PACKRAT
Exam Questions With Revised Correct
Detailed Answers
> BRAND NEW VERSION!!
1) What is the clinical name for whooping cough? - ANSWER Pertussis
2) What two labs do you want to monitor in a patient on an ACEI? - ANSWER
Serum creatinine and serum potassium
3) In what age range do you expect to most commonly find amaurosis fugax? -
ANSWER Patients older than 50
4) An involuntary loss of urine during coughing or laughing is what type of
incontinence? - ANSWER Stress incontinence
5) Which thyroid cancer is the most aggressive? - ANSWER Anaplastic
6) Define threatened abortion. - ANSWER Vaginal bleeding, closed cervix,
products of conception are still inside
7) How much more potent is T3 than T4? - ANSWER 3-4x
,8) List four disease states in which you may find basophilic stippling. - ANSWER
Lead poisoning, beta or alpha thalassemia, sideroblastic anemia, arsenic
poisoning
9) What is the most common cause of hyperparathyroidism? - ANSWER
Single parathyroid adenoma in 80% of cases.
10) Is staph gram (+) or gram (-)? - ANSWER Gram (+)
11) What are the two main causes of aortic stenosis? - ANSWER Congenital
bicuspid valve and calcification of the valve secondary to coronary artery disease
12) You notice drusen deposits on fundal exam. What is the most likely
diagnosis? - ANSWER Macular degeneration
13) List the 5 insulins in order of peak efficacy? - ANSWER Lispro 1-2 hrs,
Regular 2-4 hrs, NPH 5-7 hrs, Lente 4-8 hrs, Ultralente 8-14 hrs
14) What would you expect to see on a KOH prep if the patient had vaginal
candidiasis? - ANSWER Pseudohyphae
15) Will a hemolytic anemia generally have an elevated or decreased retic count?
- ANSWER Elevated
,16) Define the third stage of labor. - ANSWER Delivery of baby to delivery of
placenta
17) How do you treat alcohol withdrawal - ANSWER Benzodiazepines
18) What is the treatment for myxedema? - ANSWER Levothyroxine and slow
warming
19) What is the therapeutic range for INR following an organic valve
replacement? - ANSWER 2 to 3
20) What would you expect the WBC count to be in the joint fluid of an infected
knee? - ANSWER >50,000 at a minimum and probably much higher.
21) A 34 year old presents with symptoms which are relapsing and remitting over
the past few weeks. These include visual problems and weakness in her right arm.
What is the most likely diagnosis? - ANSWER Multiple sclerosis
22) List the four things that suggest group A beta- hemolytic strep in a patient
with pharyngitis. - ANSWER Fever, tender anterior cervical adenopathy, no
cough and an exudate in the throat
23) A patient exhibits splitting, seeing others as all good or all bad. What is the
most likely diagnosis? - ANSWER Borderline personality disorder
24) What is the medical treatment for gout? - ANSWER Allopurinol,
colchicine
, 25) In order to contract hepatitis D what must you already have? - ANSWER
Hepatitis B
26) A CXR finding of notched ribs in a child should make you think of what
diagnosis? - ANSWER Coarctation of the aorta
27) A leukemia patient has a CT of the liver which shows punched out lesions.
What diagnosis should you be thinking of? - ANSWER Hepatosplenic candida
28) What two main causes should you be thinking of in a macrocytic anemia? -
ANSWER Malnutrition and severe blood loss
29) Where are Bouchard's nodes found? - ANSWER Proximal interphalangeal
joint (PIP)
30) What is the first line treatment for tinea corporis? - ANSWER Topical
azoles
Which of the four rotator cuff muscles is most commonly injured? - ANSWER
Supraspinatus
What three symptoms are classic for a normal pressure hydrocephalus? -
ANSWER Gait disturbance, dementia and urinary incontinence
Exam Questions With Revised Correct
Detailed Answers
> BRAND NEW VERSION!!
1) What is the clinical name for whooping cough? - ANSWER Pertussis
2) What two labs do you want to monitor in a patient on an ACEI? - ANSWER
Serum creatinine and serum potassium
3) In what age range do you expect to most commonly find amaurosis fugax? -
ANSWER Patients older than 50
4) An involuntary loss of urine during coughing or laughing is what type of
incontinence? - ANSWER Stress incontinence
5) Which thyroid cancer is the most aggressive? - ANSWER Anaplastic
6) Define threatened abortion. - ANSWER Vaginal bleeding, closed cervix,
products of conception are still inside
7) How much more potent is T3 than T4? - ANSWER 3-4x
,8) List four disease states in which you may find basophilic stippling. - ANSWER
Lead poisoning, beta or alpha thalassemia, sideroblastic anemia, arsenic
poisoning
9) What is the most common cause of hyperparathyroidism? - ANSWER
Single parathyroid adenoma in 80% of cases.
10) Is staph gram (+) or gram (-)? - ANSWER Gram (+)
11) What are the two main causes of aortic stenosis? - ANSWER Congenital
bicuspid valve and calcification of the valve secondary to coronary artery disease
12) You notice drusen deposits on fundal exam. What is the most likely
diagnosis? - ANSWER Macular degeneration
13) List the 5 insulins in order of peak efficacy? - ANSWER Lispro 1-2 hrs,
Regular 2-4 hrs, NPH 5-7 hrs, Lente 4-8 hrs, Ultralente 8-14 hrs
14) What would you expect to see on a KOH prep if the patient had vaginal
candidiasis? - ANSWER Pseudohyphae
15) Will a hemolytic anemia generally have an elevated or decreased retic count?
- ANSWER Elevated
,16) Define the third stage of labor. - ANSWER Delivery of baby to delivery of
placenta
17) How do you treat alcohol withdrawal - ANSWER Benzodiazepines
18) What is the treatment for myxedema? - ANSWER Levothyroxine and slow
warming
19) What is the therapeutic range for INR following an organic valve
replacement? - ANSWER 2 to 3
20) What would you expect the WBC count to be in the joint fluid of an infected
knee? - ANSWER >50,000 at a minimum and probably much higher.
21) A 34 year old presents with symptoms which are relapsing and remitting over
the past few weeks. These include visual problems and weakness in her right arm.
What is the most likely diagnosis? - ANSWER Multiple sclerosis
22) List the four things that suggest group A beta- hemolytic strep in a patient
with pharyngitis. - ANSWER Fever, tender anterior cervical adenopathy, no
cough and an exudate in the throat
23) A patient exhibits splitting, seeing others as all good or all bad. What is the
most likely diagnosis? - ANSWER Borderline personality disorder
24) What is the medical treatment for gout? - ANSWER Allopurinol,
colchicine
, 25) In order to contract hepatitis D what must you already have? - ANSWER
Hepatitis B
26) A CXR finding of notched ribs in a child should make you think of what
diagnosis? - ANSWER Coarctation of the aorta
27) A leukemia patient has a CT of the liver which shows punched out lesions.
What diagnosis should you be thinking of? - ANSWER Hepatosplenic candida
28) What two main causes should you be thinking of in a macrocytic anemia? -
ANSWER Malnutrition and severe blood loss
29) Where are Bouchard's nodes found? - ANSWER Proximal interphalangeal
joint (PIP)
30) What is the first line treatment for tinea corporis? - ANSWER Topical
azoles
Which of the four rotator cuff muscles is most commonly injured? - ANSWER
Supraspinatus
What three symptoms are classic for a normal pressure hydrocephalus? -
ANSWER Gait disturbance, dementia and urinary incontinence
