Mini Med Honor Quiz

A patient comes into your office to follow up on his high blood pressure. You measure his blood pressure and find it to be 160/95. Which of the following is true?
160 is the systolic blood pressure, measured at the 1st beat
160 is the diastolic blood pressure, measured at the 1st beat
160 is the diastolic blood pressure, measured when you first hear no sound
160 is the systolic blood pressure, measured when you first hear no sound.
Mr. Green is a 45-year-old man who presents to the Emergency Room with difficulty breathing for the last 2 months. He is unable to characterize the shortness of breath, but describes his breathing as shallow. He rates his breathing difficulty a 9 out of 10. Prior to two months ago, he used to be able to walk a block, unload groceries and climb stairs without much difficulty. Recently, he has noticed episodes of breathlessness following his usual activities and he chalked it up to normal aging. He states that resting makes his symptoms better. In addition to the difficulty breathing, he admits to some coughing, difficulty sleeping and swollen legs and feet. What important piece of the HPI is missing?
Associated symptoms
Exacerbation
Radiation
Intensity
Which location would NOT be described as a place to take a Peripheral Pulse?
Radial Artery
Heart
Brachial Artery
Femoral Artery
Becky is nervous about her BMI calculation. She finds out that her BMI is 23. What is her classification?
Underweight
Normal
Overweight
Obese
You are taking a patient’s vital signs and find that her heart rate is 105 beats/minute and the respiratory rate is 16 breaths/minute. Which of the following is true?
The patient has tachycardia with normal respiratory rate
The patient has both normal heart rate and normal respiratory rate
The patient has normal heart rate with tachypnea
The patient has bradycardia with normal respiratory rate
Which of the following is a true statement regarding depression?
Depression alters the physiology and neurological activity of the brain
Depression does not require treatment and will resolve on its own
Depression can be described as the feeling of Sadness
People with depression are simply mentally weak
A 28 year old woman comes to your office complaining of episodes of hallucinations where she usually hears voices for the past year. Her husband states that she often has difficulty distinguishing what’s real and lately has been “mixing her words up”. Which of the following risk factors accounts for most cases of the patient’s illness?
Stress
Childhood Trauma
Genetics
Childbirth
A 23 year old woman who is currently in Law School comes to your office worried that she may have generalized anxiety disorder, because her mother has been diagnosed with GAD. Which of the following would not be a reason to suspect GAD in this patient?
She’s a Female
She is young (23 years old)
She is in a high stress environment of Law School
Her mother has GAD
Which of the following is TRUE regarding Bipolar disorder?
Affects men more than women
More common in suburban areas
Higher prevalence found in lower socioeconomic classes and less educated people.
Peak age of onset is 15 to 19 years
Melvin contracted “the flu” 4 days ago. What would you recommend he do?
Rest, drink fluids and take antiviral medication
Rest and drink fluids
Rest, drink fluids and take antibiotic medication
Go to the gym and sweat out the sickness
A low level of which of the following neurotransmitter is implicated in causing depression?
Norepinephrine
GABA
Acetylcholine
Serotonin
Which of the following is NOT a common symptom of the flu?
Fever
Muscle Aches
Cough
Vomiting
Which age group is at an especially high risk for contracting Streptococcus pneumoniae?
Adolescents
Sexually active women
Adults
Elderly
Where can the Hemagglutinins and Neuraminidases of an influenza virus H1N1 be found?
In the mitochondria of the virus particles
On the outer surface of the virus particles
Bound to the RNA of the virus genome
Attached to the ribosomes of the virus particles
The large number of human cases of influenza A virus infection have been associated with direct or indirect contact with infected live or dead poultry. This flu known as the Avian flu was classified as Influenza A (H5N1). The subtype classification of this flu is based on:
The species of animal from which it is isolated
The population it affects
The year of incidence
Type of cell surface proteins of influenza
In a patient’s positive pneumonia Chest X-Ray, what might NOT be seen?
Streaky white lines
Dark clear borders
Cloudiness
Upper lobe involvement
Which of the following is not a vaccination recommended for individuals in the 18-24 years age group?
HPV
Influenza (flu)
Varicella (Zoster)
Hepatitis A
Your Friend Sarah’s mother keeps nagging her about drinking more water. She wants to know how much water she should be drinking in a day. You correctly respond:
About 13 cups (3 liters) of total beverages a day
About 11 cups (2.5 liters) of total beverages a day
About 9 cups (2.2 liters) of total beverages a day.
About 7 cups (1.6 liters) of total beverages a day
About 5 cups (1.1 liters) of total beverages a day
You want to improve your eating habits, so you decide to replace:
The unsaturated butter with the saturated sunflower oil
The saturated butter with the unsaturated sunflower oil
The saturated butter with the unsaturated coconut oil
The unsaturated butter with the saturated coconut oil
A Patient describes his pain as being a 4 out of 10. Which letter of CLODIERS does this describe?
C = Character
R = Radiation
I = Intensity
S = symptoms
Choose the BEST option: When obtaining a History of Present Illness for a patient in pain, to ascertain information regarding the L of CLODIERS, ask the patient to:
Describe in detail the location of the pain.
Lie down so that you can perform a thorough examination of the pain
Recall what makes the pain worse.
Point to the exact location of the pain
What is the first thing you should do when you start taking a patient history?
Get an idea of why the patient is there (aka Chief complaint)
Ask the patient for how long they have been experiencing their illness
Introduce yourself to your patient and state your role as being a student.
Ask the patient about the intensity of their pain.
Your patient visits your office for a regular physical exam and is noted to have normal blood pressure. A week later, however, the patient is sent to the emergency room due to an elevated blood pressure leading to hypertensive urgency. You suspect that the patient evaded the diagnosis of hypertension due to the phenomenon known as:
Hypertensive emergency
White-Coat Hypertension
Masked Hypertension
Hypertensive Crisis
According to the USHHS, you need to do which two types of physical activities each week?
2 hours and 30 minutes of moderate intensity aerobic exercise and Muscle-strengthening exercise on 2 or more days a week that work all major muscle groups
2 hours and 30 minutes of moderate intensity aerobic exercise and 1 hour and 15 minutes of vigorous intensity aerobic exercise
2 hours and 30 minutes of moderate intensity aerobic exercise and eating a well-balanced diet consisting of plenty of fruits, vegetables, and whole grains
1 hour and 15 minutes of vigorous intensity aerobic exercise and eating a well-balanced diet consisting of plenty of fruits, vegetables, and whole grains
Which of the following statements is FALSE?
Some vaccinations are made from inactivated toxic compounds that cause illness
A protein subunit that is obtained from a microorganism can be used to make a vaccine
Some vaccinations consists of dead microorganisms
Once you get the vaccination for a certain disease you will always have lifelong immunity to that disease
Please state your name, homeroom number and the BEST email to reach you below (If you do not remember your homeroom, type "000"):
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