Hemoglobin b serum potassium c blood urea nitrogen d

A. Hemoglobin
B. Serum potassium
C. Blood urea nitrogen
D. Serum glucose
B. Serum potassium
Genetic polymorphisms account for differences in metabolism, including:
A. Poor metabolizers (PMs) that lack a working enzyme
B. Intermediate metabolizers (IMs) that have one working, wild-type allele and one mutant allele
C. Extensive metabolizers (EMs), with two normally functioning alleles
D. All of the above
D. All of the above
Genetic testing for VCORC1 mutation to assess potential warfarin resistance is required prior to
prescribing warfarin.
A. True
B. False
B. False
Goals of treatment when treating hypothyroidism with thyroid replacement include:
A. Normal TSH and free T4 levels
B. Resolution of fatigue
C. Weight loss to baseline
D. All of the above
D. All of the above

Heart failure is a chronic condition that can be adequately managed in primary care. However,
consultation with or referral to a cardiologist is appropriate when:
A. Symptoms markedly worsen or the patient becomes hypotensive and has syncope.
B. There is evidence of progressive renal insufficiency or failure.
C. The patient remains symptomatic on optimal doses of an ACE inhibitor, a beta blocker, and a diuretic.
D. All the above options are correct.
D. All the above options are correct.
Hypoglycemia can result from the action of either insulin or an oral hypoglycemic. Signs and symptoms
of hypoglycemia include:
A. "Fruity" breath odor and rapid respiration
B. Diarrhea, abdominal pain, weight loss, and hypertension
C. Dizziness, confusion, diaphoresis, and tachycardia
D. Easy bruising, palpitations, cardiac dysrhythmias, and coma
C. Dizziness, confusion, diaphoresis, and tachycardia
If a patient with H. pylori positive PUD fails first-line therapy, the second-line treatment is:
A. A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days
B. Testing H. pylori for resistance to common treatment regimens
C. A PPI plus clarithromycin plus amoxicillin for fourteen days
D. A PPI and levofloxacin for fourteen days
A. A PPI BID plus metronidazole plus tetracycline plus bismuth subsalicylate for fourteen days
In addition to methimazole, a symptomatic patient with hyperthyroidism may need a prescription for:
A. A calcium channel blocker
B. A beta blocker
C. Liothyronine
D. An alpha blocker
B. A beta blocker
Inadequate vitamin D intake can contribute to the development of osteoporosis by:
A. Increasing calcitonin production
B. Increasing calcium absorption from the intestine
C. Altering calcium metabolism
D. Stimulating bone formation
B. Increasing calcium absorption from the intestine
Incorporating IT into a patient encounter takes skill and tact. During the encounter, the provider can
make the patient more comfortable with the IT the provider is using by:
A. Turning the screen around so the patient can see material being recorded
B. Not placing the computer screen between the provider and the patient
C. Both A and B
D. Neither A nor B
C. Both A and B

Infants with reflux are initially treated with:
A. Histamine 2 receptor antagonist (ranitidine)
B. A PPI (omeprazole)