PRACTICE TEST 2 - PART B

Question 1

56 YO MALE PRESENTS WITH TOPHUS OF RIGHT GREAT TOE. HX REVEALS PREVIOUS ATTACK OF GOUT 2 YEARS AGO. PT WAS NOT PRESCRIBED PREVENTIVE MEDS. WHAT IS 1ST LINE TX?

Answer 1

COLCHICINE. PT IS EXPERIENCING ACUTE ATTACK OF GOUT.

Question 2

WHAT 3 MEDICATIONS CAN BE USED TO TREAT ACUTE ATTACK OF GOUT?

Answer 2

COLCHICINE, NSAID, STEROIDS.

Question 3

WHAT MED IS USED TO TREAT CHRONIC GOUT?

Answer 3

ALLOPURINOL.

Question 4

WHAT IS MOST EFFECTIVE CHART TO TEST FOR COLOR BLINDNESS?

Answer 4

ISHIHARA CHART.

Question 5

WHAT DOES THE EXTRAOCULAR MOVEMENT TEST REVEAL?

Answer 5

WHETHER EYES MO VE TOGETHER WHEN FOLLOWING AN OBJECT.

Question 6

PT PRESENTS WITH FEVER, FATIGUE, HA, AND JOINT PAIN. PT HAS RECENTLY RETURNED FROM CAMPING TRIP IN THE NORTHEAST. ON EXAM, NP NOTES A LARGE MACULE ON PT BNACK WITH CENTRAL CLEARING. WHAT IS MOST LIKELY DX?

Answer 6

LYME DZ. CLASSIC LESION IS AN EXPANDING RED RASH WITH CENTRAL CLEARING THAT RESEMBLES A TARGET.

Question 7

13 YO MALE C/O PERSISTENT UNILATERAL KNEE PAIN X SEVERAL WEEKS. HX REVEALS NO TRAUMATIC INJURY OR HEALTH ISSUES. HE HAS A PAINFUL, BONY BUMP BELOW AFFECTED KNEE. UPON MOVEMENT, THERE IS NO LAXITY, BUT THE PT FEELS PAIN. MOST RECENT XRAY WAS NEGATIVE. MOST LIKELY DX?

Answer 7

OSGOOD SCHLATTER DZ.

Question 8

WHAT CAUSES OSGOOD SCHLATTER DZ?

Answer 8

OVERUSE WHILE BONE IS STILL GROWING.

Question 9

WHAT AGE GROUP IS MOST OFTEN AFFECTED BY OSGOOD SCHLATTER DZ?

Answer 9

PREPUBESCENT BOYS.

Question 10

PT C/O PAINFUL, ITCHY RASH ON ELBOWS AND KNEES THAT APPEARS AS RAISED ERYTHEMATOUS PATCHES OF SILVERY, SCALY SKIN. PT STATES RASH HAS OCCURRED BEFORE BUT RESOLVED WITHOUT TREATMENT. WHAT IS LIKELY CONX?

Answer 10

PSORIASIS.

Question 11

WHAT INFECTION IS CAUSED BY GRAM POSITIVE PACTERIA?

Answer 11

IMPETIGO

Question 12

IMPETIGO LESIONS ARE SMALL, RED, AND PUS FILLED. T/F

Answer 12

TRUE

Question 13

ADOLESCENT FEMALE’S AREOLA, NIPPLE, AND BREAST TISSUE DEVELOP AND BECOME ELEVATED AS ONE MOUND. WHAT IS THE CORRECT TANNER STAGE FOR THIS PHASE OF BREAST DEVELOPMENT?

Answer 13

TANNER STAGE III

Question 14

ADOLESCENT FEMALE’S AREOLA AND NIPPLE SEPARATE FROM A DISTINCT MOUND. WHAT TANNER STAGE OF DEVELOPMENT IS THIS?

Answer 14

TANNER STAGE IV

Question 15

8 YO BOY WITH TYPE 1 DIABETES BEING SEEN FOR A 3 DAY HX OF URINARY FREQUENCY AND NOCTURIA. HE DENIES FLANK PAIN AND IS AFEBRILE. URINALYSIS RESULT IS NEGATIVE FOR BLOOD AND NITRITES BUT POSITIVE FOR A LARGE AMOUNT OF LEUKOCYTES AND KETONES. HE HAS TRACE AMOUNT OF PROTEIN. WHAT IS THE BEST TEST TO ORDER INITIALLY?

Answer 15

URINE CULTURE AND SENSITIVITY (C&S). A URINE CULTURE WOULD BE ORDERED BECAUSE PT HAS A HIGH RISK OF INFECTION.