CAD / EBM September 2020 edition

Total points 18/32

Formative Assessment for Clinical Clerks

Rio, 15 y/o senior high school student was noticed by by her friends after she 0/1
collapsed because of intense abdominal pain. You are the assigned intern at
R1MC ER department. Before you exercise collaborative care with the resident
on duty, what focused PE must you do last?

inspection

auscultation

palpation

percussin

Other:

Correct answer

percussin
A 32 year old male complains of alternating constipation and diarrhea 0/1
specially when under stress. He brought with him ultrasound of the entire
abdomen, fecalysis and occult blood test which are all normal. The patient
most likely is having:

hypochondriasis

psychosocial issue

irritable bowel syndrome

any of the above

Other:

Correct answer

any of the above

Ruslan is a normal term newborn whose mother is HBsAg positive. When is 1/1
the best time to receive hepatitis B vaccination?

at birth

within 7 days

within 1 month

any of the above

Other:
A 58 year-old male, a heavy cigarette smoker comes to consult because of 0/1
cough for more than 3 weeks. He noticed himself to be losing weight but he
claims to have increased appetite. His fasting BS is 130mg% taken on 2
separate occasions at home. HBA1c is 7. The most likely diagnosis is:

Diabetes

Bronchial Asthma

COVID-19 infection

PTB

Other:

Correct answer

Diabetes

Bles, a healthworker is exposed to a patient who died of documented COVID 1/1

infection. Based on the CDC interim guidance (July 2020), how many days
should she need isolation/quarantine?

21 days

14 days

10 days

7 days

Other:
Farrah is doing an RCT comparing serrapeptidase with clopidiogrel among 1/1
patients with chronic hypertension and atheromatous plagues. She is blinded
to the interventions, and she finds out that in one of the participants' group,
there are around 23% drop-outs. What statistical analysis should be done to
maintain the validity and reliability of the study?

number needed to treat

intended to treat analysis

meta-analysis

absolute risk reducton

Other:

Epidemic in contrast to endemic and pandemic means ____________________ 0/1

offshot of an outbreak

spreads in many countries

above the usual number of cases

occurring constantly in a place in all seasons

Other:

Correct answer

above the usual number of cases

This statistical parameter indicates probability that a patient who has positive 0/1
test result truly does have the condition

sensitivity

specificity

probability

likelihood ratio

Other:

Correct answer

specificity

Hector, 45 year old male has BP range of 140-150/90-100. All lab chemistries 1/1
are within normal limits. He is prescribed telmisartan and rosuvastatin. Taking
statin is what level of prevention?

primary

secondary

tertiary

quarternary

Other:
Fermin is a 62-year old known hypertensive, who recently suffered from a 0/1
cerebrovascular accident, with left-sided residuals, making him dependent on
his wife and children for all activities in his daily living. What family assessment
tool in this period of medical crisis may help in identifying the LEVEL of
SATISFACTION which Fermin gets from his family in terms of EMOTIONAL
SUPPORT?

SCREEM

Family Apgar

Draw A Family Test

Family Lifeline

Other:

Correct answer

Family Apgar
A 47 y/o meat vendor, had been on TB drug treatment for the past 5 years. 1/1
Upon consult at R1MC today, he disclosed that he has poor compliance to
medications, continued his cigarette smoking habits and noticed himself to
be losing weight. Chest x-ray revealed fibronodular densities with intervening
air traps and dilated airways. The most likely diagnosis

PTB relapse

Lung Cancer

Community-Acquired Pneumonia

Bronchiectasis

Other:

The category of SARS-CoV-2 test being recommended by CDC that to 1/1

identify current infection among individuals; this is performed when a person
has signs and symptoms consistent with COVID-19, or when a person is
asymptomatic but has recent known exposure to SARS-CoV-2 infection

diagnostic

screening

surveillance

contact tracing

Other:
A 24 y/o single female comes to a primary care clinic because of heavy 0/1
menstrual flow in between her 'regular 30 day cycle'. What is the best
terminology to describe her condition?

menorrhagia

metrorrhagia

menometrorrhagia

polymenorrhagia

Other:

Correct answer

metrorrhagia

18-year-old sexually active, with multiple partners, asymptomatic consults for 0/1
STI prevention. Suppose you are in a community primary care facility. You will
request for _______

Ultrasonograhy

Pap's smear

Whiff's test

Urinalysis

Other:

Correct answer

Urinalysis
A 24-year old street sweeper was recently diagnosed to have 1/1
rhabdomyosarcoma. The attending physician recommended immediate
surgery with chemotherapy, but the family refused the proposed intervention
since they were thinking of the expenses. The family assessment tool to
identify whether the family has enough resources is

Impact of Illness on the Family

Family Genogram

Family APGAR

SCREEM

Other:

The severe type of COVID-19 infection presents as pneumonia and 1/1

progressive respiratory failure. The anti-malarial drug that was initially tested
and produced good results is:

qualaquin

mefloquine

quinine sulfate

hydroxychloroquine

Other:
MA, 63-year-old woman develops fever, headache, malaise, myalgia, and 0/1
cough. No known data about the prevalent viruses that are present in the
community. The attending MD suspected Covid 19 infection, thus he requests
RT-PCR test. Aside from nasal swab or sputum, name one specimen that
could be used.

blood

cerebrospinal fluid

anterior nares swab

any of the above

Other:

Correct answer

anterior nares swab

Arjay 45 y/o has BP range of 160-190/90-100; CR-100/min. No history of 1/1

asthma nor CKD. He complains of palpitations, orthopnea and easy
fatigability. Based on the compelling indications, What class of
antihypertensive is the best choice?

CNS blocker

Beta Blocker

Calcium Channel Blocker

Angiotensin Receptor Blocker

Other:
It has been about five weeks since Elmer 35 y/o businessman started to have 1/1
low back pain and intermittent fever. Urinalysis disclosed: RBC 2-4/hpf WBC
8-12/hpf. The most possible cause of his fever is _______

COVID-19 infection

Urinary Tract Infection

Sexually Transmitted Infection

All of the above

Other:

The following are common characteristics of corona viruses, except: 0/1

Possess cross-reactive antigens with influenza viruses

Contain the largest genomes among RNA viruses

Can cause gastroenteritis

Are distributed worldwide

Correct answer

Possess cross-reactive antigens with influenza viruses

Juana 65 year old widow consults her primary care physician because of 1/1
passage of black tarry stools. She says "this is the first time I experience this."
Her CBC: Hgb=6.5; WBC= 4; platelet= 70. She will most likely be referred to?

Geriatrician

Hematologist

Gastroenterologist

Surgeon

Other:

Mammography has specificity of 97 whereas, Clinical Breast Examinations is 0/1

89. If a patient yields (+) results to mammography, that patient ____

is sure to have breast cancer

has breast mass with a higher possibility of being malignant

has breast mass with a higher possibility of being benign

Other:

Correct answer

has breast mass with a higher possibility of being malignant

The conscientious, explicit and judicious use of current best evidence in the 1/1
care of individual patient is:

Evidence-Based Medicine

Critical Appraisal

Research Process

Creative Analytical Discussion

Other:

The corona virus SARS epidemic of 2002-2003 resulted in many cases and 1/1
deaths. What is the primary route of transmission of human corona viruses?

GI tract

Reproductive system

Respiratory tract

CNS

Other:
70 year old male complains of sudden difficulty of breathing, easy fatigability. 1/1
Submitting him for COVID testing using rapid antigen is:

screening

diagnostic

surveillance

all of the above

Other:

Emil and Karen are newly married in March last year. and are blessed with a 1- 0/1
year old daughter. The family reside in Cavite with Emil’s parents. What is the
family structure?

Nuclear

Blended

Extended

Lineal

Other:

Correct answer

Extended
Primary preventive measures such as - promoting proper wearing of face 1/1
masks, frequent hand hygiene, observing social distance can be applied at
which stage in the natural history of COVID disease?

prepathogenesis

clinical horizon

pathogenesis

stage of complications

Other:

Smoking is a habit that is difficult to give-up because it is rewarding in certain 1/1

situations such as, handing emotions and work-related stress. A physician
who empowers a patient to lead a healthy life does this role of a 5-Star-
Doctor

leader

manager

clinician

researcher

Other:
The PFC Paradigm is a tool used by family medicine practitioners in applying 1/1
the biopsychosocial approach in caring for their patients. the 'F' in PFC stands
for:

family

feelings

fallacy

fulfillment

Other:

Mario, 58-year-old, seeks advice to quit smoking habits. After counseling, he 0/1
expressed desire but not ready to take any concrete action yet. At what stage
of behavioral change is our patient?

precontemplation

contemplation

action

exclusion

Other:

Correct answer

precontemplation
The medical term to denote a phenomenon, condition, quality or attribute of a 1/1
thing which increases the chances of an individual to have or to develop an
illness or be affected by the disease process:

hazard

risk factor

predisposing factor

susceptibility

Other:

Tony, 56y/o with BMI =27; HbA1C=1.5. He is asymptomatic.. According to 0/1

DECLARE Study, to stop the early onset of diabetes complication involving
kidney, this pharmacologic intervention is the best choice.

gliclazide

metformin

sitagliptin

dapagliflozin

Other:

Correct answer

dapagliflozin

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