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A female patient complains of an enlarged thyroid gland, and protruding eye ball. Further evaluation reveals that the patient has hypertension, nervousness, and fine tremors of the hands. Which of the following medications should be ordered for the patient?


A) Propylthiouracil (PTU)
B) Levothyroxine (Synthroid)
C) Liotrix (Thyrolar)
D) Liothyronine (Cytomel)

E) All of the above
F) C) and D)

Correct Answer

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An elderly patient who complains of chest pain, dizziness, and shortness of breath is about to be connected to a cardiac monitor. To monitor lead III:


A) Place the positive electrode on the patient's left leg; the negative electrode on the patient's right leg.
B) Place the positive electrode on the left leg; the negative electrode on the left arm.
C) Place the positive electrode on the left arm; the negative electrode is placed on the right arm.
D) Place the positive electrode on the left side of the chest; the negative electrode is placed on the right arm.

E) None of the above
F) C) and D)

Correct Answer

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A patient is suspected to have Von Willebrand disease. The statements below are characteristics of the disease. Which of the following is incorrect?


A) It is a qualitative platelet defect.
B) vWF allows adhesion of platelets to a glycoprotein Ib-IX.
C) The deficiency is only moderate.
D) vWF functions independent of factor VIII.

E) C) and D)
F) A) and B)

Correct Answer

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The Bartholin gland is responsible for secreting mucus to lubricate the vagina. Where is it specifically located?


A) Anterior wall of the vagina
B) Above the urethral and vaginal opening
C) Below and to the left and right of the vaginal opening
D) Extends from the vulva to the cervix

E) A) and D)
F) A) and C)

Correct Answer

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A 27 year old man had a tonic-clonic seizure and fell down. While admitted, the patient had a recurrent episode of seizure. Which of the following is a priority during this event?


A) Diazepam at bedside
B) Oxygen at bedside
C) Tongue depressor at bedside
D) Restrain immediately

E) None of the above
F) A) and B)

Correct Answer

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An 80-year-old Hispanic woman attached to the ECG is diagnosed with myocardial infarction. Utilizing the ECG, an infarct is located on the base of the left ventricle. Which of the following arteries has been occluded?


A) Lateral branch of the circumflex artery
B) Marginal branch of the circumflex artery
C) Left anterior descending artery
D) Right coronary artery

E) None of the above
F) All of the above

Correct Answer

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Which of the following names layers of the skin from most superficial to deepest?


A) Epidermis, dermis, subcutaneous fatty tissue
B) Dermis, epidermis, subcutaneous fatty tissue
C) Epidermis, subcutaneous fatty tissue, dermis
D) Dermis, subcutaneous fatty tissue, epidermis

E) B) and D)
F) A) and B)

Correct Answer

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A female patient suspected of having a neurological deficit is contraindicated for magnetic resonance imaging if she has a history of:


A) Claustrophobia
B) Uncontrolled hypertension
C) Implanted defibrillator
D) Craniotomy

E) A) and B)
F) A) and C)

Correct Answer

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Which of the following groups of individuals has the greatest risk for celiac disease?


A) Asian
B) Native American
C) African Americans
D) Caucasians of European descent

E) B) and D)
F) All of the above

Correct Answer

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Which procedure is most helpful in screening for impotence?


A) Sexual history and physical examination
B) Serum testosterone
C) Penile blood pressure studies
D) Gonadotropin assay

E) A) and B)
F) A) and C)

Correct Answer

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A 45-year-old man is on chronic hemodialysis. Which of the following conditions is not linked to dialysis?


A) Infection of vascular access
B) Thrombosis
C) Steal syndrome
D) Hepatitis A

E) None of the above
F) C) and D)

Correct Answer

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Of the following lab values, which would be true in a case of iron deficiency anemia?


A) Decreased MCV and an increased RDW
B) Decreased MCV and an decreased RDW
C) Increased MCV and an increased RDW
D) Decreased MCV and an increased MCHC

E) B) and C)
F) A) and D)

Correct Answer

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A 70-year-old woman is scheduled to have a colonoscopy in the next three days. Pre-procedure instructions and actions would include:


A) A clear liquid diet started after midnight on the day before the test
B) Adequate cleansing of the colon is not necessary
C) NPO at least 6 hours before the procedure
D) The patient is positioned lying on the left side with the knees drawn up to the chest

E) A) and D)
F) A) and C)

Correct Answer

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A woman who is 20 weeks gestation has a risk to have which condition if she has a history of hypertension?


A) Anemia
B) Abruptio placenta
C) Placenta previa
D) Spontaneous abortion

E) C) and D)
F) B) and D)

Correct Answer

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An immobile patient presents with a decubitus ulcer in an area in which the top layer of the skin is missing. The ulcer is shallow with a pink to red base. These signs and symptoms describe an ulcer at stage ________ :


A) Stage I
B) Stage II
C) Stage III
D) Stage IV

E) A) and B)
F) B) and C)

Correct Answer

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Which of the following medications are not administered during the active phase of peptic ulcer disease?


A) Anti-cholinergics
B) Prostaglandins
C) Non-steroidal anti-inflammatories
D) Antacids

E) None of the above
F) A) and C)

Correct Answer

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An 18-year-old who had a recent fracture in the left leg is suspected of having compartment syndrome. Assessment findings would include the following signs and symptoms:


A) Pain with active movement, inability to perform passive movements, pallor
B) Pain with passive movement, inability to perform active movement, weakness
C) Pain with active movement, inability to perform passive movements, weakness
D) Pain with passive movement, inability to perform active movements, decreased sensation

E) B) and D)
F) A) and B)

Correct Answer

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A woman at 28 weeks gestation is administered with magnesium sulfate to control severe hypertension. The following findings indicate that the patient is experiencing magnesium sulfate toxicity except:


A) Blood pressure reading of 70/40
B) Respiratory rate of 10 breaths per minute
C) Knee jerk reflex +1
D) Seizures

E) A) and B)
F) None of the above

Correct Answer

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A patient has a known case of congestive heart failure. Upon assessment, the patient presents with oliguria, asterixis, confustion, and orthostatic blood pressure. The diagnosis was azotemia. What type of azotemia is the patient under?


A) Pre-renal
B) Renal
C) Postrenal
D) None of the above

E) B) and C)
F) A) and D)

Correct Answer

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Secondary hypertension refers to increased blood pressure caused by an existing condition. Each of these following endocrine disorders can contribute to secondary hypertension, except:


A) Cushing syndrome
B) Diabetes
C) Pheochromocytoma
D) Hypoaldosteronism

E) A) and D)
F) None of the above

Correct Answer

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