2025QUESTIONSANDCORRECTDETAILEDANSWERS|ALREADYGRADEDA+
1. 3montholdinfantwithdownsyndrome,duetomilkintolerance,momstartedo
ngoatsmilk;nowhaspaleconjunctivabutotherwisehealthy.LowHCT.Whatadd
itionaltestwouldyouorder?:Iron,TIBC
2. 3monthsofsynthroid,TSHincreased,T4normal,whatdoyoudo?:IncreaseMedi
cation
3. 3waystoassesscognitivefunctioninpatientwithsigns/symptomsofmem
oryloss:Minimentalexam
4. 4montholdwithstrabismus,momisworried......:tellheritisnormal.
5. 4montholdwontkeepanythingdown,whatisthemainthingyoulookat?:Gro
wthchart
6. 6montholdclosedanteriorfontanel.:XRAY
7. AbnormalcellsonPAP,whatdoyoudonext?:ReferforColposcopy
8. CAGEACRONYM:Cutdown
Annoyedbycriticism
Guiltyaboutdrinking
Eyeopenerdrink
9. Causesoftachycardia:FeverA
nemia
Hypotension
10. Cranialnervesresponsibleforextraoculareyemovements:CN3,4,6
11. Definitionofmetabolicsyndrome:clusterofconditionsthatincreaseriskofheart
disease,stroke,diabetes.
12. diagnosetrichomoniasis:wetprep
13. Elderlypresentswithatrophicvaginitis,smalluterus,palpable4x5ovary,wha
tdoyoudonext?:PelvicUS
14. Epistaxisismostcommonintheareaofthenoseknownaskiesselbachstriangl
e,whereisthislocated?:Anteriorseptum
15. Definitivediagnosisofacutebacterialprostatitis:urinalysisandculture
16. GERDtreatment:H2isfirstline,givehs
17. Grade3cellsonPap,treatment?:LEEPexc
ision
18. Fingernailhematomatreatment?:drillholeanddrainblood?
19. Increasedriskofectopicpregnancy:Salpingitis,orhistoryofabortion,PID,
20. Koplickspots:Measles(rubeola).GrainsofsaltlesionsinsidemouthinMeasl
es
21. Legg-Calve-PerthesDisease:Avascularnecrosisoftheproximalfemoralhead
22. Lipidlevelof1500,increasedriskfor?:Pancreatitis
23. LowHGB,LowHCT,HighMCVindicateswhat?:Macrocyticanemia,B12Def
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2025QUESTIONSANDCORRECTDETAILEDANSWERS|ALREADYGRADEDA+
24. ManwithBPH,prostatefeelsondigitalexam?:Enlarged,symmetrical,smo
oth
25. ManwithHTN,CAD,presentfemoralpulsesbutabsentpedal:ArterialInsuffi
ciency
26. McMurray'sSign
(+)palpableoraudibleclickwhileextendingwithvarusstress:Meniscustears
27. Lachman'sTest:pivotshifttest(ACLtear)
28. Newbornwithfootturnedin,whatdoyoudo?:refertoorthopedist
29. Osgood-Schlatterdisease:Kneepain.
inflammationorirritationofthetibiaatitspointofattachmentwiththepatellartendon
30. PatientforgottostartThanksgivingdinnerandhusbandstatesshehastrouble
rememberingtasksandtroublewithorganization.Whatisthisindica-
tiveof?:Alzheimer's
31. PthasBarrettsEsophagus,insurancenolongercoversGIwhowastreatingc
ondition.PtatFNPofficewantingrefillprescriptions.Whatdoyoudo?:Refertoonc
ologist
32. Ptpresentswithrashonshoulder,erythematousmaculopapularrashwithcent
erclearingandscaling?:TineaCorporis
33. Ptpresentswith"bagofworms:,indicates?:Varicocele
34. Ptwithatopicdermatitis,lookforwhatotherdiseases?:Asthma
35. Ptwithbleedingaftermenopause:endometrialbiopsy,needtoscreenforcanc
er
36. PtwithhxofPID,increasedrickfor?:Infertility
37. PtwithHIVtookhighpotencyantiviraltreatmentsandCD4is>400,whatdoesthi
sindicate?:Thisisgood.Wanthigherthan350
38. Ptwithhxofhtnandstroke,nowhavingmemoryloss.Whatdoesthisindicat
e?:Vasculardementia
39. Pregnantteacherwithexposureto5thsdisease(SLAPCHEEK),whatriskisthe
retothefetus?:slapcheek,PVB19,rashhands/feetFetaldeathandbirthdefects
40. Quickassessmentofpatientsfallrisk?TimedGetupandGo:TimedGetupandG
o
41. Redbeefytongue?:perniciousanemia
42. Rotatorcuffinjurypresentation:disturbssleep,armweakness,dullache
43. Shinglesneareye:immediatereferraltoophthalmology
44. SignsandsymptomsofRoseola(6thsdisease)?:Viralinfection
Canresultinamaculopapularrash,butupto70%ofcasesproceedwithouttherashstage
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2025QUESTIONSANDCORRECTDETAILEDANSWERS|ALREADYGRADEDA+
-
Usuallyaccompaniedbyahighfever(41°Cor105°F)thatcomesonquicklyandlastsupto3
aysfollowedbyrash
-Seizuresmayoccurduringthisperiod.
-
Onthefourthday,thefeverdisappearsandtherashappears,firstonchestandtrunk,thenle
sprominentlyonthefaceandlimbs.
-Highfever,pinkflatorraisedrash
45. Treatmentforchronicalcoholism::12stepprogram
46. TreatmentforGonorrhea?:Rocephin250mgIMx1plus
Azithromycin1gmorallyx1tocoverchlamydia.,ordoxy100mgBIDx7d.Greencoloredvag
naldischarge,friablecervix.EXAM
Reporttohealthdepartment
47. Youngfemalewantbirthcontrol,forgetstotakepills,doesnotwanttogetpregn
antforatleast5years::IUD
48. Basalcellcancer:Waxy,pearly,telangiectasia,ulcercenterlesion
-mostcommontypeofskincancercausedbyUVexposure.Metastaticisrare
49. ActinicKeratosis:Scalyredtoyellowlocatedinsunexposedarea
-aprecancerousskingrowththatoccursonsun-damagedskin
50. ActinicKeratosis:Numerousrounddrypinktoredareas.Scalyredtoyellowlocate
dinsunexposedarea
-apresquamouscellcarcinomaoccursonsun-damagedskinbiopsy
cryoor5fucream
51. subungualhematomatx:Makeaholeanddraintheblood
52. Moderateacnetreatment:Withoutinflammation:Topicalretinoid
Moderateinflammation:TopicalRetinoidorbenzoylperoxideorAzaleicacic(veryexpens
eandhardtogetcovered)
PLUSADD
Oralantibiotics:doxycyclineortetracyclineorminocycline-
(tetracyclineshasbeenprovenmostaffectiveforinflammatoryacne)
Minocycline-
longtermusehasbeenlinkedwithpseudotumorcerebriOralcontraceptivesfor
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