Master the Physician Assistant National Recertifying Exam by Peterson's

Author:Peterson's
Language: eng
Format: epub
Publisher: Peterson's
Published: 2012-06-26T00:00:00+00:00

156. A 23-year-old female presents to her PCP with the complaint of progressive hearing loss in the right ear over the past year. She denies vertigo or tinnitus. Family history is significant for early hearing loss. Examination reveals a normal TM and external ear canal. Nasal mucosa is pink and moist. Pharynx is without exudate or erythema, 1+ tonsils. Weber’s test lateralizes to the right ear. What is the most likely diagnosis?

(A) Serous otitis media

(B) Acoustic neuroma

(C) Cerumen impaction

(D) Otosclerosis

(E) Presbycusis

157. Which of the following refers to osteochondrosis of the tibial tubercle?

(A) Werdnig-Hoffmann disease

(B) Osgood-Schlatter disease

(C) Eagle-Barrett syndrome

(D) Wernicke-Korsakoff syndrome

(E) Osler’s disease

158. Which of the following medications would be the most appropriate for the treatment of individuals with hypertriglyceridemia?

(A) Lovastatin (Mevacor)

(B) Niacin (Niaspan)

(C) Gemfibrozil (Lopid)

(D) Colestipol (Colestid)

(E) Fluvastatin (Lescol)

159. A 42-year-old male presents to his PCP with complaints of urinary frequency for about two weeks. He also notes a low-grade fever and pain in the perineum. He is married and denies any extramarital affairs. Examination reveals an enlarged boggy prostate. Urinalysis is negative. What is the most likely diagnosis?

(A) Urinary tract infection

(B) Benign prostatic hypertrophy

(C) Prostatitis

(D) Nephrolithiasis

(E) Gonococcal urethritis

160. Which of the following refers to coronary artery spasm that occurs while the patient is at rest?

(A) Syndrome X

(B) Stable angina

(C) Thrombocytosis

(D) Unstable angina

(E) Variant angina

161. Risperidone is commonly used to treat which of the following disorders?

(A) Borderline personality disorder

(B) Schizophrenia

(C) Depression

(D) Conversion disorder

(E) Body dysmorphic disorder

162. The HPV vaccine is commonly administered to prevent which of the following disorders?

(A) Ovarian cancer

(B) Swine flu

(C) Prostate cancer

(D) Cervical cancer

(E) Paget’s disease

163. Which of the following is a gram-positive bacilli?

(A) Staphylococcus aureus

(B) Bacteroides fragilis

(C) Bordetella pertussis

(D) Clostridium difficile

(E) Neisseria meningitides

164. A 55-year-old African American male with a 30 packs/year history of smoking presents to his PCP with a complaint of swelling in the right lower leg. The patient reports that he recently returned from a 15-hour road trip from New York, which he proudly states he made in a “straight shot.” On examination, his BP is 140/90. Cardiac and pulmonary examinations are essentially normal. Examination of the extremities reveals 2+ pitting edema in the right leg and positive “Homan’s sign.” What is the most appropriate next test to order in this patient?

(A) Arterial flow studies

(B) Venous Doppler

(C) CBC

(D) EKG

(E) Chest X-ray

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