PACKRAT Family Med Questions and Answers 2024 A+ Graded.
1. A 52 year-old female comes to the office because of black stools for the
past 3 days. She
... [Show More] is afebrile and she has no pertinent physical examination
abnormalities. Which of the following is the most appropriate initial diagnostic study?
A. Stool for occult blood B. Stool cultures C. Sigmoidoscopy D. Abdominal CT
scan: answer- (c) A. Occult bleeding, as evidenced by the patient's history of black
stools, is initially verified by a positive fecal occult blood test.
2. Which of the following is considered a risk factor for the development of
malignant melanoma?
A. male gender B. inability to tan C. Japanese ethnicity D. brown-haired individuals: answer- c) B. Inability to tan and propensity to burn are risk factors for
developing malignant melanoma.
3. A 43 year-old data entry clerk presents with a one-month history of pain
and tingling in the right thumb, index finger, and middle finger. Tinel's sign
and Phalen's maneuver are positive. The most appropriate intervention at this
time is
A. methylprednisolone (Medrol) dose pack. B. splint in neutral position. C.
observation. D. surgery: answer- (c) B. Splinting in neutral position relieves
impingement of the median nerve, thus improving symptoms of carpal tunnel.
4. 7. Which of the following is a cause of prerenal azotemia?
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A. Infection B. Renal toxins C. Poor renal perfusion D. Urinary tract obstruction: answer- (c) C. Renal hypoperfusion is the cause of prerenal azotemia,
which may be rapidly reversible when renal blood flow and glomerular
ultrafiltration pressure are restored.
5. Which of the following is the most common cause of secondary hypertension?
A. Renal parenchymal disease B. Primary aldosteronism C. Oral contraceptive
use D. Cushing's syndrome: answer- (c) A. Renal parenchymal disease is the
most com- mon cause of secondary hypertension.
(u) B. Primary aldosteronism can cause secondary hypertension, but it is not the
most common cause.
6. Progesterone influence on the breast tissue prior to menstruation causes
A. proliferation of the mammary ducts. B. growth of the lobules and alveoli.
C. proliferation of Cooper's ligaments. D. increase in the number of glands
of Montgomery: answer- (u) A. Proliferation of the mammary ducts is under the
influence of estrogen. (c) B. Growth of the lobules and alveoli is under the
influence of progesterone. Prior to menses, the breast swelling that women
notice is a result
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of the progesterone which is secreted from the corpus luteum. During menses, the
swelling subsides
7. A patient presents with chronic back pain. On physical examination testing,
the patient is found to have abnormalities of proprioception and vibration
discrimination. Which of the following portions of the spinal column are most
likely affected?
A. Lateral spinothalamic tract B. Ventral spinothalamic tract C. Posterior column D. Transection of the cord: (u) A. The lateral spinothalamic tract affects pain
and temperature sensation.
(u) B. The ventral spinothalamic tract affects pressures and touch sensations.
(c) C. The posterior column affects proprioception (position sense) and vibration
sense.
8. A 65 year-old patient with steroid-dependent chronic obstructive lung disease presents with a headache that has been increasing in severity over the
past week, accompanied by nausea and vomiting. He denies fever, but has
had photophobia and a stiff neck. Which of the following is the most likely
diagnosis?
A. Transient ischemic attack B. Bacterial meningitis C. Migraine headache D.
Cryptococcosis: (a) B. Bacterial meningitis is typically acute in onset and causes
fever, but immunocompromised patients may have a slower onset and no fever. [Show Less]