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PAeasy Practice Questions And Answers
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PAeasy Practice Questions And AnswersIs Erythema Infectiosum contagious once the rash or "slapped cheek"
appearance becomes prevalent? Correct Ans - NO; very contagious
leading up to that but not contagious once rash breaks out
What microbe/virsu causes erythemia infectiosum/fifth disease? Correct
Ans - Parvovirus B19
Is Christmas Factor Deficiency (Hemophilia) Sex linked? Correct Ans -
YES! All daughters of a hemophilic male become carriers and all sons are
normal
The triad of "dermatitis, diarrhea, and dementia" (pellagra) results from a
severe deficiency of which of the following vitamins? Correct Ans -
Niacin
What absolute tissue pressure generally is used as a guideline for diagnosing
compartment syndrome? Correct Ans - 30 mm Hg
A 37-year-old woman under your care is diagnosed with bipolar I disorder. As
part of her drug regimen, you prescribe lithium carbonate as long-term
maintenance therapy. Which of the following would be most appropriate to
perform or order prior to the initiation of lithium carbonate? Correct Ans
- Serum creatinine
A 15-year-old male presents complaining of a sore throat, headache, and mild
cough that started 8 days ago and has progressed to include a worsening
cough and increasing fatigue. His chest x-ray reveals bilateral hilar infiltrates
and a CBC is normal. Which of the following diagnostic tests will most likely
confirm the suspected diagnosis? Correct Ans - PCR testing of sputum
A 43-year-old obese man presents for a health maintenance visit. On physical
exam, it is noted that his waist circumference is 106 cm and blood pressure is
148/92 mm Hg. Which of the following fasting laboratory levels would
suggest a diagnosis of metabolic syndrome (syndrome X) in this patient?
Correct Ans - TGs of 190 mg/dL
,Criteria:
Waist circum>102 cm M or 88 F
Serum TGs of 150 or more
HDL <40 M or <50 F
BP130/85 or more
Glucose over 110 mg/dL
A 65-year-old recent alcoholic comes to the emergency department with
recent onset of dyspnea, with exertion, 3 pillow orthopnea, lower extremity
edema, and palpitations, in which he describes his heart as racing. Which of
the following is most likely to be the cause of his high-output congestive heart
failure? Correct Ans - Beriberi
A 16-year-old girl is brought to the emergency department by ambulance after
reportedly ingesting "a bottle of aspirin." Vital signs are temperature 37.8°C
oral; pulse 94/min; respirations 30/min; blood pressure 100/68 mm Hg.
What would you expect the blood gases to show that would confirm she had
swallowed the aspirin? Correct Ans - Anion gap metabolic acidosis and
resp alkalosis
A 43 year-old woman is brought to the emergency department in critical care
secondary to a traumatic brain injury. Which of the following best describes
her Cheyne-Stokes respiratory pattern? Correct Ans - Alternating of
shallow and deep respirations
A 28-year-old male presents with hypotension, marked tachypnea, and severe
dyspnea following a fistfight. A physical exam reveals ecchymoses over the
lateral left rib cage, hyperresonance on the left, and tracheal shift to the right.
Which of the following is the most appropriate next step for management of
this patient? Correct Ans - Needle thoracostomy to the second
intercostal space, midclavicular line
A 7-year-old male is suspected to have a Wilms' tumor (nephroblastoma).
What is the most common symptom at presentation? Correct Ans -
Abd mass
A 63-year-old woman presents with shortness of breath, cough, and proximal
muscle weakness of 1-month duration. On clinical exam, she is noted to have a
blood pressure of 156/102 mm Hg, facial flushing, mild hirsutism, truncal
,obesity, marked proximal muscle weakness of both the upper and lower
extremity, and hyperpigmentation over the palms and back of the neck.
Laboratory exam reveals hypercortisolism and increased ACTH. Which of the
following would be the most likely primary diagnosis in this patient?
Correct Ans - Small cell lung carcinoma
Following emergent appendectomy, a 58-year-old obese male develops a
temperature of 102.4˚F, 18 hours postoperatively. His respiratory rate is 26
and his pulse is 116bpm. A physical exam reveals scattered fine rales. What is
the most likely diagnosis? Correct Ans - Atelectasis
What is the most common heart sound that is heard in patients with
pulmonary hypertension? Correct Ans - Split S2
A 56-year-old male is diagnosed with a duodenal ulcer through endoscopy. He
is placed on an appropriate regimen of medications to heal the ulcer. Which of
the following lifestyle choices is known to retard the rate of ulcer healing and
should be discouraged? Correct Ans - Smoking
A 46-year-old African American male is seen in the emergency department
with upper right quadrant pain that radiates to the right infrascapular area.
The pain is colicky and was precipitated by a meal of fried fish and French
fries. Which of the following diagnostic studies is the initial study of choice for
this patient? Correct Ans - US
This is a protrusion of pharyngeal mucosa that develops at the
phayngoesophageal junction, between the inferior pharyngeal constrictor and
the cricopharyngeus. It often presents in older patients, with symptoms of
dysphagia and regurgitation that develop slowly over many years. Late in the
disease process patients may note halitosis, spontaneous regurgitation of
undigested food, or nocturnal choking. Which of the following choices is the
correct term for this condition? Correct Ans - Zenker Diverticulum
A 39-year-old male patient, who underwent a kidney transplant four months
ago, reports to the clinic complaining of pain on swallowing and difficulty
swallowing solids. On physical exam, you note a few white plaques present on
his tongue. You order an upper endoscopy, which reveals small, yellow-white
plaques with surrounding erythema present along the esophagus. What is
, your treatment of choice for this patient? Correct Ans - Diflucon-
Fluconazole
A diet high in nitrates is a significant risk factor for cancer of which of the
following? Correct Ans - Stomach
Which one of the following is a characteristic finding on computed
tomography (CT) of the abdomen in a patient with acute diverticulitis?
Correct Ans - Soft tissue inflammation of the pericolic fat
Which of the following drugs block the actions of leukotrienes and can be used
for long-term control of mild persistent asthma? Correct Ans -
Zafirlukast
In Western society, diverticulosis most often occurs in which portion of the
colon? Correct Ans - Sigmoid Colon
A 5-year-old boy presents to urgent care complaining of painful lesions in his
mouth that have made eating difficult the past 2 days. The mother confirms he
has been unable to eat for 48 hours, but has been able to sip water. On
physical exam he has a temperature of 102.6 F; numerous small vesicles and
ulcers on the buccal mucosa and tongue, inflamed gingiva; and tender anterior
cervical adenopathy. Which of the following is the most likely diagnosis?
Correct Ans - Herpes Simplex Gingivostomatitis
An 18-year-old female presents with two weeks of severe sore throat and
fatigue. Her exam shows an exudative tonsillitis. A mono-spot test is positive,
and a rapid strep test is positive. Which of the following medications should
be avoided? Correct Ans - Ampicillin--will cause rash
A 3-week-old male infant is brought in by his mother due to his vomiting. The
mother notes that a few days ago her son started vomiting after feeding, and it
has become projectile in nature. The vomitus is non-bilious and contains no
blood. The child seems hungry and nurses regularly, but the vomiting has
become more frequent and is occurring with every feeding now. On physical
examination, an oval mass is palpated in the right upper quadrant. What
laboratory finding is most consistent with the suspected diagnosis?
Correct Ans - Hypochloremic Alkalosis
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