Nokea
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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An 84-year-old male with a history of stroke without residual deficit, systolic heart failure, and type 2 diabetes presents to clinic for follow-up. He is independently living in a retirement community and still works part-time on a golf course. He currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID (twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily. He reports his last colonoscopy was 8 years ago, with no abnormality. He reports he is sexually active with men and women, engaging in receptive oral, receptive anal, and penetrative sex. He states he has had over three sexual partners in the last year with intermittent condom use.
- A. Urine testing
- B. Urine testing, blood testing
- C. Urine testing, blood testing, anal swab
- D. Urine testing, blood testing, anal swab, and oropharyngeal swab
Correct Answer: D
Rationale: Comprehensive STI testing is essential for anyone with multiple sexual partners and inconsistent condom use.
A patient arrives at the clinic appearing disheveled, with a flat affect and difficulty maintaining eye contact. Based on the general appearance assessment, which of the following conclusions might you draw?
- A. The patient is likely experiencing a physical illness.
- B. The patient may be suffering from a mental health issue.
- C. The patient is well-adjusted and healthy.
- D. The patient is simply tired.
Correct Answer: B
Rationale: A flat affect and difficulty maintaining eye contact are commonly associated with mental health issues, such as depression.
Which antihypertensive would be appropriate to prescribe for a hypertensive patient (B/P 150/95) in her third trimester?
- A. Candesartan
- B. Lisinopril
- C. Methyldopa
- D. Furosemide
Correct Answer: C
Rationale: Methyldopa is safe for use in pregnancy and is the preferred antihypertensive for hypertension during pregnancy.
What is the primary function of the hypothalamus in the human body?
- A. Regulating blood sugar levels
- B. Maintaining body temperature
- C. Producing hormones that control the pituitary gland
- D. Processing sensory information
Correct Answer: C
Rationale: The hypothalamus plays a key role in regulating the endocrine system, particularly through its control of the pituitary gland.
An 82-year-old woman with a history of hypertension and type 2 diabetes mellitus presents after collapsing at home. What diagnostic test should be done first?
- A. Complete blood count and basic metabolic panel
- B. A STAT noncontrast head computed tomography (CT)
- C. A two-dimensional echocardiogram
- D. Urinalysis
Correct Answer: B
Rationale: Noncontrast CT is essential for evaluating potential stroke.