NCCPA Questions Latest

NCCPA Questions (Latest / Answers 100% Correct

• 46 yo female wondering, rambling, difficulty remembering, not oriented to time

Answer: Delirium

• 2 yo boy with fever, injected conjunctivae, strawberry tongue, desquamation/erythema of

hands and feet, bilateral cervical adenopathy

Answer:

Dx: kawasaki syndrome

Complication: coronary artery aneurysm

• 31 yo AA female with low grade fever, iritis, red nodules over anterior lower leg ( erythema

nodosum), hepatomegaly.Answer

CxR: bilateral hilar adenopathy

Dx: Sarcoidosis

• 47 yo man with heaviness in his chest while pushing his lawn mower. Hx of smoking. No

symptoms now. EKG shows no abnormalities. What is the initial diagnostic study?

Answer: Exercise stress test

• 32 yo female with rash in legs f/u treatment for bladder infection with TMP/SMX. PE:

diffuse rash on shins, medial ankle, right medial calf, some bruising. Dx?

Answer: Erythema nodosum secondary to TMP/SMX use.

EN is also seen in sarcodosis patients.

• 35 wks of gestation female c/o pelvic pain and dark* red vaginal discharge following sexual

intercourse. PE: hypotension, tachycardia, uterus is tender to palpation. Dx?

Answer: Abrupto placenta

• 41 yo female with dyspepsia, arthralgia, memory loss. Labs: elevated calcium. Dx?

Answer: Hyperparathyroidism

• 40 yo man c/o weakness, tiredness, sexual dysfunction, decreased hair. Labs: decreased

LH,FSH,TSH,testosterone, T4. Dx?

Answer: hypopituitarism

• 18 mo boy with fever, cough, seizure. PE: bright red tympanic membrane and green

discharge from nose. What's the most appropriate initial diagnostic study?

Answer: Lumbar puncture

• 22 yo female brought to ER after falling out of chair and striking her

head on carpeted floor. PE: minimal abrasion overlying left occiput. Your next step? 1 / 2

Answer: discharge and obstervation by family members

• 15mo crying and drooling, pharynx is mildly injected. CxR: normal ... think foreign body

ingestion Next step?Answer: Dx: foreign body ingestion Esophagogastroduodenoscopy

• Hirsutism, coarsening of facial skin, osteomalacia, gingival hyperplasia are SEs of what

antiepileptic drug?

Answer: phenytoin

• X-ray of patient with hallux valgus (bunions) metatarsolphalangeal joints. Patient

complains of pain in both feet while walking. Tx?

Answer: Advise patient to use footwear with wide toe box

• Patient with hx of ARF at age 7 comes in for sports physical. PE: DD murmur best heard

at 2nd and 3rd ICS LSB. Murmur increased when patient leans forward. Dx?

Answer: AR

• 36 yo women with doe,palp,pnd,nocturnal cough. PE: loud opening snap. CxR: enlarged

left atrium. Dx?

Answer: MS

• Pulmonary consolidation/pneumonia. PE?

Answer: increased fremitus -increase vibration when patient says 99

17. MDD

Answer: insomnia

• Most appropriate treatment of ankylosing spondylitis?

Answer: initiation of an exercise program and start indomethacin or other NSAIDs

• what is the most effective primary prophylaxis against nosocomial pneumonia- hospital

aquired pneumonia?

Answer: Chest physiotherapy using incentive spirometer

• flushing and elevation of serum liver enzymes are side effects of what medication?

Answer: Niacin

• white blood cell cast seen in?

Answer: pyelonephritis

• Hashimoto's thyroiditis lab finding?

Answer: elevated thyroid autoantibody titer- auto microsomal antibody, autothyroglobulin antibody. thyroid peroxidase antibody seen here and in grave's disease as well

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