enter the room and sit down. Making eve contact. And move your body slightly toward the patient. You nod your head as the patient begins to bring vou up to date on his lite since his last appointment. This internewins technique is an examie or

12) What is the most reliable noninvasive test for diagnosing venous insufficiency?

13)For which of the following patients would a comprehensive health history be appropriate?

14)A 22-year-old social worker comes into the clinic for a routine checkup. His blood pressure is 155/102. In each of his previous visits, including one 2 weeks ago for treatment of an upper respiratory infection, his blood pressure has been 130s/ 80s. He has no family history of high blood pressure. He has no symptoms of headache, blurred vision, or chest pain. What is the most likely reason for his blood pressure being elevated today?

A 58-year-old college professor presents to your clinic to establish care. In taking vital signs, you feel the patient's radial pulse. The pulse pressure is diminished, and the pulse feels weak and small. The upstroke feels a little slow, and the peak is prolonged. You immediately suspect that this patient may have which of the following diagnoses?

Left lateral decubitus position helps to identify which one from the following?*

. How should you position the patient in order to accentuate the aortic sthenosis murmur?

Which one form the following cannot affect the blood pressure?

Which on from the following can be auscultated with the bell of the stethoscope in the left decubitus position? (!!!)

A 28-year-old male presents with the complain of a headache which is throbbing by his description and located in the right part of his head with intensity 8 on a scale of 1 to 10. It usually continues few hours, he notes nausea and sensitivity to light; the frequency of headache is usually once pre month. He cannot note factors. When he has this headache he cannot work and stays at home, trying to sleep. There has been no change in the frequency of the headaches. He usually takes an over-the -counter pain killers, but it does not help much with headache. What is the most likely diagnosis of the type of headache?

Which one from the following statements is true about rhinorrhea?

What is the origin of S3 sound?

8. A 30 year old male presents with a single sudden shaking chill with a rapid rise in temperature. Within a few hours agonizing left pleuritic pain and cough with rust coloured sputum supervene. On examination the man appears acutely ill with rapid shallow respiration. With no treatment he continues to run a temperature up to 40.5 deg C for a week at which time he experiences a dramatic improvement. Physical examination on day 2 of the illness would probably show all of the following over the left chest EXCEPT

A 22-year-old man is brought to the emergency department 8 hours after twisting his right knee while playing in a soccer match. At the time of injury, he felt a sharp pain on the “inner” part of his right knee. He has been unable to straighten his knee fully and had to be carried off the field by his teammates. On examination, there is a moderate joint effusion, tenderness at the medial joint line, and limitation of the last 20 degrees of extension by a springy resistance. There is sharp anteromedial knee pain when passive extension is forced. Lachman test is negative. What is the most likely diagnosis in this patient?

By the following description grade the heart murmur: very faint, not necessarily heard in all positions

By the following description grade the heart murmur: quiet, heard immediately after placing the stethoscope on the chest

.By the following description grade the heart murmur: moderately loud, no thrill

By the following description grade the heart murmur: loud, with palpable thrill

By the following description grade the heart murmur: very loud, palpable thrill that can be heard with stethoscope partially off the chest

By the following description grade the heart murmur: very loud, palpable thrill that can be heard without a stethoscope

Which of the following cannot be heard with the bell of stethoscope? P.390

A thin 35-year-old woman presents with a 2-day history of cough. She complains of some mild dyspnea and left-sided pleuritic chest pain. On physical examination, her temperature is 38.5°C (101.4°F) and her respiratory rate is 26 breaths per minute. Her blood pressure is 110/65 mm Hg and her heart rate is 125 beats per minute. Which of the following physical examination findings would most likely be found if she has an uncomplicated left-sided pneumonia?

50. Examiner's hand is placed on the patient's right anterior thigh and the patient is asked to raise higher right leg against the examiners hand This testis called

. Characteristics of a focused assessment includes the following, except:

A 20-year-old college student presents with a 3-mo history of left sided pleuritic chest pain, dyspnea with exertion, and night sweats. He is a nonsmoker and does not use illegal drugs. He is heterosexual. He recalls a negative PPD when he started college 2 years ago. On PE, his temperature is 100.9 F and his respiratory rate is 24/m. Lung examination reveals decreased fremitus, dullness to percussion, and diminished breath sounds over the left posterior lung. A pleural friction rub is audible at the left lung base. Which of the following is the most likely diagnosis?

. Which of the following are true regarding cultural sensitivity.

The term for nearsightedness is:

A person who is just being admitted complains of pain in his right foot. What is the proper way to provide this patient with an accurate physical assessment?

Which of the following is not a peripheral pulse?

A 55-year-old man with emphysema will have which kind of respiratory pattern of breathing?

Rubbing, grating or squeaky sound upon auscultation; as if two pieces of leather are being rubbed together

The first normal heart sound S1 occurs when?

The facial artery is coming from:

Where is S1 auscultated most clearly?

This happens when there is a decreased supply of oxygenated blood to the tissues often caused by a narrowing of an artery

The consumption of alcohol, tobacco, caffeine, or herbal products is vital in health history and is part of what?

Lateral spinal curvature

. Muscles of Neck that move the Head is:

The occipital artery is coming from

Main function of infrahyoid muscles is

38. The ears would be checked with a:

A patient with increased turgor in his lower extremities manifested by smooth, taut, shiny skin that cannot be grasped or raised is most likely to have:

A patient complains of shortness of breath and productive cough. Consolidation is present in the lungs if you find:

. Abnormal swishing sounds are heard over organs, glands, and arteries and result from an abnormality in an artery resulting from narrow or partially occluded arteries such as atherosclerosis.

Capillary refill is tested on:

Glaucoma is

. The common subtype of selective neck dissection is:

A 35-year-old woman presents with a 2-day history of cough productive of green-yellow sputum. She complains of fever, chills, and dyspnea. On physical examination, her temperature is 102.4°F and her respiratory rate is 26/min. Her blood pressure is 110/65 mm Hg and her heart rate is 125/min. Examination of the lungs reveals increased fremitus and dullness at the right posterior base. Crackles and bronchial breath sounds are audible at the right base and the patient demonstrates egophony and pectoriloquy in the area. Gram stain of the sputum reveals gram positive cocci and numerous neutrophils. Which of the following is the most likely diagnosis?

55. Main function of Suprahyoid Muscles is:

Lubb-dubb is caused by

When auscultating for lung sounds, which part of the stethoscope is designed to transmit the higher pitch of abnormal sounds

Which of the following is not a symptom? (X)

1. Skin cancer is definitively diagnosed by?

2. Where jaundice can not appear?

3. Dryness, Sweating, and oiliness are signs of?

48-Year old man complains about pain in the spinal area afater long time walking and standing. Which radiates to buttocks and thighs, he has the..

5. Which of the following is not the warning sign of PAD?

6. Carpal tunnel syndrome cannot be caused by which of the following?

7. Joint pain and a butterfly rash on the cheeks suggests

8. Drop-arm test assesses

9. Which of them is risk factor for osteoporosis

42 Year old male present with right flanks pain, which he describes as severe and burning, He is restless and cannot stay in bed in one position for a long time. His pain is

11. Dysdiadochokinesia refers to which of the following?

12. If corneal reflex is lost,Which CN may be involved?

. During the ear examination of 53 years old male there are the following Finding positive wishperd test on the right side rinne test BC>AC on the right side. AC>BC on the left side.Weber test shows lateralization on the right side. There is.

14. Which of the following is not characteristic for the normal air-filled lung?

15. Hemiparesis refers to

6. Examination of rapid alternating movements reveals, one movement is not followed quickly By its opposite, movements are slow, irregular, and clumsy. These findings are common for

17. Which of the following statements is not correct about wheezes?

18. In supine position PMI diameter can be

53 Years old male presents to the clinic with jaundice, telangiestasia, dilated veins on the abdominal wall and palmar erythema. What is the possible disorder?

21. Which of the following statements is true?

22. What is true about synovial joints

23. For the low back pain off the midline one of the possible cases may be

24. Rheumatoid arthritis is typically

25. Find the wrong answer about Heberden's nodes

. Patient's examination has found out that inversion and plantar flexion of the foot cause pain, Whereas eversion and plantar flexion are relatively pain free. These findings suggest

27. Bilateral predominantly distal weakness suggests

8. Disease-specific risk factors for stroke are (more than one correct answer is possible)

29. A peripheral injury to CN VII affects

1. Characteristics of a focused assessment includes the following, except:

During the assessment of the patient with heart failure you chek the radial pulse which has regular rhythm, but its force changes from beat to beat. Which of the following is decribed?

Which of the following situations warrant a comprehensive assessment of the patient?

4. When taking your patient’s BP, which technique is best for cuff inflation?

5. This part of hand is best used to assess pulsation, skin texture, skin turgor and mobility

6. This color of skin can result from low concentration of oxygen in blood

7. Lifting a fold of skin between your thumb and forefinger is used to assess

What is the consequence of cardinal techniques of examination of almost all systems?

Which one of the following best describes the role of history taking in patient assessment?

. In discussions surrounding smoking which one of the following best describes “pack years”?

When considering a person’s past medical / surgical history which one of the following is an important consideration?

12. For which of the following conditions clubbing nails are not characteristic?

13. Which of the following cannot be caused by overweight and obesity?

14. The recommended walking time for physical activity per week is:

15. Determining the approximate systolic blood pressure by radial pulse helps to

During the ear examination of 53 year-old male there are the following findings: positive whispered test on the right side, Rinne test - BC>AC on the right side, AC>BC on the left side, Weber test shows lateralization on the right side. There is:

17. What is the optimal technique to better auscultate of the S1 sound?

18. Which of the following is NOT characteristic for the normal air-filled lung?

19. Which of the following statements is true about wheezes?

20. Which of the following statements is not true about consolidation?

21. In supine position PMI diameter can be:

. During heart auscultation you ask the patient to roll partly on the left side into the left lateral decubitus position. This will help you to identify:

23. Increased JVP correlates with:

24. Which of the following is true about heart murmurs?

Which one of the following needs to be specifically asked about when enquiring about a person’s social history?

6. In terms of history taking which one of the 10. In terms of history taking which one of the following best describes the role of the social history?

29 year old male, having years of insidious chronic low back pain, no structural fault identifiable. Pain distribution is rarely anatomically plausible. Initial past medical history includes ankle fracture, apparently followed by CRPS complex regional pain syndrome) that has resolved; multiple general anaesthetics; a concussion. Now complains of "showers of fizzing " in arms and legs with no particular aggravating / easing factors. Develops extreme levels of pain when incurs any acute injury (such as a recent laceration injury in which a slim piece of steel was shot into his arm, and subsequently a fractured finger, both work accidents.) Works full time in a manufacturing plant. Very fatigued by end of day and complains of feeling "weird in my head, I can't describe it." Poor sleep due to, "my brain can't calm down." NSAID medication does not help. Regularly attends local gym and self reports as being competitive. Has attended pain clinics in the past. Which type of the pain does t29 year old male, having years of insidious chronic low back pain, no structural fault identifiable. Pain distribution is rarely anatomically plausible. Initial past medical history includes ankle fracture, apparently followed by CRPS complex regional pain syndrome) that has resolved; multiple general anaesthetics; a concussion. Now complains of "showers of fizzing " in arms and legs with no particular aggravating / easing factors. Develops extreme levels of pain when incurs any acute injury (such as a recent laceration injury in which a slim piece of steel was shot into his arm, and subsequently a fractured finger, both work accidents.) Works full time in a manufacturing plant. Very fatigued by end of day and complains of feeling "weird in my head, I can't describe it." Poor sleep due to, "my brain can't calm down." NSAID medication does not help. Regularly attends local gym and self reports as being competitive. Has attended pain clinics in the past. Which type of the pain does the patient have?he patient have?

A 66-year-old male presented to an urgent care clinic with a 4-day history of dry cough, progressing to rusty colored sputum, sudden onset of chills the previous evening, subjective fever, and malaise. Originally, the man thought he had a cold, but the symptoms had worsened and he “barely slept last night with all this coughing.” He denied experiencing shortness of breath but suggested he may be breathing “a little faster than normal.” he felt some sharp left-sided chest pain after a particularly long bout of coughing.He denied any leg swelling, orthopnea, or left-sided/substernal chest pain. He also denied any gastrointestinal symptoms. His vital signs were as follows: temperature (C): 38.5, BP (mmHg): 128/76, HR (bpm) 102, RR (bpm): 24, SpO2 (%): 94; mild tachycardia with a regular rhythm, mild tachypnea, dullness to percussion, increased tactile fremitus over the lowerright lung, in the same area a few crackles. There was no jugular venous distention or pedal edema. The most likely diagnose is:

A 36-year-old female with no history of disease was admitted to the hospital after she suddenly collapsed while standing and lost consciousness for approximately five minutes. She recovered spontaneously but was extremely weak and dyspneic. No tonic-clonic activity was witnessed, and she experienced no incontinence. On admission patient had sharp chest pain increasing with inhalation and cough, physical examination revealed a diaphoretic and dyspneic patient without focal neurologic findings. HR 129 b/min regular, BP 126/72 mmHg without orthostatic changes, RR 32 breaths/minute. The room air oxygen saturation was 90%. Examination of the head and neck was normal. The results of chest wall examination revealed reduced breath sounds bilaterally at the lung bases. Diaphragm excursion of the left hemithorax wa reducedThe findings of heart and abdominal examinations were unremarkable, on examination of her legs, left leg and oedema with the left calf measured 3 cm more than the right one. Patient said that she did not have history of medication, but took birth control pills. The diagnosis is:

On the auscultation of the patient you find a murmur, which has a following description: Location at the apex, harsh, radiation to the left axilla, pitch medium, holisistolic, better heard with the diaphragm of stethoscope, on inspiration murmur does not become louder. Additionally S3 is auscultated. Which of the following condition may lead to such murmur?