Question:
A patient with a history of hypertension and hyperlipidemia presents with chest pain. Physical examination reveals normal vital signs, no murmurs, and no carotid bruits. Electrocardiogram shows ST segment elevation in leads V1-V3. Which of the following is the most likely diagnosis?
(A) Aortic dissection
(B) Myocardial infarction
(C) Pericarditis
(D) Pulmonary embolism
Answer:
(B) Myocardial infarction
The patient's symptoms and electrocardiogram findings are most consistent with myocardial infarction. The patient has a history of hypertension and hyperlipidemia, both of which are risk factors for coronary artery disease. The chest pain and ST segment elevation in leads V1-V3 are classic signs of myocardial infarction.
Question:
Which of the following is NOT a mechanism of action of aspirin?
(A) Inhibition of platelet aggregation
(B) Inhibition of cyclooxygenase-1 (COX-1)
(C) Inhibition of cyclooxygenase-2 (COX-2)
(D) Vasodilation
Answer:
(C) Inhibition of cyclooxygenase-2 (COX-2)
Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting the production of prostaglandins. Prostaglandins are produced by the enzyme cyclooxygenase (COX). Aspirin irreversibly inhibits COX-1, which is found in platelets and is responsible for platelet aggregation. Aspirin also inhibits COX-2, which is found in the body's tissues and is responsible for inflammation. However, the inhibition of COX-2 by aspirin is reversible.
Question:
Which of the following is a common cause of secondary hyperthyroidism?
(A) Graves' disease
(B) Hashimoto's thyroiditis
(C) Pituitary adenoma
(D) Thyroiditis
Answer:
(C) Pituitary adenoma
Secondary hyperthyroidism is caused by excessive production of thyroid-stimulating hormone (TSH) by the pituitary gland. The most common cause of secondary hyperthyroidism is a pituitary adenoma, which is a benign tumor of the pituitary gland. The pituitary adenoma produces excessive amounts of TSH, which stimulates the thyroid gland to produce excessive amounts of thyroid hormone.
Question:
Which of the following is a risk factor for developing type 2 diabetes?
(A) Obesity
(B) Physical inactivity
(C) Family history of type 2 diabetes
(D) All of the above
Answer:
(D) All of the above
Obesity, physical inactivity, and family history of type 2 diabetes are all risk factors for developing type 2 diabetes. Obesity is the strongest risk factor, followed by physical inactivity. Family history of type 2 diabetes also increases the risk of developing the disease.
Question:
Which of the following is NOT a symptom of iron deficiency anemia?
(A) Fatigue
(B) Weakness
(C) Palpitations
(D) Jaundice
Answer:
(D) Jaundice
Iron deficiency anemia is a condition in which the body does not have enough iron to produce red blood cells. Symptoms of iron deficiency anemia include fatigue, weakness, and palpitations. Jaundice is not a symptom of iron deficiency anemia. Jaundice is a condition in which the skin and whites of the eyes turn yellow. It is caused by a buildup of bilirubin in the body.
Question:
Which of the following is a treatment for hyperthyroidism?
(A) Radioactive iodine
(B) Antithyroid drugs
(C) Surgery
(D) All of the above
Answer:
(D) All of the above
Hyperthyroidism is a condition in which the body produces too much thyroid hormone. Treatments for hyperthyroidism include radioactive iodine, antithyroid drugs, and surgery. Radioactive iodine is a radioactive substance that is taken orally and destroys thyroid tissue. Antithyroid drugs are medications that block the production of thyroid hormone. Surgery is an option for patients who do not respond to radioactive iodine or antithyroid drugs.
Question:
Which of the following is a symptom of hypothyroidism?
(A) Fatigue
(B) Weight gain
(C) Cold intolerance
(D) All of the above
Answer:
(D) All of the above
Hypothyroidism is a condition in which the body does not produce enough thyroid hormone. Symptoms of hypothyroidism include fatigue, weight gain, and cold intolerance. Fatigue is the most common symptom of hypothyroidism. Weight gain is also common, as is cold intolerance.
Question:
Which of the following is a risk factor for
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