NCCAOM Biomedicine and Diagnosis 2

Question 1

A patient presents with a serum TSH of 0.1 mIU/L and elevated free T4. Which condition does this most likely indicate?

Accepted Answer

Hyperthyroidism

Answer

Hypothyroidism

Answer

Euthyroid sick syndrome

Answer

Hashimoto's thyroiditis

Question 2

Which cranial nerve is responsible for the afferent limb of the corneal reflex?

Accepted Answer

CN V1 (Ophthalmic branch of Trigeminal)

Answer

CN III (Oculomotor)

Answer

CN VII (Facial)

Answer

CN VI (Abducens)

Question 3

Kussmaul breathing is a compensatory mechanism most associated with which acid-base disturbance?

Accepted Answer

Metabolic acidosis

Answer

Metabolic alkalosis

Answer

Respiratory acidosis

Answer

Respiratory alkalosis

Question 4

A positive Murphy's sign on physical examination is most indicative of inflammation of which organ?

Accepted Answer

Gallbladder

Answer

Spleen

Answer

Liver

Answer

Pancreas

Question 5

Which laboratory finding is most specific for acute myocardial infarction?

Accepted Answer

Elevated troponin I

Answer

Elevated CK-MM

Answer

Elevated LDH

Answer

Elevated myoglobin

Question 6

The process by which a hollow organ's pain is perceived at a distant skin surface is called:

Accepted Answer

Referred pain

Answer

Hyperalgesia

Answer

Allodynia

Answer

Central sensitization

Question 7

Which of the following is the primary buffer system in the blood that maintains pH homeostasis?

Accepted Answer

Bicarbonate-carbonic acid buffer system

Answer

Phosphate buffer system

Answer

Protein buffer system

Answer

Hemoglobin buffer system