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Multiple Choice Questions (MCQ)


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Category: Medicine--->General Medicine and Prevention
Page: 3

Question 11# Print Question

A 42-year-old pediatric nurse practitioner seeks your advice regarding his immunization needs. He is healthy and takes no regular medications. He had well-documented chickenpox as a child. He received a tetanus-diphtheria booster 5 years ago and influenza vaccine 4 months ago. Influenza A activity has been reported in your community in the last 2 weeks.

Which of the following immunizations would you recommend for this patient at this time? 

A. An influenza booster
B. Tetanus-diphtheria-acellular pertussis (Tdap)
C. Pneumococcal vaccine
D. Herpes zoster vaccine
E. Meningococcal vaccine


Question 12# Print Question

You see a debilitated 80-year-old woman who requires nursing home placement in the early summer. She had had no immunizations for many years except for a pneumococcal vaccine 3 years ago when discharged from the hospital after a stay for pneumonia.

Which of the following do appropriate admission orders to the nursing home include?

A. Influenza vaccine
B. Haemophilus influenzae B immunization
C. Hepatitis B immunization series
D. Pneumococcal revaccination
E. Tetanus-diphtheria toxoid booster


Question 13# Print Question

A 52-year-old Hispanic woman with a history of hypertension and diabetes comes to the office for an annual physical examination. She had a mammogram at age 50 but has had no other preventive medicine tests or advice that she can recall. She does not smoke cigarettes, does not drink alcohol, and is overweight by evidence of a BMI of 30. Her mother developed breast cancer at age 75 and her father had colon cancer detected at age 65. According to the U.S. Preventive Services Task Force,

which combination of screening tests should you recommend? 

A. Screening mammography, a chest x-ray, colonoscopy, a screening aortic sonogram, and a bone density scan
B. Screening mammography, Pap smear, and colonoscopy
C. Screening mammography, a chest CT scan, colonoscopy, and a bone density scan
D. Screening mammography, a CA-125 blood test, Pap smear, and a bone density scan
E. Screening mammography, colonoscopy, and a bone density scan


Question 14# Print Question

A 26-year-old medical student plans a 3-week mission trip to Mexico. She will be staying with local villagers and working indoors in a rural area 30 minutes from Mexico City. She has previously been vaccinated for hepatitis B.

Of the following choices, which vaccination is most important? 

A. Inactivated poliovirus vaccine (IPV) booster
B. Hepatitis A vaccine
C. Rabies vaccine
D. Meningococcal vaccine
E. Dengue vaccine


Question 15# Print Question

A 28-year-old laborer sees you because of low back pain. Ten days ago he strained his back while moving a refrigerator. Despite taking acetaminophen, his pain has worsened. He has difficulty sleeping because of the pain and for the past 3 days he has spent most of the day in bed. He has not had fever, leg numbness or weakness, or bladder or bowel problems. He takes no regular prescription medications. On examination he has difficulty getting on and off the examination table because of back pain. He has normal vital signs including a normal temperature. There is evidence of bilateral paraspinous muscle spasm. The patient is able to walk on his heels and toes and has negative straight leg raising test bilaterally.

What is the best next step in the management of this patient? 

A. Two-view lumbar spine x-ray
B. MRI scan of the lumbar spine
C. Continued bed rest
D. Nonsteroidal anti-inflammatories and physical therapy
E. Epidural corticosteroids




Category: Medicine--->General Medicine and Prevention
Page: 3 of 6