PANRE Study Questions from HIPPO exam 2024/2025 with 100% correct answers
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PANRE Study Q from HIPPO
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PANRE Study Q From HIPPO
Echocardiography is used to detect which of the following?
A.Areas of ischemia in the myocardial wall
B.Valvular abnormalities
C.Electrical conduction anomalies
D.Patency or occlusion of the cardiac arteries
E.Re-entry or accessory pathways of conduction
Echocardiography is useful i...
Echocardiography is used to detect which of the following?
A.Areas of ischemia in the myocardial wall
B.Valvular abnormalities
C.Electrical conduction anomalies
D.Patency or occlusion of the cardiac arteries
E.Re-entry or accessory pathways of conduction correct answersEchocardiography is useful in detecting
valvular abnormalities and wall motion.
Which of the following pathogens responsible for causing meningitis can be prevented by administration
of a vaccine?
A.Herpes simplex virus
B.Rickettsia rickettsii
C.S. aureus
D.Haemophilus influenzae Type B
E.E. coli correct answersHiB caused meningitis can be prevented by administration of the appropriate
vaccine.
What is the hallmark physical exam finding with rotator cuff tear?
,A.Subacromial tenderness
B.Tenderness to palpation at biccipital groove
C.Atrophy of the rotator cuff muscles
D.Weakness of external rotation or abduction
E.Positive Yergason's sign correct answersWeakness that is not attributable to pain or atrophy is the
hallmark of rotator cuff tear. A diagnostic lidocaine injection may help determine if this is the case.
A 34 year old male comes into your clinic complaining of testicular pain and heaviness in the left
hemiscrotum. He tells you that the pain radiates up to his left flank. The patient has a positive Prehn's
sign on physical exam. Which of the following is the most common organism implicated in this
condition?
A.Escherichia coli
B.Chlamydia trachomatis
C.Gonorrhea
D.Proteus species
E.Klebsiella species correct answersChlamydia trachomatis
This is the correct answer and second most common would be gonorrhea in the age group under 40
years of age. In patients older than 40 the most common organism is e. coli .
,Bradycardia is defined as a heart rate:
A.> 60 bpm
B.< 50 bpm
C.< 60 bpm
D.< 30 bpm correct answers< 60 bpm
A 71 year old male presents to the hospital complaining of fatigue and weakness that has been
worsening over the past month. This morning he experienced a presyncopal episode, with dyspnea. He
denies any recent weight changes. Physical exam shows weakened pulses. ECG shows a sinus bradycardia
and prolongation of his QT interval. Chest x-ray is unremarkable aside from bilateral pleural effusions.
What is this patient's most likely diagnosis?
A.Pheochromocytoma
B.Diabetes mellitus
C.Hyperthyroidism
D.Hypothyroidism
E.None of the above correct answersPatients with hypothyroidism complain of fatigue and dyspnea
when pleural effusions are present. Bradycardia and prolonged QT intervals are a further clue that it is
hypo and not hyperthyroidism affecting this patient.
A 34 year old female presents because of a lump under the skin on her upper back. Physical exam shows
a 1cm hard, non-tender, mobile mass. Which of the following is the most likely diagnosis?
, A.Angioedema
B.Lipoma
C.Cellulitis
D.Abscess
E.Urticaria correct answersLipoma
This is the most likely diagnosis based upon the listed physical findings.
A 25 year old female presents complaining of non-painful swelling of her neck that has worsened
gradually over the last month. She denies fever, chills, or dysphagia. She admits that she has had a
cough, headaches, and bone pain that wakes her up at night. Imaging and biopsy of her thyroid reveal a
3 cm follicular tumor in the right lobe. Which of the following is the best treatment plan for this patient?
A.Excision of tumor site
B.Unilateral right lobectomy
C.Total thyroidectomy
D.Thyroidectomy followed by radioactive iodine therapy
E.Radioactive iodine ablation correct answersD.Thyroidectomy followed by radioactive iodine therapy
Papillary thyroid carcinoma is the most common malignancy of the thyroid. Follicular type tumors
(especially the Hurthle cell variant) tend to be more aggressive and have a higher mortality rate.
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