2024-25 CS1 Final Exam PDF

\ Which pulse site is located in the groin below the inguinal ligament?\ \ Brachial artery\ \**Femoral artery**\ \Posterior tibial artery\ \ Radial artery\ \Dorsalis pedis artery\ \ \ Which product is most effective for quick hand decontamination but should NOT be used with visibly soiled hands?\ \...

\ Which pulse site is located in the groin below the inguinal ligament?\ \ Brachial artery\ \**Femoral artery**\ \Posterior tibial artery\ \ Radial artery\ \Dorsalis pedis artery\ \ \ Which product is most effective for quick hand decontamination but should NOT be used with visibly soiled hands?\ \ Liquid soap\ \ Hibiscrub\ \ **Spirigel**\ \ Plain water\ \ None of the above \ What does a diastolic blood pressure reading represent? \ Pressure when the heart is contracting\ \ **Pressure when the heart is at rest\ **\ Average pressure in the arteries\ \ Maximum pressure in the arteries\ \ Pressure when the cuff is fully inflated \ What is the normal tidal volume of air for an adult during each breath?\ \ 200ml\ \ 300ml\ \**500ml**\ \700ml\ \1000ml \ Which artery is felt between the heads of the first and second metatarsals?\ \ Radial artery\ \ Brachial artery\ \ Femoral artery\ \ **Dorsalis pedis artery**\ \ Posterior tibial artery \ Which observation is necessary when assessing respiratory rate to avoid altering the patient's breathing pattern?\ \ Inform the patient of the observation\ \ Use a spirometer\ \ **Count while pretending to check the pulse**\ \ Focus on the depth of respiration only\ \ Observe the patient for 10 seconds\ \ \ Which artery is commonly used to assess blood pressure?\ \ Radial artery\ \ Femoral artery\ \ **Brachial artery**\ \ Carotid artery\ \ Dorsalis pedis artery \ What is the correct respiratory rate range for a healthy adult at rest?\ \ 6--12 breaths per minute\ \ **12--20 breaths per minute**\ \ 12--25 breaths per minute\ \ 18--25 breaths per minute\ \ 20--30 breaths per minute \ Which of the following is NOT a factor that affects body temperature measurement?\ \ Time of day\ \ Food and fluid intake\ \ Recent physical activity\ \ **Height and weight**\ \ Gender \All of the following are a part of professionalism EXCEPT what?\ \Keeping your knowledge and skills up to date\ \Taking action if you think that patient safety is being compromised\ \Respecting patients' right to confidentiality\ \**Asking a screening question after the patient says their chief complaint**\ \Never discriminating unfairly against patients or colleagues \Which of the following is a good example of professionalism?\ \Ordering an MRI for a patient because the imaging center will give you 20% of the cost.\ \A back surgeon recommending back surgery for most patients coming to see him.\ \**Reading a medical journal and attending a medical conference to keep your knowledge up to date.\ **\Attending a lecture given by a drug company about an expensive new medicine for heart failure\ \Your patient numbers in clinic have been low so you decide to start selling supplements in clinic and recommending them to all your patients to help pay your expenses. \A 45 year old patient complaining of shortness of breath and chronic cough has smoked 30 cigarettes a day for the past 28 years. How many pack-years has he smoked?\ \18\ \28\ \**42**\ \56\ \84 \A 37 year old male patient complains of nausea, vomiting and epigastric abdominal pain radiating to the back. You decide to calculate his weekly alcohol use. He drinks two 750mL bottles of wine per week and 2 beers (240ml or ½ pint each) each day. How many units of alcohol per week is this?\ \ 22\ \ **34**\ \ 46\ \ 58\ \ 70 \A 24 year old patient is concerned about her weight. She weighs 80kg and her height is 160 cm. Based on her BMI, how would you classify her weight?\ \Under weight\ \Healthy weight\ \Overweight\ \**Obese**\ \Class 3 Obesity \A 2 year old male patient is brought to the clinic due to 3 days of pulling at his right ear and fever. You diagnose him with acute otitis media (ear infection) and would like him to take amoxicillin 80-90mg/kg/day divided twice a day. His weight is 12 kg. The medication strength is 250mg/5ml. How much should his mother give him each time he takes the medication (each dose)?\ \3ml\ \5ml\ \7.5ml\ \**10ml**\ \15ml \A 23 year old female patient is concerned when she sees that her blood pressure today in your clinic is 98/64. You tell her that her blood pressure is what?\ \Hypotensive\ \**Normal**\ \Borderline Hypertensive\ \Stage 1 Hypertension\ \Stage 2 Hypertension \Classic BRCA1 Pedigree: Image Details - NCI Visuals OnlineBRCA1 is an autosomal dominant inherited form of breast cancer. What is the percentage chance that the index patient in this family tree has the BRCA1 gene?\ \25%\ \**50%**\ \75%\ \100%\ \Cannot determine from the information provided. \A 65 year old female comes to the office complaining of difficulty eating. From across the room, you notice that she has a pill rolling tremor and from this are able to diagnose her with Parkinson's disease before you take further history or do a physical exam. This is an example of what aspect of the physical exam?\ \Gait assessment\ \**Spot diagnosis**\ \Hand examination\ \Facial expression\ \Body habitus and nutritional status assessment \A 24yo female patient has been gaining weight and feeling fatigued. You order a thyroid test and discover that she has hypothyroidism (low thyroid hormone levels). You know that the appropriate starting dose for thyroid replacement (thyroxine) is 1.6 mcg/kg/day. The patient weighs 65kg. Thyroxine is available in the following doses: 50, 75, 100, 125, 150mcg. Which is the correct pill to start her on?\ \50mcg\ \75mcg\ \**100mcg**\ \125mcg\ \150mcg \Which question is commonly used to screen for alcohol use disorder as part of the CAGE screening questions?\ \**Do you need a drink in the morning?**\ \Have you ever been caught drinking?\ \Do you think you drink excessively?\ \Are you addicted to alcohol?\ \Do you drink alcohol to fall asleep? \When does the Physical Examination take place in the consultation? \**After taking the history** \Before taking the history \Right before discharging the patient home \After confirming or refuting your diagnosis \Sometimes we don't do it at all \One of the following is wrong regarding maintaining the privacy of the patient during the physical examination: \You have to close the curtains around the patient's bed \You must avoid any unnecessary exposure of the patient's body parts \**It is appropriate always to keep the patient's relatives in the room** \The best chaperone to have with you is a medical staff member from the same gender of the patient \Talk as quietly as you can that still allows that patient to hear you \One of the following is correct regarding the vital signs: \The normal body temperature is from 35 to 38 degrees \**The normal heart rate in adults is from 60 BPM to 100 BPM** \A normal blood pressure is 140/90 \The normal respiratory rate is from 9 to 25 \A normal blood pressure is 87/55 \Face Masking (poverty of expressions) is seen in which of the following diseases? \Hyperthyroidism \Liver Failure \Iron Deficiency Anemia \Hypothyroidism \**Parkinson's Disease** \The genetic abnormality of Down Syndrome is called: \Trisomy 16 \Trisomy 18 \**Trisomy 21** \XO Abnormality \XXY Abnormality \Fetor Hepaticus is a special body odor related to which of the following diseases? \**Liver Failure** \Renal Failure \Diabetic Ketoacidosis \Gastric Outlet Obstruction \Bronchiectasis \Which of the following is correctly matched? \Vitiligo -\> Hyperpigmentation \**Peripheral Cyanosis -\> Bluish discoloration of the limbs** \Tobacco staining -\> Red spots on the fingers \Jaundice -\> Bluish discoloration of the whole body \Hemochromatosis (iron deposition) -\> Hypopigmentation \One of the following is not a cause of finger clubbing: \Lung cancer \Infective endocarditis \Congenital or Familial \**COPD** \Coeliac disease \White patches that may be scraped off the tongue are due to: \Vit. B12 deficiency \**Candidal (fungal) infection** \ Iron deficiency anemia \Alcohol \Zinc deficiency \Before starting the physical examination, you have to maintain: \Privacy of the patient \Presence of a chaperone if desired \Hand hygiene \Introducing yourself \**All of the above** \Which one of the following dimensions is NOT a part of the holistic model of health?\ \Social\ \Physical\ \**Financial**\ \Mental\ \Spiritual\ \ \When initiating the session, which one of the following is a priority to ensure patient comfort?\ \Starting treatment immediately\ \Discussing the holistic model of health\ \Asking open-ended questions\ \**Maintaining the privacy**\ \Asking the patient about the chief complaint\ \ \What does the FIFE framework include when understanding the patient's perspective?\ \Function, ideas, fears, empathy\ \Fears, ideas, feedback, expectations\ \Facts, interaction, function, empathy\ \**Fears, ideas, function, expectations**\ \Family, ideas, function, empathy\ \ \When asking about drugs and medications, the most important thing to ask about is?\ \The patient's favourite drug\ \Only the medications that are prescribed by the doctor\ \Only over the counter drugs\ \**Generic name of the drugs, doses and frequency**\ \What country the drugs were made in\ \ \When asking about surgical history, the most important thing to ask about is?\ \Medications prescribed before the surgery\ \Family history of surgical procedures\ \**Surgeries and procedures like cardiac catheterization**\ \All the previous hospital admissions\ \The main reason for today's visit\ \ \When exploring past medical history, which question would be the most relevant?\ \Does any chronic disease run in your family?\ \What medications are you currently taking?\ \Are you allergic to penicillin?\ \Is there anything else?\ \**Do you have any chronic diseases such as Hypertension or Diabetes Mellitus?**\ \ \ The "R" in SOCRATES, indicates what?\ \Risk factors\ \**Radiation**\ \Reaction to the medication\ \Recurrence of the pain\ \Reassurance of the patient\ \ \We usually ask about the INSURANCE in which part of the consultation?\ \History of present illness\ \Family history\ \ Medical history\ \ Patient's perspective\ \ **Patient profile**\ \ \ What is the name of the framework commonly used for structuring medical consultation?\ \ FIFE\ \ ICE\ \ SOCRATES\ \ **Calgary-Cambridge**\ \ SOAP\ \ \One of the following is considered a constitutional symptoms?\ \**Fever**\ \Cough\ \Diarrhea\ \Dizziness\ \Hives \Which of the following statements best describes Open-Ended Questions: \It is used to determine the most serious complaint \Shows empathy for the patient \**Questions that cannot be answered with short sentences** \Questions that are answered with yes or no \It is used at the end to conclude everything that the patient said \Which of the following statements is an example of Signposting? \**"Now let's talk about your family history"** \"Can you tell me more about this" \"I'm so sorry for your loss" \"What problem is most concerning you" \"What brought you to the hospital today" \Active listening is best described as: \Gathering more information from the patient \Showing the patient that you feel them \**Paying attention to someone without interrupting them** \Telling the patient that you are going to ask about something \Concluding everything that has been said in a short way \When the patient is talking with a low tone and depressed mood, and you observe this, it is called: \Empathy \Sympathy \Signposting \**Picking up cues** \Negotiation of agenda \Which of the following skills is commonly used at the end of the consultation: \ Open-ended questions \Building rapport \Picking up cues \Introduction \**Summarization** \Which of the following is correct when taking the history from a patient: \Gaining their trust \Showing that you understand their concerns and feelings \Talking in simple non-medical language \Respecting their ideas \**All the following are correct** \" Is there anything else you want to tell me about". This statement is an example of: \**Screening** \Negotiation of agenda \Summarizing \Open questions \Sympathy \" You said that you have a sore big toe, a cough, and a lump on your arm. Which of these things do you feel is most important for you to talk about today?". This statement is an example of: \Screening \Summarizing \Open questions \**Negotiation of agenda** \Active listening \"When you say frequently, do you mean daily, weekly, once a month?". This statement is an example of: \Using simple language \**Clarification** \Picking up cues \Negotiation of agenda \Summarizing \"I am sorry to hear that your mother passed away". This statement is an example of: \Signposting \Building rapport \Picking up cues \**Empathy** \Open-ended questions