EOC End of Curriculum Exam Prep
questions and answers 2024\2025 A+
Grade
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose
- correct answer Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
mechanical mitral valve replacement on warfarin presents to the office for routine management of his
anticoagulant medication. What is the target international normalized ratio range for this patient?
- correct answer INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension
- correct answer Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
,dx- MRI
Tx- PT and surgery
Decreased light touch and vibration sensation***
- correct answer nerve compression
neuropathy
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles, new
murmur on left sternal border
- correct answer infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
*Most often elevated lab marker- rheumatoid factor*
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and posterior
auricular lymphadenopathy
- correct answer Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
, SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities
- correct answer RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik spots
- correct answer rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
constipation, what medication could safely be added
- correct answer Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Which medication causes a rapid eye movement sleep behavior disorder in patients with Parkinson
disease or Lewy body dementia?
- correct answer SSRI and antidepressants (common)
--- rare--BB, cholinesterase inhibitors (donepezil, rivastigmine, mimentamine), suvorexant (rare)
--- benzodiazepine withdrawal, barbiturate withdrawal.
--- use melatonin or low dose clonazepam
SEVERE HA, _ conjunctival inject + tearing, occuring one minute
questions and answers 2024\2025 A+
Grade
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose
- correct answer Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
mechanical mitral valve replacement on warfarin presents to the office for routine management of his
anticoagulant medication. What is the target international normalized ratio range for this patient?
- correct answer INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension
- correct answer Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal canal
,dx- MRI
Tx- PT and surgery
Decreased light touch and vibration sensation***
- correct answer nerve compression
neuropathy
IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms and soles, new
murmur on left sternal border
- correct answer infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
*Most often elevated lab marker- rheumatoid factor*
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior cervical and posterior
auricular lymphadenopathy
- correct answer Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
, SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and extremities
- correct answer RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise, koplik spots
- correct answer rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
constipation, what medication could safely be added
- correct answer Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Which medication causes a rapid eye movement sleep behavior disorder in patients with Parkinson
disease or Lewy body dementia?
- correct answer SSRI and antidepressants (common)
--- rare--BB, cholinesterase inhibitors (donepezil, rivastigmine, mimentamine), suvorexant (rare)
--- benzodiazepine withdrawal, barbiturate withdrawal.
--- use melatonin or low dose clonazepam
SEVERE HA, _ conjunctival inject + tearing, occuring one minute
