BARKLEY REVIEW QUESTIONS AND CORRECT ANSWERS 2023-2024 UPDATE ALREADY A GRADED WITH EXPERT FEEDBACK 1. A 59-year-old is having a follow-up evaluation two years after the successful conclusion of radiation therapy for leukemia. He tells you that he has been feeling run-down and reports unexplained weight loss and night sweats. Upon examination, you determine that he also has a fever and pain below his ribsand the left side. You know that he is at risk for chronic lymphotic leukemia. Which of the following results is considered the hallmark of this disease? A. Philadelphia chromosome in leukemic cells B. LYMPHOCYTOSIS C. Non-circulating blast cells in bone marrow D. Pancytopenia with circulating blasts. 2. A 28-year-old single mother arrives at your office inquiring about alternative options for contraception. The woman mentions that she has been having an oral contraception for the last 10 years but is curious about the hormonal intrauterine device (IUD) option she read about in an article. Which of the followingis one of the advantages of using a hormonal IUD? A. Prevention of depression B. PREVENTION OF ASHERMAN’S SYNDROME C. Increased menstrual loss D. Spotting Page 2 of 52 3. You are monitoring a toddler who has serous otitis media. The patients want to understand the treatmenttheir child will receive. Which of the following would be the appropriate way to manage this condition?\ A. Oral antibiotics B. Antihistamines C. Decongestants D. MONITOR AND RE-EVALUATE IN 3 MONTHS 4. Which of the following seizure patients would most likely benefit from lumbar puncture? A. Any child with a tonic-clonic seizure B. An 11 year old with a fever of 101.5 F C. A four-month-old without fever D. ATWO-YEAR-OLD WITH A KNOWN SEIZURE DISORDER 5. You take a serological test on a patient with hepatitis. Checking over the results, you discover the patient’s serology is positive for the following: surface antigen of the Hepatitis-B (HbsAg), antibody tothe antigen of the hepatitis B virus (Anti-Hbe), immunoglobulin M (IgM0, immunoglobulin G (IgG0. What is the proper diagnosis? A. CHRONIC HEPATITIS B B. Recovered hepatitis B C. Acute hepatitis A D. Acute hepatitis B 6. Robert, a good friend of your, has called you to advice on obtaining a medical certification. He wants toknow his various options. Which statement is true regarding the difference between licensure and certification? A. Certification signifies that a person is qualified to perform a particular role and is granted by agovernment agency. Page 3 of 52 B. LICENSURE SIGNIFIES MASTERY OF SPECIALIZED KNOWLEDGE AND IS GRANTED BY A GOVERNMENTAGENCY. C. Certification signifies mastery of specialized knowledge and is granted by a non-governmentalagency. D. Licensure signifies that a person is qualified to perform a particular role and is granted by a non-governmental agency.