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S3 or S4 heart sound phase correct answers >> Diastole PMI location in a healthy adult correct answers >> Left 5th intercostal space, midclavicular line Non-priority decision for ST depression and chest discomfort correct answers >> Check for thyroid dysfunction "Ee" to "a" sound on chest auscultation correct answers >> Positive for egophony Purpose of thorax percussion correct answers >> Identify air-filled, fluid-filled, or consolidated tissue Diaphragmatic excursion in interstitial lung disease correct answers >> Equal bilateral change with decreased inspiratory capacity
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S3 or S4 heart sound phase correct answers >> Diastole PMI location in a healthy adult correct answers >> Left 5th intercostal space, midclavicular line Non-priority decision for ST depression and chest discomfort correct answers >> Check for thyroid dysfunction "Ee" to "a" sound on chest auscultation correct answers >> Positive for egophony Purpose of thorax percussion correct answers >> Identify air-filled, fluid-filled, or consolidated tissue
Diaphragmatic excursion in interstitial lung disease correct answers >> Equal bilateral change with decreased inspiratory capacity Cause of nonpitting periorbital edema and thinning hair correct answers >> Severe hypothyroidism Diagnosis for severe exophthalmos correct answers >> Hyperthyroidism PFT measurement for full inspiration and exhalation correct answers >> Forced Vital Capacity Diagnosis for goiter, anxiety, tremor, and palpitations correct answers >> Thyrotoxicosis Typical sign of hyperthyroidism correct answers >> Tachycardia Expected finding in Addison's disease correct answers >> Low body temperature
Lymph node finding inconsistent with lymphoma correct answers >> Non-tender, minimally palpable anterior cervical chain Chamber for gas pneumopexy in Ehlers-Danlos correct answers >> Posterior only Normal finger movement test in visual field correct answers >> Normal confrontation First lab for microcytic hypochromic anemia with elevated RDW correct answers >> TIBC and Ferritin Anemia type for Mediterranean descent with normal RDW correct answers >> Thalassemia Lab for macrocytic anemia etiology correct answers >> Vitamin B CBC finding in ESRD on dialysis correct answers >> Normal MCH, Hemoglobin 9.
Body parts involved in angioedema correct answers >> Face and Lips First elevated immunoglobulin in Hepatitis A correct answers >> IgM Elevated immunoglobulin one year after Hepatitis A correct answers >> IgG Useful lab for SLE diagnosis correct answers >> Antinuclear antibody Sweat glands for temperature regulation on palms and soles correct answers >> Eccrine Suspicious melanoma feature correct answers >> Dual color (white-reddish or blue-black) Precancerous lesion from UV-B exposure correct answers
Actinic Keratosis
Spinal deformity with unequal shoulder height and curvature correct answers >> Scoliosis Cranial nerve for abnormal sensation on left cheek correct answers >> Cranial nerve V Assessment for cranial nerve I correct answers >> Identify scents with eyes closed, one nostril at a time Test for identifying object in hand with eyes closed correct answers >> Stereognosis Cranial nerve for impaired gag reflex correct answers >> Glossopharyngeal Diagnosis for hematuria with RBC casts post-strep correct answers >> Glomerulonephritis Confirmatory finding for pyelonephritis correct answers >> WBC casts on urinalysis
Renal punch test correct answers >> First test for early renal dysfunction in diabetes/hypertension? Urinalysis with micro/macro albumin Evaluation for untreated gonorrhea/chlamydia in female correct answers >> Hysterosalpingogram First lab for dysfunctional uterine bleeding correct answers
Serum beta HCG Test not used for bacterial vaginosis correct answers >> Gonorrhea and Chlamydia DNA probe NYHA class for CHF with SOB on activity, none at rest correct answers >> Class III Priority for irregularly irregular heart rate of 100 correct
Eccrine Suspicious melanoma feature correct answers >> Dual color (white-reddish or blue-black) Precancerous lesion from UV-B exposure correct answers >> Actinic Keratosis Spinal deformity with unequal shoulder height and curvature correct answers >> Scoliosis Cranial nerve for abnormal sensation on left cheek correct answers >> Cranial nerve V Assessment for cranial nerve I correct answers >> Identify scents with eyes closed, one nostril at a time Test for identifying object in hand with eyes closed correct answers >> Stereognosis Cranial nerve for impaired gag reflex correct answers >> Glossopharyngeal Diagnosis for hematuria with RBC casts post-strep correct answers >> Glomerulonephritis Confirmatory finding for pyelonephritis correct answers >> WBC casts on urinalysis Renal punch test correct answers >> First test for early renal dysfunction in diabetes/hypertension? Urinalysis with micro/macro albumin Evaluation for untreated gonorrhea/chlamydia in female correct answers >> Hysterosalpingogram First lab for dysfunctional uterine bleeding correct answers >> Serum beta HCG Test not used for bacterial vaginosis correct answers >> Gonorrhea and Chlamydia DNA probe NYHA class for CHF with SOB on activity, none at rest correct answers >> Class III Priority for irregularly irregular heart rate of 100 correct answers >> Maintain rate control and anticoagulate Diagnosis and plan for chest pressure relieved by rest correct answers >> Stable angina, initiate long-acting nitrate
Exam finding for acanthosis nigricans correct answers >> Central obesity Diagnosis for RUQ pain with positive Murphy sign correct answers >> Cholecystitis Non-aggravating factor for GERD correct answers >> Gastric dumping Diagnosis for floaters, flashes, and curtain vision correct answers >> Retinal detachment Finding for acute closed-angle glaucoma correct answers
Increased intraocular pressure Weber test with increased vibration in right ear correct answers >> Left side sensorineural hearing loss Highest level of research quality correct answers >> Systematic review
Diagnosis for heavy menses and painful cramping correct answers >> Endometriosis CBC finding in chronic alcoholism correct answers >> Elevated MCV and MCH Diagnosis for platelet count of 80,000 correct answers >> Thrombocytopenia Not a cause of elevated WBC correct answers >> Diabetes Mellitus Type 2 Object removed in myasthenia gravis correct answers >> Thymic remnant Diagnosis for bee sting with facial swelling and dyspnea correct answers >> IgE-mediated type 1 hypersensitivity Well-managed HIV marker with low viral load correct answers >> CD4 count of 500
Diagnosis for jumpiness and facing door post-military correct answers >> Post-traumatic stress disorder Diagnosis for fear of abandonment and self-harm correct answers >> Borderline personality disorder Diagnosis and plan for leg pain with ambulation correct answers >> Peripheral arterial disease, order ankle-brachial index Condition for 21-pound weight gain and edema correct answers >> Anasarca Finding for paresthesia post-CVA in left hand correct answers >> Numbness and tingling sensations Diagnosis for tongue deviation to left correct answers >> Cranial XII lesion on left Etiology of TIA correct answers >> Focal ischemia without infarction
Condition for inability to move left facial muscles correct answers >> Left peripheral lesion Mental status for drowsy but responsive patient correct answers >> Lethargic Hypertension controlled on correct answers >> 2 medications Least likely UTI cause with gram-negative rods? correct answers >> Enterococcus Cause of renal issues post-amlodipine overdose? correct answers >> Acute tubular necrosis Concept of hemodialysis? correct answers >> Blood cleaned by diffusion across semipermeable membrane Diagnosis and plan for shuffling gait and STI? correct answers >> PID, treat for gonorrhea and chlamydia
First prescription for new asthma diagnosis? correct answers >> Albuterol MDI PRN IM agent for status asthmaticus? correct answers >> Terbutaline COPD agent requiring mouth rinsing? correct answers >> Inhaled corticosteroids Side effect of first-line T2DM agent? correct answers >> Diarrhea Culprit for hypotension post-withdrawal? correct answers
Prednisone Hgb A1C level for second oral anti-diabetic? correct answers >> 8. Agent for weight gain and T2DM control? correct answers Ozempic (Semaglutide)
Question to rule out serious abdominal pain? correct answers >> Use of NSAIDs Agent for AML side effect management? correct answers
Allopurinol Medication decision for Crohn's flare? correct answers >> Initiate prednisone, maintain natalizumab Best treatment for UTI with C. diff history? correct answers Sulfamethoxazole/Trimethoprim Agent causing tinnitus? correct answers >> Aspirin 325 mg daily Obligation for isotretinoin? correct answers >> Adherence to I-PLEDGE program First-line for community-acquired pneumonia? correct answers >> Amoxicillin Use of penicillin G? correct answers >> Gram-positive cocci
Agents for HIV management? correct answers >> All (protease inhibitors, NRTIs, NNRTIs) Treatment for telangiectasia from sun exposure? correct answers >> Fluorouracil cream Factor determining topical steroid potency? correct answers >> Vehicle of delivery Body surface area of palm? correct answers >> 1% Chronic treatment for facial erythema? correct answers >> Doxycycline First-line for PTSD and depression? correct answers >> SSRIs Side effects of amitriptyline? correct answers >> Dry mouth and constipation Strategy for haloperidol side effects? correct answers >> Switch to quetiapine
Risk of switching antidepressants? correct answers >> Serotonin syndrome Agent for back spasms? correct answers >> Cyclobenzaprine Agent for peripheral arterial disease? correct answers >> Cilostazol Common side effect of statins? correct answers >> Myalgia Principle for phase 2 migraine management? correct answers >> Serotonin agonism Contraindication for combined oral contraceptives? correct answers >> Migraine with aura Concept for small dose differences causing serious effects? correct answers >> Narrow therapeutic index