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3P High Stakes Exam – Complete Practice Q&A for Medical Milestones, Pathology, and Clinical Signs

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This document contains a complete collection of practice questions and answers for the 3P High Stakes Exam. It covers developmental milestones, obstetrics, pediatrics, neurology, cardiology, dermatology, infectious diseases, mental health disorders, and key clinical signs and diagnostic tests. The material is structured in Q&A format, making it useful for exam preparation and rapid review of essential topics.

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3P High Stakes Exam

10 days to 3 months - ANS How long after exposure to syphilis will symptoms
begin to present?

3 months - ANS Normal infants can lift the head and clasp the hands by what
age?

35 to 37 weeks gestation - ANS When should a vaginal swab of group B
streptococcus be obtained in a pregnant woman?

4-6 months - ANS 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 - ANS Rolls over
Sits unsupported
No head lag when pulled to sit from supine

6 month milestones-language - ANS 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 - ANS Pat-a-cake and peek-a-boo is appropriate type of play for
what age infant?

9 months - ANS A what is does a child use the thumb & pointer finger to pick
up objects?

9 months of age - ANS Around what age would a baby first be expected to
locate an object hidden from view?

9-month-old - ANS Ball rolling, hide and seek & pots & pans are appropriate
play for what age infant?

a Cavernous hemangioma - ANS A reddish blue, irregularly shaped, solid &
spongy mass of blood vessels, present at birth & enlarges during first 10-15 months
is characteristic of:

A Chancre - ANS A painless ulceration formed during primary stages of
syphilis are called:

,a hydrocele - ANS When the scrotum is transilluminated in a 4 month old boy,
it lights up brightly. This findings is consistent with:

A myringotomy - ANS Surgical perforation of the tympanic membrane to allow
drainage of middle ear secretions & relieve pain & pressure from a bulging ear drum
is termed:

A neurologic disease (S2-4 cord lesion) - ANS When performing a rectal
exam, if the anal sphincter presents with laxity, consider:

A pale disc with backward depression - ANS Glaucomatous cupping appears:

A pilonidal cyst - ANS When examining the buttocks & rectum, a small tuft of
hair surrounded by a halo of erythema at the sacral area would most likely be:

A positive psoas sign - ANS Flexion of the leg at hip causes an increase in
abdominal pain suggests:

A positive Rovsing's sign (appendicitis) - ANS Pain in the right lower quadrant
during left-sided pressure indicates:

A rectal biopsy - ANS What is the gold standard for a definitive diagnosis of
Hirschsprung's disease?

A rectovaginal examination - ANS To palpate a retroverted uterus, the
uterosacral ligaments, cul-de-sac and adnexa; to screen for colorectal cancer in
women > 50 and to assess for pelvic pathology are all reasons for:

A ruptured Achilles tendon - ANS A defect in the gastrocnemus & soleus
muscle with tenderness & swelling could be suggestive of:

a tophi - ANS A deposit of uric acid crystal on the helix or antihelix is termed:

Acute angle closure glaucoma - ANS Severe, deep eye pain. Dilated & fixed
pupil, cloudy cornea with no discharge:

Acute iritis - ANS Moderate aching deep within eye, small, irregular pupils,
decreased vision & photophobia. Clear or cloudy cornea with injection confined to
corneal limbus is consistent with:

Acute pancreatitis - ANS A patient complaints of severe epigastric pain that
radiates to the posterior trunk & entire abdomen. This suggests:

, Adding 7 days and 9 months to first day of last menstrual period. - ANS
Naegele's rule is calculated by:

Adenoviral conjunctivitis - ANS Abrupt bilateral (or unilateral) with bulbar
conjunctival injection, watery discharge from eyes, subconjunctival hemorrhage,
eyelid ecchymosis is consistent with:

afferent nerve fibers - ANS sensory nerve fibers that carry nerve impulses
from receptors towards spinal cord and brain

along the margin of the upper and lower eyelids - ANS The lacrimal puncta are
located:

an anal abscess - ANS When performing a rectal exam, a tender, purulent,
reddened mass palpated, consider:

An ectopic pregnancy - ANS Adnexal tenderness or masses identified early in
gestation could be consistent with:

an obstructed nasolacrimal duct - ANS Mucopurulent discharge from the
puncta of the eye would indicate:

anal abscess - ANS During a rectal exam, a tender, purulent, reddened mass
not at the anal opening is consistent with:

Analgesia - ANS absence of pain sensation

Anesthesia - ANS Absence of touch sensation refers to:

Anisocoria - ANS a condition in which the pupils are unequal in size

Ankle fracture - ANS point tenderness over posterior aspects of right
malleolus, inability to bear weight after 4 steps

Annular lesion - ANS A lesion that's circular, begins in center & spreads to
periphery is called

Anorectal fistula - ANS When performing a rectal exam, a purulent blood
discharge mixed with fecal matter is oozing from the rectum. This is consistent with
a:

antihelix - ANS In the outer ear, anterior & parallel to the helix is a curved
prominence (part of the auricle) known as the:

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