Question 1. Mr. J. K., 38 years old, is 5 feet 8 inches tall and weighs 189 pounds. He reports that he has had intermittent heartburn for several months for which he takes Tums with temporary relief. He has been waking during the night with a burning sensation in his chest. Which additional information would lead you to believe that gastroesophageal reflux disease (GERD) is the cause of his pain?
The pain seems better when he smokes to relieve his nerves.
Coffee and fried foods do not bother him.
He awakens at night coughing with a bad taste in his mouth.
All of the above
Question 2. Which of the following is most effective in diagnosing appendicitis?
History and physical
Sedimentation rate
Kidneys, ureter, bladder (KUB) radiograph
Complete blood cell (CBC) count with differential
Question 3. A 21-year-old student presents with a chief complaint of fatigue, headache, anorexia, and a runny nose, all of which began about 2 weeks ago. She started taking vitamins and over-the-counter (OTC) cold preparations but feels worse. The smell of food makes her nauseated. Her boyfriend had mononucleosis about a month ago, and she wonders if she might have it also. An examination reveals cervical adenopathy and enlarged liver and spleen. Which of the following laboratory tests would be most helpful in the differential diagnosis at this point?
Stool culture
Liver enzymes
Anti-HDV (antibody to hepatitis D virus)
Thyroid-stimulating hormone (TSH)
Question 4. On further questioning, the 21-year-old patient with the chief complaints of fatigue, headache, anorexia, and a runny nose explains that she is sexually active only with her boyfriend, does not use injectable drugs, and works as an aide in a day-care center. Which of the following tests would be most helpful in confirming your diagnosis?
HAV IgM
HAV IgG
Anti-HAcAg
Anti-HAsAg
Question 5. The patient has acute pancreatitis with 7 of the diagnostic criteria from Ranson's Criteria. In order to plan care, the clinician understands that this criteria score has which of the following meanings?
A high mortality rate
An increased chance of recurrence
A 7% chance of the disease becoming chronic
All of the above