MOCK PANCE BUNDLED EXAMS- Block 3 (ROSH) 2023 WITH 100% CORRECT ANSWERS

A 52 year-old male presents complaining of urinary frequency, with hesitancy, and nocturia for the past few months. During his physical examination, you note a nontender, non-enlarged prostate with an isolated right posterior lobe nodule. Which of the following options is most appropriate? *A.* ...

What do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis How can hyperphosphatemia be treated? correct answersaluminum hydroxide What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...

What do pirmented granular "muddy" casts indicate in the setting of oliguria? correct answersAcute tubular necrosis How can hyperphosphatemia be treated? correct answersaluminum hydroxide What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and...

At what age should you order DEXA scans for male? Female? correct answers70 for males 65 for females Give DEXA score for osteopenia? Osteoporosis? correct answersOsteopenia = 1 to 2.4 standard deviations, osteoporosis = 2.5 standard deviations or greater. What fracture is #1 cause of compartm...

D. ALS correct answersA 58 year-old male presents complaining of weakness of his grip. Your examination reveals that the problem is bilateral. During the next few office visits, you note the development of hyperactivity of his DTRs, extensor plantar reflexes and dysarthria. The patient's sensory sy...

What lab tests would you monitor in a patient with medullary thyroid cancer after treatment? correct answersCalcitonin. Patients with medullary thyroid cancer secrets calcitonin and CEA. After complete treatment, the labs should show low levels of calcitoin or CEA Testing for calcitonin and CEA c...

A female in her third trimester of pregnancy developed hypertension, diffuse edema, proteinuria and hyperreflexia. She was treated with intravenous magnesium sulfate and is now hyporeflexic and drowsy. What do you prescribe now? A. calcium B. diazepam C. an amphetamine D. additional magnesium ...

Outside of the serotonin selective reuptake inhibitors (SSRIs), which of the following medications is an option for someone diagnosed with obsessive-compulsive disorder (OCD)? a. bupropion (wellbutrin) faxine (effexor) c. Olanzapine (zyprexa) d. clomipramine (anafranil) e. amitriptyline (evivil...

A 26-year-old obese female complains of a 3-4 month history of discrete erythematous plaques on the pretibial areas of her legs. The lesions have increased in size, become darker, and are painful. She is concerned because the centers of the lesions have become ulcerated. This patient should be scree...

Physical exam of a 60-year-old male reveals perioral cyanosis with a normal respiratory rate and no use of accessory mus- cles. Chest percussion is resonant; auscultation demonstrates wheezes and coarse rhonchi that change in location and inten- sity after a cough. What is the most likely diagnosis?...

Cytomegalovirus correct answerspresents similarly to infectious mono in immunocompromised hosts--mono in older people Advanced HIV (CD4 <50) DX: serology, PCR +/- biopsy TX: ganciclovir Pneumocytosis correct answerspneumocytosis jiroveci (PCP) Common in AIDS (CD4 <200) Most common op...

27 year old pregnant female presents to the OB/GYN complaining of grey-like vaginal discharge with fishy odor and itchy labia major with inflammation for the past month. The patient states she has been douching once a week for the last 3 weeks to get rid of the fishy odor with no resolution. Results...

A patient presents with a rash, characterized by red macules and edematous papules with a clearing center. This best describes which of the following? A erythema marginatum B erythema multiforme C varicella D impetigo correct answersB Target lesions, also termed iris lesions, are characterist...

A 75-year-old man presents to his primary physician with excessive fatigue over the past three months and swollen lymph nodes in his neck. Upon further questioning, he also admits to night sweats and early satiety. On physical exam, there are two palpable lymph nodes, one along the cervical neck and...