PANCE ROSH UPDATED ACTUAL Questions and CORRECT Answers
1. exogenous hyperthyroid tx propranolol
NO methimazole
2. hypocalcemia on ekg
3. optic disc cupping glaucoma
4. avoidant personality disorder vs so- avoidant is just way worse; social anxiety is more
cial anxiety siutational
5. pericarditis after MI Dressler's syndrome
6. indirect vs direct inguinal hernia indirect is lateral to the inferior epigastric vessels
direct are medial
7. broad waxy casts CKD
8. What is Meckel's diverticulum? Congenital anomaly due to incomplete obliteration
of the omphalomesenteric duct
Most common in children, < 5 years old
Sx: painless rectal bleeding, abdominal pain, or ob-
struction
9. pretibial edema hyperthyroid
10. lace like rash Erythema infectiosum (fifth disease)
11. mc type of cns tumor Meningioma
12. heparin induced thrombocytopenia Argatroban
tx
13. age for legg calve vs scfe legg is 4-10
scfe is 10-16
,14. positive direct coombs autoimmune hemolytic anemia
15. cataracts, hearing loss, heart defect congenital rubella
at birth
16. normal aging is what kind of hearing sensorineural
loss
17. inheritence pattern of DMD, CF, hunt- DMD: x linked recessive
ingtons, sickle cell, hemophilia, G6PD CF: AD
Hunt: AD
sickle: AR
hemo: x linked recessive
G6: x linked
18. Anti-mitochondrial antibodies primary biliary cholangitis
19. dermatitis, dementia, and diarrhea niacin def
Dermatitis on the sun-exposed area
of the neck is called Casal necklace
20. unstable wide complex tachy but has synchronized cardioversion
a pulse if pulseless, defib
21. tension headache prophylaxis Amitriptyline
22. anticholinergic toxicity tx Physostigmine
23. ICD for HF with what ejection fraction <35
24. meniere is low freq or high freq low freq hearing loss
25. Pulseless Electrical Activity treatment CPR + epi
26. PMDD tx SSRI
,27. dark field microscopy Treponema pallidum
28. painful bubo chancroid
29. weber result for conductive vs sen- conductive: noise lateralizes to affected ear
sorineural sensi : nonaffected ear
30. niacin supplementation can cause flushing/pruritis
31. when is RhD administered 28 weeks and after birth
32. Bitemporal hemianopsia blindness in the outer halves of the visual field in
both eyes; tumor
33. menstrual cycle hormones and phas- period starts during follicular phase
es estrogen and LH peak at ovulation, increasing dur-
ing follicular
then progesterone peaks mid luteal
34. wpw tx Acute treatment
- Orthodromic (narrow complex): vagal maneuvers,
AV nodal blockers (adenosine, beta-blocker, calcium
channel blocker)
- Antidromic (wide complex): procainamide
Synchronized cardioversion for hemodynamically
unstable patients
Definitive treatment is radiofrequency ablation
35. who gets deputryn contracture diabetes
36. 6-year-old boy presents with a limp legg calve perthes
for the last several months. He re-
, ports pain in his groin that is worse
at the end of the day
37. radial, ulnar, and median nerve ac- radial extends hand, median is thumb opposition
tions
38. moth eaten appearance and lytic le- ewing sarcoma
sions
39. treatment of stress, overflow, and stress = kegels, estrogen
urge incontinence overflow = alpha antagonists
urge = bladder training, oxybutinin
40. nephrolithiasis tx based on size < 5 mm: likely to pass spontaneously
> 5 mm: medical expulsive therapy (tamsulosin),
urology consultation in certain cases
> 10 mm: urology consultation, shock wave
lithotripsy, ureteroscopy
41. AAA screening guidelines one time routine abdominal ultrasound is indicated
in men 65-75 with a history of smoking
42. Lung cancer screening guidelines yearly low-dose CT scan to screen for lung cancer
in patients aged 50-80 years old who have smoked
for 20 pack year. Patient should also be currently
smoking or have quit within the prior 15 years.
43. Howell-Jolly bodies sickle cell anemia
44. Schistocytes are seen in hemolytic anemia, DIC
45. varicocele can cause infertility
46. hot nodule; hot is usually benign, cold is malignant
1. exogenous hyperthyroid tx propranolol
NO methimazole
2. hypocalcemia on ekg
3. optic disc cupping glaucoma
4. avoidant personality disorder vs so- avoidant is just way worse; social anxiety is more
cial anxiety siutational
5. pericarditis after MI Dressler's syndrome
6. indirect vs direct inguinal hernia indirect is lateral to the inferior epigastric vessels
direct are medial
7. broad waxy casts CKD
8. What is Meckel's diverticulum? Congenital anomaly due to incomplete obliteration
of the omphalomesenteric duct
Most common in children, < 5 years old
Sx: painless rectal bleeding, abdominal pain, or ob-
struction
9. pretibial edema hyperthyroid
10. lace like rash Erythema infectiosum (fifth disease)
11. mc type of cns tumor Meningioma
12. heparin induced thrombocytopenia Argatroban
tx
13. age for legg calve vs scfe legg is 4-10
scfe is 10-16
,14. positive direct coombs autoimmune hemolytic anemia
15. cataracts, hearing loss, heart defect congenital rubella
at birth
16. normal aging is what kind of hearing sensorineural
loss
17. inheritence pattern of DMD, CF, hunt- DMD: x linked recessive
ingtons, sickle cell, hemophilia, G6PD CF: AD
Hunt: AD
sickle: AR
hemo: x linked recessive
G6: x linked
18. Anti-mitochondrial antibodies primary biliary cholangitis
19. dermatitis, dementia, and diarrhea niacin def
Dermatitis on the sun-exposed area
of the neck is called Casal necklace
20. unstable wide complex tachy but has synchronized cardioversion
a pulse if pulseless, defib
21. tension headache prophylaxis Amitriptyline
22. anticholinergic toxicity tx Physostigmine
23. ICD for HF with what ejection fraction <35
24. meniere is low freq or high freq low freq hearing loss
25. Pulseless Electrical Activity treatment CPR + epi
26. PMDD tx SSRI
,27. dark field microscopy Treponema pallidum
28. painful bubo chancroid
29. weber result for conductive vs sen- conductive: noise lateralizes to affected ear
sorineural sensi : nonaffected ear
30. niacin supplementation can cause flushing/pruritis
31. when is RhD administered 28 weeks and after birth
32. Bitemporal hemianopsia blindness in the outer halves of the visual field in
both eyes; tumor
33. menstrual cycle hormones and phas- period starts during follicular phase
es estrogen and LH peak at ovulation, increasing dur-
ing follicular
then progesterone peaks mid luteal
34. wpw tx Acute treatment
- Orthodromic (narrow complex): vagal maneuvers,
AV nodal blockers (adenosine, beta-blocker, calcium
channel blocker)
- Antidromic (wide complex): procainamide
Synchronized cardioversion for hemodynamically
unstable patients
Definitive treatment is radiofrequency ablation
35. who gets deputryn contracture diabetes
36. 6-year-old boy presents with a limp legg calve perthes
for the last several months. He re-
, ports pain in his groin that is worse
at the end of the day
37. radial, ulnar, and median nerve ac- radial extends hand, median is thumb opposition
tions
38. moth eaten appearance and lytic le- ewing sarcoma
sions
39. treatment of stress, overflow, and stress = kegels, estrogen
urge incontinence overflow = alpha antagonists
urge = bladder training, oxybutinin
40. nephrolithiasis tx based on size < 5 mm: likely to pass spontaneously
> 5 mm: medical expulsive therapy (tamsulosin),
urology consultation in certain cases
> 10 mm: urology consultation, shock wave
lithotripsy, ureteroscopy
41. AAA screening guidelines one time routine abdominal ultrasound is indicated
in men 65-75 with a history of smoking
42. Lung cancer screening guidelines yearly low-dose CT scan to screen for lung cancer
in patients aged 50-80 years old who have smoked
for 20 pack year. Patient should also be currently
smoking or have quit within the prior 15 years.
43. Howell-Jolly bodies sickle cell anemia
44. Schistocytes are seen in hemolytic anemia, DIC
45. varicocele can cause infertility
46. hot nodule; hot is usually benign, cold is malignant
