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PACKRAT Review Questions 2026/2027 Version

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PACKRAT Review Questions Answers 2026/2027 Version
What test is the single most useful test in establishing the diagnosis of multiple sclerosis? - ✔✔MRI
On physical examination you note diminished breath sounds over the right lower lobe with decreased
tactile fremitus and dullness to percussion. Which of the following is the most likely cause? - ✔✔Pleural
Effusion
A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is taken to the
operating room for an open reduction internal fixation of the distal tibia. Sixteen hours post-op, the
patient develops sustained pain, which is not relieved with narcotics. On passive range of motion of the
toes the patient "yells" in agony. The patient also states that the top of his foot has decreased sensation.
On physical examination the physician assistant notes that the leg is swollen and the foot is cool to
touch. Based upon this information what diagnostic testing should be done? - ✔✔Compartment
Pressure
The initial sign or symptom of iron poisoning in a 3 year-old child is usually... - ✔✔Vomiting and Bloody
diarrhea
A solitary thyroid nodule is noted on physical examination. The TSH level is normal. The next step in the
evaluation is... - ✔✔Fine-Needle Biopsy
On examination of a pregnant patient the physician assistant notes the fundal height is at the level of the
umbilicus. This corresponds to what gestational age? - ✔✔20 weeks
Cardiac nuclear scanning is done to detect... - ✔✔Ventricular Wall Dysfunction
A classic skin finding seen in patients with inflammatory bowel disease would be... - ✔✔Poorly healing,
indolent ulcers on lower extremities
A patient with a 15-year history of type 2 diabetic mellitus presents for follow-up. Labs reveal a BUN 100
mg/dl, serum creatinine 9.2 mg/dl, and serum glucose 164 mg/dl. Which of the following would you
expect to find on physical examination? - ✔✔Pruritus

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