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Question 1

An 18-year-old man presents with periumbilical pain, vomiting, and abdominal cramping over the past 48 hours. Physical examination reveals rebound tenderness and laboratory analysis shows the presence of bandemia and a total WBC of 28,000 mm3. To support the diagnosis of acute appendicitis with suspected appendiceal rupture, you consider obtaining the following abdominal imaging study:

Question options:

1) Magnetic resonance image (MRI).

2) Computed tomography (CT) scan.

3) Ultrasound.

4) Flat plate.

Question 2

Gina is 2 years old and presents with a 3-day history of fever, crankiness, and congested cough. Her respiratory rate is more than 50% of the upper limits of normal for age. Tubular breath sounds are noted at the right lung base. Skin turgor is normal, and she is wearing a wet diaper. She is alert, resisting the examination as age appropriate, and engages in eye contact. Temperature is 38.3° C (101° F). Gina’s diagnostic evaluation should include:

Question options:

1) chest x-ray.

2) urine culture and sensitivity measurement.

3) lumbar puncture.

4) sputum culture.

Question 3

Aortic stenosis in a 15-year-old male is most likely:

Question options:

1) a sequela of rheumatic fever.

2) a result of a congenital defect.

3) calcific in nature.

4) found with atrial septal defect.

Question 4

Which of the following laboratory tests can identify the causative organism of bronchiolitis?

Question options:

1) Nasal washing antigen test.

2) Antibody test via blood sample.

3) Urine culture.

4) A laboratory test is not available.

Question 5

A Still murmur:

Question options:

1) is heard in the presence of cardiac pathology.

2) has a humming or vibratory quality.

3) is a reason for denying sports participation clearance.

4) can become louder when the patient is standing.