RECENT UPDATE QUESTIONS AND CORRECT
ANSWERS ALREADY GRADED A+
All diastolic murmurs are pathological. Murmurs Grades I-barely IIaudible
III- clearly audible. IV- first time thrill V-Steth edge VI-entire steth.
EXAM - ANSWER: III first time audible, IV first time thrill
Fundal height 12 weeks - ANSWER: Fundal Height 12 weeks above
symphysis pubis. EXAM
Fundus 16 weeks between symphysis pubis and umbilicus. Fundus at 20
weeks is at umbilicus.
2 cm more of less from # of wk gestation is normal if more or less
order US
3 month old infant with down syndrome, due to milk intolerance, mom
started on goats milk; now has pale conjunctiva but otherwise healthy.
Low HCT. What additional test would you order? - ANSWER: Iron,
TIBC
3 months of synthroid, TSH increased, T4 normal, what do you do? -
ANSWER: Increase Medication
3 ways to assess cognitive function in patient with signs/symptoms of
memory loss - ANSWER: Mini mental exam
4 month old with strabismus, mom is worried .. - ANSWER: tell her
it is normal.
4 month old wont keep anything down, what is the main thing you look at?
- ANSWER: Growth chart
AANP FNP
,6 month old closed anterior fontanel. - ANSWER: XRAY
Abnormal cells on PAP, what do you do next? - ANSWER: Refer for
Colposcopy
CAGE ACRONYM - ANSWER: Cut down
Annoyed by criticism Guilty about drinking Eye opener drink
Causes of tachycardia - ANSWER: Fever Anemia
Hypotension
Cranial nerves responsible for extraocular eye movements - ANSWER:
CN 3,4,6
Definition of metabolic syndrome - ANSWER: cluster of conditions that
increase risk of heart disease, stroke, diabetes.
diagnose trichomoniasis - ANSWER: wet prep
Elderly presents with atrophic vaginitis, small uterus, palpable 4x5 ovary,
what do you do next? - ANSWER: Pelvic US
Epistaxis is most common in the area of the nose known as kiesselbachs
triangle, where is this located? - ANSWER: Anterior septum
Definitive diagnosis of acute bacterial prostatitis - ANSWER: urinalysis
and culture
GERD treatment - ANSWER: H2 is first line, give hs
Grade 3 cells on Pap, treatment? - ANSWER: LEEP excision
AANP FNP
, Fingernail hematoma treatment? - ANSWER: drill hole and drain blood?
Increased risk of ectopic pregnancy - ANSWER: Salpingitis, or history of
abortion, PID,
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Koplick spots - ANSWER: Measles (rubeola). Grains of salt lesions inside
mouth in Measles
Legg-Calve-Perthes Disease - ANSWER: Avascular necrosis of the
proximal femoral head
Lipid level of 1500, increased risk for? - ANSWER: Pancreatitis
Low HGB, Low HCT, High MCV indicates what? - ANSWER:
Macrocytic anemia, B12 Def
Man with BPH, prostate feels on digital exam? - ANSWER: Enlarged,
symmetrical, smooth
Man with HTN, CAD, present femoral pulses but absent pedal -
ANSWER: Arterial Insufficiency
McMurray's Sign
(+) palpable or audible click while extending with varus stress -
ANSWER: Meniscus tears
Lachman's Test - ANSWER: pivot shift test (ACL tear)
Newborn with foot turned in, what do you do? - ANSWER: refer to
orthopedist
AANP FNP