PACKRAT 2 PREMIUM REVIEW SET 2026 TESTED
MATERIALS
◉ Tx for Morton's neuroma if conservative Tx and steroid injections
fail. Answer: Surgical excision
◉ Persistent cough in adults lasting longer than 2-3 wks. Answer:
Pertussis
◉ Positive antiendomysial antibody (AEA). Answer: Celiac sprue
◉ PAS-positive macrophages in biopsy. Answer: Whipple's disease
◉ Removal time for facial sutures. Answer: 3-4 days
◉ Removal time for scalp sutures. Answer: 5-7 days
◉ Removal time for trunk sutures. Answer: 6-8 days
◉ Removal time for extremity sutures. Answer: 7-14 days
◉ Asystole Tx. Answer: atropine
,◉ Slow PEA Tx. Answer: atropine
◉ Torsades de Pointes Tx. Answer: Magnesium
◉ Ventricular tachycardia Tx. Answer: 1. IV access and shock
2. Epinephrine before or after second shock
3. After 3rd shock and Epi = Amiodarone/antiarrhythmic
◉ Toxoplasmosis MRI. Answer: multiple isodense or hypodense
ring-enhancing mass lesions
◉ Elevated sweat chloride test. Answer: Cystic fibrosis
◉ Most common cause of death in cystic fibrosis. Answer:
Pulmonary complications = infections, terminal chronic respiratory
failure associated w/ cor pulmonale
◉ Cardinal Sx of Parkinson disease. Answer: Rigidity, bradykinesia,
tremor, postural instability
◉ Normal hemoglobin A. Answer: 2 alphas and 2 betas
, ◉ Barts hemoglobin. Answer: 4 gammas = Hydrops fetalis
◉ Fetal hemoglobin. Answer: 2 alphas and 2 gammas
◉ Hemoglobin H. Answer: 4 betas = nonfunctional
◉ Most important intervention in acute pancreatitis. Answer: IV
fluid administration (isotonic solution to maintain renal perfusion
and urine output > 100 ml/hr)
◉ EKG - sinus rhythm w/ varying T wave heights, axis changes every
other beat and a wandering baseline. Answer: Pericardial effusion
(electrical alternans)
◉ EKG - bidirectional tachycardia. Answer: Digoxin toxicity
◉ First line for mild syndrome of inappropriate secretion of ADH
(SIADH). Answer: Restriction of free water (0.5-1 liter/day)
◉ Sx - euvolemic hyponatremia. Answer: SIADH
◉ CXR - hyperinflation and flat diaphragms. Answer: COPD
MATERIALS
◉ Tx for Morton's neuroma if conservative Tx and steroid injections
fail. Answer: Surgical excision
◉ Persistent cough in adults lasting longer than 2-3 wks. Answer:
Pertussis
◉ Positive antiendomysial antibody (AEA). Answer: Celiac sprue
◉ PAS-positive macrophages in biopsy. Answer: Whipple's disease
◉ Removal time for facial sutures. Answer: 3-4 days
◉ Removal time for scalp sutures. Answer: 5-7 days
◉ Removal time for trunk sutures. Answer: 6-8 days
◉ Removal time for extremity sutures. Answer: 7-14 days
◉ Asystole Tx. Answer: atropine
,◉ Slow PEA Tx. Answer: atropine
◉ Torsades de Pointes Tx. Answer: Magnesium
◉ Ventricular tachycardia Tx. Answer: 1. IV access and shock
2. Epinephrine before or after second shock
3. After 3rd shock and Epi = Amiodarone/antiarrhythmic
◉ Toxoplasmosis MRI. Answer: multiple isodense or hypodense
ring-enhancing mass lesions
◉ Elevated sweat chloride test. Answer: Cystic fibrosis
◉ Most common cause of death in cystic fibrosis. Answer:
Pulmonary complications = infections, terminal chronic respiratory
failure associated w/ cor pulmonale
◉ Cardinal Sx of Parkinson disease. Answer: Rigidity, bradykinesia,
tremor, postural instability
◉ Normal hemoglobin A. Answer: 2 alphas and 2 betas
, ◉ Barts hemoglobin. Answer: 4 gammas = Hydrops fetalis
◉ Fetal hemoglobin. Answer: 2 alphas and 2 gammas
◉ Hemoglobin H. Answer: 4 betas = nonfunctional
◉ Most important intervention in acute pancreatitis. Answer: IV
fluid administration (isotonic solution to maintain renal perfusion
and urine output > 100 ml/hr)
◉ EKG - sinus rhythm w/ varying T wave heights, axis changes every
other beat and a wandering baseline. Answer: Pericardial effusion
(electrical alternans)
◉ EKG - bidirectional tachycardia. Answer: Digoxin toxicity
◉ First line for mild syndrome of inappropriate secretion of ADH
(SIADH). Answer: Restriction of free water (0.5-1 liter/day)
◉ Sx - euvolemic hyponatremia. Answer: SIADH
◉ CXR - hyperinflation and flat diaphragms. Answer: COPD
