PACKRAT EXAM ACTUAL QUESTIONS VERIFIED ACCURATE

PACKRAT EXAM (ACTUAL / ) QUESTIONS VERIFIED ACCURATE

ANSWERS

How is acute stress disorder different than posttraumatic stress disorder?

• ---Answers----Acute stress disorder occurs within 1 month of event

and resolves within about a month. PTSD begins at about 1 month after event and can last indefinitely.

Which viral exanthem often has conjunctivitis as one of it's symptoms? - - --Answers----Measles/Rubeola

List three catastrophic complications of a myocardial infarction. - --- Answers----Papillary muscle rupture, myocardial wall rupture and left ventricular aneurysm

What is the most common cause of pneumonia in children less than 1 year old? - ---Answers----Respiratory syncytial virus (RSV)

A patient on sulfasalazine for an inflammatory bowel disease should be supplemented with what vitamin? - ---Answers----Folate

A patient of yours always craves attention, often using sex as a tool to gain it. She often acts like a child when she does not get her way? What is the most likely diagnosis? - ---Answers----Histrionic personality disorder

When treating psychiatric patients are benzodiazepines used more commonly for acute or chronic treatment? - ---Answers----Acute

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On EKG there is an early but otherwise normal PQRS complex. After that beat there is a slight pause and then a normal rhythm continues. What is the term for this one beat? - ---Answers----Premature atrial contraction

List two risk factors for cervical cancer. - ---Answers----Multiple sexual partners, smoking

Small grouped vesicles on the vermillion border should make you think of what diagnosis? - ---Answers----Herpes

What is the most important complication of giant cell arteritis? - --- Answers----Blindness

Under what conditions would aspirin or clopidogrel be used following a TIA as prophylaxis? - ---Answers----These are antiplatelet medications.They would be used unless there is a known cardiac etiology for the embolism. Patients with a cardiac cause should use heparin or Coumadin.

What heparin complication is relevant to endocrinology? - ---Answers---- Adrenal infarct leading to a Cushing's syndrome

What is the term for being farsighted? What type of lens do you use to correct it? - ---Answers----Hyperopia, convex

At what age should a child begin to say momma and dadda? - --- Answers----12 months

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A white oral lesion which cannot be scraped off should make you think of what diagnosis? - ---Answers----Oral leukoplakia

How do you treat pneumocystis jiroveci pneumonia (PCJ) formerly known as pneumocystis pneumonia (PCP)? - ---Answers----Bactrim

A 30 year old African American woman presents with dysphagia. You notice she also has thickened skin. A barium swallow demonstrates the absence of peristalsis. What is the most likely diagnosis? - ---Answers--- -Scleroderma

Projectile vomiting should make you think of what diagnosis? - --- Answers----Pyloric stenosis

Pretibial myxedema should make you think of what diagnosis? - --- Answers----Graves Disease

How often should patients with pernicious anemia have a screening endoscopy performed? - ---Answers----Every 5 years looking for signs of gastric carcinoma.

What is first line treatment for rosacea? - ---Answers----Metronidazole, tetracycline is probably a close second.

A patient complains of having suddenly developed stage fright. It is very important to his career that he be able to speak in front of groups. What medication might you treat him with? - ---Answers----Beta blocker - propranolol

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What is the gold standard for the diagnosis of cystic fibrosis? - --- Answers----Sweat chloride test

What is the most common cause of subarachnoid hemorrhage aside from trauma? - ---Answers----Ruptured cerebral aneurysm

Left lower quadrant pain and tenderness should make you think of what diagnosis? - ---Answers----Diverticulitis

A child presents with paroxysmal abdominal pain, nausea, vomiting and diarrhea. What is the most likely diagnosis? - ---Answers---- Intussusception

List three congential heart diseases. - ---Answers----Atrial septal defect (ASD), ventricular septal defect (VSD), coarctation of the aorta, patent ductus arteriosus (PDA), tetralogy of Fallot

What are the two important peices of patient education for anyone diagnosed with mononucleosis? - ---Answers----No contact sports (splenic rupture) and no kissing (highly contagious)

What type of organism causes botulism? - ---Answers----A Gram + rod, Clostridium botulinum

What is the defining symptom of Alzheimer's? - ---Answers---- Progressive memory impairment

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