Question: Sally with urinary urgency and frequency, sterile culture; cystoscopy would show?

Answer Choices:
A. Hunner’s Ulcers
B. Pseudocysts
C. Pseudopolyps
D. Bladder stones

Answer: A – Hunner’s Ulcers

Question: Locking/unlocking a door repeatedly before leaving is a(n):

Answer Choices:
A. Panic Attack
B. Nervous Tic
C. Obsession
D. Compulsion
E. Very normal activity…

Answer: D – Compulsion

Question: 60-year-old Hispanic male with 2-day LLQ burning pain, fever 100.1°F, tender LLQ, fast-food diet. Suspected underlying cause?

Answer Choices:
A. Celiac Disease
B. Diverticulitis
C. Crohn’s Disease
D. Hirschsprung’s Disease

Answer: B – Diverticulitis

Question: 42-year-old woman in Yuma with fever, night sweats, painful cough, tender leg nodules. Most likely diagnosis?

Answer Choices:
A. Chronic bronchitis
B. Valley Fever
C. Tuberculosis
D. Pneumonia

Answer: B – Valley Fever

Question: 35-year-old with acute pancreatitis from choledocholithiasis; autodigestion leads to ____ necrosis.

Answer Choices:
A. Fat
B. Coagulative
C. Liquefactive
D. Gangrene

Answer: A – Fat

Question: 15-year-old with hemarthrosis after minor trauma, aPTT ↑, PT & BT normal. Suspected deficiency?

Answer Choices:
A. Factor VIII
B. Factor X
C. vWF
D. Platelets

Answer: A – Deficiency in Factor VIII

Question: 12-year-old with sore throat then weeks later Coke-colored urine and periorbital edema; UA shows protein and blood. Diagnosis?

Answer Choices:
A. Acute post-infectious glomerulonephritis
B. Pyelonephritis
C. Mononucleosis
D. Acute lymphocytic leukemia

Answer: A – Acute post-infectious glomerulonephritis

Question: 70-year-old male with BPH, no urine output for 3 days, BUN:Cr 20:1; type of azotemia?

Answer Choices:
A. Pre-Renal Azotemia
B. Intra-Renal Azotemia
C. Post-Renal Azotemia

Answer: C – Post-Renal Azotemia

Question: 19-year-old female with 4 months of social withdrawal, disorganized speech, and government messages on TV. Most likely diagnosis?

Answer Choices:
A. Schizophrenia
B. Major Depressive Disorder
C. PTSD
D. Huntington’s Disease

Answer: A – Schizophrenia

Question: 70-year-old man with BPH, urinary retention, BUN:Cr = 20:1. What type of incontinence is associated with BPH?

Answer Choices:
A. Urge incontinence
B. Overflow incontinence
C. Stress incontinence
D. Idiopathic incontinence

Answer: B – Overflow incontinence

Question: 66-year-old with night sweats, weight loss, pancytopenia, prior lung cancer in remission; bone marrow biopsy shows?

Answer Choices:
A. Reed-Sternberg cells
B. Lymphoblast accumulation
C. Smudge cells
D. Myeloblast accumulation

Answer: D – Bone marrow overcrowding due to myeloblast accumulation

Question: A 22-year-old discovered three months post-cast removal that his arm looks smaller. Which adaptive change occurred?

Answer Choices:
A. Hyperplasia
B. Atrophy
C. Hypertrophy
D. Dysplasia

Answer: B – Atrophy

Question: 18-year-old with secretory diarrhea after eating trout, profuse watery stools despite fasting. Classification?

Answer Choices:
A. Motility Diarrhea
B. Secretory Diarrhea
C. Osmotic Diarrhea
D. Irritable Bowel Syndrome

Answer: B – Secretory Diarrhea

Question: WebMD’s 3-question screen (activity limitation, nausea, photophobia) diagnoses which headache?

Answer Choices:
A. Tension Type Headaches
B. Cluster Headaches
C. Migraine Headaches
D. Sinus Headache

Answer: C – Migraine Headaches

Question: 47-year-old obese female with RUQ pain, mild jaundice, negative Murphy’s; ultrasound shows CBD stone with dilation but no fever; labs: high bilirubin, AST, ALT; normal γGT, amylase, lipase; high PT. Best diagnosis?

Answer Choices:
A. Cholangitis
B. Cholecystitis
C. Choledocholithiasis
D. Cholelithiasis
E. Pancreatitis

Answer: C – Choledocholithiasis

Question: 44-year-old with melena, epigastric pain after small meals, H. pylori positive, normal enzymes and LFTs. Cause of symptoms?

Answer Choices:
A. Peptic Ulcer Disease
B. Pancreatitis
C. Appendicitis
D. Liver cirrhosis

Answer: A – Peptic Ulcer Disease

Question: Chronic alcoholic with jaundice, ascites, spider angiomata, AST:ALT = 1.5, low albumin, prolonged PT/aPTT. Best diagnosis?

Answer Choices:
A. Viral Hepatitis
B. Alcoholic Hepatitis
C. Cirrhosis
D. Wilson’s Disease

Answer: C – Cirrhosis