/PHYSICIAN ASSISTANT EXAM AND EOC ACTUAL QUESTIONS
COMPLETE EXAM ALL 200 QUESTIONS AND WELL
ELABORATED ANSWERS (CORRECT VERIFIED ANSWERS) A
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When is it appropriate to prescribe antidiarrheals? When is it not appropriate?
Can use for patients with watery diarrhea and no signs of systemic
toxicity. Do NOT use in bloody diarrhea of unknown cause.
Describe Virchow's node
left supraclavicular lymphadenopathy is often associated with gastric cancer
What is Gilbert's syndrome?
unconjugated hyperbilirubinemia. usually asymptomatic aside from jaundice
which anemia commonly has neurologic symptoms?
B12 deficient anemia
what type of anemia is common among alcoholics?
folate deficiency anemia
,what is the mechanism of hypercoagulability with factor V Leiden mutation?
Mutated factor V resistant to breakdown by activated Protein C
treatment for salmonellosis?
ceftriaxone 1 G IM, ciprofloxacin 500 mg po bid for 10 to 14 days, levofloxacin
500 mg po or IV once/day for 14 days
how to dx histoplasmosis?
culture gold standard
fungal staining for quicker/less sensitive
results test for antigen and antibodies
therapeutic options for postherpetic neuralgia?
Gabapentin or TCA, topical lidocaine gel, capsaicin
describe the epidemiology of neurocysticercosis
Cysticercosis is transmitted by ingestion of T. solium eggs shed in the stool of a
human tapeworm carrier. Following ingestion, embryos (oncospheres) hatch
in the small intestine, invade the bowel wall, and disseminate hematogenously
to brain, muscles, and/or other tissues. One becomes a carrier by ingestion of
Taenia solium eggs, often found in infected pork.
,clinical intervention for premenstrual syndrome?
exercise, stress reduction, SSRI (Can be administered as continuous daily
therapy or may be used cyclically 2 weeks prior to the menstrual cycle), OCP
(Start with a 3 mg drospirenone (DRSP)/20 mcg ethinyl estradiol (EE) COC
(Yazmin) with a four-day pill- free interval as the first-line pill)
Vaginal discharge with PH greater than 4.5 suggests what diagnosis?
Bacterial vaginosis
clinical therapeutics for osteoporosis
calcium (1200 - 1500 mg/day), vitamin D (800 - 1000 IU/day), bisphosphonates,
Teriparatide
labs and testing to diagnose compartment syndrome?
compartment pressure > 30-45 mmHg (Delta pressure = diastolic BP - measure
compartment pressure.) increased CK and myoglobin
, What is the Budapest consensus criteria? what is it used to diagnose?
used to diagnose complex regional pain syndrome.
- continuing pain, which is disproportionate to any inciting event
- patient must report at least one symptom in three of the following four
categories:
--Sensory: Reports of hyperesthesia and/or allodynia
--Vasomotor: Reports of temperature asymmetry and/or skin color changes
and/or skin color asymmetry
--Sudomotor/edema: Reports of edema and/or sweating changes and/or
sweating asymmetry
--Motor/trophic: Reports of decreased range of motion and/or motor dysfunction
(weakness, tremor, dystonia) and/or trophic changes (hair, nail, skin)
physical exam and lab findings for polymyositis?
proximal symmetric bilateral muscle weakness and pain, early fatigue while
walking, inability to rise from seated position.
↑ Muscle enzymes: ↑ aldolase, creatine kinase (CK); ↑ ESR, (+) muscle biopsy,
abnormal EMG, ↑ AST, ALT, and LDH
with anterior humeral dislocation, how is the arm positioned?
abducted and externally rotated