MN 568 FINAL EXAM ACTUAL EXAM 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES ALREADY GRADED A+ A 20-year-old woman Is seen in the clinic because her boyfriend was found to have gonorrhea which of the following as a treatment choice for gonorrhea <<<ANSWER Ceftriaxone Patient presents in the clini c with pain, tenderness, erythema, and swelling of his left great toe. The clinician suspects acute gout which of the following should the clinician expect to have in the test for this patient <<<ANSWER Elevated uric acid level Which of the following d ata is indicative of testicular Torsion <<<ANSWER absent cremasteric reflex What is the most common cause of generalize musculoskeletal pain and women ages 20 to 55 <<<ANSWER Fibromyalgia syndrome mesenteric infarction <<<ANSWER Patient presents with mid epigastric pain, LUQ radiating to back, mild to very severe pain. Also has associated nausea and vomiting diaphoresis, pain is wor se with lying supine. Physical assessment shows diminished bowel sounds and abdominal arteriogram. Urinary stones/kidney stones <<<ANSWER Patient presents with a colicky flank pain progressing to constant and severe radiating to the groin in both lower quadrant, patient has associated nausea vomiting fever chills and abdominal distention. Costovertebral angle tenderness hematuria; do urinalysis IVP and US intestinal perforation <<<ANSWER Patient presents with severe, parietal, diffuse pain; has asso ciated guarding, rebound tenderness, pain is relieved while lying still. Physical exam shows decreased bowel sounds, guarding, rebound tenderness; get abdominal x -
ray intestinal obstruction <<<ANSWER Patient presents with colicky right lower quadrant and left lower quadrant pain; has associated nausea vomiting, Anorexia, obstipation; physical exam shows hyperactive high -pitched bowel sounds are hypo active bowel sounds, get an abdominal x -ray Pancreatitis <<<ANSWER Patient presents with severe, visc eral, diffuse pain. Has associated hypotension tachycardia; pain is relieved by leaning forward. Physical exam shows abdominal distention, diminished bowel sounds, diffuse rebound tenderness; will have elevated amylase levels ectopic pregnancy <<<ANSWER Patient will present with persistent right lower quadrant pain or left lower quadrant pain. May have vaginal bleeding. Physical exam will show tender adnexal mass and will have a positive hCG test. Dissection or Rupture of Aortic Aneurysm <<<ANSWER P atient will present with ripping, tearing, intense pain in chest, abdomen, lower back. Will have associated hypotension, feelings of doom, shock. Physical exam will show shock, diminished femoral pulses; get x -ray and CT scan Peptic Ulcer Disease (PUD) << <ANSWER Patient presents with annoying pain in epigastric region radiating to the back, right shoulder, or side. Associated nausea, hunger; worse with empty stomach, alcohol, NSAIDs, ASA; relieved with food and antacids. Will have epigastric tenderness to palpation. Studies done is endoscopy and barium swallow gastroesophageal reflux disease (GERD) <<<ANSWER Patient will present with epigastric, retrosternal pain. This pain will be intermittent. Patient may have sour taste, low-grade bleeding, hoarse ness, pharyngitis; worse with bending at the waist, NSAIDs, ASA, alcohol, caffeine, recumbency; relieved with antacids. Test are barium swallow, upper G.I., esophageal endoscopy with biopsy gastritis <<<ANSWER Patient will present with epigastric pain that is constant. May have associated nausea, vomiting, diarrhea, fever, hemorrhage; worse with alcohol, NSAIDs, aspirin; is rarely worse with food salpingitis <<<ANSWER Patient will present with right lower quadrant and or left lower quadrant pain. Pa in will be worse around menstruation and when ascending stairs. There will be cervical motion and adnexal tenderness irritable bowel syndrome (IBS) <<<ANSWER Patient will present with left lower quadrant pain right lower quadrant pain the pain will be intermittent and recurrent. Will have associated diarrhea, mucus in store; worse with stress and eating; often relieved by defecation. There will be: tender to pa lpation; small bowel follow through to rule out other causes Inflammatory bowel disease (Crohn's disease, ulcerative colitis) <<<ANSWER Patient will present with pain in the right lower quadrant and left lower quadrant; may have diarrhea, weight loss, rectal bleeding, tenesmus, fever; worse with stress. Physical exam will show tenderness in the right lower quadrant left lower quadrant; order CBC with differential small bowel follow through (crohns) and a colonoscopy (UC) gastroenteritis <<<ANSWER Th is pain will be diffuse. May have associated nausea, vomiting, diarrhea, fever, chills; worse with food; relieved with vomiting or defecation. Physical exam will show hyperactive bowel sounds; stool ova and parasites, stool culture
