PANRE Study Questions from HIPPO
with 100% Correct ANSWERS
EchocardiographyAisAusedAtoAdetectAwhichAofAtheAfollowing?
A.AreasAofAischemiaAinAtheAmyocardialAwall
B.ValvularAabnormalities
C.ElectricalAconductionAanomalies
D.PatencyAorAocclusionAofAtheAcardiacAarteries
E.Re-entryAorAaccessoryApathwaysAofAconductionA-
AAnswerAEchocardiographyAisAusefulAinAdetectingAvalvularAabnormalitiesAandAwallAmotion.
WhichAofAtheAfollowingApathogensAresponsibleAforAcausingAmeningitisAcanAbeApreventedAby
AadministrationAofAaAvaccine?
A.HerpesAsimplexAvirus
B.RickettsiaArickettsii
C.S.Aaureus
D.HaemophilusAinfluenzaeATypeAB
E.E.AcoliA-
AAnswerAHiBAcausedAmeningitisAcanAbeApreventedAbyAadministrationAofAtheAappropriateAvac
cine.
WhatAisAtheAhallmarkAphysicalAexamAfindingAwithArotatorAcuffAtear?
A.SubacromialAtenderness
,B.TendernessAtoApalpationAatAbiccipitalAgroove
C.AtrophyAofAtheArotatorAcuffAmuscles
D.WeaknessAofAexternalArotationAorAabduction
E.PositiveAYergason'sAsignA-
AAnswerAWeaknessAthatAisAnotAattributableAtoApainAorAatrophyAisAtheAhallmarkAofArotator
AcuffAtear.AAAdiagnosticAlidocaineAinjectionAmayAhelpAdetermineAifAthisAisAtheAcase.
AA34AyearAoldAmaleAcomesAintoAyourAclinicAcomplainingAofAtesticularApainAandAheavinessAi
nAtheAleftAhemiscrotum.AHeAtellsAyouAthatAtheApainAradiatesAupAtoAhisAleftAflank.ATheApati
entAhasAaApositiveAPrehn'sAsignAonAphysicalAexam.AWhichAofAtheAfollowingAisAtheAmostAco
mmonAorganismAimplicatedAinAthisAcondition?
A.EscherichiaAcoli
B.ChlamydiaAtrachomatis
C.Gonorrhea
D.ProteusAspecies
E.KlebsiellaAspeciesA-AAnswerAChlamydiaAtrachomatis
ThisAisAtheAcorrectAAnswerAandAsecondAmostAcommonAwouldAbeAgonorrheaAinAtheAageAgrou
pAunderA40AyearsAofAage.AInApatientsAolderAthanA40AtheAmostAcommonAorganismAisAe.Acol
iA.
BradycardiaAisAdefinedAasAaAheartArate:
A.>A60Abpm
B.<A50Abpm
,C.<A60Abpm
D.<A30AbpmA-AAnswerA<A60Abpm
AA71AyearAoldAmaleApresentsAtoAtheAhospitalAcomplainingAofAfatigueAandAweaknessAthatAh
asAbeenAworseningAoverAtheApastAmonth.AThisAmorningAheAexperiencedAaApresyncopalAepis
ode,AwithAdyspnea.AHeAdeniesAanyArecentAweightAchanges.APhysicalAexamAshowsAweakened
Apulses.AECGAshowsAaAsinusAbradycardiaAandAprolongationAofAhisAQTAinterval.AChestAx-
rayAisAunremarkableAasideAfromAbilateralApleuralAeffusions.AWhatAisAthisApatient'sAmostAli
kelyAdiagnosis?
A.Pheochromocytoma
B.DiabetesAmellitus
C.Hyperthyroidism
D.Hypothyroidism
E.NoneAofAtheAaboveA-
AAnswerAPatientsAwithAhypothyroidismAcomplainAofAfatigueAandAdyspneaAwhenApleuralAeffu
sionsAareApresent.ABradycardiaAandAprolongedAQTAintervalsAareAaAfurtherAclueAthatAitAisAh
ypoAandAnotAhyperthyroidismAaffectingAthisApatient.
AA34AyearAoldAfemaleApresentsAbecauseAofAaAlumpAunderAtheAskinAonAherAupperAback.APh
ysicalAexamAshowsAaA1cmAhard,Anon-
tender,AmobileAmass.AWhichAofAtheAfollowingAisAtheAmostAlikelyAdiagnosis?
A.Angioedema
B.Lipoma
C.Cellulitis
, D.Abscess
E.UrticariaA-AAnswerALipoma
ThisAisAtheAmostAlikelyAdiagnosisAbasedAuponAtheAlistedAphysicalAfindings.
AA25AyearAoldAfemaleApresentsAcomplainingAofAnon-
painfulAswellingAofAherAneckAthatAhasAworsenedAgraduallyAoverAtheAlastAmonth.ASheAdenie
sAfever,Achills,AorAdysphagia.ASheAadmitsAthatAsheAhasAhadAaAcough,Aheadaches,AandAbone
ApainAthatAwakesAherAupAatAnight.AImagingAandAbiopsyAofAherAthyroidArevealAaA3AcmAfol
licularAtumorAinAtheArightAlobe.AWhichAofAtheAfollowingAisAtheAbestAtreatmentAplanAforAthi
sApatient?
A.ExcisionAofAtumorAsite
B.UnilateralArightAlobectomy
C.TotalAthyroidectomy
D.ThyroidectomyAfollowedAbyAradioactiveAiodineAtherapy
E.RadioactiveAiodineAablationA-
AAnswerAD.ThyroidectomyAfollowedAbyAradioactiveAiodineAtherapy
PapillaryAthyroidAcarcinomaAisAtheAmostAcommonAmalignancyAofAtheAthyroid.AFollicularAtype
AtumorsA(especiallyAtheAHurthleAcellAvariant)AtendAtoAbeAmoreAaggressiveAandAhaveAaAhigh
erAmortalityArate.AFollicularAtumorsAgreaterAthanA1cmAinAdiameterAshouldAbeAtreatedAwithA
totalAthyroidectomy,AfollowedAbyAradioactiveAiodineAablationAifAthereAareAsignsAofAmetastas
is.ADifferentiatedAtumorsAsmallerAthanA1cm,AespeciallyAifAtheyAareAwellAencapsulated,AmayA
beAtreatedAwithAunilateralAlobectomy
WhyACAisAwrong:AAggressiveAthyroidAcarcinomasAfrequentlyAmetastasizeAtoAlocalesAsuchAasA
neckAnodes,Abone,AandAlungs.AThisApatientAisApresentingAwithAsymptomsAthatAmayAindicate
AmetastasisA(i.e.AboneApain)AandAthereforeAthyroidectomyAwithoutAradioactiveAiodineAablatio
nAmayAbeAinsufficientAtoAcompletelyAeradicateAcancerousAcells.
with 100% Correct ANSWERS
EchocardiographyAisAusedAtoAdetectAwhichAofAtheAfollowing?
A.AreasAofAischemiaAinAtheAmyocardialAwall
B.ValvularAabnormalities
C.ElectricalAconductionAanomalies
D.PatencyAorAocclusionAofAtheAcardiacAarteries
E.Re-entryAorAaccessoryApathwaysAofAconductionA-
AAnswerAEchocardiographyAisAusefulAinAdetectingAvalvularAabnormalitiesAandAwallAmotion.
WhichAofAtheAfollowingApathogensAresponsibleAforAcausingAmeningitisAcanAbeApreventedAby
AadministrationAofAaAvaccine?
A.HerpesAsimplexAvirus
B.RickettsiaArickettsii
C.S.Aaureus
D.HaemophilusAinfluenzaeATypeAB
E.E.AcoliA-
AAnswerAHiBAcausedAmeningitisAcanAbeApreventedAbyAadministrationAofAtheAappropriateAvac
cine.
WhatAisAtheAhallmarkAphysicalAexamAfindingAwithArotatorAcuffAtear?
A.SubacromialAtenderness
,B.TendernessAtoApalpationAatAbiccipitalAgroove
C.AtrophyAofAtheArotatorAcuffAmuscles
D.WeaknessAofAexternalArotationAorAabduction
E.PositiveAYergason'sAsignA-
AAnswerAWeaknessAthatAisAnotAattributableAtoApainAorAatrophyAisAtheAhallmarkAofArotator
AcuffAtear.AAAdiagnosticAlidocaineAinjectionAmayAhelpAdetermineAifAthisAisAtheAcase.
AA34AyearAoldAmaleAcomesAintoAyourAclinicAcomplainingAofAtesticularApainAandAheavinessAi
nAtheAleftAhemiscrotum.AHeAtellsAyouAthatAtheApainAradiatesAupAtoAhisAleftAflank.ATheApati
entAhasAaApositiveAPrehn'sAsignAonAphysicalAexam.AWhichAofAtheAfollowingAisAtheAmostAco
mmonAorganismAimplicatedAinAthisAcondition?
A.EscherichiaAcoli
B.ChlamydiaAtrachomatis
C.Gonorrhea
D.ProteusAspecies
E.KlebsiellaAspeciesA-AAnswerAChlamydiaAtrachomatis
ThisAisAtheAcorrectAAnswerAandAsecondAmostAcommonAwouldAbeAgonorrheaAinAtheAageAgrou
pAunderA40AyearsAofAage.AInApatientsAolderAthanA40AtheAmostAcommonAorganismAisAe.Acol
iA.
BradycardiaAisAdefinedAasAaAheartArate:
A.>A60Abpm
B.<A50Abpm
,C.<A60Abpm
D.<A30AbpmA-AAnswerA<A60Abpm
AA71AyearAoldAmaleApresentsAtoAtheAhospitalAcomplainingAofAfatigueAandAweaknessAthatAh
asAbeenAworseningAoverAtheApastAmonth.AThisAmorningAheAexperiencedAaApresyncopalAepis
ode,AwithAdyspnea.AHeAdeniesAanyArecentAweightAchanges.APhysicalAexamAshowsAweakened
Apulses.AECGAshowsAaAsinusAbradycardiaAandAprolongationAofAhisAQTAinterval.AChestAx-
rayAisAunremarkableAasideAfromAbilateralApleuralAeffusions.AWhatAisAthisApatient'sAmostAli
kelyAdiagnosis?
A.Pheochromocytoma
B.DiabetesAmellitus
C.Hyperthyroidism
D.Hypothyroidism
E.NoneAofAtheAaboveA-
AAnswerAPatientsAwithAhypothyroidismAcomplainAofAfatigueAandAdyspneaAwhenApleuralAeffu
sionsAareApresent.ABradycardiaAandAprolongedAQTAintervalsAareAaAfurtherAclueAthatAitAisAh
ypoAandAnotAhyperthyroidismAaffectingAthisApatient.
AA34AyearAoldAfemaleApresentsAbecauseAofAaAlumpAunderAtheAskinAonAherAupperAback.APh
ysicalAexamAshowsAaA1cmAhard,Anon-
tender,AmobileAmass.AWhichAofAtheAfollowingAisAtheAmostAlikelyAdiagnosis?
A.Angioedema
B.Lipoma
C.Cellulitis
, D.Abscess
E.UrticariaA-AAnswerALipoma
ThisAisAtheAmostAlikelyAdiagnosisAbasedAuponAtheAlistedAphysicalAfindings.
AA25AyearAoldAfemaleApresentsAcomplainingAofAnon-
painfulAswellingAofAherAneckAthatAhasAworsenedAgraduallyAoverAtheAlastAmonth.ASheAdenie
sAfever,Achills,AorAdysphagia.ASheAadmitsAthatAsheAhasAhadAaAcough,Aheadaches,AandAbone
ApainAthatAwakesAherAupAatAnight.AImagingAandAbiopsyAofAherAthyroidArevealAaA3AcmAfol
licularAtumorAinAtheArightAlobe.AWhichAofAtheAfollowingAisAtheAbestAtreatmentAplanAforAthi
sApatient?
A.ExcisionAofAtumorAsite
B.UnilateralArightAlobectomy
C.TotalAthyroidectomy
D.ThyroidectomyAfollowedAbyAradioactiveAiodineAtherapy
E.RadioactiveAiodineAablationA-
AAnswerAD.ThyroidectomyAfollowedAbyAradioactiveAiodineAtherapy
PapillaryAthyroidAcarcinomaAisAtheAmostAcommonAmalignancyAofAtheAthyroid.AFollicularAtype
AtumorsA(especiallyAtheAHurthleAcellAvariant)AtendAtoAbeAmoreAaggressiveAandAhaveAaAhigh
erAmortalityArate.AFollicularAtumorsAgreaterAthanA1cmAinAdiameterAshouldAbeAtreatedAwithA
totalAthyroidectomy,AfollowedAbyAradioactiveAiodineAablationAifAthereAareAsignsAofAmetastas
is.ADifferentiatedAtumorsAsmallerAthanA1cm,AespeciallyAifAtheyAareAwellAencapsulated,AmayA
beAtreatedAwithAunilateralAlobectomy
WhyACAisAwrong:AAggressiveAthyroidAcarcinomasAfrequentlyAmetastasizeAtoAlocalesAsuchAasA
neckAnodes,Abone,AandAlungs.AThisApatientAisApresentingAwithAsymptomsAthatAmayAindicate
AmetastasisA(i.e.AboneApain)AandAthereforeAthyroidectomyAwithoutAradioactiveAiodineAablatio
nAmayAbeAinsufficientAtoAcompletelyAeradicateAcancerousAcells.