BARKLEY 3P CORE MAIN EXAM GUIDE QUESTIONS AND
ANSWERS SURE A+
✔✔Which low-molecular-weight heparin is used with warfarin for acute symptomatic
DVT? C. Tinzaparin - ✔✔Low-molecular-weight heparin with warfarin
✔✔In infectious mononucleosis (IM), the Monospot test detects which antibody in the
first few weeks? B. IgM - ✔✔Monospot test antibody
✔✔What is the most effective treatment option for breakthrough pain in opioid-tolerant
cancer patients? D. Transmucosal fentanyl or immediate-release morphine -
✔✔Breakthrough pain treatment
✔✔What does a positive Babinski reflex indicate in a 2-year-old? B. Pyramidal tract
disease - ✔✔Positive Babinski reflex in 2-year-old
✔✔Which SSRI black box warning is most critical to patient education? B. Suicidal
thoughts - ✔✔SSRI black box warning
✔✔What is the rationale for avoiding levofloxacin in patients with myasthenia gravis? C.
It worsens muscle weakness - ✔✔Levofloxacin and myasthenia gravis
✔✔Which of the following is the most effective agent to help a patient with insomnia that
involves both difficulty falling asleep and maintaining sleep? B. Zolpidem (Ambien CR) -
✔✔Insomnia treatment
✔✔Which of the following is not a step in the Hirschberg test? D. Ask the patient to
stare straight ahead at your nose - ✔✔Hirschberg test steps
✔✔Which of the following statements is true regarding atopic dermatitis? - ✔✔Atopic
dermatitis statement
✔✔The diagnosis of atopic dermatitis is typically based on clinical history and
symptoms. - ✔✔Atopic dermatitis diagnosis
✔✔Immunoglobulin M levels are usually elevated. - ✔✔Immunoglobulin M levels
✔✔Histamine is the major pruritogen in atopic dermatitis. - ✔✔Histamine in atopic
dermatitis
✔✔It has no influence on development of other allergic diseases. - ✔✔Atopic dermatitis
and allergic diseases
, ✔✔Participants should be advised that they'll likely receive a placebo. - ✔✔Phase 3
drug trial advice
✔✔Participants should report any side effects they feel. - ✔✔Reporting side effects in
drug trials
✔✔Birth defects and cancers are common outcomes. - ✔✔Common outcomes of drug
trials
✔✔They respond well to chemotherapy due to slow progression. - ✔✔Chronic
lymphomas and chemotherapy
✔✔Stage III lymphomas are more treatable than Stage I. - ✔✔Stage III lymphomas
✔✔Virchow's triad includes hypercoagulability, endothelial injury, and stasis/turbulent
blood flow. - ✔✔Virchow's Triad components
✔✔Sympathetic tone does not contribute to thrombosis. - ✔✔Sympathetic tone and
thrombosis
✔✔Hyperparathyroidism can cause hypercalcemia, leading to confusion and
nephrolithiasis (kidney stones). - ✔✔Kidney stones and hypercalcemia
✔✔Hyperresonance is typically heard with trapped air as in pneumothorax. -
✔✔Hyperresonance in chest percussion
✔✔OCPs are pregnancy category X due to fetal harm. - ✔✔OCPs and pregnancy
category
✔✔OCPs promote ovarian, endometrial, and breast cancer. - ✔✔OCPs and cancer risk
✔✔OCPs increase BP via angiotensin and aldosterone. - ✔✔OCPs and blood pressure
✔✔The proper order of steps to accurately perform the Ortolani maneuver is to flex the
knees, abduct the knees, and adduct the legs. - ✔✔Ortolani maneuver steps
✔✔The Somogyi effect is characterized by a combination of hypoglycemia followed by
rebound hyperglycemia. - ✔✔Somogyi effect
✔✔An early morning rise in blood glucose without nocturnal hypoglycemia is a
characteristic of the Somogyi effect. - ✔✔Morning blood glucose rise
ANSWERS SURE A+
✔✔Which low-molecular-weight heparin is used with warfarin for acute symptomatic
DVT? C. Tinzaparin - ✔✔Low-molecular-weight heparin with warfarin
✔✔In infectious mononucleosis (IM), the Monospot test detects which antibody in the
first few weeks? B. IgM - ✔✔Monospot test antibody
✔✔What is the most effective treatment option for breakthrough pain in opioid-tolerant
cancer patients? D. Transmucosal fentanyl or immediate-release morphine -
✔✔Breakthrough pain treatment
✔✔What does a positive Babinski reflex indicate in a 2-year-old? B. Pyramidal tract
disease - ✔✔Positive Babinski reflex in 2-year-old
✔✔Which SSRI black box warning is most critical to patient education? B. Suicidal
thoughts - ✔✔SSRI black box warning
✔✔What is the rationale for avoiding levofloxacin in patients with myasthenia gravis? C.
It worsens muscle weakness - ✔✔Levofloxacin and myasthenia gravis
✔✔Which of the following is the most effective agent to help a patient with insomnia that
involves both difficulty falling asleep and maintaining sleep? B. Zolpidem (Ambien CR) -
✔✔Insomnia treatment
✔✔Which of the following is not a step in the Hirschberg test? D. Ask the patient to
stare straight ahead at your nose - ✔✔Hirschberg test steps
✔✔Which of the following statements is true regarding atopic dermatitis? - ✔✔Atopic
dermatitis statement
✔✔The diagnosis of atopic dermatitis is typically based on clinical history and
symptoms. - ✔✔Atopic dermatitis diagnosis
✔✔Immunoglobulin M levels are usually elevated. - ✔✔Immunoglobulin M levels
✔✔Histamine is the major pruritogen in atopic dermatitis. - ✔✔Histamine in atopic
dermatitis
✔✔It has no influence on development of other allergic diseases. - ✔✔Atopic dermatitis
and allergic diseases
, ✔✔Participants should be advised that they'll likely receive a placebo. - ✔✔Phase 3
drug trial advice
✔✔Participants should report any side effects they feel. - ✔✔Reporting side effects in
drug trials
✔✔Birth defects and cancers are common outcomes. - ✔✔Common outcomes of drug
trials
✔✔They respond well to chemotherapy due to slow progression. - ✔✔Chronic
lymphomas and chemotherapy
✔✔Stage III lymphomas are more treatable than Stage I. - ✔✔Stage III lymphomas
✔✔Virchow's triad includes hypercoagulability, endothelial injury, and stasis/turbulent
blood flow. - ✔✔Virchow's Triad components
✔✔Sympathetic tone does not contribute to thrombosis. - ✔✔Sympathetic tone and
thrombosis
✔✔Hyperparathyroidism can cause hypercalcemia, leading to confusion and
nephrolithiasis (kidney stones). - ✔✔Kidney stones and hypercalcemia
✔✔Hyperresonance is typically heard with trapped air as in pneumothorax. -
✔✔Hyperresonance in chest percussion
✔✔OCPs are pregnancy category X due to fetal harm. - ✔✔OCPs and pregnancy
category
✔✔OCPs promote ovarian, endometrial, and breast cancer. - ✔✔OCPs and cancer risk
✔✔OCPs increase BP via angiotensin and aldosterone. - ✔✔OCPs and blood pressure
✔✔The proper order of steps to accurately perform the Ortolani maneuver is to flex the
knees, abduct the knees, and adduct the legs. - ✔✔Ortolani maneuver steps
✔✔The Somogyi effect is characterized by a combination of hypoglycemia followed by
rebound hyperglycemia. - ✔✔Somogyi effect
✔✔An early morning rise in blood glucose without nocturnal hypoglycemia is a
characteristic of the Somogyi effect. - ✔✔Morning blood glucose rise
