AMEDD CCC EXAM NEWEST ACTUAL EXAM
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70yo M dies in a motor vehicle collision. Was
undergoing evaluation for occult blood in the stool.
Photo of transverse colon shown. Dx? - .....ANSWER
...✔✔ Tubular adenoma
38yo M with 1-week hx of watery, itchy eyes and a
runny nose. Physical shows inflamed nasal mucosa. No
congestion in lower lung. Pharmacotherapy? -
.....ANSWER ...✔✔ Loratadine
16yo girl with 3-day hx of fever, nonproductive cough,
and fatigue. T 38.3, P 88/min, BP 102-70. PE shows
pale conjunctivae. CXR shows bilateral interstitial
infiltrates. Blood spontaenously agglutinates while
awaiting transport to the laboratory. Antibody isotypes
causing agglutination? - .....ANSWER ...✔✔ IgM
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24yo M with small tender blisters on his penis 3 days
after unprotected sex. Photograph shown. Causal agent?
- .....ANSWER ...✔✔ HSV-2
42yo F with 3-year hx of an intermittent facial rash,
including the forehead, eyelids, nose, and cheeks. Rash
seems to be getting worse since she moved from New
York to Florida last year. Spicy foods precipitate a
flushing reaction that seems to exacerbate the rash. PE
shows erythema over the nose and cheeks, with
scattered telangiectasias and a few papules. Dx? -
.....ANSWER ...✔✔ Rosacea
53yo M returned from Africa, has fever, headache, and
abdominal discomfort. Received appropriate
vaccinations prior to the trip. T 39.4C. A wright-stained
peripheral smear shown. Dx? - .....ANSWER ...✔✔
Malaria
68yo F with T2DM and hypertension that has been
poorly controlled despite hydrochlorothiazide treatment.
BP 150/96, Labs show serum glucose concentration of
130 and proteinuria. In addition to current Rx, which is
most appropriate pharmacotherapy? - .....ANSWER
...✔✔ Lisinopril
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66yo M with stage IV colon cancer with 3-day hx of
severe diarrhea after receiving chemotherapy with
fluorouracil, leucovorin, and Irinotecan. prescribed
opioid antidiarrheal agent with no CNS effects. Which
med? - .....ANSWER ...✔✔ Loperamide
35yo M in ED with 2-hour hx of sever fatigue and
dizziness. Had profuse, watery diarrhea for 8 hours
despite a lack of oral intake. Recently returned from a
medical relief trip to a remove village in Honduras. T
36.7 C, P 122/min, BP 90/50. PE shows dry skin and
decreased capillary refill. Stool for occult blood is
negative; stool is gray and turbid. Gram stain shows
gram-negative, comma-shaped bacteria; no
erythrocytes of leukocytes. MOA of toxin? - .....ANSWER
...✔✔ Activation of adenylyl cyclase
59yo F with gradual onset of lack of muscle control in
her left arm and leg. Sx 1 mo ago after dx with
metastatic breast cancer. PE shows ataxia of left upper
and lower extremities. Muscle strength, DTR, sensation,
proprioception normal. Metastatic tumor in which
location? - .....ANSWER ...✔✔ cerebellum
Newborn delivered at 38 weeks' gestation weighs 1800
g. PE shows petechial rash, microcephaly, and
hepatosplenomegaly. Serologic test for CMV: IgG + in
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mother, + in newborn; IGM - in mother, + in newborn.
Explanation? - .....ANSWER ...✔✔ Congenital
cytomegalovirus infection
Female newborn is delivered at 38 weeks' gestation.
Apgar 8 and 8 at 1/5 min. PE shows a bulging,
fluod0filled mass approximately 5 cm in diameter in the
midline over the lumbosacral region. No spontaneous
movements of the lower extremities. Abnormality most
likely occurred because of abnormal development
during which periods of postconception (in days)? -
.....ANSWER ...✔✔ 15 to 40
64yo M in ED 3 hours after SOB with exertion and
extreme fatigue. Has ischemic heart disease. P 125/min,
BP 105/60. ECG shows atrial fibrillation. Intravenous
ibutilide is administered. Ten minutes later, ECG shows
normal sinus rhythm. Risk for which drug effect in the
next 6 hours? - .....ANSWER ...✔✔ torsades de
pointes
65yo F with 20-year hx of osteoarthritis of the hands
now has pain radiating down the distal anterior thigh,
knee, medial leg, and food. Bony outgrowth of
vertebrae compressing one of the spinal nerves is