HOSMERIT
PACKRAT 1 EXAM QUESTIONS AND DETAILED
ANSWERS
What is the most specific diagnostic test for PUD? - ✔✔Endoscopy
A patient complains of a rash on his palms and sole. He has a fever and chills. In conversation he
mentions a strange painless chancre he had a few weeks ago. What is the most likely diagnosis? -
✔✔Secondary syphilis. This is the most contagious stage.
A patient present with watery bilateral discharge from the eyes and nontender preauricular
adenopathy what is the most likely diagnosis? what is the most common pathogen? - ✔✔viral
conjunctivitis, adenovirus
What is the first line treatment for pertussis? - ✔✔Erythromycin
A patient presents with a painful ipsilateral third nerve palsy. what is the most likely diagnosis? -
✔✔Posterior communicating artery aneurysm (PcomA)
Your attending asks you to come and see an excellent example of Hutchinson's sign. What
diagnosis does the patient have? - ✔✔Herpes Zoster ophthalmicus
After 7 days of sinusitis what antibiotic would you start? - ✔✔Amoxicillin or Bactrim
What is the most common cause of CHF? - ✔✔Coronary artery disease
What antibiotic class of choice for chlamydia? - ✔✔Macrolides
,A surge in what hormone leads to ovulation? - ✔✔Luteinizing hormone
As a part of antepartum testing a baby has a positive stress test. what does that mean? - ✔✔They
have had 2 heart rate accelerations in a 20 min period of 15 beats above baseline for at least 15
seconds. This is a good thing
What organism is most common cause of pneumonia in the patient with cystic fibrosis? -
✔✔Pseudomonas
Propranolol belongs to what class of medications? - ✔✔Beta blockers
Grape-like vesicles or sack of grapes on ultrasound should make you think of what diagnosis? -
✔✔Hydatidiform mole
List three positive symptoms of schizophrenia. - ✔✔Hallucinations, delusions, movement
disorders
What is pertussis more commonly referred to as? - ✔✔Whooping cough
Name three medications "classes" which are indicated for reduction in LDL? - ✔✔statins,
ezetimibe, niacin, and nicotinic acid
Treatment for stasis dermatitis. - ✔✔Compression stockings
A 95y.o. female present to the ER after a fall in her home. Her left leg is shortened and externally
rotated. What is the most likely diagnosis? - ✔✔hip fracture
, Yellow, brown fleshy mass on the conjunctiva that does not interfere with vision? -
✔✔Pinguecula
Is an upper respiratory infection that includes hoarseness most likely bacterial or viral? -
✔✔Viral
Tenderness over the anatomical snuffbox is indicative of what fracture? - ✔✔Scaphoid
If you have heartburn that does not improve with medication what is the most likely diagnosis? -
✔✔Gastrinoma
Steatorrhea should make you think of which diagnosis? - ✔✔Pancreatitis
Describe the Barlow's test. - ✔✔Adduct and internal rotation of the hips
What two viral hepatitis infections are self limiting? - ✔✔Hep A & Hep E
What is the most common organism that causes bladder infection - ✔✔E. coli
Where are Heberden's nodes found? - ✔✔Distal interphalangeal joint (DIP)
What is the leading cause of deficiency anemia? - ✔✔E. coli
PACKRAT 1 EXAM QUESTIONS AND DETAILED
ANSWERS
What is the most specific diagnostic test for PUD? - ✔✔Endoscopy
A patient complains of a rash on his palms and sole. He has a fever and chills. In conversation he
mentions a strange painless chancre he had a few weeks ago. What is the most likely diagnosis? -
✔✔Secondary syphilis. This is the most contagious stage.
A patient present with watery bilateral discharge from the eyes and nontender preauricular
adenopathy what is the most likely diagnosis? what is the most common pathogen? - ✔✔viral
conjunctivitis, adenovirus
What is the first line treatment for pertussis? - ✔✔Erythromycin
A patient presents with a painful ipsilateral third nerve palsy. what is the most likely diagnosis? -
✔✔Posterior communicating artery aneurysm (PcomA)
Your attending asks you to come and see an excellent example of Hutchinson's sign. What
diagnosis does the patient have? - ✔✔Herpes Zoster ophthalmicus
After 7 days of sinusitis what antibiotic would you start? - ✔✔Amoxicillin or Bactrim
What is the most common cause of CHF? - ✔✔Coronary artery disease
What antibiotic class of choice for chlamydia? - ✔✔Macrolides
,A surge in what hormone leads to ovulation? - ✔✔Luteinizing hormone
As a part of antepartum testing a baby has a positive stress test. what does that mean? - ✔✔They
have had 2 heart rate accelerations in a 20 min period of 15 beats above baseline for at least 15
seconds. This is a good thing
What organism is most common cause of pneumonia in the patient with cystic fibrosis? -
✔✔Pseudomonas
Propranolol belongs to what class of medications? - ✔✔Beta blockers
Grape-like vesicles or sack of grapes on ultrasound should make you think of what diagnosis? -
✔✔Hydatidiform mole
List three positive symptoms of schizophrenia. - ✔✔Hallucinations, delusions, movement
disorders
What is pertussis more commonly referred to as? - ✔✔Whooping cough
Name three medications "classes" which are indicated for reduction in LDL? - ✔✔statins,
ezetimibe, niacin, and nicotinic acid
Treatment for stasis dermatitis. - ✔✔Compression stockings
A 95y.o. female present to the ER after a fall in her home. Her left leg is shortened and externally
rotated. What is the most likely diagnosis? - ✔✔hip fracture
, Yellow, brown fleshy mass on the conjunctiva that does not interfere with vision? -
✔✔Pinguecula
Is an upper respiratory infection that includes hoarseness most likely bacterial or viral? -
✔✔Viral
Tenderness over the anatomical snuffbox is indicative of what fracture? - ✔✔Scaphoid
If you have heartburn that does not improve with medication what is the most likely diagnosis? -
✔✔Gastrinoma
Steatorrhea should make you think of which diagnosis? - ✔✔Pancreatitis
Describe the Barlow's test. - ✔✔Adduct and internal rotation of the hips
What two viral hepatitis infections are self limiting? - ✔✔Hep A & Hep E
What is the most common organism that causes bladder infection - ✔✔E. coli
Where are Heberden's nodes found? - ✔✔Distal interphalangeal joint (DIP)
What is the leading cause of deficiency anemia? - ✔✔E. coli
