PACKRAT 2 EXAM WITH
GUARANTEED ACCURATE
ANSWERS |VERIFIED
A 23 year-old male with recent upper respiratory symptoms presents
complaining of chest pain. His pain is worse lying down and better
sitting up and leaning forward. Electrocardiogram shows widespread ST
segment elevation. Which of the following is the most likely physical
examination finding in this patient?
A. Elevated blood pressure
B. Subungual hematoma
C. Diastolic murmur
D. Pericardial friction rub - ACCURATE ANSWERS✔✔ D
A 75 year-old woman presents to the office with complaint of vision
loss. Examination reveals a palpable cord in the temporal region. Which
of the following is the most helpful initial test to order on this patient?
A. Carotid ultrasound
B. Chest x-ray
C. Complete blood count
D. Erythrocyte sedimentation rate - ACCURATE ANSWERS✔✔ D
What is the recommended target LDL to reduce the risk of coronary
artery disease in a diabetic patient?
A. 200 mg/dL
,B. 160 mg/dL
C. 130 mg/dL
D. 100 mg/dL - ACCURATE ANSWERS✔✔ D
Which of the following best describes the purpose of intravenous
magnesium sulfate in patients with preeclampsia?
A. Prevention of convulsions
B. Prevention of HELLP syndrome
C. Lowering of blood pressure
D. Reversal of proteinuria - ACCURATE ANSWERS✔✔ A
A 53 year-old male with history of hypertension presents complaining of
recent 4/10 left-sided chest pain with exertion that is relieved with rest.
He states the pain usually lasts approximately 4 minutes and is relieved
with rest. Heart examination reveals regular rate and rhythm with no S3,
S4, or murmur. Lungs are clear to auscultation bilaterally.
Electrocardiogram reveals no acute changes. Which of the following is
the most appropriate initial step in the evaluation of this patient?
A. Cardiac catheterization
B. CT Angiogram of the chest
C. Echocardiogram
D. Nuclear stress test - ACCURATE ANSWERS✔✔ D
A 36 year-old African American female comes to the clinic for an
insurance physical which requires a chest x-ray. She denies any
respiratory symptoms. Examination of her chest is negative. X-ray
,results show marked lymphadenopathy in the right paratracheal region.
Angiotensin-converting enzyme (ACE) levels are elevated. Which of the
following is the most likely diagnosis?
A. Sarcoidosis
B. Tuberculosis
C. Pulmonary fibrosis
D. Lymphoma - ACCURATE ANSWERS✔✔ A
A 33 year-old male presents to your office with a complaint of right knee
injury associated with pain and swelling. He states he was running after
his loose dog and suddenly stopped, hyperextended his knee, heard a
pop and noticed immediate swelling. On physical examination, the
Lachman test and anterior drawer test demonstrates joint laxity. Which
of the following ligaments is most likely injured?
A. Medial collateral
B. Lateral collateral
C. Posterior cruciate
D. Anterior cruciate - ACCURATE ANSWERS✔✔ D
A 22 year-old woman comes to the office because her urine is cola-
colored and she has not urinated since yesterday morning. Her past
medical history is significant for pharyngitis two weeks ago. Her mother
and grandmother have type 2 diabetes. Her blood pressure is
146/92mmHG. On physical examination, she has edema of her face and
hands. Which of the following is the most likely diagnosis?
A. Glomerulonephritis
B. Acute tubular necrosis
, C. Nephrolithiasis
D. Diabetic nephropathy - ACCURATE ANSWERS✔✔ A
A 15 year-old girl is hit in the right eye by a golf ball. There is swelling
and ecchymosis of the orbit. She complains of double vision. The right
eye does not move with downward gaze or right lateral gaze. Which of
the following diagnostic tests will provide the most accurate information
regarding this injury?
A. Facial x-ray
B. Schiotz tonometry
C. Fluorescein angiography
D. Slit lamp biomicroscopy - ACCURATE ANSWERS✔✔ A
A 68 year-old male with a history of atrial fibrillation treated with
warfarin (Coumadin) presents to the emergency department after
vomiting large amounts of bright red blood. INR is 3. Which of the
following is most appropriate to rapidly lower the patient's INR?
A. Discontinue warfarin
B. Administer fresh frozen plasma
C. Administer protamine sulfate
D. Administer heparin sulphate - ACCURATE ANSWERS✔✔ B
A 48 year-old male with diabetes mellitus presents for routine physical
examination. Of note his blood pressure each of his last two follow-up
visits was 150/90 mmHg. Today the patient's BP is 148/88 mmHg. The
patient denies complaints of chest pain, change in vision, or headache.
GUARANTEED ACCURATE
ANSWERS |VERIFIED
A 23 year-old male with recent upper respiratory symptoms presents
complaining of chest pain. His pain is worse lying down and better
sitting up and leaning forward. Electrocardiogram shows widespread ST
segment elevation. Which of the following is the most likely physical
examination finding in this patient?
A. Elevated blood pressure
B. Subungual hematoma
C. Diastolic murmur
D. Pericardial friction rub - ACCURATE ANSWERS✔✔ D
A 75 year-old woman presents to the office with complaint of vision
loss. Examination reveals a palpable cord in the temporal region. Which
of the following is the most helpful initial test to order on this patient?
A. Carotid ultrasound
B. Chest x-ray
C. Complete blood count
D. Erythrocyte sedimentation rate - ACCURATE ANSWERS✔✔ D
What is the recommended target LDL to reduce the risk of coronary
artery disease in a diabetic patient?
A. 200 mg/dL
,B. 160 mg/dL
C. 130 mg/dL
D. 100 mg/dL - ACCURATE ANSWERS✔✔ D
Which of the following best describes the purpose of intravenous
magnesium sulfate in patients with preeclampsia?
A. Prevention of convulsions
B. Prevention of HELLP syndrome
C. Lowering of blood pressure
D. Reversal of proteinuria - ACCURATE ANSWERS✔✔ A
A 53 year-old male with history of hypertension presents complaining of
recent 4/10 left-sided chest pain with exertion that is relieved with rest.
He states the pain usually lasts approximately 4 minutes and is relieved
with rest. Heart examination reveals regular rate and rhythm with no S3,
S4, or murmur. Lungs are clear to auscultation bilaterally.
Electrocardiogram reveals no acute changes. Which of the following is
the most appropriate initial step in the evaluation of this patient?
A. Cardiac catheterization
B. CT Angiogram of the chest
C. Echocardiogram
D. Nuclear stress test - ACCURATE ANSWERS✔✔ D
A 36 year-old African American female comes to the clinic for an
insurance physical which requires a chest x-ray. She denies any
respiratory symptoms. Examination of her chest is negative. X-ray
,results show marked lymphadenopathy in the right paratracheal region.
Angiotensin-converting enzyme (ACE) levels are elevated. Which of the
following is the most likely diagnosis?
A. Sarcoidosis
B. Tuberculosis
C. Pulmonary fibrosis
D. Lymphoma - ACCURATE ANSWERS✔✔ A
A 33 year-old male presents to your office with a complaint of right knee
injury associated with pain and swelling. He states he was running after
his loose dog and suddenly stopped, hyperextended his knee, heard a
pop and noticed immediate swelling. On physical examination, the
Lachman test and anterior drawer test demonstrates joint laxity. Which
of the following ligaments is most likely injured?
A. Medial collateral
B. Lateral collateral
C. Posterior cruciate
D. Anterior cruciate - ACCURATE ANSWERS✔✔ D
A 22 year-old woman comes to the office because her urine is cola-
colored and she has not urinated since yesterday morning. Her past
medical history is significant for pharyngitis two weeks ago. Her mother
and grandmother have type 2 diabetes. Her blood pressure is
146/92mmHG. On physical examination, she has edema of her face and
hands. Which of the following is the most likely diagnosis?
A. Glomerulonephritis
B. Acute tubular necrosis
, C. Nephrolithiasis
D. Diabetic nephropathy - ACCURATE ANSWERS✔✔ A
A 15 year-old girl is hit in the right eye by a golf ball. There is swelling
and ecchymosis of the orbit. She complains of double vision. The right
eye does not move with downward gaze or right lateral gaze. Which of
the following diagnostic tests will provide the most accurate information
regarding this injury?
A. Facial x-ray
B. Schiotz tonometry
C. Fluorescein angiography
D. Slit lamp biomicroscopy - ACCURATE ANSWERS✔✔ A
A 68 year-old male with a history of atrial fibrillation treated with
warfarin (Coumadin) presents to the emergency department after
vomiting large amounts of bright red blood. INR is 3. Which of the
following is most appropriate to rapidly lower the patient's INR?
A. Discontinue warfarin
B. Administer fresh frozen plasma
C. Administer protamine sulfate
D. Administer heparin sulphate - ACCURATE ANSWERS✔✔ B
A 48 year-old male with diabetes mellitus presents for routine physical
examination. Of note his blood pressure each of his last two follow-up
visits was 150/90 mmHg. Today the patient's BP is 148/88 mmHg. The
patient denies complaints of chest pain, change in vision, or headache.
