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3Ps Exam Prep Case Questions with Revised Correct Answers Guaranteed Pass
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#1 risk factor for COPD - CORRECT ANSWER -smoking Acanthosis Nigricans: symptoms - CORRECT ANSWER -Velvety hyperpigmented patches most common on back of neck or skin folds • Usually associated with diabetes, metabolic syndrome, obesity, and cancer of the GI tract Ace inhibitors - CORRECT ...

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  • September 17, 2024
  • 53
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • Pharmacology
  • Pharmacology

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3Ps Exam Prep Case Questions with Revised Correct

Answers Guaranteed Pass

#1 risk factor for COPD - CORRECT ANSWER ✔✔ -smoking


Acanthosis Nigricans: symptoms - CORRECT ANSWER ✔✔ -Velvety hyperpigmented patches

most common on back of neck or skin folds • Usually associated with diabetes, metabolic

syndrome, obesity, and cancer of the GI tract


Ace inhibitors - CORRECT ANSWER ✔✔ --pril: HTN, HF. AD: angioedema, cough,

hypotension, hyperkalemia, hepatotoxicity, neutropenia, agranulocytosis, pancreatitis, SJS.

Contra: pregnancy. Nursing: empty stomach, monitor for infection, dry cough, use contraception

(teratogenic), avoid sports drinks/salt substitutes (extra K)


Acne medications to avoid in pregnancy (category X &C) - CORRECT ANSWER ✔✔ -

Category X: Topical tazarotene (Tazorac), Accutane




Category C: Topical retinoids (tretinoin, adapalene)


Acne Rosacea - CORRECT ANSWER ✔✔ -Symptoms: • Chronic small acne like

papules/pustules, and telangiectasias around nose, mouth, and chin symmetrically

Treatment: First line: o (Avoid triggers of flushing (EtOH, excessive sun, spicy foods)

Metro gel or Azelex gel QD-BID

,Low dose Tetracycline 250 mg QID or doxycycline 100 mg QD if gel not effective or the

patient has pustular/ocular rosacea


Acne Vulgaris (common acne): treatment - CORRECT ANSWER ✔✔ -First line is always

topical retinoid such as tretinoin cream (Retin-A)


Acne: Mild treatmetn - CORRECT ANSWER ✔✔ -open comedones blackheads/closed

comedones (whiteheads) w/ or w/o papules

topical retinoid (Retin-A)

**Acne will worsen during first 4-6 weeks**

IF no improvement in 8-12 weeks, increase dose or ADD benzoyl peroxide and/or erythromycin


Acne: Moderate (topicals plus antibiotics) - CORRECT ANSWER ✔✔ -papules and pustules

with comedones (3 part treatment)

Topical retinoid (Retin-A) AND topical benzoyl peroxide AND oral antibiotic (Tetracycline or

Minocycline) x 3-4 weeks --> Exam usually asks about moderate


Acne: Severe - CORRECT ANSWER ✔✔ -painful indurated nodule, cysts, abscesses, pustules


Accutane- check Liver function tests (LFTS)

must use 2 forms of contraceptives, monthly pregnancy testing




only prescribe 1 month supply of medication

,Usually, will refer to Dermatology


Acoustic Neuroma (Vestibular Schwannoma): Symptoms/DX/TX - CORRECT ANSWER ✔✔ -

Symptoms: Ages 30-60

Gradual onset, one-sided

Sensorineural hearing loss, tinnitus that is insidious; CN 8

Facial numbness and pain if it compresses CN 5




Dx: Order an MRI o Benign tumor of CN 8 causing sensorineural hearing loss and tinnitus.

If it compresses on CN 5 will have facial numbness and pain




Treatment: Surgery


Acral lengtiginous melanoma - CORRECT ANSWER ✔✔ -Most common type of melanoma in

dark skinned individuals (blacks & asians)

--> look for longitudinal brown to black bands under the nailbed. a changing spot or mole in the

palms, or the soles of the feet


Actinic keratosis - CORRECT ANSWER ✔✔ -Precursor to squamous cell carcinoma


numerous dry, round and pink to red lesions w/ rough and scaly texture

--> does not heal, slow growing in sun exposed areas


Actinic keratosis diagnosis gold standard - CORRECT ANSWER ✔✔ -Biopsy.

, if not an option, refer to derm


Actinic keratosis treatment gold standard - CORRECT ANSWER ✔✔ -small- cryotherapy


large- number 5-FU (5-flouracil aka efudex). 5-FU medication Causes skin to ooze, crust, scab

and be red

**5-flouracil/ efudex-wear sunscreen!!**


Acute Angle-Closure Glaucoma:symptoms and treatment - CORRECT ANSWER ✔✔ -Normal

ICP: 8-21

Acute angle glaucoma ICP >21




Symptoms:

Acute onset of severe eye PAIN

Decreased/Blurred Vision • Frontal Headache Nausea/Vomiting

Cloudy cornea

Mid-dilated oval/ovoid shape pupil and in a fixed position Pupil does not respond to light




Treatment: ER STAT




TIP: Disc cupping is only seen with glaucoma which is caused by increased ICP

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