PACKRAT Exam Questions with Correct Answers

PACKRAT Exam Questions with Correct Answers 23 yo male with recent URI sxs presents c/o chest pain. His pain is worse when lying down and better sitting up and leaning forward. ECG shows widespread ST segment elevation. Dx - Answer-Pericardial friction rub 75 yo woman presents to the office with complain of vision loss. Exam reveals a palpable cord in the temporal region. Most helpful initial test to order - Answer-ESR Recommended LDL tor educe risk of CAD in a diabetic pt - Answer-100mg/dL What is the reason for giving IV mag sulfate to a pt with pre-eclampsia - Answer-prevention of seizure by increasing the seizure threshold 53 yo man with h/o HTN presents c/o recent 4/10 left sided chest pain with exertion that is relieved with rest. Heart exam reveals regular rate and rhythm with no S3, S4 or murmur. Lungs are CTA bilat. ECG reveals no acute changes. Most appropriate initial test - Answer-Nuclear Stress Test 36 yo AA female comes to the clinic for an insurance physical which requires a CXR. She denies any respiratory sxs. Exam of her chest is negative. Xray results show marked LAD in the right paratracheal region. ACE levels are elevated. Most likely dx - Answer-Sarcoidosis 33 year old presents to your office with a c/o right knee injury associated with pain and swelling. He states he was running after his loose dog and suddently stopped, hyperextended his knee, heard a pop, and noticed immediate swelling. On PE, the Lachman test and anterior drawer test demonstates joint laxity. Most likely injury - Answer-ACL 22 yo woman comes to the office because her urine is cola colored and she hasnot urinated since yesturday morning. Her past medical hx is significant for pharyngitis two weeks ago. Her mother and grandmother have type 2 diabetes. Her BP is 146/92 mmHg. On PE she has edema of her face and hands. Dx - Answer-glomerulonephritis 15 yo girl hit in the right eye by a golf ball. There is swelling and echymosis of the orbit. She c/o double vision. The right eye doesn't move with downward gaze or right lateral gaze. Dx test that will provide the most information - Answer-facial x-ray