PACKRAT Review Questions | 100% Correct
Answers | Verified | Latest 2024 Version
What test is the single most useful test in establishing the diagnosis of multiple sclerosis? - ✔✔MRI
On physical examination you note diminished breath sounds over the right lower lobe with decreased
tactile fremitus and dullness to percussion. Which of the following is the most likely cause? - ✔✔Pleural
Effusion
A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is taken to the
operating room for an open reduction internal fixation of the distal tibia. Sixteen hours post-op, the
patient develops sustained pain, which is not relieved with narcotics. On passive range of motion of the
toes the patient "yells" in agony. The patient also states that the top of his foot has decreased sensation.
On physical examination the physician assistant notes that the leg is swollen and the foot is cool to
touch. Based upon this information what diagnostic testing should be done? - ✔✔Compartment
Pressure
The initial sign or symptom of iron poisoning in a 3 year-old child is usually... - ✔✔Vomiting and Bloody
diarrhea
A solitary thyroid nodule is noted on physical examination. The TSH level is normal. The next step in the
evaluation is... - ✔✔Fine-Needle Biopsy
On examination of a pregnant patient the physician assistant notes the fundal height is at the level of the
umbilicus. This corresponds to what gestational age? - ✔✔20 weeks
Cardiac nuclear scanning is done to detect... - ✔✔Ventricular Wall Dysfunction
A classic skin finding seen in patients with inflammatory bowel disease would be... - ✔✔Poorly healing,
indolent ulcers on lower extremities
A patient with a 15-year history of type 2 diabetic mellitus presents for follow-up. Labs reveal a BUN 100
mg/dl, serum creatinine 9.2 mg/dl, and serum glucose 164 mg/dl. Which of the following would you
expect to find on physical examination? - ✔✔Pruritus
, A 32 year-old carpenter complains of right eye irritation all day after driving a metal stake into the
ground with his hammer. He states that "something flew into my eye." Visual acuity is 20/20. Pupils are
equal, round, reactive to light and accommodation. Extraocular movements are intact. There is minimal
right corneal injection. No foreign body is noted with lid eversion. Fluorescein stain reveals a tiny
pinpoint uptake in the area of the corneal injection. Which of the following is the most appropriate
diagnostic test at this stage? - ✔✔X-ray orbits
A 45 year-old male complains of loss of hearing in his left ear. He also complains of ringing in the ear, and
has had occasional dizziness. On exam, there is unilateral leftsided sensorineural hearing loss and a
diminished corneal reflex. Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is
supple, without adenopathy. Oropharynx is normal. Of the following, the best diagnostic study to
identify the cause of this patient's complaints is... - ✔✔Gadolinium-Enhanced MRI looking for acoustic
neuromas
A 64 year-old patient with known history of type 1 diabetes mellitus for 50 years has developed pain
radiating from the right buttock to the calf. Patient states that the pain is made worse with walking and
climbing stairs. Based upon this history which of the following would be the most appropriate test to
order? - ✔✔Arterial Duplex Scanning looking at arterial perfusion
A 73 year-old male presents to the clinic with his wife. His wife has noticed that he has developed a
resting tremor in his right hand and a shuffling gait over the last year. What finding on physical
examination would support your suspected diagnosis? - ✔✔Masked Facies (thinking Parkinson's)
Primary biliary cirrhosis will have which of the following laboratory results? - ✔✔Antimitochondiral
antibodies
Which of the following historical factors differentiates post-traumatic stress disorder from acute stress
disorder? - ✔✔A belief that their future has been foreshortened because of the event
A 22 year-old male presents to the clinic complaining of excessive daytime somnolence and strong
desires to sleep at inappropriate times. He came in today because he had an episode of "feeling
paralyzed" as he was falling asleep yesterday. What is the most appropriate diagnostic test to confirm
this patient's diagnosis? - ✔✔Multiple sleep latency test (trying to Dx narcolepsy)
A 22 year-old male received a stab wound in the chest an hour ago. The diagnosis of pericardial
tamponade is strongly supported by the presence of... - ✔✔Distended neck veins
Answers | Verified | Latest 2024 Version
What test is the single most useful test in establishing the diagnosis of multiple sclerosis? - ✔✔MRI
On physical examination you note diminished breath sounds over the right lower lobe with decreased
tactile fremitus and dullness to percussion. Which of the following is the most likely cause? - ✔✔Pleural
Effusion
A 38 year-old male sustained a fracture of the left distal tibia following a 25-foot fall and is taken to the
operating room for an open reduction internal fixation of the distal tibia. Sixteen hours post-op, the
patient develops sustained pain, which is not relieved with narcotics. On passive range of motion of the
toes the patient "yells" in agony. The patient also states that the top of his foot has decreased sensation.
On physical examination the physician assistant notes that the leg is swollen and the foot is cool to
touch. Based upon this information what diagnostic testing should be done? - ✔✔Compartment
Pressure
The initial sign or symptom of iron poisoning in a 3 year-old child is usually... - ✔✔Vomiting and Bloody
diarrhea
A solitary thyroid nodule is noted on physical examination. The TSH level is normal. The next step in the
evaluation is... - ✔✔Fine-Needle Biopsy
On examination of a pregnant patient the physician assistant notes the fundal height is at the level of the
umbilicus. This corresponds to what gestational age? - ✔✔20 weeks
Cardiac nuclear scanning is done to detect... - ✔✔Ventricular Wall Dysfunction
A classic skin finding seen in patients with inflammatory bowel disease would be... - ✔✔Poorly healing,
indolent ulcers on lower extremities
A patient with a 15-year history of type 2 diabetic mellitus presents for follow-up. Labs reveal a BUN 100
mg/dl, serum creatinine 9.2 mg/dl, and serum glucose 164 mg/dl. Which of the following would you
expect to find on physical examination? - ✔✔Pruritus
, A 32 year-old carpenter complains of right eye irritation all day after driving a metal stake into the
ground with his hammer. He states that "something flew into my eye." Visual acuity is 20/20. Pupils are
equal, round, reactive to light and accommodation. Extraocular movements are intact. There is minimal
right corneal injection. No foreign body is noted with lid eversion. Fluorescein stain reveals a tiny
pinpoint uptake in the area of the corneal injection. Which of the following is the most appropriate
diagnostic test at this stage? - ✔✔X-ray orbits
A 45 year-old male complains of loss of hearing in his left ear. He also complains of ringing in the ear, and
has had occasional dizziness. On exam, there is unilateral leftsided sensorineural hearing loss and a
diminished corneal reflex. Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is
supple, without adenopathy. Oropharynx is normal. Of the following, the best diagnostic study to
identify the cause of this patient's complaints is... - ✔✔Gadolinium-Enhanced MRI looking for acoustic
neuromas
A 64 year-old patient with known history of type 1 diabetes mellitus for 50 years has developed pain
radiating from the right buttock to the calf. Patient states that the pain is made worse with walking and
climbing stairs. Based upon this history which of the following would be the most appropriate test to
order? - ✔✔Arterial Duplex Scanning looking at arterial perfusion
A 73 year-old male presents to the clinic with his wife. His wife has noticed that he has developed a
resting tremor in his right hand and a shuffling gait over the last year. What finding on physical
examination would support your suspected diagnosis? - ✔✔Masked Facies (thinking Parkinson's)
Primary biliary cirrhosis will have which of the following laboratory results? - ✔✔Antimitochondiral
antibodies
Which of the following historical factors differentiates post-traumatic stress disorder from acute stress
disorder? - ✔✔A belief that their future has been foreshortened because of the event
A 22 year-old male presents to the clinic complaining of excessive daytime somnolence and strong
desires to sleep at inappropriate times. He came in today because he had an episode of "feeling
paralyzed" as he was falling asleep yesterday. What is the most appropriate diagnostic test to confirm
this patient's diagnosis? - ✔✔Multiple sleep latency test (trying to Dx narcolepsy)
A 22 year-old male received a stab wound in the chest an hour ago. The diagnosis of pericardial
tamponade is strongly supported by the presence of... - ✔✔Distended neck veins
