Question: 65-year-old with new resting tremor, shuffling gait, cog-wheel rigidity. Correct diagnosis?

Answer Choices:
A. Myasthenia Gravis
B. Parkinson’s Disease
C. Huntington’s Disease
D. Alzheimer’s Disease

Answer: B – Parkinson’s Disease

Question: 1-year-old boy with fever, bulging erythematous tympanic membrane and decreased hearing. Diagnosis?

Answer Choices:
A. Otosclerosis
B. Presbycusis
C. Otitis Media
D. Meniere’s Disease

Answer: C – Otitis Media

Question: An 18-year-old male with 10/10 testicular pain, high-riding testis, absent cremasteric reflex, negative Phren sign. Best diagnosis?

Answer Choices:
A. Orchitis
B. Testicular Torsion
C. Varicocele
D. Spermatocele

Answer: B – Testicular Torsion

Question: 32-year-old with dysmenorrhea and dyspareunia; CT shows endometrial glands in the myometrium. Best diagnosis?

Answer Choices:
A. Leiomyoma
B. Adenomyosis
C. Endometriosis
D. Cervical Cancer

Answer: B – Adenomyosis

Question: Which of the following associations is incorrect?

Answer Choices:
A. Cataracts – cloudy discoloration of the lens
B. Closed Angle Glaucoma – painless gradual loss of vision
C. Strabismus – one or both eyes are misaligned
D. Macular Degeneration – blurring/loss of central vision

Answer: B – Closed Angle Glaucoma – painless gradual loss of vision

Question: 45-year-old man with episodic tinnitus, aural fullness, hearing loss, and vertigo. Diagnosis?

Answer Choices:
A. Otosclerosis
B. Presbycusis
C. Otitis Media
D. Meniere’s Disease

Answer: D – Meniere’s Disease

Question: Which of the following is expected during menopause?

Answer Choices:
A. Low estrogen and progesterone
B. High FSH and LH
C. Decrease in bone density
D. Breasts lose firmness and shrink
E. All of the above are expected to occur during menopause

Answer: E – All of the above are expected to occur during menopause

Question: 24-year-old postpartum mother with rage toward her infant and suicidal thoughts. Diagnosis?

Answer Choices:
A. Dysthymia
B. Schizophrenia
C. Postpartum Depression
D. Major Depressive Disorder

Answer: C – Postpartum Depression

Question: 33-year-old woman with episodic visual disturbances, optic pain, limb clumsiness, Lhermitte’s sign. Which test to confirm?

Answer Choices:
A. MRI of the CNS
B. Edrophonium (Tensilon) Test
C. Copper and Ceruloplasmin levels
D. Chromosome analysis with excess CAG repeats on Chr 4

Answer: A – MRI of the CNS

Question: Which of the following testicular pathologies that does not transilluminate is known as an epididymal cyst?

Answer Choices:
A. Varicocele
B. Spermatocele
C. Hydrocele
D. Orchitis

Answer: B – Spermatocele

Question: The Mumps virus causes bilateral parotid swelling in both sexes and ____ in men but not in women.

Answer Choices:
A. Salpingitis
B. Oophoritis
C. Orchitis
D. Epididymitis

Answer: C – Orchitis

Question: A 6-year-old with Gower’s sign. Suspected condition?

Answer Choices:
A. Achondroplasia
B. Sickle cell anemia
C. Klinefelter Syndrome
D. Duchenne Muscular Dystrophy

Answer: D – Duchenne Muscular Dystrophy

Question: A 68-year-old woman with progressive six-year memory loss and wandering; histopathology shows?

Answer Choices:
A. Neurofibrillary tangles and beta-amyloid plaques
B. A urinary tract infection
C. Loss of dopamine-producing neurons in substantia nigra
D. Areas of cerebral ischemia secondary to atherosclerosis

Answer: A – Neurofibrillary tangles and beta-amyloid plaques

Question: During poker, a man has a 1-minute episode of lip smacking and confusion. What seizure type?

Answer Choices:
A. Complex Partial Seizure
B. Simple Partial Seizure
C. Absence Seizure
D. Tonic-Clonic Seizure

Answer: A – Complex Partial Seizure

Question: A 61-year-old female post-CVA speaks fluent but nonsensical language (e.g. “I do own a green pen, it yells at horses”). Best diagnosis?

Answer Choices:
A. Broca’s Aphasia
B. Alzheimer’s Disease
C. Retrograde Amnesia
D. Wernicke’s Aphasia

Answer: D – Wernicke’s Aphasia

Question: 16-year-old female with PCOS pre-treatment has what baseline labs?

Answer Choices:
A. Decrease Estrogen, Decrease FSH & Increase LH
B. Increase Testosterone & Increase LH
C. Decrease LH, Increase FSH, Increase Testosterone
D. Increase Estrogen, Increase Testosterone & Decrease LH

Answer: B – Increase Testosterone & Increase LH

Question: Which of the following is the most common cause of cervical cancer?

Answer Choices:
A. HPV
B. HIV
C. Chlamydia
D. Early sexual activity

Answer: A – HPV