Gen dx sar

General Diagnosis - SAR
© 2010 Irene Gold Associates, Inc. All Rights Reserved

SAR – General Dx 2
1. Cullen’s sign is an
indication of which of the
following?
A. Acute appendicitis
B. Hemorrhagic pancreatitis
C. Ectopic pregnancy
D. Portal hypertension
2. Following the symptoms of
the flu, the patient develops
a cough. Examination of the
chest indicates an increase in
tactile fremitus and dullness
to percussion. Which of the
following is most likely to
produce this finding?
A. Pneumonia
B. Pulmonary edema
C. Bronchitis
D. Bronchiectasis
© 2010 Irene Gold Assoc, Inc. All Rights
Reserved

3. Bronchiectasis is a chronic
disease of the chest caused
by chronic bronchitis and is
characterized by excessive
sputum production and ____.
A. Stridor
B. Wheezing
C. Rhonchi
D. Chest pain
4. Evaluation of the lung
reveals that the bronchi
appear to be healthy, but the
alveoli are destroyed. Which
condition is this likely to be??
A. Atelectasis
B. Asthma
C. Bronchitis
D. Emphysema
Reserved

5. When performing an
abdominal exam what is
evaluated after visualization?
A. Auscultation
B. Percussion
C. Light palpation
D. Deep palpation
6. What is the normal
percussive note heard over
the majority of the
abdomen?
A. Dull
B. Resonant
C. Tympanic
D. Flat
Reserved

7. Distant breath sounds and
intermittent wheezes are
associated with____.
A. Sarcoidosis
B. Tuberculosis
C. Chronic obstructive
pulmonary disease
D. Bronchiectasis
8. When evaluating a patient
for hypercholesterolemia,
which of the following parts
of a lipid profile will have the
highest number?
A. VLDL
B. HDL
C. LDL
D. IDL
Reserved

9. A 65 year old male
presents with low back
pain and fatigue. One
month ago he had a
prostate exam and
everything was normal.
What is this most likely to
be?
A. Early prostate cancer
B. Multiple myeloma
C. Paget’s disease
D. Hodgkin’s disease
10. Digital examination of the
prostate indicates an enlarged,
firm, symmetrical, elastic
prostate gland. Which of the
following is confirmed?
A. Chronic prostatitis
B. Acute prostatitis
C. Benign prostatic hypertrophy
D. Prostate cancer
Reserved

11. Fever, chills, tenderness and
bogginess of the prostate gland
all occur with____.
A. Chronic prostatitis
B. Acute prostatitis
C. Benign prostatic hypertrophy
D. Prostate cancer
12. Indirect or unconjugated
bilirubin in the blood stream
is an indication of_____.
A. Biliary duct obstruction
B. Cholecystitis
C. Pancreatic cancer
D. Hemolysis
Reserved

13. Which of the following
laboratory tests is an
indication of kidney
malfunction?
A. Alkaline phosphatase
B. Acid phosphatase
C. AST
D. Creatinine
findings on an
electrocardiogram will be
present if the patient has an
atrioventricular block?
A. Increased PR interval
B. Two P waves present
C. Inverted ST segment
D. Absent QRS complex
Reserved

15. If the foreskin of the
penis does not replace itself
after being retracted, what
condition is evident?
A. Molluscum contagiosum
B. Phimosis
C. Paraphimosis
D. Herniation
16. An 8 month old male has
a hard painless nodule in the
scrotum that does not
transilluminate. What
condition is suspected?
A. Hernia
B. Hydrocele
C. Cancer
D. Varicocele
Reserved

laboratory tests should be
performed if the kidney
punch test is positive?
A. CBC
B. IVP
C. Electrolytes
D. Specific gravity
conditions exhibits tortuous
veins in the scrotum?
A. Hydrocele
B. Varicocele
C. Direct hernia
D. Testicular cancer
Reserved

19. Anisocoria is a term used
to describe a pupil that ____.
A. Does not respond to light
B. Larger than normal size
C. Has many colors
D. Is irregular in shape
20. Cheilosis and magenta
tongue are found in which of
the following vitamin
deficiencies?
A. Vitamin B1
B. Vitamin B2
C. Vitamin B12
D. Folic acid
Reserved

vitamins should be
administered to a patient
with Wernicke’s
encephalopathy?
A. Thiamine
B. Riboflavin
C. Niacin
D. Pyridoxine
22. The patient presents with
proximal muscle weakness
especially in the pelvic
region, but no cranial nerve
involvement. This is
condition has a high
presentation in patients with
cancer and is called_____.
A. Myasthenia gravis
B. Lambert Eaton syndrome
C. Becker’s Dystrophy
D. Charcot Marie Tooth
disease
Reserved

23. While listening to the
heart you note a heart
murmur at the fifth
intercostal space next to the
sternum. The murmur is
heard in systole. This
indicates which of the
following?
A. Mitral stenosis
B. Tricuspid stenosis
C. Mitral regurgitation
D. Tricuspid regurgitation
supplements should be
ordered to promote
regeneration of a nerve?
A. Vitamin A
B. Selenium
C. Vitamin C
D. Vitamin B-12
Reserved

supplements is considered to
be the glucose tolerance
factor?
A. Selenium
B. Chromium
C. Folate
D. Cyanocobalamin
laboratory examinations is
taken to evaluate the pancreas?
A. Amylase and lipase
B. Triglycerides and Cholesterol
C. Calcium and phosphorus
D. Lipid profile and cardiac
profile
Reserved

27. Which area of the body
should be investigated if the
patient has an unusually high
glucose tolerance test?
A. Spleen
B. Adrenal glands
C. Pancreas
D. Kidneys
28. Bronze discoloration of
the skin and hypotension are
characteristically found in
_____.
A. Cushing disease
B. Graves disease
C. Gaucher’s disease
D. Addison’s disease
Reserved

29. Hemochromatosis will
produce which of the
following skin changes?
A. Grey Turner sign
B. Bronzing of the skin
C. Atopic dermatitis
D. Kaposi’s sarcoma
30. Goodpasture’s disease
involves which of the following?
A. Patient coughing up blood
and kidney dysfunction
B. Lung and heart involvement
C. Kidney dysfunction and heart
murmur
D. Intolerance to milk and
cheese
Reserved

31. A 6 year old girl has white
blood cell casts in the urine.
What is suspected?
A. Cystitis
B. Glomerulonephritis
C. Pyelonephritis
D. Nephrosis
32. Deep slow breathing
referred to a Kussmaul’s
breathing is most commonly
associated with ____.
A. Metabolic alkalosis
B. Metabolic acidosis
C. Respiratory acidosis
D. Respiratory alkalosis
Reserved

33. Evaluation of a patient
indicates an increase in
ketones in the blood and
urine. All other laboratory
tests are negative. This
finding indicates ____.
A. Diabetes mellitus
B. Adrenal malfunction
C. Nephrosis
D. Starvation
34. A bluish discoloration of
the vagina seen in the early
stages of pregnancy is
called___.
A. Piscacek’s sign
B. Chadwick’s sign
C. Hegar’s sign
D. Goodell’s sign
Reserved

35. Evaluation of the eye
indicates a fuzzy margin
around the optic disc. This
indicates____.
A. Detached retina
B. Macular degeneration
C. Glaucoma
D. Papilledema
36. When performing a direct
light reflex on the right eye
you note that the right pupil
constricts, but the left one
does not. The indirect light
reflex finding will confirm a
lesion of ____.
A. CN II on the right
B. CN III on the right
C. CN II on the left
D. CN III on the left
Reserved

37. What is the most
common cause of a hearing
loss in children?
A. Otitis externa
B. Otitis media
C. Labyrinthitis
D. Otosclerosis
38. Drop attacks are
associated with a ____ lesion.
A. Brain stem
B. Cardiac
C. Musculoskeletal
D. Cerebellar
Reserved

39. Untreated otitis media will
most commonly lead to which
of the following?
A. Mastoiditis
B. Tympanic membrane rupture
C. Permanent hearing loss
D. Ringing in the ears
40. Systolic hypertension is
indicated by a measurement
of which of the following?
A. Stroke volume
B. Aortic valve pressure
C. Aortic compliance
D. Venous pressure
Reserved

will present with pain in the
right upper quadrant of the
abdomen?
A. Renal artery aneurysm
B. Iliac artery aneurysm
C. Aortic aneurysm
42. The of the PMI is ___ and the
sounds are heard at the ____.
A. Point where Left Ventricular
impulse is felt most strongly;
Mitral valve
B. Point where Left Atrial impulse is felt
most strongly; Mitral valve
C. Point where Left Ventricular impulse
is felt most strongly; Tricuspid valve
D. Point where Right Ventricular
impulse is felt most strongly; Tricuspid
valve
Reserved

43. Which of the following is
indicated by pain the calf after
walking that is relieved by rest
in a short time?
A. Deep vein thrombophlebitis
B. Achilles tendon rupture
C. Muscle spasms
D. Disc lesions
not a finding in congestive
heart failure?
A. Pulmonary edema
B. Jugular venous distention
C. Hepatomegaly
D. Bounding pulses
Reserved

conditions presents with
difficulty swallowing, stiffness
in the skin of the hands,
dilation of blood vessels on
the skin and discoloration of
the hands in cold weather?
A. Osteoarthritis
B. Systemic sclerosis
C. Aortic arch aneurysm
D. Anklylosing spondylitis
46. A six year old presents
with a fever, sore throat, rash
on the skin and a strawberry
colored tongue. Which
condition is described?
A. Scarlet fever
B. Rubeola
C. Rubella
D. Varicella
Reserved

47. The patient reports a
respiratory infection two
weeks ago. Today he
complains about flank pain.
Which condition should be
investigated?
A. Polycystic kidney disease
B. Nephrosis
C. Glomerulonephritis
D. Kidney stones
48. An elevation of human
chorionicgonadotropin in the
serum and urine is most
diagnostic of which of the
following?
A. Ovarian cyst
B. Brenner tumor
C. Hydatidiform mole
D. Ovarian dermoid cyst
Reserved

49. Invagination of the
intestine into the inguinal
canal and then into the
scrotum is termed a/an ___
hernia.
A. Direct
B. Indirect
C. Femoral
D. Spigellian
50. Acquiring a history of the
present illness is found in
which part of the case history?
A. Family history
B. Environmental history
C. Chief complaint
D. Review of systems
Reserved

51. In order to properly
absorb iron, the body needs
an ample amount of ___.
A. Vitamin B6
B. Vitamin C
C. Vitamin D
D. Vitamin B12
52. H. Pylori is a bacterium in
the body that is thought to be
responsible for which of the
following?
A. Food poisoning
B. Chronic gastritis
C. Erosive gastritis
D. Pernicious anemia
Reserved

53. An asthmatic will present
with which of the following
increases in the body?
A. Mast cells
B. Macrophages
C. Monocytes
D. Neutrophils
54. Fundoscopic examination
of the eyes reveals bilateral
papilledema. Which of the
following symptoms is most
apt to accompany this finding
in the early stages of the
disease?
A. Blurred vision
B. No visual loss
C. Central visual loss
D. Double vision
Reserved

the most common cause for
hearing loss in a child?
A. Swimming
B. Impacted cerumen
C. Recurrent ear infections
D. Mastoiditis
56. Physical examination of a
male indicates hyperresonance
of one lung upon percussion
and decreased tactile fremitus.
Which of the following is
probably the cause?
A. Emphysema
B. Asthma
C. Bronchitis
D. Pneumonia
Reserved

57. Rhonchi are a characteristic
finding in which of the
following conditions?
A. Pneumonia
B. Bronchitis
C. Emphysema
D. Pneumothorax
not a normal finding?
A. Raised right diaphragm
B. Raised right Hilum
C. Raised left Hilum
D. Raised left diaphragm
Reserved

heart sounds are best heard
at the base of the heart?
A. Aortic and mitral
B. Pulmonic and tricuspid
C. Aortic and pulmonic
D. Mitral and tricuspid
heart murmurs is best heard
in diastole?
A. Mitral regurgitation
B. Pulmonic stenosis
C. Tricuspid regurgitation
D. Aortic regurgitation
Reserved

61. Which of the following best
describes the location of the
coronary artery?
A. Anterior inferior
B. Inferior lateral
C. Anterior lateral
D. Superior lateral
the best diagnosis when an
enlarged ST segment is noted
on an EKG study?
A. AV nodal delay
B. Heart block
C. Acute Heart Failure
D. Weinkbock’s phenomenon
Reserved

pupillary constriction,
anhydrosis and ptosis. Which
diagnosis should be
investigated?
A. Cluster headaches
B. Sympathetic phenomenon
C. Pancoast tumor
D. Vasomotor disorder
not associated with
congestive heart failure?
A. Jugular venous distention
B. Ascites
C. Hepatomegaly
D. Splenomegaly
Reserved

65. Splinter hemorrhages are
characteristically seen in
those with ____.
A. Iron deficiency anemia
B. Anoxia
C. Subacute bacterial
endocarditis
D. Acute severe illness
66. If there is an increase in
the PR interval as noted on
an EKG study, which of the
following is the best
diagnosis?
A. Myocardial infarction
B. Heart block
C. AV nodal delay
D. Weinkbock’s phenomenon
Reserved

findings is suggested when
there is an atrioventricular
block noted on an EKG study?
A. Increased PR interval
B. Two P waves present
C. Inverted ST segment
D. Absent QRS complex
68. Performing a shifting
dullness test is most
appropriate to determine
____.
A. Appendicitis
B. Ascites
C. Pernicious anemia
D. Intraperitonal bleeding
Reserved

69. What is the correct
position to perform puddle
sign?
A. Supine with knees bent
B. Lateral recumbent position
C. On hands and knees
D. Prone
nutrients is deficient in a
patient with megaloblastic
anemia?
A. Folate
B. Iron
C. B6
D. B1
Reserved

abdominal pain with referral to
the right shoulder. Which of the
following is the best advice to
give to the patient at this time?
A. Decrease intake of fatty food
B. Send to the emergency room
C. Decrease refined
carbohydrates
D. Begin taking digestive
enzymes with meals
72. Frank red blood in the
stool is likely an indication of
___.
A. Hemorrhoids
B. Ulcerative colitis
C. Regional ileitis
D. Duodenal ulcer
Reserved

73. Which of the following has
been implicated as a direct
cause of bladder cancer?
A. Urethral constriction
B. Smoking
C. Drug use
D. Frequent venereal infections
74. While performing a
physical examination the
patient reports knife like pain
beginning in the spine at the
level of T8 and traveling along
the course of the rib toward
the anterior body midline.
This condition is likely ___
and is preceded by ____.
A. Herpes simplex; Varicella
B. Herpes zoster; Varicella
C. Herpes simplex; Rubeola
D. Herpes zoster; Rubeola
Reserved

organisms is most commonly
responsible for
glomerulonephritis?
A. Streptococcus pyogenes
B. Escherichia coli
C. Staphylococcus aureus
D. Chlamydia trachomatis
lesions found in the scrotum
will transilluminate?
A. Testicular cancer
B. Direct inguinal hernia
C. Varicocele
D. Hydrocele
Reserved

body substances found in the
urine is responsible for the
production of brown urine
and an increase in specific
gravity?
A. Albumin
B. Urobilinogen
C. Creatinine
D. Creatine
78. A 58 year old male presents
with leg pain, hearing loss and
headaches. Examination
reveals one leg is larger than
the other. Laboratory work
indicates an increase in alkaline
phosphatase. Which of the
following is the most likely
diagnosis?
A. Hyperparathyroidism
B. Elephantiasis
C. Osteitis deformans
D. Brain tumor
Reserved

79. The patient presents with fatigue, back pain,
depression, muscle weakness, nausea and bone pain.
Radiological findings include metaphyseal widening, hair on
end appearance and Rugger jersey spine. Laboratory
results indicate an increase in serum calcium and a
decrease in serum phosphorus. What is the most likely
diagnosis?
A. Mediterranean anemia
B. Cushing’s disease
C. Sickle cell anemia
D. Hyperparathyroidism
Reserved

80. A 34 year old female
presents with a recent increase
in weight with truncal obesity.
She reports that recently she
has noted stretch marks on her
abdomen, fatigue and mood
changes. Which of the
following conditions is
suggested by these findings?
A. Hypothyroidism
B. Pregnancy
C. Addison’s disease
D. Cushing’s disease
conditions is produced by a
deficiency of B vitamins that
leads to dementia is generally
seen in patients with long
standing alcohol abuse?
A. Beri Beri
B. Pellagra
C. Wernicke’s disease
D. Posterolateral sclerosis
Reserved

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