mn 568 final review Latest Update -

mn 568 final review Latest Update - Actual Exam Questions and 100% Verified Correct Answers Guaranteed

A 25-year-old patient presents to the clinic with fatigue, cold intolerance, weight gain, and constipation for the past 3 months. On physical examination, the clinician notices a sinus bradycardia; muscular stiffness; coarse, dry hair; and a delay in relaxation in deep tendon reflexes. Which of the following tests should be ordered next?

Question options:

a) Serum calcium

b) TSH

c) Electrolytes

d) Urine specific gravity - CORRECT ANSWER: b) TSH

A 35-year-old woman presents with symptoms of hypoglycemia. There is no history of diabetes mellitus. Which of the following should be included in the differential diagnosis?

• Anxiety disorder
• Pheochromocytoma
• Psychosis

d. All of the above - CORRECT ANSWER: b. Pheochromocytoma

A 64-year-old man with type 2 diabetes presents to the clinic with the complaint of "my feet feel like they are on fire." He has a loss of vibratory sense, +1 Achilles reflex, and a tack embedded in his left heel. Which of the following would be an appropriate treatment?

• Tricyclic antidepressants
• Capsaicin cream
• Vitamin B12 injections

d. Insulin - CORRECT ANSWER: a. Tricyclic antidepressants

A 70-year-old female has fallen 2 weeks ago and developed immediate pain in her left wrist. She thought she just bruised it but is worried because it has not improved. She has used Tylenol® and ice at home, and that has helped slightly. You examine her and find she has moderate swelling and ecchymosis but no overtly obvious deformity. Her ROM is uncomfortable and severely diminished due to the pain. No crepitus is heard or felt. Her fingers are warm; her pulse is strong; and capillary refill is less than 2 seconds.What should you do?

Question options:

a) Make an immediate referral for an orthopedic evaluation without further assessment. 1 / 3

b) Tell her that it takes time for these bruises to improve, so she should be patient.

c) Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.

d) Send her to the emergency room for reduction of this obvious wrist fracture. -

CORRECT ANSWER: c) Obtain a wrist x-ray and place her wrist in a splint or prescribe a splint.

A BMI of 29 kg/m2 is considered obesity.

Question options:

a) True

b) False - CORRECT ANSWER: b) false

A diabetic patient asks the clinician why he needs to check his blood sugar at home even when he feels good. Which of the following responses would be most appropriate?

Question options:

• "Control of glucose will help postpone or delay complications."

• "Regularly checking blood sugar will help establish a routine."

• "Monitoring glucose will promote a sense of control."

d) All of the above - CORRECT ANSWER: d) All of the above

A patient is 66 inches in height, weighing 200 pounds, and newly diagnosed with type 2 diabetes mellitus (DM). Her fasting plasma glucose level is 215 mg/dL. What is the best initial treatment?

Question options:

a) No treatment at this time

b) Diet and exercise for 6-week trial

c) Diet, exercise, and oral medication

d) Diet, exercise, and exogenous insulin - CORRECT ANSWER: b) Diet and exercise

for 6-week trial

A patient is diagnosed with hypothyroidism. Which of the following electrocardiogram changes should the clinician expect as a manifestation of the disease?

Question options:

a) Sinus bradycardia

b) Atrial fibrillation

c) Supraventricular tachycardia 2 / 3

d) U waves - CORRECT ANSWER: a) Sinus bradycardia

A patient with type 1 diabetes comes to the clinic complaining of feeling nervous and clammy. He states that he took his insulin this morning but was late for work and did not eat breakfast. Which action should the clinician take first?

Question options:

a) Check his blood sugar.

b) Have him drink 4 ounces of juice.

c) Call 911.

d) Ask him about his usual eating habits. - CORRECT ANSWER: b) Have him drink 4

ounces of juice.

A patient with type 2 diabetes asks the clinician why she needs to exercise. In order to answer her, the clinician must understand that exercise has what effect on the patient with type 2 diabetes?

• Reduces postprandial blood glucose
• Reduces triglycerides and increases high-density lipoprotein (HDL)
• Reduces total cholesterol

d. All of the above - CORRECT ANSWER: d. All of the above

A patient with type 2 diabetes comes to the clinic after reading about metformin in a magazine. Which of the following conditions that the patient also has would be a contraindication to taking metformin?

• Ketoacidosis
• Cirrhosis
• Hypoglycemic episodes

d. All of the above - CORRECT ANSWER: d. All of the above

A vegetarian patient with gout asks the clinician about food he should avoid. The clinician should advise the patient to avoid which of the following foods?

Question options:

a) Rice

b) Carrots

c) Spinach

d) Potatoes - CORRECT ANSWER: c) Spinach

After 6 months of Synthroid therapy, the clinician should expect which of the following in the repeat thyroid studies?

Question options:

• / 3