Bio-Medicine NCCAOM Board Exam: Questions With
Complete Solutions (A+) A patient says he's going to commit suicide, what should do? Right Ans - Have Pt. Sign a "No Self-Harm" contract and refer to primary care phsician on a semi-urgent basis.Young man had very high energy, and didn't have to sleep much just a
couple days ago, now feeling exhausted and sad. Diagnosis: Right Ans -
Bipolar disorder 65 years male is living in nursing house after 6 months of post stroke, he doesn't like talk to anyone, social withdraw; doesn't like to move and like to lie down in the bed; he rather thinks him little and forget him. What do you suspect? Right Ans - Depression Which one is example of abuse? Right Ans - Retinal hemorrhage in infant (baby shaking) Child abuse reporting process, what type of law? Right Ans - Varies state by state Mom brought a kid to clinic, kid has ear infection, during intake mom told you the kid don't like to talk to other people and don't like to play with other people, what is your diagnosis for kid? Right Ans - Child Abuse Confused elderly suspects someone in his health care steals his money, and patient said don't tell anybody. Your response? Right Ans - Call social worker Domestic violence Right Ans - Encourage patient seeking for legal consultant and consider keep away form abusive partner.McBurney sign Right Ans - Tender point in right lower abdomen of a patient with appendicitis.Patient with lower right quadrant abdominal pain Right Ans - Appendicitis 1 / 4
Diverticulitis case study, it asked about what test would you use to
diagnose it: Right Ans - CT scan
Patient has abdominal pain is aggravated when defecting? Right Ans - Aortic aneurysm Patient has diarrhea and constipation, stools show mucus and blood, why is
the diagnosis: Right Ans - Ulcerative Colitis
Which drug category will you select if you want to reduced gastric acid in the stomach? Right Ans - Antacids What is the test for Drug and Herb metabolism? (In liver is involved in drug metabolism) Right Ans - Cytochrome Benzodiazepines are used for what? Right Ans - Anti-anxiety, relax muscle, help insomnia, muscles spasms, seizure. = BZD (-zepam) Tardive dyskinesia and extrapyramidal syndrome are side effect of what kind of medications? Right Ans - Antipsychotic What disease is the most common causing renal failure in US? Right Ans
- Type I diabetes
Group A B-hemolytic streptococcus infection is responsible for? Right Ans - Glomerulonephritis Erectile dysfunction is due to Right Ans - Organic or psychosomatic Adverse effects from drugs that treat ED? Right Ans - Hypotension
Adverse effects of Erectile Dysfunction drugs: Right Ans - Stuffy and
runny nose A patient was pricked by a thorn in yard, symptoms occur next day-fever, chills, redness swollen and tenderness. What to suspect? Right Ans - Cellulitis 2 / 4
Woman gets a splinter from wooden branch, the next day started spreading around the wound area, wound becomes red, swollen and sore grows in size, warm and tender upon touch, what problem does this patient have?Right Ans - Cellulitis
Case: Patient presents with highly contagious bacterial skin infection, red
sore near the nose or mouth which soon breaks, leaking pus or fluid, what do you suspect? Right Ans - Impetigo One kindergarten teacher has red on his trunk and 4 limbs, the blister with fluid filled. What is your diagnosis? Right Ans - Chickenpox A two year old boy is brought by his parents to the clinic with a 3 day history of fever, listlessness, and a cough. Physical examination reveals a lethargic child with a congested throat. Tiny irregular red spots with central bluish-white specks (Koplik's spots) are found in his buccal mucosa, Macupapular skin rashes are also visible over the body. What is the most likely medical diagnosis? Right Ans - Measles A 20 year old college student presents with fever, sore throat, and fatigue.Upon examination enlarged lymph nodes are found in the poster lateral neck. What is the most likely medical diagnosis? Right Ans - Infectious mononucleosis Most common pathogen for PID (pelvic inflammatory disease) Right Ans
- Chlamydia and Gonorrhea
CNT: Universal Precautions should be taught to: Right Ans - All employees with occupational exposure to blood borne pathogens
Fatigue, night sweats, weight loss: Right Ans - Need to rule out cancer
67 old man with cachexia. What does it suggest? Right Ans - Probably Cancer
Reasons for EPO increase: Right Ans - Anemia
Which Vitamin helps iron deficiency anemia: Right Ans - Vitamin C 3 / 4
Which one of these is a risk factor for blood clots? Right Ans - Pregnancy If taking anticoagulant avoid which supplement? Right Ans - Vitamin K What is primary cause of secondary hypertension? Right Ans - Renal and endocrine diseases What category of drugs has side effect of muscle ache (myalgia)? Right Ans - HMG-CoA redactase inhibitor
Chronic Diabetic patient testing to check blood sugar level: Right Ans -
HbA1C hemoglobin What hormone spikes during ovulation ? Right Ans - LH = Luteinizing hormone What hormone is elevated in menopause? Right Ans - FSH = Follicle stimulating hormone Patient has PCOS, infertility, she is overweight, w/irregular periods what other symptoms Right Ans - Insulin Resistance
- year-old boy with acute wheezing but without other symptoms, sister has
asthma history and acupuncture treatment helps her. Based on the age and
information, you suspect: Right Ans - Foreign object in airway
What conditions causes "Prolonged expiration"? Right Ans - Asthma
CPK levels indicate: Right Ans - Heart damage
Woman calf lesion, enlarge over one day, red swollen, suspect: Right Ans
- DVT
- / 4
12 hours flight, presents with calf pain. Check for what? Right Ans - DVT Patient suspected to have a DVT, what is the best way to confirm. Right Ans - Doppler Ultrasound