3P High Stakes Exam question with answers
Horner's syndrome - -When examining the eyes, the right pupil reacts briskly to light, near effort, and is
much smaller than the left pupil. This condition is most likely:
-Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk for
developing: - -columnar epithelium that covers most or all of cervix vaginal adenosis, circular collar or
ridge of tissue between cervix & vagina.
-Thymus, thyroid gland & anterior part of pericardium - -The anterior mediastinal lymph nodes drain
lymphatic fluid from the:
-The breasts, upper part of the abdominal wall, upper part of back, pectoral region & upper limbs - -
Axillary lymph node drainage are includes:
-the peau d'orange (orange peel) sign - -thickened skin with enlarged pores. First seen in lower portion
of breast or areola. Visible sign of breast cancer.
-10 days to 3 months - -How long after exposure to syphilis will symptoms begin to present?
-between 24 and 28 weeks of pregnancy - -When should an oral glucose tolerance test be performed?
-Overflow incontinence - -small amounts of urine leak from a full bladder in absence of need to urinate
-Scoliosis - -When inspecting the shoulder & shoulder girdle, an elevation of right shoulder was noted.
This finding could be:
-Palpebral conjunctiva, skin adjacent to the ear within temporal region. - -Pre-auricular nodes drain
lymphatic fluid from the:
-Chalazion - -a nodule or cyst, painless, usually on the upper eyelid, caused by obstruction in a
sebaceous gland
-Hordeolum - -(stye) red, painful pustule that is a localized infection of hair follicle at eyelid margin
-An ectopic pregnancy - -Adnexal tenderness or masses identified early in gestation could be consistent
with:
-Chlamydia - -Which genital infection can cause cervicitis, PID, tubal factor infertility & ectopic
pregnancy in women if untreated
-HPV type 6 & 11 - -Which types of HPV causes most cases of genital warts?
-HPV type 16 and 18 - -Which types of HPV lead to majority of cervical cancer cases?
, -35 to 37 weeks gestation - -When should a vaginal swab of group B streptococcus be obtained in a
pregnant woman?
-External auditory canal & middle ear - -The conductive phase of hearing involves the:
-Cochlea & the cochlear nerve - -Sensorineural phase of hearing involves the:
-Near apex of the heart between 5th & 6th intercostal space in the mid-clavicular line - -In an adult
patient, auscultate sounds from mitral valve:
-Weber Test - -Screening test to detect sensorineural and conductive hearing loss
-Chadwick's sign - -Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
-Aortic Stenosis - -A loud murmur with a thrill audible in right 2nd intercostal space, radiates to carotid
arteries. Crescendo-decrescendo pitch audible at the apex. Murmur heard best when sitting & leaning
forward.
-Intestinal obstruction - -During auscultation of abdomen, rushes of high-pitched sounds audible &
coincide with abdominal cramps are consistent with:
-Peripheral artery disease - -The ankle-brachial index is a screening test used to assess risk for:
-Symptoms of peripheral artery disease (PAD) - -intermittent claudication, ischemia muscle pain
precipitated by predictable amount of exercise & relieved by rest, pale cool skin, cyanosis, audible
bruits, diminished or absent pulses & thickened & opaque nails.
-Ventricular septal defect, overriding aorta, pulmonary stenosis & right ventricular hypertrophy - -The
four classic signs of Tetrology of Fallot:
-Costochondritis - -Chest pain described as stabbing, sticking or dull and aching is characteristic of:
-Pericarditis & pleuritic pain - -Chest pain described as persistent, sharp, knife-like is characteristic of:
-Neurogenic claudication - -pain with walking or prolonged standing, radiating from the spinal area into
the buttocks, thighs, lower legs, or feet
-Kawasaki disease - -unexplained fever for 5 days along with 4 out of 5 of the following symptoms:
bilateral non-purulent conjunctivitis, cervical lymphadenopathy, edema of the hands &/or feet,
strawberry tongue & macular rash.
-Endocarditis - -fever, lethargy, petechiae, neurological involvement, Janeway lesions & Osler's nodes
are symptoms of:
-Physiologic murmur - -A murmur arising from physiologic changes in body metabolism, temporary &
resolves when condition resolves (hyperthyroidism, fever, pregnancy)
Horner's syndrome - -When examining the eyes, the right pupil reacts briskly to light, near effort, and is
much smaller than the left pupil. This condition is most likely:
-Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk for
developing: - -columnar epithelium that covers most or all of cervix vaginal adenosis, circular collar or
ridge of tissue between cervix & vagina.
-Thymus, thyroid gland & anterior part of pericardium - -The anterior mediastinal lymph nodes drain
lymphatic fluid from the:
-The breasts, upper part of the abdominal wall, upper part of back, pectoral region & upper limbs - -
Axillary lymph node drainage are includes:
-the peau d'orange (orange peel) sign - -thickened skin with enlarged pores. First seen in lower portion
of breast or areola. Visible sign of breast cancer.
-10 days to 3 months - -How long after exposure to syphilis will symptoms begin to present?
-between 24 and 28 weeks of pregnancy - -When should an oral glucose tolerance test be performed?
-Overflow incontinence - -small amounts of urine leak from a full bladder in absence of need to urinate
-Scoliosis - -When inspecting the shoulder & shoulder girdle, an elevation of right shoulder was noted.
This finding could be:
-Palpebral conjunctiva, skin adjacent to the ear within temporal region. - -Pre-auricular nodes drain
lymphatic fluid from the:
-Chalazion - -a nodule or cyst, painless, usually on the upper eyelid, caused by obstruction in a
sebaceous gland
-Hordeolum - -(stye) red, painful pustule that is a localized infection of hair follicle at eyelid margin
-An ectopic pregnancy - -Adnexal tenderness or masses identified early in gestation could be consistent
with:
-Chlamydia - -Which genital infection can cause cervicitis, PID, tubal factor infertility & ectopic
pregnancy in women if untreated
-HPV type 6 & 11 - -Which types of HPV causes most cases of genital warts?
-HPV type 16 and 18 - -Which types of HPV lead to majority of cervical cancer cases?
, -35 to 37 weeks gestation - -When should a vaginal swab of group B streptococcus be obtained in a
pregnant woman?
-External auditory canal & middle ear - -The conductive phase of hearing involves the:
-Cochlea & the cochlear nerve - -Sensorineural phase of hearing involves the:
-Near apex of the heart between 5th & 6th intercostal space in the mid-clavicular line - -In an adult
patient, auscultate sounds from mitral valve:
-Weber Test - -Screening test to detect sensorineural and conductive hearing loss
-Chadwick's sign - -Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a
result of increased vascular congestion.
-Aortic Stenosis - -A loud murmur with a thrill audible in right 2nd intercostal space, radiates to carotid
arteries. Crescendo-decrescendo pitch audible at the apex. Murmur heard best when sitting & leaning
forward.
-Intestinal obstruction - -During auscultation of abdomen, rushes of high-pitched sounds audible &
coincide with abdominal cramps are consistent with:
-Peripheral artery disease - -The ankle-brachial index is a screening test used to assess risk for:
-Symptoms of peripheral artery disease (PAD) - -intermittent claudication, ischemia muscle pain
precipitated by predictable amount of exercise & relieved by rest, pale cool skin, cyanosis, audible
bruits, diminished or absent pulses & thickened & opaque nails.
-Ventricular septal defect, overriding aorta, pulmonary stenosis & right ventricular hypertrophy - -The
four classic signs of Tetrology of Fallot:
-Costochondritis - -Chest pain described as stabbing, sticking or dull and aching is characteristic of:
-Pericarditis & pleuritic pain - -Chest pain described as persistent, sharp, knife-like is characteristic of:
-Neurogenic claudication - -pain with walking or prolonged standing, radiating from the spinal area into
the buttocks, thighs, lower legs, or feet
-Kawasaki disease - -unexplained fever for 5 days along with 4 out of 5 of the following symptoms:
bilateral non-purulent conjunctivitis, cervical lymphadenopathy, edema of the hands &/or feet,
strawberry tongue & macular rash.
-Endocarditis - -fever, lethargy, petechiae, neurological involvement, Janeway lesions & Osler's nodes
are symptoms of:
-Physiologic murmur - -A murmur arising from physiologic changes in body metabolism, temporary &
resolves when condition resolves (hyperthyroidism, fever, pregnancy)
