GCU 3P 2024-2025 EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS) A+
GRADE ASSURED
WhatDisDaDPterygium?D-
DGrowthDofDfleshyDtissueD(hasDbloodDvessels)DthatDpayDstartDasDaDpinguelca,DbutDINVADESDtheDcorneaDandD
affectsDvision
PingueculaD-
DyellowishDmassDonDtheDconjunctivaDthatDmayDbeDrelatedDtoDexposureDtoDultravioletDlight,DdryDclimates,Dan
dDdust.DUsuallyDonDtheDsideDnearDtheDnose
WatDtoDdoDifDsomeoneDhasDaDforeignDbodyDinDtheirDeye:D-
DdoDaDvisualDacuityDonDbothDeyes.DRemoveDobjectDwithDaDq-
tipDifDNOTDEMBEDDED.DIfDEMEDDED,DputDaDpatchDandDreferDtoDOptho.D*MakeDsureDtetanusDisDupDtoDdate.
primaryDopenDangleDglaucomaD-
DMostDcommonDtype.DR/tDblockageDofDtheDaqueousDhumorDinsideDofDtheDeye.DGradualDandDinsidiousDonse
t.DCN2DundergoesDischemicDchangesDandDpermanentDdamageDoccurs.DPtDc/oDperipheralDvisionDlossDandDth
enDcentralDvisionDloss.D
Asymptomatic,DgradualDimpairedDnightDvision.DNotchingDofDtheDopticDcup.
EyeDsymptomDthatDcomesDonDgradually,DusuallyDasymptomatic,DgradualDimpairedDnightDvision.DNotchingDo
fDtheDopticDcup.D-DPrimaryDOpenDAngleDGlaucoma
LR6DSO4DAO3D-DLateralDrectus:DCNDVI
SuperiorDoblique:DCNDIV
AllDothers:DCNDIII
EyeDconditionDwithDincreasedDIOPDthatDisDconsideredDanDocularDemergency:D-
DAngleDclosureDglaucoma,Dnarrow-angleDglaucoma
,TreatmentDforDGlaucomaD-DtopicalDbetablockers,Dpilocarpine,DcarbonicDanhydraseDinhibitors
EyeDfindingsDinDhypertension:D-DAVDNickingD(CausedDbyDmildDretinopathy.DTx:DcontrolDBP)
CottonDwoolDspotsD(microDinfarction-
DsignDofDmoderateDretinopathy,DcausesDgradualDvisionDloss.DTx:DreferDtoDOptho)
FlameDhemorrhagesD(HTN,DDM.DTxDunderlyingDcause,DreferDtoDoptho)
EyeDfindingsDinDDM:D-
DCottonDWoolDspotsD(microDinfarction.DSignDofD**moderateDretinopathy,DgradualDvisionDloss**DReferDtoDop
tho)
TheDmostDcommonDcauseDofDvisionDlossDinDolderDadults:D-DMacularDdegeneration
TheDlossDofDcentralDvisionDoverDseveralDyears,DorDwithDaDcenterDblindDspotD(scotoma)DorDcurvingDofDstraigh
tDlines:D-DMacularDdegeneration
CataractsDcauseDdamageDtoDwhatDportionDofDtheDeye?D-
DLENS;DkeyDexamDfindings:DdiminishedDopacifiedDredDreflex
WhatDdoesDpapilledemaDindicate:D-DIncreasedDICP!!!
AcuteDinflammationDofDtheDtonsilDorDpharynxDandDaDcommonDcauseDisDinfluenza,Dparainfluenza,Drhinoviru
s,DorDGroupDBDhemolyticDstrep:D-DPharyngitisDorDtonsilitis;DwhenDtoDgetDaDrapidDstrep?D
UseDCentorDcriteria
SignsDandDsymptomsDofDmononucleosis:D-Dfatigue,Dmalaise,DHA,DsorDthroat.DDiagnoseDwithDmonospot
,SteepleDsignDorDthumbsDupDsignDonDxray:D-DEpiglotitis
WhatDdoDweDtreatDallergicDrhinitisDwith:D-DnasalDsteroidsD(Flonase,DNasacort,DandDAstepro--
>DnasalDsteroidsDpreferredDinDmostDcases)
NasalDantihistamineD(Azelastine,Dflonase
TreatmentDofDacuteDsinusitisDinDadultsDandDpediatricsD-D1stDline:DAmoxicillinDorDAmoxicillin-Clavulanate
IfDPCNDallergy:Ddoxycycline,Dlevofloxacin,DmoxifloxacinD
ReserveDantibioticDtreatmentDforDpersistentDsxD>10DdaysDorDsevereDsxDforD3-4Ddays
SensorineuralDhearingDlossDisDcausedDbyDaD-DdisruptionDinDtransmissionDtoDtheDcochlea.DIssuesDwithDCNDIII-
Dvestibulocochlear
TheDmostDcommonDmedicationsDthatDcauseDototoxicityD-
DAminoglycosides,DASA,Dquinidine,DloopDdiureticsD(lasixDcauseDringingDandDisDreversible)
ExamplesDofDaminoglycosidesD-D-MYCIN
gentamicin,Damikacin,Dtobramycin,Dneomycin,DandDstreptomycin
TreatmentDforDvertigoD-DAntihistamine:DMeclizine
Others:Danticholinergics-scopolamine
TheDrightDlymphaticDductDdrains:D-DtheDrightDsideDofDtheDheadDandDthorax,DandDtheDrightDupperDextremity
TheDleftDlymphaticDductD-DdrainsDtheDrestDofDtheDbody.DLeftDhead,Darm,Dchest,DbilateralDlowerDextremities
, SystolicDmurmurs:D-DMitralDregurgitation,DphysiologicDmurmur,DaorticDstenosis,DmitralDvalveDprolapse
AorticDstenosisDsymptoms:D-Dangina,Dsyncope,DheartDfailure
MitralDregurgitationDsymptomsD-DSOB,Dfatigue,DHF
PhysiologicDmurmurDsymptoms:D-Dasymptomatic,DcanDbeDnormalDinDkidsDandDpregnantDpatients
MitralDValveDProlapseDsymptoms:D-Dpalpitations,DCP,DorD"click"
DiastolicDmurmursDareD-DALWAYSDPATHOLOGIC
AorticDregurgitation/Insufficiency
MitralDstenosis
AorticDregurgitation/InsufficiencyDsymptomsD-DAngina,DHF,Ddizziness,DCP
MitralDstenosisDsymptomsD-Ddyspnea,DatrialDfibrillation
WhatDmurmurDpresentsDwithDdyspneaDandDangina?D-DAorticDregurgitation.DBADDmurmur!!!
OtherDsigns,DfatigueDandDswollenDankles/feet
Non-
tender,DsmallDerythematousDlesionsD(macular,Dpopular,DorDnodular)DonDtheDpalmsDandDfeetDassociatedDwit
hDaDcertainDtypeDofDinfection:D-DJanewayDlesions;DassociatedDwithDendocarditis
HowDtoDweDtreatDafib?D-DrateDcontrolDandDanticoagulationDtoDpreventDstroke
VERIFIED ANSWERS (100% CORRECT ANSWERS) A+
GRADE ASSURED
WhatDisDaDPterygium?D-
DGrowthDofDfleshyDtissueD(hasDbloodDvessels)DthatDpayDstartDasDaDpinguelca,DbutDINVADESDtheDcorneaDandD
affectsDvision
PingueculaD-
DyellowishDmassDonDtheDconjunctivaDthatDmayDbeDrelatedDtoDexposureDtoDultravioletDlight,DdryDclimates,Dan
dDdust.DUsuallyDonDtheDsideDnearDtheDnose
WatDtoDdoDifDsomeoneDhasDaDforeignDbodyDinDtheirDeye:D-
DdoDaDvisualDacuityDonDbothDeyes.DRemoveDobjectDwithDaDq-
tipDifDNOTDEMBEDDED.DIfDEMEDDED,DputDaDpatchDandDreferDtoDOptho.D*MakeDsureDtetanusDisDupDtoDdate.
primaryDopenDangleDglaucomaD-
DMostDcommonDtype.DR/tDblockageDofDtheDaqueousDhumorDinsideDofDtheDeye.DGradualDandDinsidiousDonse
t.DCN2DundergoesDischemicDchangesDandDpermanentDdamageDoccurs.DPtDc/oDperipheralDvisionDlossDandDth
enDcentralDvisionDloss.D
Asymptomatic,DgradualDimpairedDnightDvision.DNotchingDofDtheDopticDcup.
EyeDsymptomDthatDcomesDonDgradually,DusuallyDasymptomatic,DgradualDimpairedDnightDvision.DNotchingDo
fDtheDopticDcup.D-DPrimaryDOpenDAngleDGlaucoma
LR6DSO4DAO3D-DLateralDrectus:DCNDVI
SuperiorDoblique:DCNDIV
AllDothers:DCNDIII
EyeDconditionDwithDincreasedDIOPDthatDisDconsideredDanDocularDemergency:D-
DAngleDclosureDglaucoma,Dnarrow-angleDglaucoma
,TreatmentDforDGlaucomaD-DtopicalDbetablockers,Dpilocarpine,DcarbonicDanhydraseDinhibitors
EyeDfindingsDinDhypertension:D-DAVDNickingD(CausedDbyDmildDretinopathy.DTx:DcontrolDBP)
CottonDwoolDspotsD(microDinfarction-
DsignDofDmoderateDretinopathy,DcausesDgradualDvisionDloss.DTx:DreferDtoDOptho)
FlameDhemorrhagesD(HTN,DDM.DTxDunderlyingDcause,DreferDtoDoptho)
EyeDfindingsDinDDM:D-
DCottonDWoolDspotsD(microDinfarction.DSignDofD**moderateDretinopathy,DgradualDvisionDloss**DReferDtoDop
tho)
TheDmostDcommonDcauseDofDvisionDlossDinDolderDadults:D-DMacularDdegeneration
TheDlossDofDcentralDvisionDoverDseveralDyears,DorDwithDaDcenterDblindDspotD(scotoma)DorDcurvingDofDstraigh
tDlines:D-DMacularDdegeneration
CataractsDcauseDdamageDtoDwhatDportionDofDtheDeye?D-
DLENS;DkeyDexamDfindings:DdiminishedDopacifiedDredDreflex
WhatDdoesDpapilledemaDindicate:D-DIncreasedDICP!!!
AcuteDinflammationDofDtheDtonsilDorDpharynxDandDaDcommonDcauseDisDinfluenza,Dparainfluenza,Drhinoviru
s,DorDGroupDBDhemolyticDstrep:D-DPharyngitisDorDtonsilitis;DwhenDtoDgetDaDrapidDstrep?D
UseDCentorDcriteria
SignsDandDsymptomsDofDmononucleosis:D-Dfatigue,Dmalaise,DHA,DsorDthroat.DDiagnoseDwithDmonospot
,SteepleDsignDorDthumbsDupDsignDonDxray:D-DEpiglotitis
WhatDdoDweDtreatDallergicDrhinitisDwith:D-DnasalDsteroidsD(Flonase,DNasacort,DandDAstepro--
>DnasalDsteroidsDpreferredDinDmostDcases)
NasalDantihistamineD(Azelastine,Dflonase
TreatmentDofDacuteDsinusitisDinDadultsDandDpediatricsD-D1stDline:DAmoxicillinDorDAmoxicillin-Clavulanate
IfDPCNDallergy:Ddoxycycline,Dlevofloxacin,DmoxifloxacinD
ReserveDantibioticDtreatmentDforDpersistentDsxD>10DdaysDorDsevereDsxDforD3-4Ddays
SensorineuralDhearingDlossDisDcausedDbyDaD-DdisruptionDinDtransmissionDtoDtheDcochlea.DIssuesDwithDCNDIII-
Dvestibulocochlear
TheDmostDcommonDmedicationsDthatDcauseDototoxicityD-
DAminoglycosides,DASA,Dquinidine,DloopDdiureticsD(lasixDcauseDringingDandDisDreversible)
ExamplesDofDaminoglycosidesD-D-MYCIN
gentamicin,Damikacin,Dtobramycin,Dneomycin,DandDstreptomycin
TreatmentDforDvertigoD-DAntihistamine:DMeclizine
Others:Danticholinergics-scopolamine
TheDrightDlymphaticDductDdrains:D-DtheDrightDsideDofDtheDheadDandDthorax,DandDtheDrightDupperDextremity
TheDleftDlymphaticDductD-DdrainsDtheDrestDofDtheDbody.DLeftDhead,Darm,Dchest,DbilateralDlowerDextremities
, SystolicDmurmurs:D-DMitralDregurgitation,DphysiologicDmurmur,DaorticDstenosis,DmitralDvalveDprolapse
AorticDstenosisDsymptoms:D-Dangina,Dsyncope,DheartDfailure
MitralDregurgitationDsymptomsD-DSOB,Dfatigue,DHF
PhysiologicDmurmurDsymptoms:D-Dasymptomatic,DcanDbeDnormalDinDkidsDandDpregnantDpatients
MitralDValveDProlapseDsymptoms:D-Dpalpitations,DCP,DorD"click"
DiastolicDmurmursDareD-DALWAYSDPATHOLOGIC
AorticDregurgitation/Insufficiency
MitralDstenosis
AorticDregurgitation/InsufficiencyDsymptomsD-DAngina,DHF,Ddizziness,DCP
MitralDstenosisDsymptomsD-Ddyspnea,DatrialDfibrillation
WhatDmurmurDpresentsDwithDdyspneaDandDangina?D-DAorticDregurgitation.DBADDmurmur!!!
OtherDsigns,DfatigueDandDswollenDankles/feet
Non-
tender,DsmallDerythematousDlesionsD(macular,Dpopular,DorDnodular)DonDtheDpalmsDandDfeetDassociatedDwit
hDaDcertainDtypeDofDinfection:D-DJanewayDlesions;DassociatedDwithDendocarditis
HowDtoDweDtreatDafib?D-DrateDcontrolDandDanticoagulationDtoDpreventDstroke