3P Clinical Analysis Practice Exam With Answers (162 Solved Questions)

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3PExamStudy1/ 141.What would cause decrease in Digoxin levels:Antacids2.Taking Pyridium for UTI, what can Pyridium cause?:Hemolytic Anemia3.What can PCOS result in?:increased insulin levels, Androgens, hirsutism4.What is a hypertensive used in pregnancy:Methyldopa5.What is a characteristic of Placenta Previa?:painless red bleeding6.What is a characteristic of Rheumatoid arthritis ?:Red hot joints7.Medications that cause ototoxicity:Aminoglycosides, nasal decongestants,antihistamines8.Treatment period for enterobiasis:2 weeks9.CBC Interpretation:MCV - mean corpuscular volume help diagnose differenttypes of anemia (High=macrocytic like B12, Low=microcytic like Fe anemia)10.Rhogham given at how many weeks gestation?:27 weeks11.Janesway lesions:Happen with endocarditis, non painful lesions seen onhands and feet, Osler same but painful12.Warfarin management - forgot a dose?:If under 12 hours take missed dose,if over skip and need INR redraw13.Taking an ACE or ARB what to know?:ACE (dry hacking) cough starts 1-2weeks after med started, ACE (Lol) ARB (sartan) first line in HTN avoid initially inafrican americans, angioedema can occur14.Contraindication for hydrochlorithiazide:sulfa allergy, asthma, PCN hyper-sensitvity15.Murmurs Systolic:MR=Mitral regurge (SOB/Fatigue HF)Peyton Manning=phys murmur (asymptomatic)AS=Aortic Stenosis (Angina, syncope HF)MVP=Mitral valve prolapse (palps, CP, "click")16.Diastolic Murmurs (ABnormal):AR= Aortic Regurge (angina, HF, dizzinness,CP)MS=Mitral stenosis (Dyspnea, Afib)17.Motivated:Systole-S1 closure of AV Mitral/tricuspid valve (lub)Mitral, Tricuspid, atrioventricular valves18.Apples:Diastole s2 closure of the aortic pulmonic valves (dub)aortic pulmonic semilunar

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2/ 1419.Abnormal (extra) heart sounds:S3- CHF; possible normal for adolescentathletes,S4 LVH poorly controlled HTN, unstable angina20.Assessment of PAD:antiplatelets (Plavix, ASA), Pentoxifylline (decreasesblood viscosity) to treat, ankle brachial index to check, angiography gold standardto diagnose21.Coronary artery Disease tx:Atorvastatin/rovustatin- use high dose medsfor LDL>150, watch for LFTs and arthralgia. Change type and dose if problems.Stabilization of plaque with statins22.HF treatment:ACEI, ARB, or ARNI with BB and aldosterone receptor antag-onist23.Scabies Treatment (Sarcopter Scabiei):Topical Permethrin massaged fromhead to soles of feet and wach off with shower or bath after 8-14 hours. Treat againin 1 week24.Names of skin findings:Macule; freckle <1 cm, Papule Macule >1 cm chloas-ma, Papule <0.5cm elevated nevi (molluscum wart), Plaque (psoriasis, lichenplanus), Nodule 0.5-2 cm lipoma, vesicle (herpes simplex contact derm,25.Keloid:hypertrophic scar that is invasive beyond point of original injury26.Skin continued:Bulla-second degree burn, friction burnWheal- raised, mosquito bite, hiveScales;dandruffCrusts-scab from abrasian, impetigo27.Tinea:Fungal infections; Tinea capitis-round patchy scales on scalp (cradlecap) treatment Grisefulvin take with high fat meal 4-6 weeks 500 mg tinea corporis-red and scaly plaque on trunk (ring worm) Treatment is an azole for 2 weeks28.Melanoma How do you assess:ABCDE Asymmetry, border, color, diameter>6 mm, elevation29.Psoriasis:silvery white scales, nails are pitted; positive Auspitz sign- pinpointbleeding occurs when lesions are scraped30.Shingles (Herpes Zoster):Unilateral dermatomal rash- painful as it progress-es to vesicles, Acyclovir within 48-72 hours or symptoms. May only transmitchickenpox virus to susceptible patients that have not gotten exposed or vaccinatedyet.Post herpetic neuralgia pain is longer than 1 month after rash has resolved.

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3/ 1431.Contact dermatitis:papules or vesicles 5mm or less, scaling, crusting, oozing.Tx corticosteroids/antihistamines32.Acne Vulgaris:Inflamm disorder where androgen-dependent sebaceousglands produce excess sebum. Areas most commonly affected are face, anteriorand posterior chest, arms and shoulders. Treatment: Erythromycin/Benzyl perox-ide=limit exposure to sunlight peroxide can decrease resistance to erythromycin33.Atopic dermatitis:Patchy plaque like rash with inflammation. common inpeople with other atopic illnesses (asthma, allergic rhinitis)34.Eye Findings in HTN and DM:AV nicking-arteries indent and displace veins,cotton wool spots-gradual vision loss, flame hemorrhages- blot and dot hemor-rhages35.Tx of acute sinusitis in adults and pediatrics:Viral symptomatic tx only, isbacterial- amoxicillin first line symptoms>10 days purulent nasal discharge, fever,unilateral face or tooth pain36.Snellen test:Test for visual acuity; CN II37.What medications can cause ototoxicity:Aminoglycosides (tx otitis externa), loop diuretics, quinine, ASA38.Rhinitis:Eosinophils due to WORMS, wheezes, weird diseases. Most effectivetx for allergic rhinitis- Fluticasone Flonase39.Acute bacterial rhinosinusitis:For empiric tx of patients with acute bacterialrhinosinusitis who are allergic to penicillin, the best alternative first line therapy isDoxycycline40.Which immunoglobulin is responisble for the symptoms in the patientwith allergic rhinitis?:IgE41.Assessment of a 4 year old visual acuity resulted in 20/30 in L eye and20/40 in R eye.:Means vision is normal for his age, 20/20 vision at 6 years old42.Distinctive feature of cataracts:Absent red reflex43.Meclizine:Given for patients who present with Positional vertigo44.Pterygium:growth on conjunctiva of fleshy tissue, sx redness, swelling, yellowspot or bump dry itchy like sand in eye45.Eye emergencies:papillaedema (increase ICP, swollen optic disc engorgedtortuous retinal veins), Acute closed angle glaucoma is unilateral eye pain rapidonset and loss of vision

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4/ 1446.Presentation with foreign body in eye:only remove with wet cotton swab ifnot able to send to opthamologist47.Meniere's Disease:A 45 year old patient complains of vertigo, tinitus, andpressure in the right ear48.Hyperopia:Light that is focused behind the retina causes the visual distur-bance49.Mononuleosis:Most commonly caused by EBV can be passed sexually50.Which medication is most commonly associated with hypoglycemia:Gly-buride51.How does myxedema present and what is its indicative of:found in patientswith hypothyroid, hypothermia, thickening of the tongue, and disorientation52.Assessment findings PCOS:Hirsutism, hyperinsulinemia, elevated lipids,abnormal hair, acne53.Assessment finding and RX for hyperthyroidism:M/C cause is Graves'disease, finding include tachyC, Afib, weight loss, hyperactivity, warm, moist skin,flushed54.Hyperprolactinemia:Menstrual dysfunction, ED, pain in breast, loss of libido,lactation, vaginal dryness, infertility55.Hyperandrogenism:High levels of Androgens in females, sx include acne,seborrhea, hair loss on scalp, increased body or facial hair, infrequent or absentmenstruation, Can be caused by PCOS56.DM:A1c over 6.5 or fasting glucose over 126, initiate Metformin at initialdiagnosis57.Assessment of neuropathy:In distal lower extremities, long effect of hyper-glycemia, paresthesias and burning58.Treatment and Presentation of Giardiasis:Foul smelling stools, abdominalpain, flatulence spread fecal-oral route. Tx is Metronidazole 250 mg TID59.Presentation and assessment of Cirrhosis:Coagulopathy, variceal bleed,hepatic encephalopathy, extrahepatic sx- neuro, psychiatric, arthralgia, autoim-mune disorders, glucose intolerance. Pt early stage of cirrhosis likely to havethrombocytopenia60.Assessment of Hepatitis:Malaise, fever, jaundice, fatigue, weight loss, jointpain, dark urine, RUQ pain, liver enlargement, pancytopenia. Elevated ALT/AST,bili, alk phos

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