3Ps Exam Prep Case Questions with Revised Correct
Answers Guaranteed Pass
#1 risk factor for COPD - CORRECT ANSWER ✔✔ -smoking
Acanthosis Nigricans: symptoms - CORRECT ANSWER ✔✔ -Velvety hyperpigmented patches
most common on back of neck or skin folds • Usually associated with diabetes, metabolic
syndrome, obesity, and cancer of the GI tract
Ace inhibitors - CORRECT ANSWER ✔✔ --pril: HTN, HF. AD: angioedema, cough,
hypotension, hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis, pancreatitis, SJS.
Contra: pregnancy. Nursing: empty stomach, monitor for infection, dry cough, use contraception
(teratogenic), avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy (category X &C) - CORRECT ANSWER ✔✔ -
Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
Acne Rosacea - CORRECT ANSWER ✔✔ -Symptoms: • Chronic small acne like
papules/pustules, and telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
,Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel not effective or the
patient has pustular/ocular rosacea
Acne Vulgaris (common acne): treatment - CORRECT ANSWER ✔✔ -First line is always
topical retinoid such as tretinoin cream (Retin-A)
Acne: Mild treatmetn - CORRECT ANSWER ✔✔ -open comedones blackheads/closed
comedones (whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) - CORRECT ANSWER ✔✔ -papules and pustules
with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral antibiotic (Tetracycline or
Minocycline) x 3-4 weeks --> Exam usually asks about moderate
Acne: Severe - CORRECT ANSWER ✔✔ -painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
only prescribe 1 month supply of medication
,Usually, will refer to Dermatology
Acoustic Neuroma (Vestibular Schwannoma): Symptoms/DX/TX - CORRECT ANSWER ✔✔ -
Symptoms: Ages 30-60
Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and pain
Treatment: Surgery
Acral lengtiginous melanoma - CORRECT ANSWER ✔✔ -Most common type of melanoma in
dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the
palms, or the soles of the feet
Actinic keratosis - CORRECT ANSWER ✔✔ -Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard - CORRECT ANSWER ✔✔ -Biopsy.
, if not an option, refer to derm
Actinic keratosis treatment gold standard - CORRECT ANSWER ✔✔ -small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
**5-flouracil/ efudex-wear sunscreen!!**
Acute Angle-Closure Glaucoma:symptoms and treatment - CORRECT ANSWER ✔✔ -Normal
ICP: 8-21
Acute angle glaucoma ICP >21
Symptoms:
Acute onset of severe eye PAIN
Decreased/Blurred Vision • Frontal Headache Nausea/Vomiting
Cloudy cornea
Mid-dilated oval/ovoid shape pupil and in a fixed position Pupil does not respond to light
Treatment: ER STAT
TIP: Disc cupping is only seen with glaucoma which is caused by increased ICP
Answers Guaranteed Pass
#1 risk factor for COPD - CORRECT ANSWER ✔✔ -smoking
Acanthosis Nigricans: symptoms - CORRECT ANSWER ✔✔ -Velvety hyperpigmented patches
most common on back of neck or skin folds • Usually associated with diabetes, metabolic
syndrome, obesity, and cancer of the GI tract
Ace inhibitors - CORRECT ANSWER ✔✔ --pril: HTN, HF. AD: angioedema, cough,
hypotension, hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis, pancreatitis, SJS.
Contra: pregnancy. Nursing: empty stomach, monitor for infection, dry cough, use contraception
(teratogenic), avoid sports drinks/salt substitutes (extra K)
Acne medications to avoid in pregnancy (category X &C) - CORRECT ANSWER ✔✔ -
Category X: Topical tazarotene (Tazorac), Accutane
Category C: Topical retinoids (tretinoin, adapalene)
Acne Rosacea - CORRECT ANSWER ✔✔ -Symptoms: • Chronic small acne like
papules/pustules, and telangiectasias around nose, mouth, and chin symmetrically
Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive sun, spicy foods)
Metro gel or Azelex gel QD-BID
,Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel not effective or the
patient has pustular/ocular rosacea
Acne Vulgaris (common acne): treatment - CORRECT ANSWER ✔✔ -First line is always
topical retinoid such as tretinoin cream (Retin-A)
Acne: Mild treatmetn - CORRECT ANSWER ✔✔ -open comedones blackheads/closed
comedones (whiteheads) w/ or w/o papules
topical retinoid (Retin-A)
**Acne will worsen during first 4-6 weeks**
IF no improvement in 8-12 weeks, increase dose or ADD benzoyl peroxide and/or erythromycin
Acne: Moderate (topicals plus antibiotics) - CORRECT ANSWER ✔✔ -papules and pustules
with comedones (3 part treatment)
Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral antibiotic (Tetracycline or
Minocycline) x 3-4 weeks --> Exam usually asks about moderate
Acne: Severe - CORRECT ANSWER ✔✔ -painful indurated nodule, cysts, abscesses, pustules
Accutane- check Liver function tests (LFTS)
must use 2 forms of contraceptives, monthly pregnancy testing
only prescribe 1 month supply of medication
,Usually, will refer to Dermatology
Acoustic Neuroma (Vestibular Schwannoma): Symptoms/DX/TX - CORRECT ANSWER ✔✔ -
Symptoms: Ages 30-60
Gradual onset, one-sided
Sensorineural hearing loss, tinnitus that is insidious; CN 8
Facial numbness and pain if it compresses CN 5
Dx: Order an MRI o Benign tumor of CN 8 causing sensorineural hearing loss and tinnitus.
If it compresses on CN 5 will have facial numbness and pain
Treatment: Surgery
Acral lengtiginous melanoma - CORRECT ANSWER ✔✔ -Most common type of melanoma in
dark skinned individuals (blacks & asians)
--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the
palms, or the soles of the feet
Actinic keratosis - CORRECT ANSWER ✔✔ -Precursor to squamous cell carcinoma
numerous dry, round and pink to red lesions w/ rough and scaly texture
--> does not heal, slow growing in sun exposed areas
Actinic keratosis diagnosis gold standard - CORRECT ANSWER ✔✔ -Biopsy.
, if not an option, refer to derm
Actinic keratosis treatment gold standard - CORRECT ANSWER ✔✔ -small- cryotherapy
large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab
and be red
**5-flouracil/ efudex-wear sunscreen!!**
Acute Angle-Closure Glaucoma:symptoms and treatment - CORRECT ANSWER ✔✔ -Normal
ICP: 8-21
Acute angle glaucoma ICP >21
Symptoms:
Acute onset of severe eye PAIN
Decreased/Blurred Vision • Frontal Headache Nausea/Vomiting
Cloudy cornea
Mid-dilated oval/ovoid shape pupil and in a fixed position Pupil does not respond to light
Treatment: ER STAT
TIP: Disc cupping is only seen with glaucoma which is caused by increased ICP
