Download BRATTON FAMILY MEDICINE-2007 השאלות ב* לא בטוח שהיו. תקנו אותי אם

BRATTON FAMILY MEDICINE-2007
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47. Which of the following forms of hepatitis does NOT have a chronic state?
A) Hepatitis A
B) Hepatitis B
C) Hepatitis C
D) Hepatitis D
*79. Which of the following organisms is responsible for the development of
pseudomembranous colitis?
A) Escherichia coli
B) Clostridium difficile
C) Pseudomonas aeruginosa
D) Methicillin-resistant Staphylococcus aureus
E) Enterococcus faecalis
*122. Which of the following medications is used for the treatment of pseudomembranous
colitis?
A) Metronidazole
B) Amphotericin B
C) Ketoconazole
D) Acyclovir
E) Intravenous vancomycin
136. Which of the following statements about diabetic retinopathy is true?
A) Proliferative retinopathy is associated with a poorer prognosis than nonproliferative
retinopathy.
B) Nonproliferative retinopathy is associated with neovascularization.
C) Symptoms of retinopathy usually begin with eye pain.
D) Diabetics should have eye examinations every 3 years.
E) Unfortunately, there is no treatment for diabetic retinopathy.
*138. Which of the following signs and symptoms are associated with Sjֳ¶gren's syndrome?
A) Hepatomegaly, chronic rhinitis, and palmar erythema
B) Keratoconjunctivitis, parotid gland enlargement, and xerostomia
C) Confusion, tremors, and peripheral neuropathies
D) Polycythemia, leukocytosis, and negative rheumatoid factor
E) Hyperextensibility of joints, iriditis, and glossitis
139. Which of the following is the most appropriate medication for the treatment of hypertension
in a diabetic patient?
A) ²‫־‬-Blocker
B) ACE inhibitor
C) Diuretic
D) Calcium-channel blocker
E) ‫־‬±-Blocker
142. A 62-year-old business executive with a history of migraines is noted to have hypertension;
otherwise, he is healthy. Which of the following is the best medication for the treatment of his
hypertension?
A) ²‫־‬-Blocker
B) Angiotensin-receptor blocker
C) ‫־‬±-Blocker
D) ACE inhibitor
E) Thiazide diuretic
*149. The most effective drug for the treatment of traveler's diarrhea is
A) metronidazole
B) tetracycline
C) ciprofloxacin
D) trimethoprim‫ג‬€“sulfamethoxazole (TMP-SMX)
E) doxycycline
*157. A 72-year-old female presents to the emergency room with the acute onset of right-sided
hemiplegia. She is conscious but confused and agitated. Blood pressure is measured at 210/110.
She has no cardiac findings. Appropriate management at this time should be
A) the administration of IV labetatolol
B) oral administration of clonidine
C) additional dose of her calcium channel blocker
D) sublingual nifedipine
E) observation
179. A high urinary sodium concentration in the presence of a low plasma osmolality is most
closely associated with
A) syndrome of inappropriate antidiuretic hormone (SIADH)
B) third-degree burns
C) hyperglycemia
D) prolonged diarrhea
E) water overload
190. Side effects of 3-hydroxy-3-methylglutaryl coenzyme A (HMG CoA) reductase inhibitors
include
A) chronic rhinitis
B) infertility
C) rhabdomyolysis
D) orthostatic hypotension
E) cataracts
195. A 24-year-old poorly controlled diabetic patient presents to your emergency room with
ketoacidosis, fever, pain, and purulent drainage of the sinuses with black eschar formation
affecting the nasal septum. The most likely diagnosis is
A) mucormycosis
B) cocaine use
C) chronic sinusitis
D) Pseudomonas infection
E) Staphylococcus infection
209. Which of the following is an effect of niacin use?
A) Increased LDL cholesterol
B) Increased triglyceride levels
C) Increased HDL cholesterol
D) Hypoglycemia
E) Decreased uric acid levels
214. Which of the following statements is true regarding ulcerative colitis?
A) There is transmural involvement of the bowel wall.
B) There are skipped areas of inflammation that may have a cobblestone appearance on
colonoscopy.
C) There is a smaller risk of developing intestinal cancer in comparison to Crohn's disease.
D) The area of involvement is localized to the colon and rectosigmoid area.
E) Aminosalicylic acid compounds are not effective in the treatment of ulcerative colitis.
215. A 60-year-old man presents with pain, swelling, and redness of the first metatarsal
phalangeal joint. His cardiologist recently prescribed hydrochlorothiazide for his hypertension.
The most likely diagnosis is
A) podagra
B) degenerative joint disease
C) rheumatoid arthritis
D) osteomyelitis
E) Morton's neuroma
218. A 60-year-old alcoholic man, currently being treated for gastritis, presents to the office with
painful breasts that appear enlarged. The most likely cause is
A) breast cancer
B) excessive calcium carbonate ingestion
C) cimetidine use
D) trauma
E) prolactinoma
223. Which of the following values is acceptable for a 65-year-old man who had a previous
coronary artery bypass graft?
A) Total cholesterol of 215 mg/dL
B) HDL cholesterol of 32 mg/dL
C) LDL cholesterol of 68 mg/dL
D) Triglycerides of 228 mg/dL
E) Blood glucose of 130 mg/dL
231. Which of the following laboratory results best support the diagnosis of subclinical
hypothyroidism?
A) Normal T4, low TSH
B) Normal T4, high TSH
C) Low T4, high TSH
D) Normal T4, normal TSH
E) Low T4, borderline low TSH
260. A blood urea nitrogen (BUN):creatinine level greater than 20 is associated with
A) dehydration
B) renal stones
C) bladder outlet obstruction
D) hypercalcemia
E) renal artery stenosis
*261. Which of the following tests is used in the initial evaluation of persistent hemoptysis?
A) Fiberoptic bronchoscopy
B) Chest radiograph
C) Upper gastrointestinal (GI)
D) MRI of chest
E) CT scan of chest
*292. A 60-year-old woman presents with complaints of diffuse proximal muscle pain, low-
grade fevers, and generalized fatigue. Laboratory findings include an elevated ESR and mild
anemia. The most likely diagnosis is
A) influenza
B) dermatomyositis
C) polymyalgia rheumatica
D) systemic lupus erythematosis
E) rheumatoid arthritis
294. Which of the following is associated with pseudogout?
A) Calcium pyrophosphate crystal deposition in the large joints
B) Lack of response with the use of colchicine
C) High uric acid levels
D) Lack of response with the use of anti-inflammatory medication
E) Negative birefringence seen with polarized microscopy
334. Which of the following conditions is often the first sign of amyloidosis?
A) Proteinuria
B) CHF
C) Cardiac arrhythmias
D) Rheumatoid arthritis
E) Night blindness
*362. A 40-year-old woman who is otherwise healthy presents to your office complaining of a
lump in her neck. On examination, she is found to have a firm 2-cm nodule associated with the
left lobe of the thyroid gland. Appropriate management at this time includes
A) ultrasound of the thyroid
B) thyroid uptake scan
C) fine-needle aspiration
D) radiation ablation
E) surgical excision
*355. A 78-year-old retired carpenter presents to your office complaining of gradually increasing
right-sided shoulder pain. The patient reports he is unable to sleep on his right side and has a
difficult time raising the right arm. Physical examination shows his shoulder's range of motion is
significantly restricted. X-rays of the shoulder show osteopenia of the humeral head. The most
likely diagnosis is
A) biceps muscle tear
B) adhesive capsulitis
C) multiple myeloma
D) subacromial bursitis
E) osteoporosis