Question: A 24-year-old female brings her 1-month-old baby girl to her pediatrician for her 2nd round of Hepatitis B vaccinations. At the visit, the mother asks the pediatrician if it is normal to occasionally have feelings of rage and hatred towards your child. When asked if she has ever acted on these thoughts, she says, “I almost did, but I stopped.” She also admits to occasionally having suicidal thoughts. Which of the following diagnosis will the pediatrician make?
Answer Options:
A. Dysthymia, B. Schizophrenia, C. Postpartum Depression, D. Major Depressive Disorder.
Answer: C. Postpartum Depression
Question: Which of the following testicular pathologies that does not transilluminate, is known as an epididymal cyst?
Answer Options:
A. Varicocele, B. Spermatocele, C. Hydrocele, D. Orchitis.
Answer: B. Spermatocele
Question: A 44-year-old male who presents with melena and persisting epigastric pain that goes to a 10/10 after eating just a few bites of food. Clinical history reveals that he is a smoker and a weekend binge drinker. Lab tests show slight leukocytosis, normal amylase and lipase enzymes, normal bilirubin and normal AST and ALT. Physical exam is negative for abdominal rebound tenderness, negative for Murphy’s sign, and the H. Pylori breath test is positive. What is the most likely cause of the patient’s symptoms?
Answer Options:
A. Peptic Ulcer Disease, B. Pancreatitis, C. Appendicitis, D. Liver cirrhosis.
Answer: A. Peptic Ulcer Disease
Question: A 33-year-old female has been having issues with her vision for the past year. Sometimes she gets blurry vision, other times double vision, and sometimes her eyes hurt when she moves them. She mentioned that she’s been clumsy lately, such as dropping things or tripping while walking. She sometimes feels like there is an electrical sensation running up and down her back and into her arms. Which of the following tests would you run to confirm your diagnosis?
Answer Options:
A. MRI of the CNS, B. Edrophonium (Tensilon) Test temporarily alleviates the symptoms, C. Copper and Ceruloplasmin levels, D. Chromosome analysis with excess CAG repeats on Chr 4.
Answer: A. MRI of the CNS
Question: A 19-year-old female is brought to the clinic by her roommate because she has been “acting strange” for the past 4 months. The patient’s grades have been slipping and she does not talk as much as she did at the beginning of the semester. The roommate says that when the patient does talk, she strays from the topic and is hard to follow. During the interview, the patient says a television reporter told her that the government had a special message for her and she should listen to the radio for further instructions.
Answer Options:
A. Schizophrenia, B. Major Depressive Disorder, C. Post Traumatic Stress Disorder, D. Huntington’s Disease.
Answer: A. Schizophrenia
Question: A 32-year-old female is at the OB/GYN with a chief complaint of dysmenorrhea. The pain only occurs during menses and intercourse. A CT scan of the pelvis is done and the radiologist’s report shows the presence of glandular endometrial tissue in the myometrium of the uterus. Which of the following is the best diagnosis?
Answer Options:
A. Leiomyoma, B. Adenomyosis, C. Endometriosis, D. Cervical Cancer.
Answer: B. Adenomyosis
Question: Which of the following electrolyte imbalances is associated with tetany, testing positive for Chostek sign and Trousseau signs, and typically shows a long QT interval on EKG?
Answer Options:
A. Hypokalemia, B. Hypocalcemia, C. Hyperkalemia, D. Hypercalcemia.
Answer: B. Hypocalcemia
Question: A 16-year-old female is at her doctor for her yearly checkup. She is 5″11′, 180 lbs., vitals are all normal. On physical exam, the doctor notices she has a moderate amount of acne and noticeable hair growth around her upper lip, cheeks, and chin. When asked about her menses, she says that she sometimes goes a few months without a period and that her cycle is unpredictable. She never mentioned it because it doesn’t really affect her life. The doctor orders an ultrasound of her ovaries and notices a “string of pearls” appearance on them. The doctor has enough information now to diagnose her with Polycystic Ovarian Syndrome and writes her a prescription for the OCPs (oral contraceptive pills) Aldactone and Metformin. He orders some blood work as a baseline so he can verify that the treatment is working. Which of the following would you expect to see in this patient before treatment is started?
Answer Options:
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: Grave’s Disease, hypothyroidism due to a pituitary adenoma, and tertiary hypothyroidism all have what in common?
Answer Options:
A. High TRH levels, B. Decreased T3, T4 levels, C. Increased TSH levels, D. Decreased TSH levels.
Answer: D. Decreased TSH levels
Question: A 70-year-old male with a history of benign prostatic hyperplasia (BPH) has been having issues with incontinence for the past few years. He is at the doctor’s office today because he has not urinated in 3 days and has significant suprapubic pain. His BUN and creatinine are both elevated in his blood and has a BUN
ratio of 20:1.
Answer Options:
A. Urge incontinence, B. Overflow incontinence, C. Stress incontinence, D. Idiopathic incontinence.
Answer: B. Overflow incontinence
Question: A 66-year-old female has not been feeling well for the past 3 days. Before the medical assistant (MA) takes the patient’s vitals, they notice that she has lost 13 lbs. since her last visit, 3 months ago. Her temp is 101°F, respiration rate is 26 [N: 12-20], pulse is 118 [N: 60-100 bpm]. The MA draws 5 blood tubes and notices it took much longer than usual for the puncture site to stop bleeding. The physician asks her a lot of questions and learns that she has been having night sweats for the past few nights, and that her energy level has been getting worse and worse for the past 6 weeks. She’s been losing weight but swears she has been eating more than normal. On physical exam, the physician notices her gums are pale, with noticeable petechial hemorrhaging. Her liver and spleen are unremarkable. No lymphadenopathy. Past Medical History: Lung cancer in 2016, 4 years in remission after 3 rounds of chemoradiation. The physician puts a STAT order on the patient’s blood work, and gets the results back in 90 minutes. The MA calls the patient back into the room for the consultation where the physician explains that her red blood cell count is low, her platelet count is low, and that her neutrophil count is low. The physician just so happens to be board certified in hematology, and orders a bone marrow biopsy. Which of the following would you expect to find in the bone marrow on the pathologist’s report?
Answer Options:
A. Reed-Sternberg cells present in the bone marrow, B. Bone marrow overcrowding due to lymphoblast accumulation, C. Smudge cells present in the bone marrow, D. Bone marrow overcrowding due to myeloblast accumulation.
Answer: D. Bone marrow overcrowding due to myeloblast accumulation
Question: Which of the following types of hepatitis may be contracted through blood?
Answer Options:
A. Hepatitis A, B. Hepatitis B, C. Hepatitis C, D. Hepatitis A & Hepatitis B, E. Hepatitis B & Hepatitis C, F. Hepatitis A & Hepatitis C.
Answer: E. Hepatitis B & Hepatitis C
Question: A 61-year-old female is brought to her physician’s office by her son. He tells the physician that his mother has been acting very strange and she isn’t making any sense ever since her recent CVA. The patient used to be a very social person and spoke fluently, but only about 3% of what she now says makes any sense. When asked how she is feeling today, her response is, “I do own a green pen, it yells at horses.” Which of the following is the best diagnosis?
Answer Options:
A. Broca’s Aphasia, B. Alzheimer’s Disease, C. Retrograde Amnesia, D. Wernicke’s Aphasia.
Answer: D. Wernicke’s Aphasia
Question: SIADH is associated with:
Answer Options:
A. Decreased serum osmolarity and increased urine osmolarity, B. Increased serum osmolarity and decreased urine osmolarity, C. Increased serum osmolarity and increased urine osmolarity, D. Decreased serum osmolarity and decreased urine osmolarity.
Answer: A. Decreased serum osmolarity and increased urine osmolarity
Question: A group of 30-year-old men are all playing poker one night. In poker, it is normal to take your time when it is your turn to determine if you wish to play or fold. At one point in the night, when it is Jimmy’s turn to bet, check, or fold, he seems very confused. He is smacking his lips, pulling on his shirt, and is not paying attention to anyone. He does this for about a minute, followed by him being very confused about where he is and why everyone is staring at him. Which of the following types of seizures has Jimmy experienced?
Answer Options:
A. Complex Partial Seizure, B. Simple Partial Seizure, C. Absence Seizure, D. Tonic-Clonic Seizure.
Answer: A. Complex Partial Seizure
Question: A 42-year-old woman lives in Yuma, AZ with her husband and teenage son. She is brought to urgent care by her husband because she is experiencing a high fever, night sweats, chills, and a painful cough. The patient denies coughing up blood and phlegm. While the doctor is doing the physical exam, they notice that the patient has several tender nodules on both legs. Which of the following is the most likely diagnosis for this patient?
Answer Options:
A. Chronic bronchitis, B. Valley Fever, C. Tuberculosis, D. Pneumonia.
Answer: B. Valley Fever
Question: Which of the following is the most common cause of cervical cancer?
Answer Options:
A. HPV, B. HIV, C. Chlamydia, D. Early sexual activity.
Answer: A. HPV
Question: A 65-year-old male is at the doctor’s office for his yearly physical exam. The doctor immediately notices the patient’s hands are shaky. The patient can’t remember when the shaking started, and the doctor’s note from his previous visit last year didn’t show any tremors. He asks the patient to walk across the room and the patient is very slow to get up and very slow to take his first step. While he is walking slowly, his gait can be described as shuffling. When testing his musculoskeletal strength, he has increased muscle tone with cog-wheel rigidity. Which of the following is the correct diagnosis?
Answer Options:
A. Myasthenia Gravis, B. Parkinson’s Disease, C. Huntington’s Disease, D. Alzheimer’s Disease.
Answer: B. Parkinson’s Disease
Question: WebMD.com has a 3-question survey to see if you suffer from a specific type of headache: 1. Has a headache limited your activities for a day or more in the last three months? 2. Are you nauseated or sick to your stomach when you have a headache? 3. Does light bother you when you have a headache? Which of the following types of headaches would this questionnaire be helpful in diagnosing?
Answer Options:
A. Tension Type Headaches, B. Cluster Headaches, C. Migraine Headaches, D. Sinus Headache.
Answer: C. Migraine Headaches
Question: The Mumps virus causes bilateral parotid gland swelling in both men and women. It also causes _ in men, but not in women.
Answer Options:
A. Salpingitis, B. Oophoritis, C. Orchitis, D. Epididymitis.
Answer: C. Orchitis
Question: A 60-year-old Hispanic male presents to the emergency department with a chief complaint of left lower quadrant abdominal pain. The pain has gotten worse over the past 2 days and is now a 9/10 on the pain scale. Patient describes the pain as burning and it does not radiate. No change in body position makes the pain better or worse. His diet consists of a lot of fast food and no vegetables. Temperature is 100.1 °F. Tenderness to palpation in the LLQ is noted on physical exam. Which of the following do you suspect is the underlying cause of the patient’s condition?
Answer Options:
A. Celiac Disease, B. Diverticulitis, C. Crohn’s Disease, D. Hirschsprung’s Disease.
Answer: B. Diverticulitis
Question: A 35-year-old female is diagnosed with acute pancreatitis due to a Choledocholithiasis occluding her pancreatic duct. Her pancreatic cells are releasing amylase and lipase, which will auto digest the pancreatic tissue, leading to necrosis.
Answer Options:
A. Fat, B. Coagulative, C. Liquefactive, D. Gangrene.
Answer: C. Liquefactive
Question: A 60-year-old male with a past medical history of high total cholesterol, high LDL, and low HDL is brought to the emergency room with a chief complaint of chest pain. The pain started 4 hours ago and has not gotten better despite the EMT putting a nitroglycerin patch on his chest 30 minutes ago. The patient says it feels like an elephant is sitting on his chest. His forehead appears diaphoretic; he is in acute distress with dyspnea and pain. Both his mother and father died of complications related to a heart attack in their 80s. The patient has smoked 1 pack of cigarettes every day for the past 40 years and occasionally smokes crack on the weekends. An EKG and cardiac enzymes are ordered. Results are below: Myoglobin – HIGH, Troponin I – HIGH, CK-MB – HIGH
Answer Options:
A. STEMI, B. NSTEMI, C. Unstable Angina, D. Stable Angina / Angina Pectoris.
Answer: A. STEMI
Question: An 18-year-old GCU freshman goes camping and fishing up in Prescott, AZ for the weekend. He catches 3 river trout, cooks them over the campfire, and eats them for dinner. Approximately 5 hours after his dinner, he awakes from his sleep with an urgent need to defecate. He finds a tree to perch up against and proceeds to unload voluminous diarrhea. After 2 minutes of sweating, straining, swearing, and suffering, he comes to the conclusion that he contracted a parasite from his dinner and that he should have cooked the fish longer. Shortly after this revelation, he proceeds to vomit and defecate at the same time. Which of the following would be the best classification of the diarrhea?
Answer Options:
A. Motility Diarrhea, B. Secretory Diarrhea, C. Osmotic Diarrhea, D. Irritable Bowel Syndrome.
Answer: B. Secretory Diarrhea
Question: What are clinical manifestations of hypothyroidism?
Answer Options:
A. Intolerance to heat, tachycardia, and weight loss, B. Oligomenorrhea, fatigue, and warm skin, C. Restlessness, increased appetite, and metrorrhagia, D. Constipation, decreased heart rate, and lethargy.
Answer: D. Constipation, decreased heart rate, and lethargy
Question: A 55-year-old male with a 25 year history of chronic alcoholism presents to the ED with a chief complaint of bright red hematemesis. On physical exam, jaundice of the skin, eyes, and mucus membranes is present. Other notable findings are gynecomastia, hepatosplenomegaly, ascites, and spider angiomas. Labs are ordered. Which of the following is the best diagnosis?
Answer Options:
A. Viral Hepatitis, B. Alcoholic Hepatitis, C. Cirrhosis, D. Wilson’s Disease.
Answer: B. Alcoholic Hepatitis