1. Symptoms of depression are a side effect of which neurotransmitter medication? A- Dopamine B- Gabapentin C- Mu D- Cortisol 2. Which of the following is considered a synovial joint? A- -Vertebral bodies of the spine B- - Skull C- -Shoulder D- - Pubic symphysis of the pelvis 3. The most common sign associated with substance abuse in an adolescent is: A- - Poor school performance B- - Change in sleep habits C- - Increased blood pressure D- - Changes in behavior 4. Which pathogen is associated with common urinary tract infections? A- E. coli B- Klebsiella C- Streptococcus D- Proteus mirabilis 5. Which medication can cause a false positive result for amphetamines in a urine drug screen? A- Metformin B- Lisinopril C- Glyburide D- Bupropion 6. Pregnant women are evaluated forsyphilis with serology testing because: A- Syphilis during pregnancy predisposes the fetus to spontaneously abortion or the newborn to have syphilis B- Hormonal changes associated with pregnancy may trigger activation of latent syphilis C- Syphilis may be passed to the fetus beginning in the third trimester D- Untreated syphilis can cause neonatal respiratory distress 7. Heartburn and regurgitation are symptoms associated with: A- Hiatal hernia B- Gastroesophageal reflux = GERD C- Peptic ulcer disease D- Esophageal cancer 8. Which patient causesthe greatest concern for complicationsrelated to scoliosis? A- 13-year-old girl with a 10° curve B- 17-year-old girl with a 10° curve C- 12-year-old boy with a 5° curve D- 18-year-old boy with a 5° curve 9. Which medication is contraindicated during an acute attack of gout? A- Colchicine (for acute attack) B- Allopurinol = prophylaxis, preventive, meds patient drinks everyday C- A steroid D- NSAIDs 10. A cloudy opacity of the eye is noted on ophthalmoscopic examination. This is suggestive of: A- Corneal arcus B- A corneal scar C- A pterygium D- A cataract 11. Which medication isthe first-line treatment for chronic bacterial prostatitis (CBP)? A- Erythromycin 4 times daily for 7 to 10 days B- Doxycycline (Vibramycin) twice daily for 14 days C- Macrobid (Nitrofurantoin) twice daily for 6 weeks D- Sulfamethoxazole/trimethoprim (Bactrim DS) twice daily for 4 to 12 weeks 12. Which medication is initially used for patients with benign positional vertigo? A- Hydrochlorothiazide B- Meclizine (Antivert) = or Dimenhydrinate (dramamine) a vestibular suppressant C- Pseudoephedrine (Sudafed) D- Promethazine (Phenergan)which immunization 13. Which of the following conditions is associated with chronic bloody diarrhea? A- Irritable bowel syndrome B- Crohn’s disease C- Hepatitis A D- Celiac disease 14. What is the initial treatment for a patient with premenstrual syndrome who is experiencing acute pain? A- Black cohosh B- B vitamins C- Antidepressant agents D- Heat applied to the lower abdomen 15. Why would a combined hormonal contraceptive be contraindicated in a 36-year-old patient with a past medical history of diabetes, obesity, current smoking and sedentary lifestyle? A- She is obese B- She has type 2 diabetes mellitus C- Her age and tobacco use = risk for blood clots D- She leads a sedentary lifestyle