ROSH POWER PACK EXAM 1 QUESTIONS & ANSWERS SOLVED 100% CORRECT!!

16-year-old girl presents with an exudative sore throat and general malaise. On physical exam you observe some posterior chain lymphadenopathy and mild splenomegaly. What diagnosis should you be thinking of? Acute rheumatic fever Epstein-Barr virus Lyme disease Rocky mountain spotted fever - Answer-Epstein-Barr virus 16-year-old has just moved schools. He is quiet, moody and not like himself at all. Within six months he seems to have completely changed back to his previous personality. What diagnosis should you be thinking of? Adjustment disorder Borderline personality disorder Major depression disorder Schizoaffective disorder - Answer-AAdjustment disorder 24-year-old man has an eight-month history of loose thought associations, social withdrawal, auditory hallucinations, and deterioration in his personal appearance and hygiene. Upon examination, he is noted to have a flat affect and perceptual distortions, and he behaves like he is detached from his own actions. He is started on a neuroleptic medication, and a few weeks later he is noted to pace frequently and seems to be unable to sit or stand still. What is the extrapyramidal symptom this patient is exhibiting called? Acute dystonia Akathisia Drug-induced parkinsonism Dyskinesia - Answer-BAkathisia48-year-old woman is seen by her health care provider because she is feeling poorly. She has a history of chronic gastritis. Physical examination demonstrates pallor of skin and mucosal membranes. Hematocrit is 33% (normal 36-44%). Blood smear shows enlarged erythrocytes that have enlarged central pale areas. Some of the neutrophils have hypersegmented nuclei. Which of the following is the most likely diagnosis? Beta thalassemia trait Folate-deficiency anemia Sickle cell anemia Vitamin B12 deficiency anemia - Answer-Vitamin B12 deficiency anemia 67-year-old woman presents with shortness of breath, cough, and weight loss. On clinical exam, she is noted to have a blood pressure of 156/102 mm Hg, facial flushing, mild hirsutism, truncal obesity, marked proximal muscle weakness of both the upper and lower extremity, and hyperpigmentation over the palms and back of the neck. Laboratory exam reveals hypercortisolism and increased ACTH. Which of the following would be the most likely primary diagnosis in this patient? Lymphoma Ovarian cancer Renal cell carcinoma Small cell lung carcinoma - Answer-Small cell lung carcinoma A 14-year-old field hockey player presents with prominent adenopathy, white purple exudates in the throat and a palpable spleen. What is the most likely diagnosis? Acute pharyngitis Epiglottitis Mononucleosis Peritonsillar abscess - Answer-Mononucleosis A 15-month-old infant should be able to which of the following?Build tower of seven cubes Feed self well with spoon Put four words together Walk alone - Answer-Walk alone A 17-year-old man is brought to your Emergency Department by his girlfriend. She states that he has been behaving strangely for the last three days, with rapidly fluctuating moods ranging from euphoric to irritable and paranoid. The patient states that he is fine, just a little nervous about an upcoming test in school. His pulse is 126 BPM, BP 182/106, pupils are widely dilated, and he is diaphoretic. What is his most likely diagnosis? Anxiety Bipolar disorder Cocaine intoxication Heroin intoxication - Answer-Cocaine intoxication A 20-year-old sexually active woman complains of a profuse, whitish gray vaginal discharge with a fishy odor. Microscopic evaluation of the discharge reveals granular-appearing epithelial cells. Which of the following is the BEST therapy? Ciprofloxacin Doxycycline Fluconazole Metronidazole - Answer-Metronidazole A 23-month-old boy presents to the office with his father who reports the patient has had an acute onset of severe pharyngitis, fever of 103.5ºF and what sounds like harsh, high-pitched breath sounds. His dad states the child has started drooling and seems to be worsening. The child is not presently crying but has muffled voice sounds. The child has not been immunized due to religious reasons. What is the most appropriate next step? Administer CeftriaxoneAdminister racemic epinephrine Endotracheal intubation to maintain the airway performed in the operating room Obtain intravenous access - Answer-Endotracheal intubation to maintain the airway performed in the operating room A 28-year-old man presents with a rash. On physical exam you notice periocular violaceous erythema and edema. He also exhibits significant proximal muscle weakness. What is the most likely diagnosis? Dermatomyositis Psoriasis Seborrheic dermatitis Systemic lupus erythematosus - Answer-Dermatomyositis A 32-year-old patient presents with grouped vesicles that are intensely pruritic noted on the elbows, knees, sacral area, and buttocks. The patient also notes a history of chronic diarrhea. Immunofluorescence of a skin biopsy shows IgA deposits. Which of the following is the treatment of choice for this patient? A gluten-free diet Acyclovir Dapsone Oral glucocorticoids - Answer-AA gluten-free diet