PACKRAT 5 EXAMPREP 2026
SOLVED QUESTIONS FULL
SOLUTION SET
◉ Cause of swelling. Answer: Decreased intravascular oncotic pressure
◉ Cause of predisposition to skin ulcers. Answer: - Leakage of
fibrinogen and growth factors into interstitial space
- Leukocyte aggregation and activation
- Obliteration of cutaneous lymphatic network
◉ Chocolate cyst. Answer: endometriosis
◉ Uterus fixed and retroflexed in pelvis. Answer: endometriosis
◉ Sx - abdominal tenderness, adnexal tenderness, cervical motion
tenderness, fever. Answer: PID
◉ Ovarian cancer demographic. Answer: women > 55
◉ Age of first tooth eruption in infant. Answer: 6-8 months
,◉ Preferred drug to decrease incidence of bed wetting episodes.
Answer: Imipramine (Tofranil)
◉ Imipramine class. Answer: anti-cholinergic
◉ Phenytoin class. Answer: anticonvulsant
◉ Tx of restless leg syndrome. Answer: Pramipexole (Dilantin)
◉ Pramipexole class. Answer: dopamine agonist
◉ Tx of overactive bladder. Answer: Hyoscyamine (Urised)
◉ Hyoscyamine class. Answer: anti-spasmodic
◉ Soft systolic murmur at left upper sternal border w/ split S2 + short
mid-diastolic murmur at left lower sternal border. Answer: Total
anomalous pulmonary venous return
◉ Boot-shaped heart on CXR. Answer: Tetralogy of Fallot
◉ Grade 3/6 harsh systolic ejection murmur with a single loud S2 at the
left upper sternal border. Answer: - Tetralogy of Fallot
- Atrial septal defect w/ pulmonary hypertension
, ◉ Presentation of coarctation of the aorta. Answer: infant w/ heart
failure
◉ Coarctation of the aorta EKG. Answer: LVH
◉ Tetralogy of Fallot EKG. Answer: RVH w/ right axis deviation
◉ Best imaging for pituitary tumors. Answer: MRI of the brain
◉ Etiology of Roseola infantum. Answer: herpesvirus
◉ Sx - infant; fever and malaise, rubor on trunk w/ maculopapular rash
w/ defervescence. Answer: Roseola infantum
◉ Initial Tx of Morton's neuroma. Answer: wider shoes w/ metatarsal
cushions, NSAIDs
◉ Tx for Morton's neuroma if conservative Tx fails. Answer: Steroid
injection
◉ Tx for Morton's neuroma if conservative Tx and steroid injections
fail. Answer: Surgical excision
SOLVED QUESTIONS FULL
SOLUTION SET
◉ Cause of swelling. Answer: Decreased intravascular oncotic pressure
◉ Cause of predisposition to skin ulcers. Answer: - Leakage of
fibrinogen and growth factors into interstitial space
- Leukocyte aggregation and activation
- Obliteration of cutaneous lymphatic network
◉ Chocolate cyst. Answer: endometriosis
◉ Uterus fixed and retroflexed in pelvis. Answer: endometriosis
◉ Sx - abdominal tenderness, adnexal tenderness, cervical motion
tenderness, fever. Answer: PID
◉ Ovarian cancer demographic. Answer: women > 55
◉ Age of first tooth eruption in infant. Answer: 6-8 months
,◉ Preferred drug to decrease incidence of bed wetting episodes.
Answer: Imipramine (Tofranil)
◉ Imipramine class. Answer: anti-cholinergic
◉ Phenytoin class. Answer: anticonvulsant
◉ Tx of restless leg syndrome. Answer: Pramipexole (Dilantin)
◉ Pramipexole class. Answer: dopamine agonist
◉ Tx of overactive bladder. Answer: Hyoscyamine (Urised)
◉ Hyoscyamine class. Answer: anti-spasmodic
◉ Soft systolic murmur at left upper sternal border w/ split S2 + short
mid-diastolic murmur at left lower sternal border. Answer: Total
anomalous pulmonary venous return
◉ Boot-shaped heart on CXR. Answer: Tetralogy of Fallot
◉ Grade 3/6 harsh systolic ejection murmur with a single loud S2 at the
left upper sternal border. Answer: - Tetralogy of Fallot
- Atrial septal defect w/ pulmonary hypertension
, ◉ Presentation of coarctation of the aorta. Answer: infant w/ heart
failure
◉ Coarctation of the aorta EKG. Answer: LVH
◉ Tetralogy of Fallot EKG. Answer: RVH w/ right axis deviation
◉ Best imaging for pituitary tumors. Answer: MRI of the brain
◉ Etiology of Roseola infantum. Answer: herpesvirus
◉ Sx - infant; fever and malaise, rubor on trunk w/ maculopapular rash
w/ defervescence. Answer: Roseola infantum
◉ Initial Tx of Morton's neuroma. Answer: wider shoes w/ metatarsal
cushions, NSAIDs
◉ Tx for Morton's neuroma if conservative Tx fails. Answer: Steroid
injection
◉ Tx for Morton's neuroma if conservative Tx and steroid injections
fail. Answer: Surgical excision
