VERSION [QUESTIONS AND ANSWERS] WITH PRACTICE EXAM
DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A
SAVE
Neis- 2-7 days//
Chlam- 7-14 days//
Silver nitrate//
24-48 hours//
artificial tears for irrigation - CORRECT ANSWER 2 main causes of neonatal
conjunctivitis and timing each is seen? Irritant that causes it? Timing of this? All causes
treated with ___ regardless of etiology
If initial Pap screening is abnormal - CORRECT ANSWER Pap = surveillance or
diagnostic when?
Fatigue, pruritis, RUQ pain, HSM, jaundice, xanthelasma, and Kayser-Fleischer rings -
CORRECT ANSWER Signs of PBC?
Pneum - CORRECT ANSWER All patients that smoke should get what vaccine?
fever, N/V, diarrhea - CORRECT ANSWER Signs of infectious colitis?
blunting and thickening of mucosal folds - CORRECT ANSWER What signifies bowel
ishemia on imaging?
chronic bloody diarrhea, mucous discharge from the rectum, and tenesmus//
Lead pipe (loss of haustra) - CORRECT ANSWER UC - Key symptoms? Key sign on
imaging?
chronic diarrhea, diffuse abd pain relieved by defecation, signs of imflammation//
string sign at terminal ilem - CORRECT ANSWER Crohns - symptoms? Sign on
imaging?
brief, arrhythmic, involuntary, bilateral UPPER EXTREMITY myoclonic jerks WITHOUT
loss of consciousness//
Valproic acid - CORRECT ANSWER Classic signs of juvenile myoclonic epilepsy?
Tx?
,Lennox- Gastaut syndrome//
2 years old//
mental reterdation, along with multiplr types of seizures and developmental regression -
CORRECT ANSWER Childhood epileptic encephalopathy aka_____ Presents when?
Key signs?
Absence seizures//
2 to 4 Hertz spike and wave slowing//
Ethosux - CORRECT ANSWER Petit mal epilepsy presents with what? Classic EEG
finding? Tx?
Mongolian blue spots//
at birth//
reassurance and observation - CORRECT ANSWER What are these? Present
when? Tx?
Men 50-59 whose risk of MI exceeds risk of GI bleed - CORRECT ANSWER Who
should take baby aspirin?
HTN refractory to at least 3 different meds - CORRECT ANSWER Suspect 2ndary
HTN when?
Lateralized abd bruit present during both systole and diastole - CORRECT ANSWER
Key PE finding of renal artery stenosis?
less than 10 with one antisocial activity or greater that 10 with 3//
oppositional and antisocial (theft, hurting)//
Antisocial personality d/o//
at least 18 years old - CORRECT ANSWER Age conduct d/o diagnosed? It's combo
of what behaviors? At risk of developing ___Age?
at least 6 months//
delusions, hallucinations, disorganized speech, etc - CORRECT ANSWER
Schizophrenia length of symptoms? Signs?
plan or intent//
hospitalization - CORRECT ANSWER Suicidal ideation who have ___ or ___ .
Number one step?
Hilar lymphadenopathy - CORRECT ANSWER CXR key finding of histo?
Bilateral breast pain and swelling with yellow discharge//
Begin 1 week prior to menstration and disappear after menstruation - CORRECT
ANSWER Key signs of fibrocystic breast dz? Timing?
,Fibrocystic dz - CORRECT ANSWER Breast pain/swelling that begins 1 week prior to
menstration and disappear after menstruation?
Fibroadenoma//
painless. well- circum smooth rubbery and mobile breast mass (usually just one breast)
- CORRECT ANSWER Number one benign breast neoplasm in less than 30?
Presents with what?
Bronchiectasis//
Signet ring sign (dilated bronchus immediately adjacent to smaller companion
pulmonary artery - CORRECT ANSWER Months to years of daily cough with
mucopurulent sputum - dx? Classic CT finding?
all sex active 24 and under and also over 24 if increased risk (history of it, no condoms,
multiple partners, spouse/partner infidelity - CORRECT ANSWER Screen who for
chlamydia?
Orthostatic proteinuria (proteinuria while upright which resolves when supine)//
first morning URINE PROTEIN-TO-CREATININE ratio after sleeping supine position
overnight - CORRECT ANSWER Number one cause of isolated persistent
prooteinuria in kids? Diagnosis made how?
new-onset unilateral conductive hearing loss//
child//
white mass behind an intact TM (also see granulation tissue) - CORRECT ANSWER
Cholesteatoma presents with what? In who? Key PE finding?
pulsatile tinnitus and gradual, painless hearing loss//
pulsating reddish blue mass behind the TM - CORRECT ANSWER Sign of glomus
tumor? CLassic PE finding?
Acetaminophen and reassurance//
URI, DTP vacc, MMR vacc - CORRECT ANSWER Treatment for febrile seizures?
Common triggers?
Immediately increase thyroid meds//
Get a TSH in 5 weeks//
every 6-8 weeks - CORRECT ANSWER Patient with hypoTH diagnosed with
pregnancy - first step? Then do what? Asesss TSH levels how often in HypooTH patient
that's pregnant?
abd distension, bloody stool, pneumatosis intestinalis //
abd XR/
train track lucency in bowel wall (pneumatosis intestinalis) - CORRECT ANSWER
Key signs of necrotizing enterocolitis? Best Test? Finding?
, Epi and vasopressin//
symptomatic brady, hypotension, PEA, VFib, Pulseless VT//
Amiodarone//
VF or Pulseless VT - CORRECT ANSWER Only meds (2) used in asystole? Other
time this is used? ____ is second med used if Epi doesn't convert ___ or ___
Cryosurgery - CORRECT ANSWER Actinic keratosis - next step?
Augmentin - CORRECT ANSWER Abx used in uncomplicated animal bites?
progressive assymetric muscles weakness and wasting (both UMN and LMN signs//
Clinical//
electromyography demonstrating significant denervation//
Riluzole - CORRECT ANSWER ALS present with what? Dx how? Dx supported by
what test? Only drug that helps?
Uni breast tenderness and purulent nipple discharge//
Smoking//
Augmentin - CORRECT ANSWER Periductal mastitis - classic findings? Number one
RF? 1st line drug?
Pancytopenia - CORRECT ANSWER Most important side effect of ethosuximide?
Treat any recurrent herpes episodes with oral acyclovir and start daily oral acycolvir
therapy after 36 weeks even if no episodes - CORRECT ANSWER Preggo Patient
with history of recurrent HSV should be handled how?
wide based ataxia, explosive dysarthria, bilateral Babinski, and hyporeflexia//
axons//
cerebellum and dorsal columns - CORRECT ANSWER Friedrich's signs? It's a d/o of
___ within __ and ___
X linked//
ABCD1 gene//
treansporter of VLCFA into peroxisome - CORRECT ANSWER
Adrenoleukodystrophy inheritance? Mutation of ____ which has what function?
arylsulfatase A//
nystagmus and optic atrophy - CORRECT ANSWER Metachromatic leukodystrophy -
deficiency of ____. 2 key signs?
Both - VWF involved in clot and VWF stabilizes F8 which works in coag cascade//
Ristocetin cofactor assay - CORRECT ANSWER VW disease affect coag cascade or
clot formatiion? Test used to dx VWD?
Clots//