Transcript hematoma following taking blood

Sample Questions
Below there are ten blocks of questions. Select the
correct answer for the questions within each test
block.
Block I
A 70-year old female presents to your office with her two sons who
complain that their mother’s memory has been declining for the
last year. She is upset that they brought her in, but they state she is
worsening. Her son claims she first began losing her car keys, then
forgetting her grandchildren’s name, and now she wanders from
her home and cannot remember who she is and how to get back
home. They are really worried and are scared for her safety. Her
TSH, electrolytes, and blood glucose levels are within normal limits.
1. What is her diagnosis?
A. Alzheimer’s Disease
B. Pick’s Disease
C. Hyperthyroid
D. Schizophrenia
E. Major Depression
2. What is the cause of her illness?
A. Low T4 in the bloodstream
B. Decreased Acetylcholine binding to the postsynaptic receptors
C. Decreased Dopamine binding to the postsynaptic receptors
D. Increased Serotonin in the bloodstream
E. Epidural Hematoma
3. What tests can you run to diagnose her
illness?
A. CT of head and neck
B. Ultrasound of chest
C. Autopsy
D. CBC
E. Spinal tap
4 . How do you treat her illness?
A. Burr Hole
B. Metformin
C. Surgery
D. Cholinesterase inhibitors
E. Acyclovir
Block II
A 15-year old female presents to your office with her mother. The
mother is upset and claims her daughter is too thin and she never
eats, regardless of which meal is cooked or restaurant they go out
to eat at. The patient’s weight is 88 pounds and she is 5’4” tall.
5. What is her diagnosis?
A. Bulimia
B. Anorexia
C. Hypothyroid
D. Child Abuse
E. Anxiety
6. What is her best treatment plan?
A. Call Child Protection Services
B. Prescribe Benzodiazepine
C. Recommend 1000 calorie diet
D. Gastric Bypass Surgery
E. Hospital Admission
7. What is the cause of her illness?
A. Trying to please her mother
B. Trying to please her boyfriend
C. Poorly seasoned food
D. Medication adverse effect
E. H. pylori infection
Block III
A 30-year old female presents with amenorrhea. She claims her
menstrual cycle used to be every 28 days but then changed to every
2 months, and now she has not had a period in 4 months. She took
a home pregnancy test and it was negative. She has a 7-month old
son, who is healthy and was born at–term vaginally with significant
blood loss. She claims she is always cold and keeps gaining weight,
despite her efforts to lose weight.
8. What is her diagnosis?
A. Pregnancy
B. Hyperthyroid
C. Asherman’s Disease
D. Leiomyomas
E. Turner’s Syndrome
9. How did she get her disorder?
A. Hereditary
B. Pregnancy
C. Weight gain
D. Post-partum pituitary necrosis
E. Increased amounts of neurotransmitters
10. How do you treat her?
A. Delivery of baby
B. Control her blood glucose
C. OCPs
D. Lose weight
E. Replace hormones
Block IV
A 27-year old female presents to your office complaining of bloody
nipple discharge. She states she does not have any breast pain and
has not been injured at home or at work. She is married and has
one child who is attending daycare. She claims she feels well and
has not been around anyone who has been ill.
11. What is her diagnosis?
A. Intraductal Breast Papilloma
B. Inflammatory Breast Papilloma
C. Paget’s Disease
D. St. Mary’s nodules
E. Intralobular Breast Papilloma
12. What test would confirm your diagnosis?
A. Repeat Mammogram
B. Blood smear from nipple discharge,
Ultrasound of breasts, and Needle biopsy
C. Monthly breast exam
D. Frozen sample
E. Autopsy
13. Should she get a Mammogram done?
A. Yes, at first sign of discharge
B. Yes, every year beginning at age 25
C. No, she is too young because her breasts are
too dense
D. No because she does not feel ill
E. Not until she has breast pain
14. Which of the following is the best advice you
would give her after she is treated?
A. Wear 2 bras for better support
B. Check her CA-125
C. Bed rest for 2 weeks
D. Do monthly self-breast exams
E. Take ferrous sulfate tablets
Block V
A 70-year old female presents to your office for a follow-up visit.
She is a cancer patient who receives both Chemotherapy and
Radiation. Today she complains of chest pain when she swallows
solids and liquids. Her temperature is 101F, and she has lost ten
pounds since her visit last month.
15. What is her diagnosis?
A. GERD
B. H. Pylori infection
C. Candida esophagitis
D. Achalasia
E. Anorexia nervosa
16. What is the cause of her illness?
A. Immunosuppression
B. Immunocompetency
C. Eating raw meat
D. Dieting
E. Trying to please her husband
17. What is the treatment of her illness?
A. Penicillin
B. Acyclovir
C. Metronidazole
D. Griseofulvin
E. Nystatin
Block VI
A 300 pound female presents your office with right upper quadrant
pain. She states she has had this pain off and on for months, but
now it is worsening. She claims the pain is sharp and sometimes
wakes her from her sleep. The pain occurs in the daytime an hour
after eating at her favorite restaurant Kentucky Fried Chicken.
18. What is her diagnosis?
A. Cholecystitis
B. Choledocholelithiasis
C. Medication-induced cramps
D. Food poisoning
E. Appendicitis
19. What test would confirm your diagnosis?
A. X-ray
B. PET Scan
C. MRI
D. CT Scan
E. Ultrasound
20. What is the cause of her diagnosis?
A. Kidney Stones
B. Cholesterol Stones
C. Bowel obstruction
D. Volvulus
E. Intussusception
21. How do you treat your diagnosis?
A. Surgery
B. Weight gain
C. Weight loss
D. Sleep
E. Change diet
Block VII
A 17-year old female presents to your office with her parents. The mother
wants her daughter to have a complete physical before going off to
college. While talking to the family, you note the daughter has lost 15
pounds in the last 2 months, despite the fact that she eats and drinks
several times during the day and night. The daughter appears to be thin
and claims to eat and drink whatever and whenever she wants and still
loses weight without exercising. Her only complaint is she urinates several
times throughout the day, which has become more frequent over the last
few months. Her complete physical exam was normal and you collect
urine and blood samples to test. The daughter’s results were all within
normal limits, except there was glucose in her urine, and her blood
glucose level was 250.
22. What is the daughter’s diagnosis?
A. Diabetes Mellitus type I
B. Diabetes Mellitus type II
C. Central Diabetes Insipidus
D. Peripheral Diabetes Insipidus
E. Bulimia
23. How did she acquire her illness?
A. Ate too much sugar in diet
B. Insulin resistance
C. Autoimmune disorder
D. Obesity
E. Anorexia
24. Are there different types of her illness?
A. Yes, there are only 2 types of Diabetes Mellitus
B. Yes, there are 4 types of Diabetes Mellitus
C. No, there is only one type of Diabetes
D. No, there is only one type of Bulimia
E. No, there is only one type of Anorexia
25. How do you treat her illness?
A. Metformin
B. Metformin and Glyburide
C. Acarbose
D. Insulin
E. Insulin and Metformin
Block VIII
A 20-year old male presents in the ER with a broken right leg and
hip after falling off his motorcycle when he hit a rock. After
confirming with multiple X-rays of his body, you take him to surgery
to repair his broken bones and admit him to the hospital. The
following night he experiences shortness of breath and dies before
the night is over.
26. What is his cause of death?
A. Leg pain
B. Radiation overload
C. Fat embolus
D. Epidural hematoma
E. Pneomothorax
27. Why did he have shortness of breath?
A. Spontaneous Pneomothorax
B. Atelectasis
C. Central lung cancer
D. Fat embolus dislodged from his leg and went
to his lungs
E. Pillow suffocation
28. Could his death have been prevented?
A. Yes, because he should have been on 24 surveillance
and on anticoagulants
B. Yes, because his problem should have been detected
on previous X-rays
C. Yes, because his problem should have been repaired in
surgery
D. No, because his problem is undetectable
E. No, because he was dead on arrival
Block IX
A 47-year old African-American woman presents to the ER
with left hip pain after she fell in her bathtub this
morning. You discover on her X-ray a fracture and signs of
osteoporosis, so you send her to surgery to repair the
fracture and refer her for a DEXA Scan. She states her
current medications are Hydrochlorothiazide for her
Hypertension and Tamoxifen for her Breast Cancer
treatment, along with Multivitamins and Fiber
Supplements.
29. How did she development Osteoporosis?
A. Side effect of Hydrochlorothiazide
B. Side effect of Tamoxifen
C. Breast cancer metastasis
D. Slipped Capital Femoral Epiphysis
E. Avascular necrosis of the hip
30. Could her Osteoporosis have been prevented ?
A. Yes if she had stopped taking Hydrochlorothiazide
earlier
B. Yes because Tamoxifen can be substituted with another
drug
C. No because breast cancer metastases to bone first
D. No because osteoporosis is hereditary
E. No because the radiation from X-ray and DEXA Scan
already caused damage
31. What are the usual risk factors for
Osteoporosis?
A. Males, large-frame, tall
B. Males, small-frame, short
C. Females, large-frame, non-smoker
D. Female, small-frame, smoker
E. Female, young, Asian
Block X
A 22-year old man presents to your office with a persistent cough.
He has tried various cough suppressants but nothing has seemed to
work. He has not been around anyone who has been sick but he did
visit Jamaica after graduating from college 3 months ago. He also
claims he has a hard time sleeping because the coughing keeps him
up, as well as experiencing night sweats.
32. What is his diagnosis?
A. Tuberculosis
B. Pneumonia
C. Chronic Bronchitis
D. Emphysema
E. Lung Cancer
33. How do you test for his diagnosis?
A. Sputum culture
B. PPD, X-ray, Bronchial Lavage
C. Lung biopsy
D. Chloride sweat test
E. CT of chest
34. How do you treat his disorder?
A. TB medications
B. Chemotherapy
C. Removal of lung
D. Bronchoscopy
E. Robitussin