1. Horner's syndrome: When examining the eyes, the right pupil reacts briskly to
light, near effort, and is much smaller than the left pupil. This condition is most likely:
2. Daughters of women who took Diethylstilbestrol (DES) during pregnancy
are at high risk for developing:: columnar epithelium that covers most or all of
cervix vaginal adenosis, circular collar or ridge of tissue between cervix & vagina.
3. Thymus, thyroid gland & anterior part of pericardium: The anterior
mediastinal lymph nodes drain lymphatic fluid from the:
4. The breasts, upper part of the abdominal wall, upper part of back, pectoral
region & upper limbs: Axillary lymph node drainage are includes:
5. the peau d'orange (orange peel) sign: thickened skin with enlarged pores.
First seen in lower portion of breast or areola. Visible sign of breast cancer.
6. 10 days to 3 months: How long after exposure to syphilis will symptoms begin
to present?
7. between 24 and 28 weeks of pregnancy: When should an oral glucose
tolerance test be performed?
8. Overflow incontinence: small amounts of urine leak from a full bladder in
absence of need to urinate
9. Scoliosis: When inspecting the shoulder & shoulder girdle, an elevation of right
shoulder was noted. This finding could be:
10. Palpebral conjunctiva, skin adjacent to the ear within temporal region.:
Pre-auricular nodes drain lymphatic fluid from the:
11. Chalazion: a nodule or cyst, painless, usually on the upper eyelid, caused by
obstruction in a sebaceous gland
12. Hordeolum: (stye) red, painful pustule that is a localized infection of hair follicle
at eyelid margin
13. An ectopic pregnancy: Adnexal tenderness or masses identified early in
gestation could be consistent with:
14. Chlamydia: Which genital infection can cause cervicitis, PID, tubal factor
infertility & ectopic pregnancy in women if untreated
15. HPV type 6 & 11: Which types of HPV causes most cases of genital warts?
16. HPV type 16 and 18: Which types of HPV lead to majority of cervical cancer
cases?
17. 35 to 37 weeks gestation: When should a vaginal swab of group B
streptococcus be obtained in a pregnant woman?
18. External auditory canal & middle ear: The conductive phase of hearing
involves the:
19. Cochlea & the cochlear nerve: Sensorineural phase of hearing involves the:
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, 3 P High Stakes Exam
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20. Near apex of the heart between 5th & 6th intercostal space in the mid-
clavicular line: In an adult patient, auscultate sounds from mitral valve:
21 Weber Test: Screening test to detect sensorineural and conductive hearing loss
22. Chadwick's sign: Bluish purple discoloration of the cervix, vagina, and labia
during pregnancy as a result of increased vascular congestion.
23. Aortic Stenosis: A loud murmur with a thrill audible in right 2nd intercostal
space, radiates to carotid arteries. Crescendo-decrescendo pitch audible at the
apex. Murmur heard best when sitting & leaning forward.
24. Intestinal obstruction: During auscultation of abdomen, rushes of high-
pitched sounds audible & coincide with abdominal cramps are consistent with:
25. Peripheral artery disease: The ankle-brachial index is a screening test used
to assess risk for:
26. Symptoms of peripheral artery disease (PAD): intermittent claudication,
ischemia muscle pain precipitated by predictable amount of exercise & relieved by
rest, pale cool skin, cyanosis, audible bruits, diminished or absent pulses &
thickened & opaque nails.
27. Ventricular septal defect, overriding aorta, pulmonary stenosis & right
ventricular hypertrophy: The four classic signs of Tetrology of Fallot:
28. Costochondritis: Chest pain described as stabbing, sticking or dull and
aching is characteristic of:
29. Pericarditis & pleuritic pain: Chest pain described as persistent, sharp,
knife-like is characteristic of:
30. Neurogenic claudication: pain with walking or prolonged standing, radiating
from the spinal area into the buttocks, thighs, lower legs, or feet
31. Kawasaki disease: unexplained fever for 5 days along with 4 out of 5 of the
following symptoms: bilateral non-purulent conjunctivitis, cervical
lymphadenopathy, edema of the hands &/or feet, strawberry tongue & macular
rash.
32. Endocarditis: fever, lethargy, petechiae, neurological involvement, Janeway
lesions & Osler's nodes are symptoms of:
33. Physiologic murmur: A murmur arising from physiologic changes in body
metabolism, temporary & resolves when condition resolves (hyperthyroidism, fever,
pregnancy)
34. Pathologic murmur: abnormal heart sounds caused by a heart defect or
acquired damage
35. coarctation of the aorta (CoA): a disparity of pulses between the brachial &
femoral pulses in a 4-month old could indicate:
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