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Male pt had pain with no hx of trauma and he hadn’t felt that type of pain before. His doc gave him an anti-inflammatory and wa told to F/U if he got worse. He has a rash on his chest only on one side. What’s he have?
Woman has “bump” on nose with blood vessels. She spent most of her 80 y/o life outside gardening. The “bump” was ulcerative now. She hid it for a long time because she was embarrassed. What is the cause?
Male pt went to clinic 3 months ago for nasal congestion and has sinus pain. He went 1 wk ago and was given Zithromax for 5 days and it didn’t relieve S/S. He still presents with sinus px and clear to yellow discharge from both sides of nose, has mild headache. What does he have?
Couple comes in. Wife says husband can’t hear him. He works in a factory and served multiple tours in Iran/Afghanistan. Adopted and does not know Fam Hx, Denies vertigo and otalgia, some buzzing in both ears. What do you tell her about treatment?
Guy went out to drink with his friends and had dinner late at night and when to bed. He is a smoker. He had trouble sleeping because he was so full. He awoke with hoarseness. What’s the problem?
What is a characteristic of AOM?
Pt is a smoker and he’s had a sore throat and hoarseness for 4 wks. He’s been resting his voice but still smoking for the last 4 weeks. What’s the next step in conservative tx?
Child had a fever of 102 and sore throat. Parents brought in kid and kid is now leaning forward, drooling, and moaning. What’s the cause?
Woman has had a mental status change in the last day of hospitalization. She has a UTI. Lab results are unremarkable. What’s the cause?
Pt has memory issues and visual hallucinations for the last few months. He also is having progressive rigidity (assoc with PD). What’s the most likely dx?
Pt has lesions that are comedones, pustular, and papules. What is it?
a. Diaphragm contracts
b. Chest wall expands
c. Alveoli pressure decreases
d. Alveoli expand
e. Air flows into alveoli
Pt 57 y/o male working for 40 years breaking down old debilitated houses, see CT with honeycombing, what is most likely dx?
Pt has barking cough that is worse at night. What dx is it?
21 y/o girl has a cold for 7 days and then gets a cough and she’s had it for 8 wks. She coughs all night and day. She has a coughing fit while she’s in the office. What’s the dx?
Girl presented to office with SOB progressing over the last 2-3 days. She’s been using Albuterol every 4-6 hours without relief. She feels like she’s “wheezing” and exam reveals wheezing. What is the next likely treatment to give?
A pt has carbon monoxide poisoning. When would you not use a hyperbaric chamber?
22 y/o girl presents to you after her initial asthma diagnosis. She’s currently using her SABA every 4-6 hours but it’s not working. She’s wheezing. What’s the next step in tx?
Pt has asthma. Uses SABA, doesn’t work. What’s the next step?
What is the disease that causes irreversible destruction of the tissue between the alveoli that is due to immune dysfunction?
What is measured with CO uptake, affected by age, body size, gender, hemoglobin, and lung volume, and is a measure of gas exchange across the alveoli capillary membrane to blood?
Which of the following is true of bleomycin toxicity?
Pt had dry, Velcro inspiratory crackles, what is the most likely Dx?
Pt has annoying throat clearing according to family/coworkers. Hx of HTN and seasonal allergies, Pt on lisinopril (ACEi) and takes OTC antihistamine. No other pertinent Hx. What do you do next?
Pt is an African American female with red nodules on body. She has hilar adenopathy. What does she have?
Which of the following is not a known cause of interstitial lung disease?
Amphotericin B (Amodiorone, Bleomycin, Methotrexate, Macrodantin do cause ILD)
Low molecular weight asthma is from proteins and polysaccharides.
Which disease would you use methacholine test for diagnosis?
Man presents with productive cough for 3 years. The cough is worse in the winter. He has wheezing. What disease does he have?
What disease has enlargement of the airspaces distal to the terminal bronchioles, accompanied by destruction of their walls without obvious fibrosis?
T/F: CF has a mutation in a gene changes a protein that regulates the movement of salt in and out of cells. The result is thick, sticky mucus.
T/F: NSIP is in young people and has ties to collagen vascular disease.
Do you have to increase, decrease, do nothing for narrowed airways?
What is not an example of end organ damage from prolonged HTN?
A pt is 79 y/o. He has newly diagnosed Afib, and has had a stroke; he has DM, and HTN. What’s the CHADS 2 score?
Pt had rheumatic fever as a child. He has a harsh systolic murmur. He has dyspnea and pulmonary congestion. What test do you do to check for the problem?
Which of these would exclude a man from metabolic syndrome?
What’s not part of the criteria for post-partum cardiomyopathy?
A pt has cardiac disease with marked limitation of physical activity and they are comfortable at rest. Less than ordinary activity causes fatigue, palpitation, dyspnea, or angina pain. What class is the person at?
A person has structural heart disease with current or prior symptoms. What stage are they in?
Asymptomatic 5.5 cm abdominal aortic aneurysm
Which of the following valve disorders will you see with aortic dissection?
Which valvular disorder will you have with angina?
If you have a blockage in the L popliteal artery proximal to the knee where is the claudication?
Pt presents with acute onset of R calf pain. The L side is normal. What do they have?
Pt is a 35 y/o Asian male with 20 yr pack history. He has painful ulcer on fingers. What’s he have?
A pt has a stent placed. What 2 antiplatelet treatments should you continue?
ASA and Plavix
Pt has blood clot in left atrial appendage/thrombus prior to cardioversion. They also have afib and before cardioversion, you must do what least invasive test?
Which of these is not a neurohormonal sympathetic mechanism is heart failure?
There’s a PR interval that continues to lengthen and then a dropped beat. What rhythm is this?
Normal P QRS with a rate of 100-160 bpm
Pt presents with ripping back pain, tachycardia, hypotension. What is the most likely diagnosis?
A pt presents with a DVT from immobility post-surgery. How long do you treat them for?
18 y/o male has been vomiting blood- BP is 90/60, HR- 133, and breathing 33/min. What’s he have?
What’s the most common disease with primary sclerosing choliangitis?
What’s the most common thing you see with cholelithiasis?
What’s the most common complication of cholelithiasis?
Male pt complains of left-sided testicular pain. What’s the common likely dx with embryology?
Pt presents epigastric pain that’s worse after meals. It’s better with antacids. Now that he’s stopped taking it the pain is back. What’s the best non-invasive test?
Institutionalized pts with dementia, depression, decreased motility- are risk factors for what?
Guy is alcoholic. He’s recovered and now has been drinking for 5 days. He’s had px like this before. What’s he have?
Guy is brought in by his daughter. He has night sweats and unintentional weight loss. What’s he have?
Pt is 65 y/o presents with ankle px. He’s an alcoholic. He’s on Coumadin. His xray is negative. Based on his ankle injury what’s the best way to tx?
Avoid NSAIDs, advise pt to rest, ice, and elevate ankle
Pt tells you they have px while moving their bowels, but no pain in between bowel movements. What do they have?
What’s true for gastroenteritis?
What’s true for Striezker’s rings?
What is least consistent with peptic stricture?
What are the characteristics of internal hemorrhoids?
What is associated with IBD, radiation proticitis, and anorectal malignancy?
Lamprozole BID, Bismuth subsalicylate 4x/day, Tetracyclin 4xs/day, Metronidazole 4x/day
What’s the best tx for Herpes esophagitis?
What’s most associated with gray-colored stools?
Pt had pain and Afib. What’s he have?
Pt has px after eating. Px is 8/10. No tenderness on exam but diffuse abd pain. What’s he have?
Pt has LLQ pain. She has palpable mass, fever, and blood in stool. What’s she have?
What are the most common causes of SBO?
What’s the most common location of colon cancer?
What type of esophagitis are elderly ppl most likely to get?
Pt has epigastric px. You do a test and find no gallstones. You still think it’s a gallbladder disease. What test do you do?
What’s the definition of portal HTN?
Pt is 31 y/o white male. He’s fatigued and has iron definiceny anemia. What’s he have?
What’s characteristic of ulcerative cholitis?
What’s characteristic of IBS?
For the ROME criteria for IBS, in addition to 3 episodes in 3 months, what else do they have?
ODU PA student examines a guy. He has fatigue and pruritus. What other S/S should you find to confirm your suspicions of liver disease?
What does nocturnal diarrhea indicate?
What helps Celiac disease?
What’s a risk factor for colon cancer?
What are disorders of the esophagus?
Women has PMH of 3 vaginal births. She has sudden epigastric pain for 5 days. What’s she have?
What is a disorder characterized by increased iron in the liver, pancreas, kidneys, etc?
What are Kaiser-Fleisher rings associated with?
What is a
complication of N/V?
Pt is 65 y/o woman who lost 20 lbs unintentionally in the last 3 weeks. She has positive guiac-test. What do you want to do?
What is cholelithiasis?
Pt has pain after ingestion of fatty food. What’s he have?
What is true about jaundice?
Pt has pain after eating and it radiates to the back. What is it?
Store vitamins, secretes bile, and metabolize drugs and hormones
Information from target organs to control organs like hypothalamus and pituitary
What is osmolality?
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