3P Exam Study questions with correct
answers
What would cause decrease in Digoxin levels - correct answer -Antacids
Taking Pyridium for UTI, what can Pyridium cause? - correct answer -Hemolytic Anemia
What can PCOS result in? - correct answer -increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy - correct answer -Methyldopa
What is a characteristic of Placenta Previa? - correct answer -painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - correct answer -Red hot joints
Medications that cause ototoxicity - correct answer -Aminoglycosides, nasal decongestants,
antihistamines
Treatment period for enterobiasis - correct answer -2 weeks
CBC Interpretation - correct answer -MCV - mean corpuscular volume help diagnose different types of
anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - correct answer -27 weeks
Janesway lesions - correct answer -Happen with endocarditis, non painful lesions seen on hands and
feet, Osler same but painful
Warfarin management - forgot a dose? - correct answer -If under 12 hours take missed dose, if over skip
and need INR redraw
,Taking an ACE or ARB what to know? - correct answer -ACE (dry hacking) cough starts 1-2 weeks after
med started, ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can
occur
Contraindication for hydrochlorithiazide - correct answer -sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic - correct answer -MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - correct answer -AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - correct answer -Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - correct answer -Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - correct answer -S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - correct answer -antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood
viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx - correct answer -Atorvastatin/rovustatin- use high dose meds for LDL>150,
watch for LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
, HF treatment - correct answer -ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - correct answer -Topical Permethrin massaged from head to
soles of feet and wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - correct answer -Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule
<0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma,
vesicle (herpes simplex contact derm,
Keloid - correct answer -hypertrophic scar that is invasive beyond point of original injury
Skin continued - correct answer -Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - correct answer -Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap)
treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on
trunk (ring worm) Treatment is an azole for 2 weeks
Melanoma How do you assess - correct answer -ABCDE Asymmetry, border, color, diameter >6 mm,
elevation
Psoriasis - correct answer -silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding
occurs when lesions are scraped
Shingles (Herpes Zoster) - correct answer -Unilateral dermatomal rash- painful as it progresses to
vesicles, Acyclovir within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible
patients that have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
answers
What would cause decrease in Digoxin levels - correct answer -Antacids
Taking Pyridium for UTI, what can Pyridium cause? - correct answer -Hemolytic Anemia
What can PCOS result in? - correct answer -increased insulin levels, Androgens, hirsutism
What is a hypertensive used in pregnancy - correct answer -Methyldopa
What is a characteristic of Placenta Previa? - correct answer -painless red bleeding
What is a characteristic of Rheumatoid arthritis ? - correct answer -Red hot joints
Medications that cause ototoxicity - correct answer -Aminoglycosides, nasal decongestants,
antihistamines
Treatment period for enterobiasis - correct answer -2 weeks
CBC Interpretation - correct answer -MCV - mean corpuscular volume help diagnose different types of
anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)
Rhogham given at how many weeks gestation? - correct answer -27 weeks
Janesway lesions - correct answer -Happen with endocarditis, non painful lesions seen on hands and
feet, Osler same but painful
Warfarin management - forgot a dose? - correct answer -If under 12 hours take missed dose, if over skip
and need INR redraw
,Taking an ACE or ARB what to know? - correct answer -ACE (dry hacking) cough starts 1-2 weeks after
med started, ACE (Lol) ARB (sartan) first line in HTN avoid initially in african americans, angioedema can
occur
Contraindication for hydrochlorithiazide - correct answer -sulfa allergy, asthma, PCN hypersensitvity
Murmurs Systolic - correct answer -MR=Mitral regurge (SOB/Fatigue HF)
Peyton Manning=phys murmur (asymptomatic)
AS=Aortic Stenosis (Angina, syncope HF)
MVP=Mitral valve prolapse (palps, CP, "click")
Diastolic Murmurs (ABnormal) - correct answer -AR= Aortic Regurge (angina, HF, dizzinness, CP)
MS=Mitral stenosis (Dyspnea, Afib)
Motivated - correct answer -Systole-S1 closure of AV Mitral/tricuspid valve (lub)
Mitral, Tricuspid, atrioventricular valves
Apples - correct answer -Diastole s2 closure of the aortic pulmonic valves (dub)
aortic pulmonic semilunar
Abnormal (extra) heart sounds - correct answer -S3- CHF; possible normal for adolescent athletes,
S4 LVH poorly controlled HTN, unstable angina
Assessment of PAD - correct answer -antiplatelets (Plavix, ASA), Pentoxifylline (decreases blood
viscosity) to treat, ankle brachial index to check, angiography gold standard to diagnose
Coronary artery Disease tx - correct answer -Atorvastatin/rovustatin- use high dose meds for LDL>150,
watch for LFTs and arthralgia. Change type and dose if problems. Stabilization of plaque with statins
, HF treatment - correct answer -ACEI, ARB, or ARNI with BB and aldosterone receptor antagonist
Scabies Treatment (Sarcopter Scabiei) - correct answer -Topical Permethrin massaged from head to
soles of feet and wach off with shower or bath after 8-14 hours. Treat again in 1 week
Names of skin findings - correct answer -Macule; freckle <1 cm, Papule Macule >1 cm chloasma, Papule
<0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichen planus), Nodule 0.5-2 cm lipoma,
vesicle (herpes simplex contact derm,
Keloid - correct answer -hypertrophic scar that is invasive beyond point of original injury
Skin continued - correct answer -Bulla-second degree burn, friction burn
Wheal- raised, mosquito bite, hive
Scales;dandruff
Crusts-scab from abrasian, impetigo
Tinea - correct answer -Fungal infections; Tinea capitis-round patchy scales on scalp (cradle cap)
treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis -red and scaly plaque on
trunk (ring worm) Treatment is an azole for 2 weeks
Melanoma How do you assess - correct answer -ABCDE Asymmetry, border, color, diameter >6 mm,
elevation
Psoriasis - correct answer -silvery white scales, nails are pitted; positive Auspitz sign- pinpoint bleeding
occurs when lesions are scraped
Shingles (Herpes Zoster) - correct answer -Unilateral dermatomal rash- painful as it progresses to
vesicles, Acyclovir within 48-72 hours or symptoms. May only transmit chickenpox virus to susceptible
patients that have not gotten exposed or vaccinated yet.
Post herpetic neuralgia pain is longer than 1 month after rash has resolved.
