THE AUDIO PANCE AND PANRE

EPISODE 7
1. Which of the following is a staphylococcal infection
characterized by a localized red swollen and acutely
tender abscess of the upper or lower eyelid?
A. Hordeolum
B. Uveitis
C. Chalazion
D. Dacryocystitis
A. Hordeolum (stye) is a staphylococcal infection characterized
by a localized red swollen and acutely tender abscess of the upper
or lower eyelid.
2. 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.
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 of the progesterone which is secreted from the
corpus luteum. During menses, the swelling subsides.
3. A 3 year-old girl is diagnosed with atopic dermatitis. Which of the
following disorders is this child at risk for in the future?
A. Asthma
B. Tinea pedis
C. Squamous carcinoma
D. Systemic lupus erythematosus (SLE)
A. Up to 50% of patients with atopic dermatitis develop asthma and/or allergic rhinitis
in the future.

4. 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
C. The posterior column affects proprioception (position sense)
and vibration sense.

5. A 44 year-old female presents for follow-up results

of her lipid profile. She is asymptomatic and has a
past medical
history of hypothyroidism treated with levothyroxine
and hypertension controlled with atenolol
(Tenormin). She drinks an average of 6 alcoholic
beverages a day and smokes 1 pack per day for the last
32 years. Her family history is unremarkable for
premature coronary artery disease. Her fasting blood
glucose is 98 mg/dL, total cholesterol is 198 mg/dL,
LDL cholesterol is 132 mg/dL, HDL cholesterol is 56
mg/dL and triglycerides of 90 mg/dL. Excluding LDL
cholesterol levels, how many major risk factors for
coronary artery disease does this female possess?
A. 2
B. 3
C. 4
D. 5
A. This patient's major cardiac risk factors are smoking and
hypertension in addition to the elevated LDL
cholesterol.

6. 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
D.Cryptococcus is an opportunistic fungal infection that affects
immunocompromised patients, including those with HIV,
chronic steroid use, organ transplants, diabetes mellitus, and
chronic renal or liver disease. The most common clinical
presentation is that of meningitis; fever is present in only about
half of patients.
7. A 40 year-old female presents with a 1.5 cm wellcircumscribed mass noted on mammography in the
right upper, outer quadrant. Which of the following
procedures is most appropriate and should be done
next?
A. Fine needle aspiration
B. BRCA 1 and BRCA 2 genetic testing
C. Serum CA-125
D. Radiation therapy
A. Fine needle aspiration is fairly accurate, easily performed, and
has minimal morbidity.
8. On examination of a pregnant patient the physician
assistant notes the fundal height is at the level of the
umbilicus. This corresponds to what gestational age?
A. 16 weeks
B. 20 weeks
C. 24 weeks
D. 28 weeks
B. At 20-22 weeks, the fundal height is typically at the level of the
umbilicus.
9. Which of the following is a common symptom
associated with laryngotracheobronchitis (viral
croup)?
A. Drooling
B. High fever

C. "Hot potato" voice

D. Barking cough
D. Viral croup is characterized by a history of upper respiratory
tract symptoms followed by onset of a barking cough and stridor.
10. A 23 year-old female with history of asthma for the
past 5 years presents with complaints of increasing
shortness of breath for 2 days. Her asthma has been
well-controlled until 2 days ago. Since yesterday, she
has been using her albuterol inhaler every 4 to 6
hours. She is normally very active, however yesterday
she did not complete her 30 minute exercise routine
due to increasing dyspnea. She denies any cough,
fever, recent surgeries, or use of oral contraceptives.
On examination, you note the presence of prolonged
expiration and diffuse wheezing. The remainder of the
exam is unremarkable. Which of the following is the
most appropriate initial diagnostic evaluation prior to
initiation of treatment?
A. Chest x-ray
B. Sputum gram stain
C. Peak flow
D. Ventilation-perfusion scan
C. A peak flow reading will help you to gauge her current extent
of airflow obstruction and is helpful in monitoring the
effectiveness of any treatment interventions.