CLINICAL DECISION MAKING

REMOCK EXAM
SEMESTER IX
1. With which of the organ’s anomaly, the medical staff will look for changes in kidney?
a. Ear.
b. Eye.
c. Nose.
d. Lips.

2. STD’s associated with joint pain and symptoms called:

a. Infective arthritis.
b. Septic arthritis.
c. Gonococcal arthritis.
d. Reactive arthritis.

3. The upper urinary tract consist of:

a. Kidneys and ureters.
b. Kidneys and urethra.
c. Ureters and urethra.
d. Bladder and urethra.

4. The lower urinary tract consist of:

a. Kidneys and ureters.
b. Kidneys and urethra.
c. Ureters and urethra.
d. Bladder and urethra.

5. Ureteral pain is felt in:

a. Abdomen.
b. Groin.
c. Lower back.
d. Subcostal region.
6. Renal pain is felt in:
a. Anterior subcostal region.
b. Posterior subcostal region.
c. Groin.
d. Abdomen.

7. Calculi form primarily in the:

a. Ureters.
b. Urethra.
c. Bladder.
d. Kidneys.

8. The involuntary leakage of urine is:

a. Anuria.
b. Nephritis.
c. Urinary incontinence.
d. Nocturia.

9. It occurs when the support for the bladder or urethra is weak or damaged, but the bladder
itself is normal:
a. Stress incontinence.
b. Urge incontinence.
c. Overflow incontinence.
d. Urinary incontinence.

10. The most common place for the disease spread is to the lymph nodes in the posterior part of:
a. Thorax.
b. Axilla.
c. Abdomen.
d. Pelvis.

11. Age-related changes in metabolism ______ the risk for drug accumulation in older adults.
a. Decreases.
b. Increases.
c. Same.
d. No change.

12. Acetylcholine is a:
a. Neurotransmitter.
b. Hormone.
c. Enzyme.
 d. Receptor.

13. As Act as chemical agents that is transported by blood stream to target:

a. Neurotransmitter
b. Hormones
c. Secretion
d. Chemical mediator

14. Thickening of _______ causes systemic disease to compress the median nerve:
a. Transverse carpal ligament.
b. Thenar muscles.
c. Medial carpal ligament.
d. Neoplasms.

15. The endocrine causes of carpal tunnel syndrome is:

a. Edema.
b. Hyperkalemia.
c. Hypocalcaemia.
d. Thyroid hormone.

16. Hyperfunction of adrenal gland, the increased secretion of cortisol by adrenal cortex is:
a. Addison’s disease.
b. Forestier’s disease.
c. Bronze diabetes.
d. Cushing’s syndrome.

17. Primary adrenal insufficiency is:

a. Forestier’s disease.
b. Cushing’s syndrome.
c. Addison’s disease.
d. Bronze diabetes.

18. An enlargement of the thyroid gland, occurs where iodine is deficient in the diet is:
a. Acromegaly.
b. Rickets.
c. Goiter.
d. AIDS.

19. Diffuse idiopathic skeletal hyperostosis is common in:

a. Cervical spine.
b. Lumber spine.
 c. Thoracic spine.
d. Lower limb.

20. It resolves more slowly in hyperthyroidism:

a. Muscle tone.
b. Muscle strength.
c. Muscle wasting.
d. Muscle length.

21. The blood glucose less than 70 mg/dl in:

a. Graves’ disease.
b. Myxedema.
c. Hypoglycemia.
d. Hypothyroidism.

22. Life threatening complication of hyperthyroidism my include:

a. Heart failure.
b. Kidney failure.
c. Liver failure.
d. Stroke.

23. AIDS is a contagious disease that destroys:

a. B cells.
b. T cells.
c. WBCs.
d. RBCs.

24. AIDS is caused by:

a. Virus.
b. Bacteria.
c. Worm.
d. Fungus.

25. A common complication of HIV infection is:

a. Renal disease.
b. Rheumatologic disease.
c. Peripheral nerve disease.
d. Congestive heart disease.

26. Fibromyalgia is ____ times more common than RA:

a. 1-3.
 b. 2-4.
c. 3-6
d. 2-5.

27. In fibromyalgia, the criteria for tender points is:

a. 11/18.
b. 10/18.
c. 12/18.
d. 18/18.

28. A systemic rheumatic inflammatory disorder with an unknown cause; there may be an
autoimmune, viral, or stress-induced mechanism is:
a. Rheumatoid arthritis.
b. Polymyalgia rheumatic.
c. Fibromyalgia.
d. Myofacial pain syndrome.

29. There are ____ forms of lupus:

a. 05.
b. 04.
c. 03.
d. 02.

30. CREST syndrome is a presentation of:

a. SLE.
b. Raynaud’s disease.
c. Scleroderma.
d. Spondyloarthropathy.

31. Bamboo spine is a feature of:

a. Ankylosing spondylitis.
b. SLE.
c. Raynaud’s disease.
d. Fibromyalgia.

32. The antigen present in seronegative spondyloarthritides is:

a. Type I HLA
b. Type II HLA
c. Type III HLA
 d. Type IV HLA

33. Ankylosing spondylitis is a ______ determined immuno-pathological disorder.

a. Trauma.
b. Genetically.
c. Inflammation.
d. Self.

34. A disorder of purine metabolism characterized by hyperuricaemia, deposition of

monosodium urate monohydrate crystals in joints and peri-articular tissues and recurrent
attacks of acute Synovitis is:
a. Hemophilic arthritis.
b. Gout.
c. Psoriatic arthritis.
d. Neuropathic arthritis.

35. The diagnosis of gout can be made by a ________ in synovial fluid:

a. Positive birefringent crystals.
b. Positive urate crystals.
c. Negative birefringent crystals.
d. Negative urate crystals.

36. An acute, acquired autoimmune disorder with demyelination of the peripheral nervous
system (especially spinal nerves) and is characterized by an abrupt onset of paralysis is
called:
a. GBS.
b. Myasthenia gravis.
c. Gout.
d. Arthritis.

37. Modifiable risk factor for cancer is:

a. Smoking.
b. Age.
c. Gender.
d. Skin colour.

38. Non-modifiable risk factor for cancer is:

a. STDs.
b. Alcohol consumption.
c. Obesity.
 d. Heredity.

39. The majority of cancer incidence and mortality occurs in individuals aged _____ or more:
a. 60.
b. 65.
c. 70.
d. 75.

40. The greater the frequency and intensity of _____, the greater the risk.
a. X-rays.
b. Infrared rays.
c. Ultraviolet rays.
d. Ultrasonic rays.

41. Carcinoma is a malignant tumor that comprises epithelia tissue and accounts for ____ of all
cases.
a. 80%.
b. 85%.
c. 90%.
d. 95%.

42. A malignant cancer that has invaded surrounding tissue:

a. Invasive carcinoma.
b. Carcinoma.
c. Non-invasive carcinoma.
d. Neoplasm.

43. Alopecia neoplastica is accompanied by:

a. Tissue loss.
b. Muscle loss.
c. Blood loss.
d. Hair loss.

44. Lung cancer is the most common primary tumor to metastasize to the:
a. Kidney.
b. Brain.
c. Liver.
d. Bone.

45. Subcategories of melignancy by cell type of oringin:

a. Enchondroma.
 b. Chondroblastoma.
c. Sarcoma.
d. Osteoma.

46. Classifications of malignant tumor is:.

a. Enchondroma.
b. Chondroblastoma.
c. Chondrosarcoma.
d. Osteoma.

47. Which one of the following is an example of open-ended questions?

a. How does bed rest affect your back pain?
b. Are you under any stress?
c. Is the pain relieved by food?
d. Did you sleep well last night?

48. It may be the only symptom of hypertension, cerebral venous thrombosis, or impending
stroke:
a. Fever.
b. Pain.
c. Headache.
d. Vomiting.

49. It can present with paralysis or weakness of one side of the body mimicking a stroke:
a. Cervical pain.
b. Migraines.
c. Tension headache.
d. Stress headache.

50. Torticollis of ______ muscle may be a sign of underlying thyroid involvement.

a. Scalene.
b. Trapezius.
c. Levator scapular.
d. SCM.

51. It is a possible cause of referred pain:

a. Cancers.
b. Trauma.
c. Age.
d. Smoking.
52. Aneurysm can mostly occur in _____ and cerebral vascular system.
a. Arterioles.
b. Vena cava.
c. Aorta.
d. Venules.

53. The Bicycle test of van Gelderen is sued to assess the cause of:
a. Shoulder pain.
b. Back pain.
c. Pelvic pain.
d. Abdominal pain.

54. Back pain of a visceral origin occurs most often as a result of:
a. GI problems.
b. Kidney problems.
c. Hepatic and biliary problems.
d. Joint problems.

55. Ulceration and bleeding into the retroperitoneal area can cause pain in the back or:
a. Fingers.
b. Wrist.
c. Elbow.
d. Shoulder.

56. Long term use of _____ is the most common cause of back pain referred from the stomach
or duodenum.
a. Antibiotics.
b. NSAIDS.
c. Muscle relaxants.
d. Opioids.

57. An estrogen-dependent disorder defined by the presence of endometrial tissue (lining of the
uterus) outside of the uterus.
a. Endometriosis.
b. Fallopian tube.
c. Ectopic fertilization.
d. Ectopic pregnancy.

58. A live pregnancy that takes place outside the uterus is called:
a. Endometriosis.
b. Ectopic pregnancy.
 c. Endotropic pregnancy.
d. Fallopian tube.

59. A bone infection most often affecting the L1 & L2 causing LBP is:
a. Vertebral osteomalacia.
b. Vertebral osteomyelitis.
c. Vertebral osteoporosis.
d. Vertebral osteopenia.

60. The collapse, falling down, or downward displacement of structures such as the uterus,
bladder, or rectum is:
a. Prolapse.
b. Herniation.
c. Degeneration.
d. Protrusion.

61. Screening for Infectious/Inflammatory Causes of Sacroiliac Joint pain is:

a. Osteoarthritis
b. Osteoporosis
c. Fractures
d. Vertebral osteomyelitis

62. A women can be left infertile because of damage and scarring to the:
a. Uterus.
b. Fallopian tubes.
c. Vagina.
d. Ovary.

63. Pelvic inflammatory disease is a/an _______ infection that occurs whenever the uterus is
traumatized.
a. Viral.
b. Fungal.
c. Bacterial.
d. Worm.

64. It causes the blood in the veins to flow downward rather than up toward the heart:
a. Vericosities.
b. DVT.
c. Thrombus.
d. Emboli.
65. Cancer of uterine endometrium usually occur in postmenopausal women between age of
____ and ____ years.
a. 50, 70.
b. 60, 70.
c. 50, 80.
d. 60, 80.

66. Ovarian cancer is the ____ most common reproductive cancer in women.
a. 1st.
b. 2nd.
c. 3rd.
d. 4th.

67. Cancer of cervix is the _____ most common gynecologic malignancy in the US.
a. 1st.
b. 2nd.
c. 3rd.
d. 4th.

68. Blumberg’s sign is a test for rebound _______ is usually positive in the presence of
peritonitis, appendicitis, PID or any other infection or inflammation associated with
abdominal or pelvic conditions.
a. Inflammation.
b. Infection.
c. Edema.
d. Tenderness.

69. Injury or trauma to coccyx can cause coccygeal pain called:

a. Coccygeal pain syndrome
b. Coccygodynia
c. Infectious coccyx
d. Coccyx fracture

70. A sudden involuntary contraction of a muscle or group of muscles, usually occurring as a

result of overuse or injury of the adjoining NMS is:
a. Muscle tension.
b. Muscle trauma.
c. Muscle contraction.
d. Muscle spasm.

71. Muscle trauma can occur due to :

a. Strenuous exercise.
 b. Medication.
c. Injuries.
d. Immobility.

72. The local contraction of tense muscle fibers in response to stimulation is:
a. Local twitch response.
b. Local contraction.
c. Flicker response.
d. Muscle contraction.

73. It is a common complaint in sports that involve kicking and rapid change in position.
a. Back pain.
b. Groin pain.
c. Leg pain.
d. Shoulder pain.

74. The tears of acetabular _______ can also cause groin pain.
a. Labral.
b. Ligament.
c. Tendon.
d. Bursa.

75. A positive reverse _____ is defined as pain travelling down the ipsilateral lag when the
person is prone and leg is extended at the hip and knee.
a. Lachman.
b. Obers.
c. Thompson.
d. SLR.

76. A common neuromuscular cause of anterior or anterolateral thigh pain is lateral ______
cutaneous nerve neuralgia
a. Sciatic.
b. Femoral.
c. Peroneal.
d. Tibial.

77. There are ____ types of stress fractures.

a. 04.
b. 03.
c. 02.
d. 01.
78. It is a microscopic disruption, or break, in a bone that is not displaced and not seen initially
on regular X-rays.
a. Stress fracture.
b. Avulsion fracture.
c. Displacement fracture.
d. Transverse fracture.

79. A small, benign but painful tumor of bone:

a. Osteoid osteoma.
b. Osteosarcoma.
c. Osteoblastoma.
d. Ewing’s sarcoma.

80. Gender and age are non-modifiable risk factors of chest pain caused by _____ disease.
a. Heart.
b. Kidney.
c. Shoulder.
d. Stomach.

81. Doctors use ____ for screening for chest pain of cardiac nature.
a. 6Ps.
b. 5Ps.
c. 4Ps.
d. 3Ps.

82. Lesions of upper esophagus may cause pain in:

a. Pectoral region.
b. Anterior neck.
c. Posterior neck.
d. Throat.

83. It is typically characterized by substernal or upper abdominal discomfort:

a. Epigastric pain.
b. Hypogastric pain.
c. Umbilical.
d. Right hypochondriac.

84. Dark urine and jaundice indicate that a stone obstructed the:
a. Hepatic duct.
b. Bile duct.
c. Common bile duct.
 d. Pancreatic duct.

85. An inflammatory condition associated with lactation is:

a. Mastitis.
b. Mastodynia.
c. Carcinoma.
d. Paget’s disease.

86. A rare form of ductal carcinoma arising in the ducts near the nipple is:
a. Mastitis.
b. Mastodynia.
c. Carcinoma.
d. Paget’s disease.

87. The breast is the ____ most common type of cancer in cancer.
a. 4th.
b. 5th.
c. 2nd.
d. 3rd.

88. An inflammation of ribs and its cartilages is:

a. Tietze’s syndrome.
b. Costochondritis.
c. Parasternal chondrodynia.
d. Costosternal syndrome.

89. It refers to compression of the neural / vascular structures that leave or pass over the
superior rim of the thoracic cage is:
a. Thoracic outlet syndrome.
b. Thoracic inlet syndrome.
c. Thoracic neuralgia.
d. Vascular compression.

90. Pericarditis is a disease of:

a. Kidney.
b. Shoulder.
c. Heart.
d. Liver.

91. _____ from the intestine is normally transformed by the liver to urea, glutamine and
asparagine and excreted by renal system.
 a. Methane.
b. Phosphate.
c. Urea.
d. Ammonia.

92. _____ arthritis of the AC joint or hand can present as insidious onset of shoulder pain.
a. Psoriatic.
b. Rheumatoid.
c. Septic.
d. Gouty.

93. Osteomyelitis is most commonly caused by:

a. E. Coli.
b. S. Aureus.
c. Vibrio Cholera.
d. S. Epidemidis.

94. Mononucleosis is a/an _____ infection.

a. Bacterial.
b. Viral.
c. Fungal.
d. Worm.

95. Axillary radiation is a predictive factor for the development of shoulder:

a. Mortality.
b. Motility.
c. Morbidity.
d. Damage.

96. Localized warmth felt at any part of the ______ area may prove to be the 1 st sign of
malignant deposit eroding bone.
a. Scapular.
b. Clavicular.
c. Sternal.
d. Shoulder.

97. The virus can be present ____ weeks before any symptoms develop so the person may not
know mono is present.
a. 2-8.
b. 3-9.
c. 4-10.
 d. 5-12.

98. The reduction of brain glutamate impairs neurotransmission, leading to altered _____
metabolism and function.
a. ANS.
b. PNS.
c. CNS.
d. Spinal cord.

99. The anatomic position of the kidneys (and ureters) is in front of and on both sides of the
vertebral column at the level of:
a. T12-L3.
b. T11-L3.
c. T11-L4.
d. T12-L4.

100. Shoulder pain from diaphragmatic irritation usually does

a. Anterior shoulder pain.
b. Posterior shoulder pain.
c. Lateral shoulder pain.
d. Medial shoulder pain.