PANRE Practice Test | latest 2023/24

PANRE Practice Test | latest 2023/24 abdominal pain that is worse with eating (intestinal angina), pt develops anorexia - chronic mesenteric ischemia LLQ pain and bloody/mucusy stools - UC Define akathisia - 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? - carotid U/S- indicated TIA arising from the carotid artery Clots in the R. anterior cerebral artery cause - L .sided weakness (worse in the leg than in the arm) and also urinary incontinence and personality changes SE of Hydralazine - Tachycardia GI Symptoms Drug-induced lupus neutropenia MI peripheral neuritis Gait anormalities, eye muscle weakness, confusion in an alcoholic? - Wernicke's encephalopathy, due to Vitamin B1 deficiency horizontal nystagmus, indicates? - Peripheral vertigo- ie Meiere's or other benign causes of vertigo vertical nystagmus indicates? - Central vertigo that is often on-fatigable, and casued by MS, brainstem or cerebellar lesiosn or migraines Drug most associated with Diabetes inspididus - 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? - Reed Sternberg cells indicating Hodgkin lymphoma translocation between chromosome 9 and 22, Dx? - PHildelphia chromosome, associated with CML Severe abdominal pain out of proportion to PE, Dx? - acute mesenteric ischemia Define Urticaria- in terms of type of allergic rxn - Type 1 hypersensitivity rxn associated wtih IgE and incrased mast cells in the skin Define Koebners phenomenon, Dx? - 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? - 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. - Measles (Rubeola) Which TB drug causes optic neuritis(specifically retrobulbar neuritis, no papilledema)? - Ethambutol IgG in alveoli, Dx? - hallmark of Goodpasture's syndrome (rapid kidney failure and hemoptysis) CSF that his high protein with normal WBC , Dx? - Guillain Barre Syndrome- symmetric LE weakness that progresses to include UE CSF that shows increased oligoclonal IgG