Exam (elaborations)
3P HIGH STAKES EXAM QUESTIONS AND ANSWERS
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3P HIGH STAKES EXAM QUESTIONS AND ANSWERS
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3P HIGH STAKES EXAM QUESTIONS AND ANSWERSHorner's syndrome - Answers-When examining the eyes, the right pupil reacts briskly to
light, near effort, and is much smaller than the left pupil. This condition is most likely:
Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk
for developing: - Answers-columnar epithelium that covers most or all of cervix vaginal
adenosis, circular collar or ridge of tissue between cervix & vagina.
Thymus, thyroid gland & anterior part of pericardium - Answers-The anterior mediastinal
lymph nodes drain lymphatic fluid from the:
An ectopic pregnancy - Answers-Adnexal tenderness or masses identified early in
gestation could be consistent with:
Chlamydia - Answers-Which genital infection can cause cervicitis, PID, tubal factor
infertility & ectopic pregnancy in women if untreated
HPV type 6 & 11 - Answers-Which types of HPV causes most cases of genital warts?
HPV type 16 and 18 - Answers-Which types of HPV lead to majority of cervical cancer
cases?
35 to 37 weeks gestation - Answers-When should a vaginal swab of group B
streptococcus be obtained in a pregnant woman?
External auditory canal & middle ear - Answers-The conductive phase of hearing
involves the:
Cochlea & the cochlear nerve - Answers-Sensorineural phase of hearing involves the:
Near apex of the heart between 5th & 6th intercostal space in the mid-clavicular line -
Answers-In an adult patient, auscultate sounds from mitral valve:
Weber Test - Answers-Screening test to detect sensorineural and conductive hearing
loss
Chadwick's sign - Answers-Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion.
Aortic Stenosis - Answers-A loud murmur with a thrill audible in right 2nd intercostal
space, radiates to carotid arteries. Crescendo-decrescendo pitch audible at the apex.
Murmur heard best when sitting & leaning forward.
Intestinal obstruction - Answers-During auscultation of abdomen, rushes of high-pitched
sounds audible & coincide with abdominal cramps are consistent with:
, Peripheral artery disease - Answers-The ankle-brachial index is a screening test used to
assess risk for:
Symptoms of peripheral artery disease (PAD) - Answers-intermittent claudication,
ischemia muscle pain precipitated by predictable amount of exercise & relieved by rest,
pale cool skin, cyanosis, audible bruits, diminished or absent pulses & thickened &
opaque nails.
Ventricular septal defect, overriding aorta, pulmonary stenosis & right ventricular
hypertrophy - Answers-The four classic signs of Tetrology of Fallot:
Costochondritis - Answers-Chest pain described as stabbing, sticking or dull and aching
is characteristic of:
Pericarditis & pleuritic pain - Answers-Chest pain described as persistent, sharp, knife-
like is characteristic of:
Neurogenic claudication - Answers-pain with walking or prolonged standing, radiating
from the spinal area into the buttocks, thighs, lower legs, or feet
The breasts, upper part of the abdominal wall, upper part of back, pectoral region &
upper limbs - Answers-Axillary lymph node drainage are includes:
the peau d'orange (orange peel) sign - Answers-thickened skin with enlarged pores.
First seen in lower portion of breast or areola. Visible sign of breast cancer.
10 days to 3 months - Answers-How long after exposure to syphilis will symptoms begin
to present?
between 24 and 28 weeks of pregnancy - Answers-When should an oral glucose
tolerance test be performed?
Overflow incontinence - Answers-small amounts of urine leak from a full bladder in
absence of need to urinate
Scoliosis - Answers-When inspecting the shoulder & shoulder girdle, an elevation of
right shoulder was noted. This finding could be:
Palpebral conjunctiva, skin adjacent to the ear within temporal region. - Answers-Pre-
auricular nodes drain lymphatic fluid from the:
Chalazion - Answers-a nodule or cyst, painless, usually on the upper eyelid, caused by
obstruction in a sebaceous gland
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