REAL EXAM QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES ALREDY GRADED A+
Incidence of positive rheumatoid factor in patients with RA. - (ANSWER)Positive in 80% of
patients.
Most common first clinical sign of psoriatic arthritis. - (ANSWER)Dactylics "Sausage digits"
Earliest clinical manifestation of ARDS - (ANSWER)Dyspnea (SOB)
Initial management of ARDS - (ANSWER)Treat underlying cause (sepsis, aspiration, shock)
Joint deformities in RA. - (ANSWER)Appears in stage 3.
Extraarticular manifestations of RA - (ANSWER)Fatigue, anorexia, weight loss and low grade
fever.
Diagnostic tests required before beginning biologic therapy. - (ANSWER)Latent TB
Pathophysiology of erythroblastosis fetalis - (ANSWER)The fetus has resulting anemia from
the hemolysis of blood cells
The fetus compensates by producing large numbers of immature erythrocytes
Organ damage as a result of kernicterus - (ANSWER)Brain damage
, Rh immune globulin (RhIG) schedule for administration - (ANSWER)28 weeks gestation, 34
weeks gestation and 72 hours after delivery.
Most common cause of hemolytic disease of the newborn. - (ANSWER)Rh negative mother has
a baby with an Rh positive father
Direct Coombs test - (ANSWER)Diagnostic for HDN. The Direct Coombs Test detects
maternal anti-D antibodies that have already bound to fetal RBCs.
Bleeding precautions. - (ANSWER)Use electric razor, discontinuation of ASA, limitation of
needle sticks.
Absolute neutrophil count (ANC) - (ANSWER)Reflects number of mature WBC's, needs to be
above 3000
Most common cause of aplastic anemia - (ANSWER)Inability of erythrocyte-prducing organs
(bone marrow) to produce RBCs
Pain assesment in the young child - (ANSWER)Wong baker and the FLACC scale
Somatic pain - (ANSWER)Pain originating from skin and musculoskeletal structures
Gate Control Theory of Pain - (ANSWER)Pain is modulated within the spinal cord. Stimulation
of the A-beta cutaneous fibers is thought to close the gate on transmission of pain impulses.
WHO's 3-Step Approach to Pain - (ANSWER)Step 1: No opioids (1-3)
Step 2: Weak opioids (4-6)
Step 3: Strong opioids (7-10)