1. A heroin addict is found unconscious in an alley with an empty syringe beside him.

When his blood gases are checked, which of the following would be expected?
A. Metabolic acidosis
B. Metabolic alkalosis
C. Normal pH balance
D. Respiratory acidosis
E. Respiratory alkalosis
Answer: D
2. A 66-year-old male presents with chronic fatigue. On examination, the patient is noted
to have lymphadenopathy and an enlarged liver and spleen. Laboratory examination
reveals a white blood cell count of 25,000/L with 93% lymphocytes; the lymphocytes
appear small and mature. Both the hematocrit and platelet counts are within normal
limits; however, hypogammaglobulinemia is also noted. Which of the following agents
is indicated for treatment of this patient s condition?
A. Chlorambucil
B. Cisplatin
C. Dacarbazine
D. Tamoxifen
E. Vinblastine
Answer: A
3. A 57-year-old man with severe bronchial asthma presents with white patches on the
inside of the cheeks that can be easily wiped off, leaving a red, bleeding, sore
surface. He is currently using beclomethasone and albuterol inhalers for his asthma
and he is allergic to penicillin. Which of the following agents would be most
appropriate for the treatment of this patient s oral condition?
A. Acyclovir
B. Amoxicillin
C. Cefixime
D. Erythromycin
E. Nystatin
Answer: E
4. A 4-year-old male is brought to the emergency room with a recent onset of a rash,
urticaria, and a fever of 101 degrees F. The mother also states that her son has been
complaining that his "bones hurt." Physical examination reveals mild
lymphadenopathy. The patient s past medical history is unremarkable except that he
just finished a 10-day course of cefaclor suspension for treatment of an upper
respiratory infection. The patient should be treated with
A. aspirin and diphenhydramine
B. erythromycin and diphenhydramine
C. intravenous penicillin and diphenhydramine
D. oral prednisone and diphenhydramine
E. topical betamethasone
Answer: D

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