Question 30:  Immunizations are an example of which type of prevention?

a. Primary
b. Secondary
c. Tertiary

Question 31: The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should take which of the following actions?

a. Repeat the test.
b. Refer to a nephrologist.
c. Measure the serum protein.
d. Obtain a blood urea nitrogen (BUN) and creatinine.

Question 32:  Which cranial nerve is afected in a patient with acerebrovascular accident who has difficulty chewing?

a. CN V

b. CN VII

c. CN IX

d. CN X

Question 33: Which of the following diagnostic tests should be ordered for a patient suspected of having bladder cancer?
a. KUB (kidneys, ureter, bladder) x-ray

b. Cystoscopy with biopsy

c. Magnetic resonance imaging (MRI)
d. Urine tumor marker (NMP22)

Question 34: The “B” in the ABCDEs of assessing skin cancer represents:

a. Biopsy. 

b. Best practice. 

c. Boundary.
d. Border irregularity.

Question 35: Which statement is true regarding driving and patients with a seizure disorder?

a. Once diagnosed with a seizure disorder, patients mustnever drive again.

b. After being seizure free for 6 months, patients may drive.

c. Each state has diferent laws governing driving forindividuals with a seizure disorder.

d. These persons may drive but never alone.

Question 36: Which high-density lipoprotein (HDL) level is considered cardioprotective?

a. Greater than 30

b. Greater than 40

c. Greater than 50
d. Greater than 60

Question 37: The most common etiologic organism for community-acquired pneumonia is:
 

A. Streptococcus pneumoniae
B. Beta hemolytic streptococcus
C. Mycoplasma
D. Methicillin resistant staphylococcus 

Question 38: Sandra has palpitations that occur with muscle twitching, paresthesia, and fatigue. What specific diagnostic test might help determine the cause?

a. Serum calcium

b. Electrocardiogram (ECG)

c. Thyroid-stimulating hormone test

d. Complete blood cell count

Question 39: A patient presents to the clinician with a sore throat, fever of 100.7?F, and tender anterior cervical lymphadenopathy. The clinician suspects strep throat and performs a rapid strep test that is negative. What would the next step be?

a. The patient should be instructed to rest and increase fluid intake as the infection is most likely viral and will resolve without antibiotic treatment.
b. Because the patient does not have strep throat, the clinician should start broad spectrum antibiotics in order to cover the offending pathogen.
c. A throat culture should be performed to confirm the results of the rapid strep test.
d. The patient should be treated with antibiotics for strep throat as the rapid strep test is not very sensitive.

Question 40: Patients with acute otitis media should be referred to a specialist in which of the following situations?
a. Concurrent vertigo or ataxia
b. Failed closure of a ruptured tympanic membrane
c. If symptoms worsen after 3 or 4 days of treatment
d. All of the above


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