Question 1
An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:
Question options:
1) Magnetic resonance image (MRI).
2) Computed tomography (CT) scan.
3) Ultrasound.
4) Flat plate.
Question 2
Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina’s diagnostic evaluation should include:
Question options:
1) chest x-ray.
2) urine culture and sensitivity measurement.
3) lumbar puncture.
4) sputum culture.
Question 3
Aortic stenosis in a 15-year-old male is most likely:
Question options:
1) a sequela of rheumatic fever.
2) a result of a congenital defect.
3) calcific in nature.
4) found with atrial septal defect.
Question 4
Which of the following laboratory tests can identify the causative organism of bronchiolitis?
Question options:
1) Nasal washing antigen test.
2) Antibody test via blood sample.
3) Urine culture.
4) A laboratory test is not available.
Question 5
A Still murmur:
Question options:
1) is heard in the presence of cardiac pathology.
2) has a humming or vibratory quality.
3) is a reason for denying sports participation clearance.
4) can become louder when the patient is standing.