PANRE Practice Test with Accurate
Solutions
abdominal pain that is worse with eating (intestinal angina), pt develops anorexia -
ANSWER-chronic mesenteric ischemia
LLQ pain and bloody/mucusy stools - ANSWER-UC
vertical nystagmus indicates? - ANSWER-Central vertigo that is often on-fatigable, and
casued by MS, brainstem or cerebellar lesiosn or migraines
Drug most associated with Diabetes inspididus - ANSWER-Lithium, which can also
cause thirst, seizures, arrhythmias, hypercalcemia, hyperparathyroidism, and
hypothyroidism
Large B cells with multilobed nuclei and prominent nucleoli/owl-eyed nuclei; with
eosinophilic inclusions, Dx? - ANSWER-Reed Sternberg cells indicating Hodgkin
lymphoma
translocation between chromosome 9 and 22, Dx? - ANSWER-PHildelphia
chromosome, associated with CML
Severe abdominal pain out of proportion to PE, Dx? - ANSWER-acute mesenteric
ischemia
Define Urticaria- in terms of type of allergic rxn - ANSWER-Type 1 hypersensitivity rxn
associated wtih IgE and incrased mast cells in the skin
Define Koebners phenomenon, Dx? - ANSWER-new skin lesions appearing along the
lines of trauma, can be seen in psoriasis, lichen planus, vitiligo, and some infectious
diseases
Define Nikolsky's sign, Dx? - ANSWER-Sloughing off the epidermis with slight
pressure . Dx: toxic epidermal necrolysis, Steven-Johnsons, pemphigus vulgaris, and
staph scalded skin syndrome
Clustered white lesions on buccal mucus with an erythematous rim. - ANSWER-
Measles (Rubeola)
Which TB drug causes optic neuritis(specifically retrobulbar neuritis, no papilledema)? -
ANSWER-Ethambutol
, IgG in alveoli, Dx? - ANSWER-hallmark of Goodpasture's syndrome (rapid kidney
failure and hemoptysis)
CSF that his high protein with normal WBC , Dx? - ANSWER-Guillain Barre Syndrome-
symmetric LE weakness that progresses to include UE
CSF that shows increased oligoclonal IgG bands, Dx? - ANSWER-MS
1st line Tx for symptomatic bradycardia? - ANSWER-Atropine
presence of cells and flare on eye examination - ANSWER-anterior uveitis
Staghorn calculi are caused by what bacteria? - ANSWER-Proteus mirabilis, UA
typically shows pH>7
Condition caused by absence of ADH - ANSWER-Central diabetes insipidus
Condition caused insensitivity to ADH - ANSWER-Nephrogenic diabetes insipidus
How do you determine if diabetes insipidus is central or nephrogenic? - ANSWER-
Desmopressin stim test, and then measure urine osmolarity
Gradual increase in urine osmolarity--> central
No change in urine osmolarity--> nephrogenic
Screening test for suspected diabetes insipidus - ANSWER-Fluid deprivation test
Second Degree Heart Block (Mobitz II) - ANSWER-Wenckebach
Define akathisia - ANSWER-extrapyramidal symptoms of restlessness and the need to
be in constant motion (dopamine- blocking agents can lead to this)
amaurosis fugax (transient vision loss). What test should you do? - ANSWER-carotid
U/S- indicated TIA arising from the carotid artery
Clots in the R. anterior cerebral artery cause - ANSWER-L .sided weakness (worse in
the leg than in the arm) and also urinary incontinence and personality changes
SE of Hydralazine - ANSWER-Tachycardia
GI Symptoms
Drug-induced lupus
neutropenia
MI
peripheral neuritis
Solutions
abdominal pain that is worse with eating (intestinal angina), pt develops anorexia -
ANSWER-chronic mesenteric ischemia
LLQ pain and bloody/mucusy stools - ANSWER-UC
vertical nystagmus indicates? - ANSWER-Central vertigo that is often on-fatigable, and
casued by MS, brainstem or cerebellar lesiosn or migraines
Drug most associated with Diabetes inspididus - ANSWER-Lithium, which can also
cause thirst, seizures, arrhythmias, hypercalcemia, hyperparathyroidism, and
hypothyroidism
Large B cells with multilobed nuclei and prominent nucleoli/owl-eyed nuclei; with
eosinophilic inclusions, Dx? - ANSWER-Reed Sternberg cells indicating Hodgkin
lymphoma
translocation between chromosome 9 and 22, Dx? - ANSWER-PHildelphia
chromosome, associated with CML
Severe abdominal pain out of proportion to PE, Dx? - ANSWER-acute mesenteric
ischemia
Define Urticaria- in terms of type of allergic rxn - ANSWER-Type 1 hypersensitivity rxn
associated wtih IgE and incrased mast cells in the skin
Define Koebners phenomenon, Dx? - ANSWER-new skin lesions appearing along the
lines of trauma, can be seen in psoriasis, lichen planus, vitiligo, and some infectious
diseases
Define Nikolsky's sign, Dx? - ANSWER-Sloughing off the epidermis with slight
pressure . Dx: toxic epidermal necrolysis, Steven-Johnsons, pemphigus vulgaris, and
staph scalded skin syndrome
Clustered white lesions on buccal mucus with an erythematous rim. - ANSWER-
Measles (Rubeola)
Which TB drug causes optic neuritis(specifically retrobulbar neuritis, no papilledema)? -
ANSWER-Ethambutol
, IgG in alveoli, Dx? - ANSWER-hallmark of Goodpasture's syndrome (rapid kidney
failure and hemoptysis)
CSF that his high protein with normal WBC , Dx? - ANSWER-Guillain Barre Syndrome-
symmetric LE weakness that progresses to include UE
CSF that shows increased oligoclonal IgG bands, Dx? - ANSWER-MS
1st line Tx for symptomatic bradycardia? - ANSWER-Atropine
presence of cells and flare on eye examination - ANSWER-anterior uveitis
Staghorn calculi are caused by what bacteria? - ANSWER-Proteus mirabilis, UA
typically shows pH>7
Condition caused by absence of ADH - ANSWER-Central diabetes insipidus
Condition caused insensitivity to ADH - ANSWER-Nephrogenic diabetes insipidus
How do you determine if diabetes insipidus is central or nephrogenic? - ANSWER-
Desmopressin stim test, and then measure urine osmolarity
Gradual increase in urine osmolarity--> central
No change in urine osmolarity--> nephrogenic
Screening test for suspected diabetes insipidus - ANSWER-Fluid deprivation test
Second Degree Heart Block (Mobitz II) - ANSWER-Wenckebach
Define akathisia - ANSWER-extrapyramidal symptoms of restlessness and the need to
be in constant motion (dopamine- blocking agents can lead to this)
amaurosis fugax (transient vision loss). What test should you do? - ANSWER-carotid
U/S- indicated TIA arising from the carotid artery
Clots in the R. anterior cerebral artery cause - ANSWER-L .sided weakness (worse in
the leg than in the arm) and also urinary incontinence and personality changes
SE of Hydralazine - ANSWER-Tachycardia
GI Symptoms
Drug-induced lupus
neutropenia
MI
peripheral neuritis
