PACKRAT PRACTICE questions with correct answers

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 CORRECT ANSWER 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 CORRECT ANSWER Explanations (u) A. Hegar's sign is the softe