Question 1

What does the ACTH stimulation test accomplish?

Accepted Answer

A)   Differentiates between primary and secondary hyperparathyroidism
B)   Differentiates between hyper- and hypothyroidism
C)   Differentiates between Cushing disease and syndrome
D)   Differentiates between primary and secondary Addison disease D

Question 2

Which of the following clinical features are included in the assessment for initial signs of hypoglycemia?

Accepted Answer

A)  Pallor, blurred vision, weakness, behavioral changes
B)  Frequent urination, flushed face, pleural friction rub
C)  Abdominal pain, diminished deep tendon reflexes, double vision
D)  Weakness, lassitude, irregular pulse, dilated pupils A

Question 3

Which of the following findings is associated with right-sided heart failure?

Accepted Answer

A)  Shortness of breath
B)  Nocturnal polyuria
C)  Daytime oliguria
D)  Crackles in the lungs B

Question 4

Which of the following is NOT considered one of the signs and symptoms of hyperkalemia?

Accepted Answer

A)  abdominal cramps
B)  constipation
C)  tachycardia and later bradycardia
D)  oliguria

Question 5

If the diagnosis of Hodgkin's disease were correct, which of the following cells would the pathologist expect to find?

Accepted Answer

A)  Reed-Sternberg cells
B)  Lymphoblastic cells
C)  Gaucher's cells
D)  Rieder's cells

Question 6

Which of the following cells differentiates into osteoblasts that form bone for remodeling and repair?

Accepted Answer

A)  Osteoclasts
B)  Osteogenic cells
C)  Osteons
D)  Osteocytes

Question 7

Which hypersensitivity reaction is associated with Goodpasture's syndrome?

Accepted Answer

A)  Type I: immediate
B)  Type II: cytotoxic
C)  Type III: immune complex
D)  Type IV: cell mediated

Question 8

An old patient presents with recurrent chest pain that goes away after a couple of minutes if he stops and rests. He also states that the pain has not increased in frequency or duration in the last several months. What is the correct diagnosis for this patient?

Accepted Answer

A)  Stable angina
B)  Unstable angina
C)  Atypical angina
D)  Prinzmetal's angina

Question 9

In the patient with hepatic encephalopathy, which dietary component will be restricted?

Accepted Answer

A)  carbohydrates
B)  protein
C)  vitamins
D)  minerals

Question 10

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

Accepted Answer

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

Question 11

Which of the following surgeries may be performed as treatment for thrombocytopenia?

Accepted Answer

A)  laminectomy
B)  cholecystectomy
C)  splenectomy
D)  appendectomy

Question 12

In alcoholics with anemia:

Accepted Answer

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 13

In which of the following cardiomyopathies is the murmur heard typically decreased when the patients are standing or while performing Valsalva maneuvers?

Accepted Answer

A)  Restrictive cardiomyopathy
B)  Dilated cardiomyopathy
C)  Hypertrophic cardiomyopathy
D)  Ischemic cardiomyopathy

Question 14

Which of the following interventions will help lessen the effect of GERD (acid reflux)?

Accepted Answer

A)  Elevate the head of the bed on 4-6 inch blocks
B)  Lie down after eating
C)  Increase fluid intake just before bedtime
D)  Wear a girdle

Question 15

Which of the following is NOT a complication of chronic diabetes mellitus?

Accepted Answer

A)  Atherosclerosis
B)  Neuropathy
C)  Glaucoma
D)  Hypotension

Question 16

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

Accepted Answer

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

Question 17

Which of the following is a long-term complication of pelvic inflammatory disease (PID)?

Accepted Answer

A)  embolism
B)  peritonitis
C)  sepsis
D)  infertility

Question 18

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?

Accepted Answer

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

Question 19

Serum alkaline phosphatase may be elevated in the diseases of which organ?

Accepted Answer

A)  Liver
B)  Salivary glands
C)  Spleen
D)  Heart

Question 20

Which of the following symptoms is indicative of hypoglycemia?

Accepted Answer

A)  Polydipsia
B)  Confusion
C)  Blurred vision
D)  Polyphagia

Exam 1: Physician Assistant