CURRENTLY TESTING COMPLETE ACTUAL QUESTIONS WITH
DETAILED VERIFIED ANSWERS EXPERT VERIFIED /ALREADY
GRADED A+
Pt with HIV took high potency antiviral treatments and CD4 is >400, what
does this indicate?
This is good. Want higher than 350
Pt with hx of htn and stroke, now having memory loss. What does this
indicate?
Vascular dementia
Pregnant teacher with exposure to 5ths disease (SLAP CHEEK), what risk is
there to the fetus?
slap cheek, PVB19, rash hands / feet Fetal death and birth defects
Quick assessment of patients fall risk? Timed Get up and Go
Timed Get up and Go
Red beefy tongue?
pernicious anemia
Rotator cuff injury presentation
disturbs sleep, arm weakness, dull ache
Shingles near eye
immediate referral to ophthalmology
Signs and symptoms of Roseola (6ths disease) ?
Viral infection
Can result in a maculopapular rash, but up to 70% of cases proceed without the
rash stage
-Usually accompanied by a high fever (41°C or 105°F) that comes on quickly and
lasts up to 3 days followed by rash
-Seizures may occur during this period.
,-On the fourth day, the fever disappears and the rash appears, first on chest and
trunk, then less prominently on the face and limbs.
-High fever, pink flat or raised rash
Treatment for chronic alcoholism:
12 step program
Treatment for Gonorrhea?
Rocephin 250mg IMx1 plus
Azithromycin 1 gm orally x1 to cover chlamydia. , or doxy 100 mg BID x7d.
Green colored vaginal discharge, friable cervix. EXAM
Report to health department
Young female want birth control, forgets to take pills, does not want to get
pregnant for at least 5 years:
IUD
Basal cell cancer
Waxy, pearly, telangiectasia, ulcer center lesion
-most common type of skin cancer caused by UV exposure. Metastatic is rare
Actinic Keratosis
Scaly red to yellow located in sun exposed area
-a precancerous skin growth that occurs on sun-damaged skin
Actinic Keratosis
Numerous round dry pink to red areas. Scaly red to yellow located in sun exposed
area
-a pre squamous cell carcinoma occurs on sun-damaged skin
biopsy
cryo or 5fu cream
subungual hematoma tx
Make a hole and drain the blood
Moderate acne treatment
,Without inflammation: Topical retinoid
Moderate inflammation: Topical Retinoid or benzoyl peroxide or Azaleic acic (
very expensive and hard to get covered)
PLUS ADD
Oral antibiotics: doxycycline or tetracycline or minocycline- (tetracyclines has
been proven most affective for inflammatory acne)
Minocycline- long term use has been linked with pseudotumor cerebri
Oral contraceptives for hormone related
Spironolactone
heart murmur with holosystolic or pan systolic
Heart murmur with mid systolic
MR - radiate axilla, 5th ICS MCL, apex,
AS - radiate neck, 2ICS right sternal border
MR ASSH
Coarctation of Aorta
COA: bounding radial and weak femoral pulse
increase blood pressure in arms, and lower pressure in lower legs.
-congenital cardiac condition characterized by a narrowing of the aorta
-
Murmur Grade III - VI
Loud murmur easily heard
JVD caused by
, -tension pneumothorax,
-Rt. sided heart failure,
-cardiac tamponade,
-traumatic asphyxia from
Increase in portal pressure(LIVER) in venous side or cor pulmonale
pt. with gradual onset of fever, hemorrhages on nail beds, painful raised red
nodules, rash on palms
endocarditis , painful red spots on fingers olser's nodes, janeway legions rash on
palms and soles.
Know the difference between Peripheral Arterial Disease and Chronic Venous
Insufficiency or PVD. There was question about PAD.
PAD: Absence of pulse, decrease blow flowing down, PAIN, Dx doppler or
ABI<0.9, TX exercise by walking or antiplatelet,
PVD: Volume, edema, discoloration, decrease blood going up,
Chronic Bronchitis Treatment
Smoking cessation
Pulmonary rehabilitation
Pharmacologic therapy
Supplemental oxygen
TB... PPD is positive if area of induration is:
>5 mm in an immunocompromised patient or close contact
>10 mm in immigrant, health care workers, drug user
>15 mm in a patient who lives in an area where TB is very rare.
what condition would make you order Lateral X-ray of the neck. Options
include: Drooling, Unable to do ROM of the neck / stiff neck.
Croup/Epiglottitis
AV nicking (Arterioles pressing on vein of the eye)