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| Section | Objectives |
|---|---|
| Topic 1: Physician Activities | - Communication
|
| Topic 2: Dimensions of Care | - Psychosocial Aspects
|
1. A 62-year-old woman is taken to the operating room for an elective laparoscopic cholecystectomy. Induction of anesthesia triggers a severe hypertensive crisis that ultimately resolves after administration of a 5 mg bolus of phentolamine.
Which one of the following is most consistent with this presentation?
A) Increased thyrotropin (thyroid-stimulating hormone) level
B) Low urinary metanephrines
C) Elevated plasma catecholamines
D) High plasma cortisol
E) Low renal vein renin
2. A 21-year-old man presents to the office with persistent pain and swelling of the wrist 2 weeks after falling on his outstretched hand. Anteroposterior and lateral radiographs of the wrist taken at the time of the injury showed no evidence of fracture or dislocation. Which one of the following is the most likely cause of the patient ' s symptoms?
A) de Quervain tenosynovitis.
B) Undisplaced fracture of the distal radius.
C) Subluxation of the lunate bone.
D) Fracture of the carpal scaphoid.
3. A 19-year-old primigravid woman presents to the office with a rapid increase of abdominal girth and shortness of breath. Her pregnancy is at 27 weeks' gestation, as confirmed by early ultrasonogram. The symphysis-fundal height is 45 cm. The fetal heart rate is 150/min (110-160). Which one of the following is the most likely diagnosis?
A) Twin pregnancy.
B) Ovarian tumour and ascites.
C) Partial mole.
D) Polyhydramnios.
E) Fetal macrosomia.
4. A 26-year-old woman, gravida 2, para 2, aborta 0, has just delivered a full-term newborn via spontaneous vaginal delivery after 4 hours of labor. Following oxytocin administration and placental expulsion, there continues to be a steady trickle of bright red blood from her vagina. On examination, the placenta is intact and the fundus feels firm. Her vital signs are within normal range.
Which one of the following is the most likely diagnosis?
A) Uterine rupture
B) Vaginal or cervical tear
C) Uterine atony
D) Disseminated intravascular coagulopathy
E) Retained products of conception
5. An 18-year-old man presents to your clinic with a history of intermittent, dull, achy pain on the left side of his scrotum, and he has now noted left scrotal enlargement. On examination, you note a swelling in the left scrotum when he is standing that disappears when he is supine. Which one of the following is the most likely diagnosis?
A) Spermatocyte.
B) Hydrocele.
C) Intermittent testicular torsion.
D) Varicocele.
E) Cryptorchidism.
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: D | Question # 3 Answer: D | Question # 4 Answer: B | Question # 5 Answer: D |
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