Can You Pass This CPC Certification Exam?
Can You Pass This Cpc Certification Exam? Not everyone has the same level of understanding when it comes to some topics and that being said, there is much that we can get to learn from one another and this quiz is no exception to that. Give it a try and get a good revision on some problems people have in their anatomy.
- 1.
This image is from a 20-year-old female patient with a past history of trauma to her arm. What is the most likely nerve that has been damaged?- A.
Radial
- B.
Median
- C.
Brachial
- D.
Axial
- E.
Ulnar
- 2.
This image is from a 35 year old male patient with a past history of trauma to his arm. What is the most likely nerve that has been damaged?
- A.
Radial
- B.
Median
- C.
Brachial
- D.
Axial
- E.
Ulnar
- 3.
This image is from a 30-year-old female patient with past history of trauma to her arm. The photograph shows the patient's hand trying to make a tight fist. What is the most likely nerve that has been damaged?
- A.
Radial
- B.
Median
- C.
Brachial
- D.
Axial
- E.
Ulnar
- 4.A 26-year-old man sustained a stab wound to the left chest just below the mid-clavicle. His blood pressure is 70/50. He is cyanotic. His neck veins are markedly distended and there is minimal external bleeding. What is the most likely diagnosis?
- A.
Lung collapse
- B.
Circulatory shock
- C.
Hypovolemic shock
- D.
Cardiac shock
- E.
Cardiac tamponade
- 5.A 19-year-old man is brought into the Emergency Department following a motorcycle accident in which he was thrown 20 feet. Vital signs on admission to the Emergency Department are blood pressure 90/60, pulse 140, respirations 24 and noisy. He is unconscious, has a bruise over his forehead, there is fresh blood flowing from a laceration in his right groin, and his left leg is twisted in a deformed angle. What type of shock does this patient appear to be in?
- A.
Cardiogenic shock
- B.
Neurogenic shock
- C.
Hypovolemic shock
- D.
Vaso-Vagal shock
- E.
Coma due to brain damage
- 6.
A 28-year-old college student presented with bony growth over the lower end of femur following a slip and fall 12 weeks ago. What is tissue labeled B?
- A.
Fibroblasts in granulation tissue
- B.
Mature bone tissue
- C.
Osteoid in woven bone
- D.
Calcification in fracture tissue
- E.
Haemorrhage
- 7.
A 62-year-old male previously healthy male, non-smoker, presented 6 months following a road traffic accident with a non-healing fracture. His X-ray image is shown below. What is the most likely cause of this complication?
- A.
Excess callus formation due to improper immobilization
- B.
Osteomyelitis causing excess callus formation & non healing
- C.
Bone necrosis & involucrum formation
- D.
Pseudoarthrosis formation
- E.
Osteosarcoma developing in a fracture
- 8.A 16-year-old male complains of pain around his knee joint for 3 months. Physical examination shows no findings except local pain around knee joint over the area of the distal end of the femur. Radiograph shows an ill-defined mass involving the distal end of the femur along with the elevation of periosteum. A biopsy shows pleomorphic and mitotically active osteoblasts associated with osteoid. Which of the following is the most likely diagnosis?
- A.
Ewing’s sarcoma
- B.
Chondrosarcoma
- C.
Giant cell tumor
- D.
Osteosarcoma
- E.
Paget’s disease of bone
- 9.A 10-year-old boy has complained of sudden onset of nocturnal pain in his left leg around the knee. The pain is relieved dramatically by aspirin. Nothing remarkable is seen on physical examination. The radiograph shows a well defined 1 cm lucent area surrounded by a thin rim of bony sclerosis located in the proximal tibia cortex. He undergoes curettage and the pain doesn’t return. Which of the following is the most likely diagnosis?
- A.
Enchondroma
- B.
Osteoid osteoma
- C.
Giant cell tumour
- D.
Osteoblastoma
- E.
Osteosarcoma
- 10.
A 75-year-old man complains of pain in his right hip and thigh for the past several months. His range of motion is reduced in the hip but there is no tenderness or swelling. Radiographs show thickened cortical bone with a narrowed joint space. A bone biopsy shows a mosaic pattern of the lamellar bone with the appearance shown. Which of the following is the most likely diagnosis?
- A.
Osteochondroma
- B.
Osteoarthritis
- C.
Paget’s disease of bone
- D.
Hyperparathyroidism
- E.
Fibrous dysplasia
- 11.A 28-year-old male comes to his GP because of persistent pain in the area around his right knee. The area is firm, no erythema but tender on palpation. X–ray exam shows a 6 cm mass in his distal femoral epiphyseal area, with a soap bubble appearance. A bone biopsy shows multinucleated cell in a stroma composed of spindle shaped mononuclear cells. Which of the following is the most likely diagnosis?
- A.
Ewing’s sarcoma
- B.
Osteoblastoma
- C.
Enchondrooma
- D.
Giant cell tumour
- E.
Fibrous dysplasia
- 12.A 13-year-old boy complains of pain in his left lower leg for the past month. On examination, there is tenderness to palpation on the site, and the circumference of his left leg is more than the right leg. A radiograph of the leg shows a 6 cm expansile mass in the diaphyseal region of the left lower femur, with the characteristic “onion peel” appearance. A biopsy of the mass shows sheets of closely packed primitive cells with small relatively uniform nuclei and only scant cytoplasm. Karyotype analysis of the tumor shows a t(11;22) translocation. Which of the following is the most likely diagnosis?
- A.
Chondrosarcoma
- B.
Ewing's sarcoma
- C.
Enchondroma
- D.
Giant cell tumour
- E.
Fibrous dysplasia
- 13.A 42-year-old man on holiday is involved in an accident in which he sustains a right tibial diaphyseal fracture. The fracture is set with open reduction and internal fixation for proper alignment. One week later there are more osteoclasts in the region of the fracture. Which of the following is the most likely function of these osteoclasts?
- A.
Form collagen
- B.
Resorb bone
- C.
Synthesise osteoid
- D.
Elaborate cytokines
- E.
Divide
- 14.A 10-year-old boy has pain in the right hip for the past three weeks. On physical examination, his temperature is 38.2°C. There is swelling with marked tenderness to palpation in the region and reduced range of movement. Radiographs of the pelvis show areas of osteolysis and cortical erosion involving the femoral metaphysis with adjacent soft tissue swelling in the sub-periosteal region, and apparent abscess formation. Which of the following organisms is most likely to produce these findings?
- A.
Staphylococcus aureus
- B.
Haemophilus influenzae
- C.
Salmonella enteritidis
- D.
Group B Streptococcus
- E.
Neisseria gonorrhoeae
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