PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST SEM SY 22 23 - Principles of Medicine MPCUETO

1/11/23, 7:45 PM PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST SEM SY 22-23: Principles of Medicine-MPCUETO
PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST

SEM SY 22-23
Due Jan 11 at 11:59pm Points 70 Questions 70
Available Jan 11 at 8am - Jan 11 at 11:59pm 15 hours and 59 minutes
Time Limit 80 Minutes
Instructions
Directions :
For MCQ : Choose the correct answer

For Fill in the blanks : Write/Type the correct answer. Wrong spelling wrong.
For True and False : Choose TRUE if the statement is true and FALSE when the statement is false
For Matching : Choose the answer from the dropdown menu
For Multiple Fill in the blanks : Type the correct answer for each blank/box. Wrong spelling wrong.
The exam is 70 items

You have 80 minutes to finish the exam
You are only given 1 attempt
Please be sure that you have a stable internet connection and working gadget.
Attempt History
Attempt Time Score
LATEST Attempt 1 43 minutes 63 out of 70
 Correct answers will be available on Jan 12 at 12am.
Score for this quiz: 63 out of 70

Submitted Jan 11 at 7:43pm
This attempt took 43 minutes.
Question 1 1 / 1 pts
https://ceu.instructure.com/courses/21195/quizzes/363188 1/33
Mr. M. Tipuno suddenly experienced chest discomfort while resting.

According to the Canadian Cardiovascular Society Functional
Classification of Angina, to what Class does Mr. M. Tipuno belong?
Class I
Class II
Class III
Class IV
The discomfort experienced when the heart muscle is deprived of

adequate oxygen is called __________.
Ischemia
Cyanosis
Angina pectoris
Polycythemia
Incorrect
CHD characterized by stenosis of the pulmonary artery, thickening of

the right ventricular muscle, overriding of the aorta and defect of the
interventricular septum.
ASVD
Tetralogy of Fallot
PDA
Transposition of the great vessels
__________ is a pathologic condition that is characterized by a bluish

discoloration of the skin or mucous membrane.
cyanosis
CHDs that contain a ventricular septal defect component.
Tetralogy of Fallot
AVSD
VSD
All of the above
None of the above
Vital sign measurement includes the following : EXCEPT
Blood pressure
Heart rate
Respiratory rate
Height
None of the above
The right and left coronary arteries arise from the right and left coronary
sinuses in the root of the aorta just above the aortic valve orifice.
True
False
Myocardial Infarction results from the complete occlusion of one or more

coronary arteries.
True
False
It is an abnormal opening primarily located at the interventricular septum

only, causing a left to right shunt between ventricles.
AVSD
ASD
VSD
Tetralogy of Fallot
Coarctation of the aorta is a localized narrowing of the aorta causing the

following EXCEPT
Increase in blood pressure of the lower extremities
Thickening of the left ventricular mucle
Abdominal organ failure due to increased blood flow
All of the above
None of the above
Maintenance of body calcium stores depend on the following: EXCEPT
Dietary calcium intake
Absorption of calcium from the GI tract
Renal calcium excretion
All of the above
None of the above
Because your dental supplies are getting low, you decided to go to

Quiapo to replenish your stocks. While navigating thru the streets under
the heat of the sun you felt thirsty and decided to buy water at a
convenience store to quench your thirst. Arrange the process of urine
formation until it reaches urine excretion.
Glomerular filtration, Tubular reabsorption, Tubular secretion
Glomerular filtration, tubular secretion, tubular reabsorption
Tubular reabsorption, tubular secretion, glomerular filtration
tubular secretion, tubular reabsorption, glomerular filtration
The kidneys regulate red blood cell production in the bone marrow by
releasing the hormone ____________ .
erythropoietin
True regarding Diabetic Nephropathy:

Diabetic nephropathy is the most common cause of nephrotic syndrome in
adults.
Pathogenesis begins with small vessel disease.
Sustained microalbuminuria is the earliest warning sign.
All of the above
None of the above
Incorrect
The Ureteric bud develops into the __________.
Collecting duct and tubules
Ureter
Nephron
None of the above
____________ is a complete blockage of blood flow through one or both

of the main renal arteries or its branches.
Renal artery stenosis
Renal artery occlusion
Both are correct
None are correct
___________ is required for the proper functioning of muscle contraction,

nerve conduction, hormone release, and blood coagulation.
Sodium
Potassium
Magnesium
Calcium
___________ refers to physiologic processes that cause alkali

accumulation or acid loss.
Acidemia
Alkalemia
Alkalosis
Acidosis
A patient of yours came to you for tooth extraction. Upon checking his BP
prior to procedure it was noted that it was elevated. You have no choice
but to postpone the procedure and told the patient to secure a medical
clearance from an Internist. After 2 weeks the patient came back with a
Medical clearance and his BP is now controlled. The internist is
considering Renovascular Hypertension as the cause of his BP elevation.
What can make you suspect that a patient may have Renovascular
Hypertension.
Diastolic hypertension develops abruptly in a patient < 30 or > 50
New or previously stable hypertension rapidly worsens within 6 months
Hypertension is initially very severe
All of the above
None of the above
Principal causes of Hypercalcemia include :
Hypoparathyroidism
Vitamin D deficiency
Hyperparathyroidism
Renal disease
True about Lung Carcinoma:

Lung carcinoma is the leading cause of cancer-related death worldwide.

Cigarette smoking is the most important cause of lung cancer, accounting
for about 85% of cases.

About 15 to 20% of people who develop lung cancer have never smoked
or have smoked minimally.
All of the above
None of the above
Bacterial causative agent of Pulmonary Tuberculosis.
Mycobacterium leprae
Mycobacterium tuberculosis
Streptococcus pneumoniae
Staphylococcus aureus
An acute exacerbation of asthma that does not respond to standard

treatments of bronchodilators (inhalers) and corticosteroids.
Acute severe asthma
Status asthmaticus
Both are correct
None of the above
It is an anatomically defined condition characterized by destruction and

enlargement of the lung alveoli.
Pneumonia
PTB
Emphysema
Chronic Bronchitits
Pack-years, the product of cigarettes per day in increments of packs (one

measure of intensity) and duration (years smoked), is a cumulative
exposure indicator of smoking burden, routinely used to estimate patients'
risk of developing smoking-related diseases for clinical practice, research,
and healthcare policies. A friend of yours smokes 35 sticks of cigarettes
per day. He has been smoking for 20 years now. Compute for the pack
years.
25 pack years
35 pack years
45 pack years
55 pack years
Your grandmother was brought to the hospital after she slipped while
dancing during your family reunion. Fracture was seen on her pelvic xray
and will need to stay in the hospital for a while. After 1 week being
confined in the hospital your grandmother experienced malaise, fever,
chills, rigor, cough, dyspnea, and chest pain. The attending doctor is
thinking of Pneumonia as the possible cause. What particular type of
Pneumonia is your grandmother probably having?
Community Acquired Pneumonia
Hospital Acquired Pneumonia
All of the above
None of the above
Your patient came in for oral prophylaxis and you noted that she has
hoarse voice. Your patient works as an events host and only have this day
off so she opted to have his dental appointment today. What is this
condition called?
Acute Bronchitis
Bronchial Asthma
Acute Laryngitis
Acute Tonsillitis
In acute bronchitis, fever is the last symptom to subside and often takes 2
to 3 weeks or even longer to do so.
True
False
Incorrect Question 29 0 / 1 pts
Features of Status Asthmaticus includes: EXCEPT
Tachypnea
Use of accessory respiratory muscles
Pulsus paradoxus
All of the above
None of the above
In general ___________ is referred to as acute inflammation of the lungs

caused by infection.
pneumonia
Arrange the parts of the brainstem from superior to inferior.
Medulla, pons, midbrain
Midbrain, pons, medulla
Pons, medulla, midbrain
Midbrain, medulla, pons
In this level of consciousness, the patient is drowsy, sleeps a lot but is

easily aroused with minimal stimuli.
Awake
confused
Disoriented
Lethargic
True about the cerebrum.
Largest part of the brain
Located in the upper portion of the brain
Composed of sulci and gyri
All of the above
None of the above
A ________ is an abnormal, unregulated electrical discharge that occurs

within the brain’s cortical gray matter and transiently interrupts normal
brain function.
seizure
This organ is the center for all thought, memory, judgment, and emotion.
brain
Part of the brain that aids in coordinating voluntary body movements and
maintaining balance and equilibrium.
Cerebrum
Cerebellum
Diencephalon
Brainstem
Dr. Kass Kasero went on a road trip using his big bike. He encountered a
very slippery part of the road where he slipped and was dragged a couple
of meters injuring his neck. What will be the possible spinal cord injury
that he may have after the accident?
Quadriplegia
Paraplegia
Incontinence
Sexual dysfunction
To be able to diagnose a patient with Alzheimer's diseases the patient

must fulfill the following criteria. EXCEPT

Dementia established clinically and documented by a formal mental status
examination
Deficits in 1 area of cognition only

Gradual onset and progressive worsening of memory and other cognitive
functions

No systemic or brain disorders that could account for the progressive
deficits in memory and cognition
In general, inflammation of the meninges is referred to as ___________ .
ENCEPHALITIS
MENINGITIS
HEADACHE
SEIZURE
True of Tension type headaches. EXCEPT

Causes mild generalized pain without the incapacity, nausea, or
photophobia associated with migraine.

These headaches originate in the occipital or frontal region bilaterally and
spread over the entire head.

Auras occur in about 25% of patients, usually just before but sometimes
after the headache.

Unlike migraine headaches, tension-type headaches are not accompanied
by nausea and vomiting and are not made worse by physical activity, light,
sounds, or smells.
History and physical examination are adequate for diagnosing many skin
lesions. Some require biopsy or other testing.
True
False
Modified True or False
Choose TRUE if the statement is TRUE. If false choose the word/phrase

that would make it true.
Impetigo is an inflammatory disease that manifests most commonly as

well-circumscribed, erythematous papules and plaques covered with
silvery scales.
TRUE
Ecthyma
Furuncle
Psoriasis

Kernig's sign is the appearance of punctate bleeding spots when psoriasis

scales are scraped off.
TRUE
Brudinski's sign
Chovtek's sign
Auspitz sign
Identify the skin lesion. It is usually a change in the skin secondary to

trauma or inflammation.
Excoriation
Lichen planus
Scar
Scale
Identify the skin condition. It is a clusters of skin lesions connected

subcutaneously, causing deeper suppuration and scarring.
Furuncle
Carbuncle
Cellulitis
None of the above
___________ are small, clear, fluid-filled blisters < 10 mm in diameter.
Papule
Macule
Vesicle
Pustule
______________ is acute bacterial infection of the skin and

subcutaneous tissue most often caused by streptococci or staphylococci.
Furuncle
Caruncle
Cellulitis
None of the above
They are flat, nonpalpable lesions usually < 10 mm in diameter. They

represent a change in color and are not raised or depressed compared to
the skin surface.
Papules
Patch
Nodule
Macule
The following are the factors that lead to the development of Acne.
EXCEPT
Absence of sebum production
Follicular plugging with sebum and keratinocytes
Colonization of follicles by Propionibacterium acnes
Release of multiple inflammatory mediators
True about Steven Johnson's syndrome and Toxic Epidermal Necrolysis
Both are severe cutaneous hypersensitivity reactions.
SJS and TEN are clinically similar except for their distribution.

Drugs, especially sulfa drugs, antiepileptics, and antibiotics, are the most
common causes.
All are correct
None of the above
___________ is noncancerous hypertrophy of the thyroid without

hyperthyroidism, hypothyroidism, or inflammation.
Grave's disease
Cretinism
Simple non-toxic goiter
None of the above
Endocrine disorders can result in hormone overproduction (hyperfunction)

or underproduction (hypofunction).
True
False
__________ is a lack of vasopressin (antidiuretic hormone) that causes

excessive production of very dilute urine (polyuria).
Diabetes insipidus
SIADH
Galactorrhea
Gigantism
Oxytocin released by the posterior pituitary gland acts on :
Breast tissue
Uterus
Both are correct
None of the above
Incorrect
__________ is a hormone that helps regulate the amount of water in the

body by signalling the kidneys to decrease the amount of urine they
produce.
Antidiuretic hormone
Vasopressin
Both are correct
None of the above
Cretinism is :

It is a condition of severely stunted physical and mental growth due to
untreated congenital deficiency of thyroid hormones (congenital
hypothyroidism).

It is caused by an autoantibody against the thyroid receptor for thyroid-
stimulating hormone (TSH)

It is noncancerous hypertrophy of the thyroid without hyperthyroidism,
hypothyroidism, or inflammation.
None of the above
The endocrine system coordinates functioning between different organs

through hormones, which are released into the bloodstream from specific
types of cells within exocrine glands.
True
False
Anterior pituitary hormones include: EXCEPT
FSH
LH
Vasopressin
Prolactin
Oxytocin is present in men but has no proven function.
True
False
Incorrect
Pathology of Hypoparathyroidism include the following, EXCEPT
Decreased secretion of parathyroid hormone
Decreased serum calcium
Symptomatic hypocalcemia
Increased bone resorption and increased renal reabsorption of calcium
__________ are sores that develop in the lining of the stomach, lower
esophagus, or small intestine. They’re usually formed as a result of
inflammation caused by the bacteria H. pylori, as well as from erosion
from stomach acids.
Gastririts
Peptic ulcer
GERD
None of the above
Auscultation of the abdomen is to assess bowel sounds and determine

presence of bruits.
True
False
True about Hirschsprung's disease:
a congenital anomaly of innervation of the lower intestine

It results when part or all of the large intestine or antecedent parts of the
gastrointestinal tract have no ganglion cells and therefore cannot function.
Symptoms are obstipation and distention.
All of the above
None of the above
___________ is an inflammation, irritation, or erosion of the lining of

the stomach. It can occur suddenly (acute) or gradually (chronic).
Anal atresia
Gastritis
Intussusception
GERD
The _______ is a long tube that runs from the mouth to the stomach.
Oral cavity
Stomach
Small intestines
Esophagus
The exact demarcation between the upper and lower tracts is the
suspensory ligament of the jejunum.
True
False
__________ is a nonpenetrating mucosal laceration of the distal

esophagus and proximal stomach caused by vomiting, retching, or
hiccuping.
Hirschsprung's disease
Anal atresia
Intussusception
None of the above
The digestive process begins in the mouth.
True
False
_________ are dilated veins of the hemorrhoidal plexus in the lower

rectum.
Intussusception
GERD
Hemorrhoids
Gastritis

Intussusception is a serious disorder in which part of the intestine slides

into an adjacent part of the intestine.
TRUE
Hirschsprung's disease
Esophageal atresia
Anal atresia
Quiz Score: 63 out of 70

PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST SEM SY 22 23 - Principles of Medicine MPCUETO

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1/11/23, 7:45 PM PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST SEM SY 22-23: Principles of Medicine-MPCUETO

PRINCIPLES OF MEDICINE FINAL EXAMINATION 1ST

For MCQ : Choose the correct answer

The exam is 70 items

 Correct answers will be available on Jan 12 at 12am.

Score for this quiz: 63 out of 70

Mr. M. Tipuno suddenly experienced chest discomfort while resting.

The discomfort experienced when the heart muscle is deprived of

CHD characterized by stenosis of the pulmonary artery, thickening of

Transposition of the great vessels

__________ is a pathologic condition that is characterized by a bluish

CHDs that contain a ventricular septal defect component.

All of the above

None of the above

Vital sign measurement includes the following : EXCEPT

None of the above

Myocardial Infarction results from the complete occlusion of one or more

It is an abnormal opening primarily located at the interventricular septum

Coarctation of the aorta is a localized narrowing of the aorta causing the

Increase in blood pressure of the lower extremities

Thickening of the left ventricular mucle

Abdominal organ failure due to increased blood flow

All of the above

None of the above

Maintenance of body calcium stores depend on the following: EXCEPT

Dietary calcium intake

Absorption of calcium from the GI tract

Renal calcium excretion

All of the above

None of the above

Because your dental supplies are getting low, you decided to go to

Glomerular filtration, Tubular reabsorption, Tubular secretion

Glomerular filtration, tubular secretion, tubular reabsorption

Tubular reabsorption, tubular secretion, glomerular filtration

tubular secretion, tubular reabsorption, glomerular filtration

True regarding Diabetic Nephropathy:

Pathogenesis begins with small vessel disease.

Sustained microalbuminuria is the earliest warning sign.

All of the above

None of the above

The Ureteric bud develops into the __________.

Collecting duct and tubules

None of the above

____________ is a complete blockage of blood flow through one or both

Renal artery stenosis

Renal artery occlusion

Both are correct

None are correct

___________ is required for the proper functioning of muscle contraction,

___________ refers to physiologic processes that cause alkali

Diastolic hypertension develops abruptly in a patient < 30 or > 50

New or previously stable hypertension rapidly worsens within 6 months

Hypertension is initially very severe

All of the above

None of the above

Principal causes of Hypercalcemia include :

True about Lung Carcinoma:

All of the above

None of the above

Bacterial causative agent of Pulmonary Tuberculosis.

An acute exacerbation of asthma that does not respond to standard

Acute severe asthma

Both are correct