Deck 1: United States Medical Licensing Examination

Question 1

What does SCM stand for?

A)Severely chronic mastoid
B)Sexy coital movements
C)Sternocleidomastoid
D)Slow compression massage

Answer 1

Sternocleidomastoid

Question 2

Which of the following sexually transmitted diseases sometimes referred to as the silent STD and is more common than gonorrhea and a leading cause of PID?

A)genital herpes
B)trichomoniasis
C)syphilis
D)chlamydia

Answer 2

chlamydia

Question 3

Which of the following statements best defines shock?

A)decreased circulating blood volume
B)inability of the heart to pump blood
C)inadequate oxygen supply to vital organs
D)hemorrhage as a result of trauma

Answer 3

inadequate oxygen supply to vital organs

Question 4

Cancer is characterized by which of the following cell changes?

A)rapid proliferation
B)toxin production
C)increased differentiation
D)indiscriminate proliferation

Question 5

Where does the impaired blood flow in a patient with mitral valve regurgitation?

A)right atrium and right ventricle
B)left atrium and left ventricle
C)right ventricle and pulmonary vein
D)left ventricle and pulmonary artery

Question 6

A patient with left-sided heart failure will have which of the following signs or symptoms?

A)pedal edema
B)hepatomegaly
C)shortness of breath
D)jugular vein distension

Question 7

Each of the following are signs/symptoms one would find in a patient with non-Hodgkin lymphoma EXCEPT:

A)night sweats
B)malaise
C)fatigue
D)weight gain

Question 8

Which of the following bacteria is a grampositive cocci that commonly causes skin infection and abscess formation?

A)Staphylococcus aureus
B)Streptococcus bovis
C)Streptococcus viridans
D)Staphylococcus saprophyticus

Question 9

Tuberculosis (Mycobacterium) usually affects which system?

A)stomach (GI)
B)heart (cardiac)
C)lungs (respiratory)
D)skin (integumestary)

Question 10

In the movie, Without a Paddle, three men are in a cave in a cold environment. Why does to the fact that they huddle together remain an important method of their survival?

A)To maintain closeness
B)To cause embarrassment of their friends
C)To conserve their energy.
D)None of the above

Question 11

Joan was going through menopause and was suddenly feeling hot. What is the reason for her "hot flash"?

A)Hormonal trigger of vasomotor activity
B)Exercise
C)Stress
D)None of the above

Question 12

Hypohirodosis is a symptom of which disorder?

A)Cystic fibrosis
B)Ross's syndrome
C)Menopause
D)None of the above

Question 13

Which of the following cardiovascular disorders is most likely associated with abnormal pupillary responses (Argyll Robertson pupil)?

A)Aortic regurgitation
B)Coarctation of the aorta
C)Thoracic aortic aneurysm
D)Myocarditis

Question 14

Which of the following cardiovascular disorders is most likely associated with jugular venous distension and exophthalmoses?

A)Massive tricuspid regurgitation
B)Coarctation of the aorta
C)Thoracic aortic aneurysm
D)Myocarditis

Question 15

Flushing and paling of the nail beds (Quincke pulse) and a bounding radial pulse are typical physical findings found in which of the following cardiovascular disorders?

A)Tricuspid regurgitation
B)Coarctation of the aorta
C)Thoracic aortic aneurysm
D)Aortic regurgitation

Question 16

Conjunctivitis, urethral discharge, and arthralgia are common symptoms present in which of the following cardiovascular disease?

A)Tricuspid regurgitation
B)Coarctation of the aorta
C)Myocarditis
D)Aortic regurgitation

Question 17

Which of the following anemias are most often associated with pregnancy?

A)folic acid and iron deficiency
B)folic acid deficiency and Thalassemia
C)iron deficiency and Thalassemia
D)Thalassemia and B12 deficiency

Question 18

In alcoholics with anemia:

A)pernicious anemia is more common than folic acid deficiency
B)iron deficiency, folic acid deficiency may coexist
C)the alcohol interferes with iron absorption
D)oral vitamin replacement is contraindicated

Question 19

Each of the following is an RNA enveloped virus EXCEPT:

A)poliovirus
B)rubella virus
C)human T-cell leukemia virus
D)human immunodeficiency virus

Question 20

A decrease in which of the following is most directly related to the immunological failure?

A)antibody activity
B)cytotoxic T-cell function
C)mast cell degranulation
D)platelet aggregation

Question 21

One of the common complications of cellulitis is:

A)Cancer
B)Abscess
C)Regional spread
D)Pulpitis

Question 22

Vitamin C (ascorbic acid) deficiency (Scurvy) includes all of the following symptoms EXCEPT:

A)swollen gums
B)anemia
C)poor wound healing
D)Gangrene

Question 23

Which of the following is the most common cause of cyanosis within the first few weeks of life?

A)Atrial septal defect
B)Patent ductus arteriosus
C)Tetralogy of Fallot
D)Transposition of the great vessels
E)Ventricular septal defect

Question 24

The adrenal cortex producing insufficient corticosteroids is:

A)Nerve compression syndrome
B)Saal Bulas syndrome
C)Addison's disease
D)Peutz-Jeghers disease

Question 25

Which is an oral fungal infection?

A)Candidiasis
B)Superficial mycoses
C)Cutaneous mycoses
D)Subcutaneous mycoses

Question 26

Which of the following lesions is benign?

A)Candidiasis
B)Papilloma
C)Verruciform Xanthoma
D)Proliferated verrucous

Question 27

What disease is caused by cytotoxic cell-mediated hypersensitivity?

A)Aphthous ulcers
B)Penphigus vulgaris
C)Erythema multiforme
D)Lichen Planus

Question 28

Stevens-Johnson syndrome and TENs are variants of which disease?

A)Aphthous ulcers
B)Penphigus vulgaris
C)Erythema multiforme
D)Lichen Planus

Question 29

Which bacteria are gram-positive cocci?

A)Streptococcus spp
B)Staphylococcus spp
C)Streptococcus spp. and Staphylococcus spp
D)Veillonella spp. and Bacteroides spp

Question 30

Lou Gehrig's disease is a degenerative disease that affects upper and lower motor neurons and usually has all of the following clinical features EXCEPT:

A)Spasticity, hyperreflexia
B)Dysarthria, Dysphagia
C)Autonomic Dysfunction in approximately 1/3 of patients
D)Reduced or absent cognitive function

Question 31

Which of the following bacteria is implicated in the majority of sub acute bacterial endocarditis?

A)Streptococcus viridians
B)Streptococcus epidermidis
C)Staphylococcus aureus
D)Streptococcus sanguis

Question 32

Each of the following findings is consistent with multiple myeloma EXCEPT

A)increased platelet count
B)decreased white blood cell count
C)decreased red blood cell count
D)increased plasma cell count

Question 33

Which of the following forms of sterilization is adequate for killing hepatitis B?

A)Autoclaving
B)Ethylene oxide gas
C)Chemical vapor
D)Formaldehyde

Question 34

Ludwig angina involves all of the following fascial spaces EXCEPT:

A)sublingual
B)submandibular
C)submental
D)parapharyngeal

Question 35

Each of the following is a risk factor for atherosclerosis EXCEPT:

A)smoking
B)hypertension
C)premenopause
D)nephrosclerosis

Question 36

Which of the following skin neoplasms is benign?

A)Pigmented nevus
B)Squamous cell carcinoma
C)Melanoma
D)Keratocanthoma

Question 37

Which of the following is TRUE regarding the pathophysiology of shock?

A)There is a decrease in urinary output
B)The patient becomes hypertensive
C)There is an increase in blood flow
D)There is an increase in cardiac output

Question 38

The specific accumulation of serious fluid in the pericardial space is referred to as:

A)hemopericardium
B)acute pericarditis
C)constrictive pericarditis
D)hydro pericardium

Question 39

The process of capillary action to control temperature or react to control temperature is known as:

A)Vasoactive control
B)Vasopassive control
C)Vasomotor control
D)None of the above

Question 40

This system contains the largest organ of the human body, considered the first line of defense against invasion by foreign organisms and also regulates body temperature.

A)The integumentary system.
B)The skeletal system.
C)The circulatory system.
D)My buzzer doesn't work!

Question 41

In which of the following spinal areas would a ruptured disk be most likely?

A)Lumbar
B)Cervical
C)Thoracic
D)Sacral

Question 42

Which of the following vitamin deficiencies would you be concerned about for a woman who shows signs of osteoporosis?

A)Vitamin B12
B)Vitamin B6
C)Vitamin D
D)Vitamin C

Question 43

Which of the following anemias can only be diagnosed using a blood smear?

A)Iron deficiency anemia
B)Vitamin B12 deficiency anemia
C)Sickle-cell anemia
D)Both A and B

Question 44

Which of the following hormones should be evaluated to check the function of the thyroid gland?

A)T4
B)T3
C)PTH
D)Both A and B

Question 45

Which of the following segments of an EKG can remain abnormal weeks to months after an acute myocardial infarction?

A)Q
B)P
C)T
D)ST

Question 46

Which of the following tests can help you evaluate a patient's kidney function?

A)Blood urea nitrogen
B)Creatinine
C)Both A and B
D)Neither A nor B

Question 47

Which of the following tests will provide the best indicator of a diabetic's adherence to diet?

A)Hemoglobin A1C
B)Glucose plasma
C)Glucose urine
D)Both B and C

Question 48

Which of the following symptoms could indicate a bacterial infection?

A)Fever above 101°F
B)Elevated white blood cell count
C)Both A and B
D)Neither A nor B

Question 49

What is the heel bone called?

A)Patella
B)Calcaneus
C)Plantaris
D)Achilles

Question 50

Your level of health and vitality is most influenced by what?

A)Mood
B)Nutrition
C)Choice of friends
D)Immune system

Question 51

Flexion has what effect on the angel of a joint?

A)Decreases
B)Rotates
C)Inverts
D)Increases

Question 52

What does the bladder store?

A)Urine
B)Bile
C)Lymph
D)Blood

Question 53

Which of the following pairs of ducts connect to form the common bile duct?

A)Hepatic duct and pancreatic duct
B)Pancreatic duct and accessory pancreatic duct
C)Cystic duct and common hepatic duct
D)Accessory pancreatic duct and cystic duct

Question 54

Which of the following is not an example of erosive gastritis?

A)H. pylori
B)Trauma
C)Usage of non-steroidal anti-inflammatory drugs (NSAIDs)
D)Alcohol use

Question 55

Which of the following are conditions of malabsorption or maldigestion of lipids?

A)Cystic fibrosis
B)Chronic pancreatitis
C)Zolinger-Ellison syndrome
D)All of the above

Question 56

Which disease is characteristic of the body's inability to process gluten?

A)Celiac disease
B)Chron's disease
C)Ulcerative colitis
D)Tropical sprue

Question 57

Which of the following procedures or tests are considered standard screening tools for Colorectal cancer?

A)Fecal "occult" blood test
B)Colonoscopy
C)Sigmoidoscopy
D)All of the above

Question 58

Which of the following conditions are characterized by an abnormal increase in weight, liquidity, and/or frequency of bowel movements?

A)Cystic fibrosis
B)Pancreatitis
C)Hyperstoolaremia
D)Diarrhea

Question 59

Abnormal functioning of the pancreas can cause what effects on stool?

A)Creatorrhea
B)Steatorrhea
C)Amylorrhea
D)All of the above

Question 60

Which of the following is the reason why John's body is better able to acclimate to temperature than his new baby?

A)Age
B)Size
C)Composition
D)All of the above

Question 61

The Stefan-Boltzmann law of physics refers to:

A)The ability of the body to maintain temperature
B)The process of heat transfer from high to low
C)The process of the basal metabolic system
D)The hypothalamus and its processes

Question 62

Pepsinogen is an enzyme that, when released into the stomach, is activated by acid to form Pepsin. Pepsin is responsible for the hydrolysis of which substance?

A)Carbohydrates
B)Proteins
C)Lipids
D)All of the above

Question 63

Which of the following bones are considered part of the finger?

A)Metacarpal
B)Proximal phalanx
C)Both A and B
D)Neither A nor B

Question 64

Which of the following vaccinations is not recommended in the first 2 months of life?

A)Hepatitis B
B)DPT
C)Polio
D)Hepatitis A

Question 65

The following represents the primary behaviors of a newborn:

A)Sleeping
B)Crying
C)Eliminating
D)All of the above

Question 66

The process of being presented with a stimulus and remembering that stimulus is known as:

A)Remembrance
B)Cognition
C)Linguistance
D)Psychosis

Question 67

Early childhood is a particular stage in development considered to be what age range?

A)0-2
B)2-6
C)0-3
D)4-8

Question 68

Which portion of the stomach produces HCL?

A)Cardiac zone
B)Body
C)Pyloric zone
D)All of the above

Question 69

The shortest and widest portion of the small intestine is known as the:

A)Ileum
B)Jejunum
C)Duodenum
D)Villi

Question 70

The first part of the digestive process is known as the ________ phase and starts with the sight, smell or taste of food.

A)Neurogenic
B)Vagal
C)Gastric
D)Both A and B

Question 71

Gastrin plays an important role in digestion. Which of the following is not one of its roles?

A)Causes HCl release
B)Simulates motility
C)Stimulates hormone release
D)Inhibits Secretin

Question 72

Which of the following conditions is a high level of gastrin seen above 1000 ng/L?

A)Crohn's disease
B)GERD
C)Zollinger-Ellison syndrome
D)Esophagitis

Question 73

Aphthous ulcers cause:

A)Herpes simplex virus 2
B)Coxsackie virus
C)Cretinism
D)Clefts