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3P High Stakes 77 Exam
Questions With Answers
Testicular torsion - ✔ ✔ Teenage male presents with Sudden, severe, unilateral scrotal pain, likely diagnosis is: The breasts, upper part of the abdominal wall, upper part of back, pectoral region & upper limbs - ✔ ✔ Axillary lymph node drainage are includes: Near apex of the heart between 5th & 6th intercostal space in the mid-clavicular line - ✔ ✔ In an adult patient, auscultate sounds from mitral valve: Neurogenic claudication - ✔ ✔ pain with walking or prolonged standing, radiating from the spinal area into the buttocks, thighs, lower legs, or feet Osteopenia - ✔ ✔ Decrease in amount of density in a bone overflow incontinence - ✔ ✔ Incontinence associated with a neurological or anatomical obstruction from pelvic organs or the prostate which limits bladder emptying and causes a distended bladder.
Overflow incontinence - ✔ ✔ small amounts of urine leak from a full bladder in absence of need to urinate Palpebral conjunctiva, skin adjacent to the ear within temporal region. - ✔ ✔ Pre-auricular nodes drain lymphatic fluid from the: Papule - ✔ ✔ What is an elevated, firm & circumscribed lesion that is 5mm or smaller? Pathologic murmur - ✔ ✔ abnormal heart sounds caused by a heart defect or acquired damage Pericarditis & pleuritic pain - ✔ ✔ Chest pain described as persistent, sharp, knife-like is characteristic of: Peripheral artery disease - ✔ ✔ The ankle-brachial index is a screening test used to assess risk for: Physiologic murmur - ✔ ✔ A murmur arising from physiologic changes in body metabolism, temporary & resolves when condition resolves (hyperthyroidism, fever, pregnancy) Primary stage symptoms of syphilis - ✔ ✔ What stage of syphilis has symptoms including a single painless lesion, chancre on genitals, rectum, tongue or lip, enlarged lymph nodes
10 days to 3 months - ✔ ✔ How long after exposure to syphilis will symptoms begin to present? a hydrocele - ✔ ✔ When the scrotum is transilluminated in a 4 month old boy, it lights up brightly. This findings is consistent with: Acute pancreatitis - ✔ ✔ A patient complaints of severe epigastric pain that radiates to the posterior trunk & entire abdomen. This suggests: An ectopic pregnancy - ✔ ✔ Adnexal tenderness or masses identified early in gestation could be consistent with: Aortic Stenosis - ✔ ✔ 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. Bacterial conjunctivitis - ✔ ✔ An infant presents with eyelid edema, bulbar conjunctival injection, purulent/mucopurulent discharge. a possible diagnosis is: between 24 and 28 weeks of pregnancy - ✔ ✔ When should an oral glucose tolerance test be performed?
biliary artresia - ✔ ✔ Infant who cannot metabolize fats (acholic stool), poor weight gain, white stools, irritability, dark urine may have: 3 months - ✔ ✔ Normal infants can lift the head and clasp the hands by what age? 35 to 37 weeks gestation - ✔ ✔ When should a vaginal swab of group B streptococcus be obtained in a pregnant woman? 4-6 months - ✔ ✔ At what age is it normal for a child to pick up objects using the palm of the hand only? 6 month milestones-Gross motor - ✔ ✔ Rolls over Sits unsupported No head lag when pulled to sit from supine 6 month milestones-language - ✔ ✔ Turns toward voice Babbles (i.e., use of repetitive consonants: ba-ba-ba or da-da-da) (When the child says da-da-da, the family reinforces the sounds by praising the infant; then the infant makes the connection of the sound to the father.) 6-month-old - ✔ ✔ Pat-a-cake and peek-a-boo is appropriate type of play for what age infant?
increased intracranial pressure - ✔ ✔ An infant with drowsiness, separated sutures on the skill, bulging fontanel & vomiting has assessment findings of: Inflammation, as in hepatitis or venous congestion (right- sided HF) - ✔ ✔ An enlarged liver with smooth, tender edge suggests: Intestinal obstruction - ✔ ✔ During auscultation of abdomen, rushes of high-pitched sounds audible & coincide with abdominal cramps are consistent with: Costochondritis - ✔ ✔ Chest pain described as stabbing, sticking or dull and aching is characteristic of: Daughters of women who took Diethylstilbestrol (DES) during pregnancy are at high risk for developing: - ✔ ✔ columnar epithelium that covers most or all of cervix vaginal adenosis, circular collar or ridge of tissue between cervix & vagina. Ecchymosis - ✔ ✔ Irregular shaped purplish blue lesions, does not blanch, no pulsatility. Endocarditis - ✔ ✔ fever, lethargy, petechiae, neurological involvement, Janeway lesions & Osler's nodes are symptoms of:
Erythropoeitin - ✔ ✔ During pregnancy, which hormone results in increased blood viscosity? External auditory canal & middle ear - ✔ ✔ The conductive phase of hearing involves the: Furuncles (Boils) - ✔ ✔ large, tender, swollen areas caused by a staphylococcal infection around hair follicles or sebaceous glands Gastroesophageal reflux - ✔ ✔ Dyspepsia, frequent belching with sour taste, chest pain after eating or lying down, straining or lifting, increased salivation & history of high stress levels are symptoms of: green leafy vegetables, meat from animal sources, fruits, nuts, liver & foods containing yeast - ✔ ✔ Foods high in folic acid include: Hepatitis A - ✔ ✔ Traveling internationally to endemic areas, eating food or drinking contaminated water, male- male partners & persons with chronic liver disease are risk factors for: Hepatitis B - ✔ ✔ having multiple sex partners, body piercings wit unclean equipment, being incarcerated, sharing needles, exposure to needle sticks or an infected mother to baby during childbirth are risk factors for:
Tendons - ✔ ✔ Collagen fibers connecting muscle to bone are called Tertiary stage of syphilis - ✔ ✔ Poor muscle coordination, meningitis, deafness, aortic valve problems Testicular cancer - ✔ ✔ Cryptorchidism is a risk factor for: Cirrhosis, hemochromatosis or lymphoma - ✔ ✔ An enlarged liver with firm, non-tender edge suggests: coarctation of the aorta (CoA) - ✔ ✔ a disparity of pulses between the brachial & femoral pulses in a 4- month old could indicate: Cochlea & the cochlear nerve - ✔ ✔ Sensorineural phase of hearing involves the: Conductive hearing loss - ✔ ✔ Rinne hearing tests is used to screen for: Hepatitis C - ✔ ✔ Intravenous drug use, sexual intercourse & transfusion of unscreened contaminated blood can transmit: Hordeolum - ✔ ✔ (stye) red, painful pustule that is a localized infection of hair follicle at eyelid margin
Horner's syndrome - ✔ ✔ 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: HPV type 16 and 18 - ✔ ✔ Which types of HPV lead to majority of cervical cancer cases? HPV type 6 & 11 - ✔ ✔ Which types of HPV causes most cases of genital warts? Hydrocele - ✔ ✔ collection of serous peritoneal fluid within the scrotum.
