2026/2027 ACCURATE QUESTIONS
WITH CORRECT DETAILED ANSWERS
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1. Crutzfeldt-Jakob Disease? - ANSWER ✔ rapidly progressive dementia and
ataxia. Startle myoclonus.
tx is supportive
2. What should a person with cirrhosis be screened for? - ANSWER ✔ Portal
HTN with esophagogastroduodenoscopy
3. What is the strongest predisposing risk factor for PE/DVT? - ANSWER ✔
Risk factors for in-hospital mortality include the presence of shock and older
age.
4. Case report? - ANSWER ✔ the disease course and outcome of a single
patient.
5. Case series? - ANSWER ✔ describes the history, possible exposures, and
clinical findings of a group of patients with a similar diagnosis
,6. Matched case-control studies? - ANSWER ✔ compare one group of patients
with an outcome under study (cases) against a second matched group
without that outcome (controls) and identifies the associated exposure with
each group.
They are always observational studies
7. Patients with chronic renal failure are prone to? - ANSWER ✔ volume
overload, hyperkalemia, hyperphosphatemia, metabolic acidosis,
hyperparathyroidism, osteodystrophy, and anemia
-Patients should minimize their intake of fluids, potassium and phosphate.
8. diabetic ulcer are prone to - ANSWER ✔ osteomyelitis and gas gangrene
9. mixed aerobic and anaerobic bacteria are usually the cause of the infection
10.Mastoiditis management? - ANSWER ✔ recurrent otitis media infection;
should undergo CT scan of the temporal bone
11.ottowa ankle rules - ANSWER ✔ X-ray not needed when:
12.patient is able to walk 4 steps unassisted and does not have pain over the
posterior edge or the tip of either the lateral or merial malleolus, or pain over
the base of the fifth metatarsal or navicular bone
13.Appropriate tx: Soft brace and early mobilization with PT
,14.Arterial thromboembolism management? - ANSWER ✔ transesophageal
echocardiography
15.acute upper extremity limb ischemia, typically from a cardiogenic source.
16.Screening mammography recommendations? - ANSWER ✔ -every 1-2
years from the ages of 40-74 years for patients at average to moderate risk
for breast cancer
17.-After 7 years of age, screening can be continued if the patient's total life
expectancy is more than 10 years
18.Mom is concerned that her child will be bad; bc dad is in jail and family
breaks law. What to do? - ANSWER ✔ Arrange for a visiting nurse follow
up examination after discharge
19.Severe mechanical complications of acute MI? - ANSWER ✔ L ventricular
free wall rupture; papillary muscle necrosis with rupture of the chordae
tendineae, and rupture of the IV septum.
20.62y F 3d s/p CVA. Normal echo, HTN treated with HCTZ and atenolol. No
smoking, no illness. reg rythm. Aspriin plus what for home meds? -
ANSWER ✔ Atorvastatin
21.32 G3P1A1 Ed at 28w with 4h hx contractions. Cervix partially effaced,
contractions every 5 min. Tx? - ANSWER ✔ Mag sulfate
, 22.Tocolytic therapy with Nifedipine or Terbutaline reduces contractions,
corticosteroids used for <34 weeks to help lungs, mag sulfate for <32w for
neuroprotection and abx for Group B strep prophylaxis
23.21 M with anxiety and inability to concentrate 6m after patent's divorce.
Feels not himself and academic performance decreased. Dx? - ANSWER ✔
Adjustment- emotional discutbance within 3 mo stressor, marked reaction
24.62 M 10m hx dark lesion on toe, enlarging and spreading to nail fold. -
ANSWER ✔ Acral lentiginous melanoma
25.Sore throat, child, grayish posterior pseudomembrane, what is the cause? -
ANSWER ✔ Diptheria
26.What does TDaP mean? What do the toxins for D and P do? - ANSWER ✔
Tetenus, Diptheria, Pertussis
*A and B toxins
*A for action by ADP ribosylation of E2F (D) and Gi(P) which inc. adenylyl
cyclase activity
*B for binding
27.What is the precursor for serotonin? - ANSWER ✔ tryptophan
28.What is the pathway to make HOCl? What is defective in chronic
granulomatosis disease? associated facts? - ANSWER ✔ NADPH oxidase
*most likely to get oxidase (+) infections like in staph aureus