1: which test is used to confirm a diagnosis of epididymitis?

Ans: Ultrasound of the scrotum.

2: Which of the following is part of the treatment plan for the 

patient with irritable bowel syndrome?

Ans; High fiber diet 

3: Reuben, age 24 years old has HIV and just had a routine viral 

load test done. The results show a falling viral load. What does 

this indicates?

Ans: A favorable diagnostic trend

4: The patient with gastro esophageal reflux disease (GERD) 

should be instructed to eliminate which of these activities?

Ans: Weight lifting

5: you have detected the presence of crepitus on examination of 

a patient with a musculoskeletal complaint. Additionally, there is 

limited range of motion with both active and passive movement. 

These findings suggest that the origin of the musculoskeletal 

complaint is 

Ans: Articular

6: A 25 years old patient presents to the clinic with fatigue, cold

intolerance, weight gain and constipation for the past 3 months. 

On physical exam, the clinician notice a sinus bradycardia, 

muscular stiffness, coarse, dry hair, and a delay in relaxation in 

deep tendon reflexes (DTRs). Which of the following test should 

be ordered next?

Ans: Thyroid Stimulating Hormone (TSH)

7: Sam is a 25years old man who has been diagnosis with low 

back stain based on his history of localized low back pain and 

muscle spasm along with a normal numerological examination. 

As the clinician, you explain to Sam that low back pain is a 

diagnosis of exclusion. Which of the following symptoms would 

alert the clinician to the more serious finding of a herniated 

nucleus pulposus or ruptured disc?

Ans: Unilateral radicular pain symptoms that extend below 

the knee and are equal to or greater than the back pain.

8: Which of the following data is indication of testicular torsion?

Ans: Asecnt cremasteric reflex

9: What is the recommended daily calcium intake for adults over 

the age of 50 with low bone mass?

Ans: 1500mg /day

10: A 14 years old is seen with complaint of severe testicular 

pain. The clinician suspect testicular torsion. Which of the 

following is the appropriate action?

Ans: Send the patient to the emergency room

11: Which of the following data are indicative of testicular 

torsion?

Ans: Absent cremasteric reflex

12: A patient is seen with a sudden onset of flank pain 

accompanied by nausea, vomiting, and diaphoresis, in addition to 

nephrolithiasis, which of the following should be added to the list 

of differential diagnoses?

Ans: Pancreatitis, peptic ulcer disease, diverticulitis, All of 

the above

13: The patient is seen in the office complaining flank pain. The 

clinician should assess this patient for which risk factor for kidney 

stones?

Ans: Hypertension