PACKRAT Exam Questions with 100% Correct
Verified Answers Latest 2025-2026 Version
An 82 year old patient complains of headaches and jaw
claudication. What is the most likely diagnosis? --- correct answer -
--Giant cell (temporal) arteritis
What specific breathing pattern is associated with diabetic
ketoacidosis? --- correct answer ---Kussmaul respirations
What is Reynold's pentad and why does it matter? --- correct
answer ---Charcot's triad + hypotension + altered mental status. It
indicates high risk of sepsis.
What class of antibiotics is sometimes prescribed specifically for its
effects on increasing GI motility? --- correct answer ---Macrolides
A Gram-negative coccobaccili found in the sputum of patient with
pneumonia should make you think of what diagonsis? --- correct
answer ---Kussmaul respirations
A patient presents to the ER in acute CHF. What drug class will
likely be the first choice? --- correct answer ---Loop diuretics
,Define priapism --- correct answer ---Painful persistent erection
Are ulcers from arterial insufficiency painful or painless? ---
correct answer ---Painful
An African American female presents with malar rash and a
positive double-stranded DNA antibody. What is the most likely
diagnosis? --- correct answer ---Lupus
A patient presents with a ruptured Achilles tendon. He states he
that he was recently in the hospital for a "blood infection and on a
ton of antibiotics." What antibiotic class may he have been on? ---
correct answer ---Fluoroquinolones
Clue cells should make you think of what diagnosis? --- correct
answer ---Bacterial vaginosis
Which medication is worse to give to a pediatric patient,
tetracycline or an aminoglycoside? --- correct answer ---
Tetracycline
How long after a radiant energy burn do symptoms typically show?
--- correct answer ---6-12 hours
,What dermatologic finding is associated with insulin insensitivity? -
-- correct answer ---Acanthosis nigricans
White curd like vaginal discharge should make you think of what
diagnosis? --- correct answer ---Vaginal candida infection
Is sickle cell microcytic, macrocytic or normocytic? --- correct
answer ---Microcytic
Tapioca blisters should make you think of what diagnosis? ---
correct answer ---Dyshidrosis - these are usually on the hands and
feet
A college student presents with a little purulent drainage from one
eye and nontender preauricular lymphadenopathy. What diagnosis
and pathogen should you be thinking of? --- correct answer ---
Chlamydia conjunctivitis
When is it recommended to begin pap smears? --- correct answer --
-Guidelines suggest beginning at age 21 regardless of sexual
history.
At what age is primary amenorrhea diagnosed? --- correct answer -
--Age 14 if no secondary sex characteristics. Age 16 if some
secondary development.
, What is the name for the 4th and 5th metacarpal fractures that
often result from throwing a punch? --- correct answer ---Boxer's
fracture
What is the medical term for lazy eye? --- correct answer ---
Amblyopia
What tests are done to screen for HIV? --- correct answer ---ELISA
and then if the positive diagnosis is confirmed with a Western blot
test
A herald patch should make you think of what diagnosis? --- correct
answer ---Pityriasis rosea
Oseltamivir (Tamiflu) may be given to children above what age? ---
correct answer ---1 year old
A 30 year old female presents with pustules on her face that spare
the vermilion border. In her history she has been using topical
steroids. What is the most likely diagnosis? --- correct answer ---
Perioral dermatitis
Verified Answers Latest 2025-2026 Version
An 82 year old patient complains of headaches and jaw
claudication. What is the most likely diagnosis? --- correct answer -
--Giant cell (temporal) arteritis
What specific breathing pattern is associated with diabetic
ketoacidosis? --- correct answer ---Kussmaul respirations
What is Reynold's pentad and why does it matter? --- correct
answer ---Charcot's triad + hypotension + altered mental status. It
indicates high risk of sepsis.
What class of antibiotics is sometimes prescribed specifically for its
effects on increasing GI motility? --- correct answer ---Macrolides
A Gram-negative coccobaccili found in the sputum of patient with
pneumonia should make you think of what diagonsis? --- correct
answer ---Kussmaul respirations
A patient presents to the ER in acute CHF. What drug class will
likely be the first choice? --- correct answer ---Loop diuretics
,Define priapism --- correct answer ---Painful persistent erection
Are ulcers from arterial insufficiency painful or painless? ---
correct answer ---Painful
An African American female presents with malar rash and a
positive double-stranded DNA antibody. What is the most likely
diagnosis? --- correct answer ---Lupus
A patient presents with a ruptured Achilles tendon. He states he
that he was recently in the hospital for a "blood infection and on a
ton of antibiotics." What antibiotic class may he have been on? ---
correct answer ---Fluoroquinolones
Clue cells should make you think of what diagnosis? --- correct
answer ---Bacterial vaginosis
Which medication is worse to give to a pediatric patient,
tetracycline or an aminoglycoside? --- correct answer ---
Tetracycline
How long after a radiant energy burn do symptoms typically show?
--- correct answer ---6-12 hours
,What dermatologic finding is associated with insulin insensitivity? -
-- correct answer ---Acanthosis nigricans
White curd like vaginal discharge should make you think of what
diagnosis? --- correct answer ---Vaginal candida infection
Is sickle cell microcytic, macrocytic or normocytic? --- correct
answer ---Microcytic
Tapioca blisters should make you think of what diagnosis? ---
correct answer ---Dyshidrosis - these are usually on the hands and
feet
A college student presents with a little purulent drainage from one
eye and nontender preauricular lymphadenopathy. What diagnosis
and pathogen should you be thinking of? --- correct answer ---
Chlamydia conjunctivitis
When is it recommended to begin pap smears? --- correct answer --
-Guidelines suggest beginning at age 21 regardless of sexual
history.
At what age is primary amenorrhea diagnosed? --- correct answer -
--Age 14 if no secondary sex characteristics. Age 16 if some
secondary development.
, What is the name for the 4th and 5th metacarpal fractures that
often result from throwing a punch? --- correct answer ---Boxer's
fracture
What is the medical term for lazy eye? --- correct answer ---
Amblyopia
What tests are done to screen for HIV? --- correct answer ---ELISA
and then if the positive diagnosis is confirmed with a Western blot
test
A herald patch should make you think of what diagnosis? --- correct
answer ---Pityriasis rosea
Oseltamivir (Tamiflu) may be given to children above what age? ---
correct answer ---1 year old
A 30 year old female presents with pustules on her face that spare
the vermilion border. In her history she has been using topical
steroids. What is the most likely diagnosis? --- correct answer ---
Perioral dermatitis
