MDS PREP
What is the normal heart rate for an adult?
1) 60-80 beats/min
2) 70-90 beats/min
3) 80-100 beats/min
4) 100-120 beats/min
The normal resting adult heart rate is typically between 60 and 80 beats per minute.
Which of the following is NOT a common behavioral symptom in early Huntington's disease?
(1) Depression
(2) Apathy
(3) Hyperactivity
(4) Social withdrawal
In early Huntington's disease, common behavioral symptoms include depression, apathy, irritability, and social withdrawal. Hyperactivity is not a typical early symptom; rather, the disease is more associated with a decline in motor function and increased involuntary movements (chorea).
What is the primary action of acetaminophen?
1) Anti-inflammatory
2) Analgesic and antipyretic
3) Muscle relaxant
4) Antihypertensive
Acetaminophen is primarily known for its analgesic and antipyretic (fever-reducing) effects. It is a common component in many over-the-counter pain relief medications.
A patient presents with oral lesions and is diagnosed with secondary syphilis. Which of the following is a characteristic feature of this stage?
(1) Condylomata lata
(2) Lues maligna
(3) Mucous patches
(4) Necrotizing ulcerative periodontitis
Secondary syphilis is characterized by the development of mucocutaneous lesions, including mucous patches, which are painless, erythematous ulcers with a smooth, moist, and glistening appearance, often found on the oral mucosa. These lesions can occur anywhere in the oral cavity but are particularly common on the tongue, palate, and buccal mucosa.
Which of the following is a common premedication for patients with valvular heart disease or congenital cardiac defects undergoing dental procedures to prevent bacterial endocarditis?
(1) Amoxicillin
(2) Clindamycin
(3) Cephalexin
(4) All of the above
Amoxicillin, clindamycin, and cephalexin are all commonly recommended as premedications for patients with valvular heart disease or congenital cardiac defects before dental procedures. The choice of antibiotic may depend on the patient's allergies and the type of infection.
What is the primary target of warfarin in the prevention of thrombosis?
1) Platelets
2) Vitamin K-dependent clotting factors
3) Fibrin
4) Factor VIII
Warfarin acts by inhibiting the vitamin K-dependent synthesis of factors II, VII, IX, and X, as well as proteins C and S. This anticoagulant effect decreases the formation of thrombin and fibrin and is used to prevent thrombus formation and embolization in conditions such as atrial fibrillation and heart failure.
In a patient with muscular dystrophy, which serum enzyme levels are likely to be elevated?
(1) Creatine phosphokinase (CK-2)
(2) Creatine phosphokinase (CK-3)
(3) Alanine aminotransferase (ALT)
(4) Aspartate aminotransferase (AST)
In muscular dystrophy, there is ongoing muscle fiber destruction and regeneration, which leads to the release of muscle enzymes into the bloodstream. CK-3 is the muscle-specific isoenzyme that is most commonly elevated in muscular dystrophies, indicating damage to skeletal muscles.
What is the typical age of onset for Huntington's disease?
(1) Childhood
(2) Fourth or fifth decade
(3) Seventh or eighth decade
(4) Second or third decade
Huntington's disease typically begins in the fourth or fifth decade of life. It is an autosomal dominant disorder that affects both men and women, and the symptoms include chorea, behavioral disturbances, and cognitive decline. While there is a wide range in age of onset, the average age of symptom manifestation is around 30 to 50 years.