PACKRAT EXAM QUESTIONS BANK | Questions with 100% Correct Answers | Verified | 916 Pages

History & Physical/Hematology A 55-year-old non-smoking male presents with a hemoglobin of 18.5 g/dl and a hematocrit of 56%. Which of the following physical examination findings is the most likely to be noted with this patient? A. Splenomegaly B. Cheilosis C. Purpura D. Decreased vibratory sense - Explanations (c) A. Patients with polycythemia vera present with elevated hemoglobin and hematocrit. On physical examination plethora, engorged retinal veins, and splenomegaly are common. (u) B. Cheilosis is noted in iron deficiency anemia. (u) C. Purpura is typically noted in bleeding disorders. (u) D. Decreased vibratory sense is noted in vitamin B12 deficiency. History & Physical/Obstetrics/Gynecology On examination of a pregnant patient the physician assistant notes a bluish or purplish discoloration of the vagina and cervix. This is called Answers A. Hegar's sign. B. McDonald's sign.C. Cullen's sign D. Chadwick's sign - Explanations (u) A. Hegar's sign is the softening of the cervix that often occurs with pregnancy. (u) B. McDonald's sign is when the uterus becomes flexible at the uterocervical junction at 7-8 weeks. (u) C. Cullen's sign is a purplish discoloration periumbilical and noted in pancreatitis. (c) D. Chadwick's sign is a bluish or purplish discoloration of the vagina and cervix. History & Physical/Orthopedics/Rheumatology Abduction of the shoulder against resistance helps localize pain in which of the following muscles of the shoulder girdle? Answers A. Supraspinatus B. Infraspinatus C. Teres minor D. Subscapularis - Explanations (c) A. Abduction against resistance tests the supraspinatus. (u) B. Lateral rotation against resistance tests the infraspinatus and teres minor. (u) C. See B for explanation. (u) D. Medial rotation against resistance tests the subscapularis.