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How many chains of lymph nodes should be assessed during a clinical examination?
- A. Five chains
- B. Seven chains
- C. Nine chains
- D. Eleven chains
Correct Answer: B
Rationale: Seven chains of lymph nodes are typically assessed during a clinical examination, including cervical, axillary, and inguinal regions.
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Ophthalmoscopic examination of a 40-year-old carpenter reveals a triangular thickening of the bulbar conjunctiva across the outer surface of the cornea. This condition is termed:
- A. Corneal arcus
- B. Corneal scar
- C. Pterygium
- D. Cataract
Correct Answer: C
Rationale: A pterygium is a growth of the conjunctiva over the cornea.
A pulsating mass may be an indication of...
- A. Strangulated hernia
- B. Incarcerated hernia
- C. AAA
- D. All of the above
Correct Answer: C
Rationale: A pulsating mass can indicate an abdominal aortic aneurysm (AAA), which is a critical condition.
When fluid accumulates between the visceral and parietal pleural spaces, the term used is:
- A. Pericardial effusion
- B. Pleural effusion
- C. Pleural empyema
- D. None of the above
Correct Answer: B
Rationale: Pleural effusion occurs when fluid collects in the pleural space.
Chronic bloody diarrhea could be suggestive of:
- A. Irritable bowel syndrome
- B. Crohn’s disease
- C. Hepatitis A
- D. Celiac disease
Correct Answer: B
Rationale: Chronic bloody diarrhea is common in inflammatory bowel diseases like Crohn’s disease.
Two years later Mr. Hunter reports progression of his urinary symptoms and desires “a pill to make this better.” His current IPSS is 17, with a bother score of 3 indicating moderate voiding symptoms with moderate impact on his quality of life. On review of systems he notes that his vision has worsened, especially in his left eye. His ophthalmologist has recommended cataract surgery. For which of the following medications would initiation of therapy be delayed until after cataract surgery?
- A. Finasteride
- B. Tamsulosin
- C. Tadalafil
- D. Oxybutynin
Correct Answer: B
Rationale: Tamsulosin may cause intraoperative floppy iris syndrome, so it is often delayed until after cataract surgery.