3Ps Final Practice Exam Question Bank
COMPREHENSIVE QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED &
REVISED ANSWERS (NEW) 2025
a. tinea capitis
Tinea capitis is a fungal infection of the scalp
commonly seen in children. It presents with:
Round, scaly patches
Alopecia (hair loss) in those areas
Sometimes with "black dots" (broken hairs at scalp level)
A pediatric patient has
May also have mild erythema, pruritus, or even kerion
areas of scaling on the (inflammatory mass)
scalp with round patches of
alopecia. This clinical Why not the others?
finding is consistent with: b. Seborrheic dermatitis:
a. tinea capitis Causes greasy scales and erythema, especially on the
b. seborrheic dermetitis scalp, but usually doesn't cause distinct round
c. trichotillomania patches of hair loss.
d. alopecia areata c. Trichotillomania:
Involves irregular patches of hair
loss due to pulling. Hair lengths are
usually uneven, and there's no scaling.
d. Alopecia areata:
Causes smooth, completely bald round patches
without scaling. Autoimmune in nature, often
sudden onset.
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,7/4/25, 12:44 PM 3Ps Final Practice Exam Question Bank COMPREHENSIVE QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED AN…
b. Propranolol (Inderal)
Propranolol, a beta-blocker, is FDA-approved and
commonly used for migraine prophylaxis, including in
What is the appropriate
adolescents.
prophylactic medication for
It's effective in reducing frequency, severity, and
an 18 y/o F with a PMH of
duration of migraine attacks. It's a first-line option
migraine HA?
a. Sumatriptan (Imitrex)
for young patients without contraindications (like
b. Propanolol (Inderal) asthma or bradycardia).
c. Ibuprofen (Motrin)
Why not the others?
d. Dihydroergotamine (DHE)
a. Sumatriptan (Imitrex)➤ This is an abortive medication
used to treat acute migraine attacks, not prevent them.
c. Ibuprofen (Motrin)➤ Used for acute pain relief, not
suitable for long-term prophylaxis. Can lead to
medication overuse headache if taken too often.
d. Dihydroergotamine (DHE)➤ Used for abortive
treatment in moderate to severe migraines, especially
in the ER or hospital setting, not for prophylaxis.
c. her age and tobacco use
Combined hormonal contraceptives (CHCs) contain
estrogen, which increases the risk of thromboembolic
Why would a combined events.
hormonal contraceptive be Women aged ≥35 who smoke are at significantly
contraindicated in a 36 y/o increased risk for serious cardiovascular complications,
patient with PMH of DM2, including stroke, MI, and DVT/PE, when taking CHCs.
obesity, chronic smoking This risk is high enough that CHCs are contraindicated
and sedentary life? in these patients per CDC Medical Eligibility Criteria
a. She is obese (MEC).
b. She has DM2
c. her age and tobacco use
Why not the others?
d. she leads a sedentary
a. She is obese➤ Obesity alone increases clot
lifestyle
risk but is not an absolute contraindication.
b. She has DM2➤ Diabetes with vascular complications
would be a contraindication. However, DM2 without
complications is not necessarily a strict
contraindication.
d. She leads a sedentary lifestyle➤ Increases general
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,7/4/25, 12:44 PM 3Ps Final Practice Exam Question Bank COMPREHENSIVE QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED AN…
health risks but is not listed as a formal
contraindication to CHCs.
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, 7/4/25, 12:44 PM 3Ps Final Practice Exam Question Bank COMPREHENSIVE QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED AN…
c. Intraductal papilloma
Intraductal papilloma is the most common cause of
During a clinical breast spontaneous bloody or serosanguinous nipple
exam, a perimenstrual discharge, especially unilateral and from a single duct,
woman presents with a often seen in women aged 30-50.
spontaneous bloody It is benign but requires further evaluation, typically
discharge from her right with imaging (ultrasound/mammogram) and possibly
nipple. Which of the duct excision to rule out malignancy.
following is the most likely
diagnosis requiring further Why not the others?
a. Fibroadenoma➤ Typically presents as a firm, mobile,
evaluation?
a. Fibroadenoma painless breast mass, not with nipple discharge.
b. Polycystic breast disease b. Polycystic breast disease (aka fibrocystic changes)➤
c. Intraductal papilloma Common in premenstrual women, may cause bilateral
d. Pituitary prolactinoma breast tenderness and lumpy texture, sometimes clear
or greenish discharge — not typically bloody.
d. Pituitary prolactinoma➤ Causes bilateral milky
(galactorrhea) discharge, not bloody, and is usually
associated with amenorrhea and headache/vision
changes.
c. 28 weeks
RH negative women should
Rho(D) immunoglobulin (RhoGAM) is given to Rh-
receive Rho
negative pregnant women to prevent alloimmunization
(D) immunoglobulin at what
(i.e., the mother forming antibodies against Rh-positive
gestational time?
a. 6 weeks fetal blood cells).
b. 12 weeks The standard schedule includes:
c. 28 weeks
One dose at 28 weeks gestation, and
d. 35 weeks
Another dose within 72 hours postpartum if the baby is Rh-
positive.
It may also be given after any event where fetal-
maternal hemorrhage could occur (e.g., bleeding,
trauma, amniocentesis, miscarriage).
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