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THE AUDIO PANCE AND PANRE

EPISODE 7

1.Which of the following is a staphylococcal infectioncharacterized by a localized red swollen and acutelytender abscess of the upper or lower eyelid?

A. HordeolumB. UveitisC. ChalazionD. Dacryocystitis

A. Hordeolum (stye) is a staphylococcal infection characterized

by a localized red swollen and acutely tender abscess of the upperor lower eyelid.

2. Progesterone influence on the breast tissue prior tomenstruation 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 ofprogesterone. Prior to menses, the breast swelling that womennotice is a result of the progesterone which is secreted from thecorpus luteum. During menses, the swelling subsides.

3. A 3 year-old girl is diagnosed with atopic dermatitis. Which of thefollowing disorders is this child at risk for in the future?

A. AsthmaB. Tinea pedis

C. Squamous carcinomaD. Systemic lupus erythematosus (SLE)

A. Up to 50% of patients with atopic dermatitis develop asthma and/or allergic rhinitisin the future.

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diagnosis?

A. Transient ischemic attackB. Bacterial meningitisC. Migraine headache

D. Cryptococcosis

D.Cryptococcus is an opportunistic fungal infection that affectsimmunocompromised patients, including those with HIV,chronic steroid use, organ transplants, diabetes mellitus, andchronic renal or liver disease. The most common clinicalpresentation is that of meningitis; fever is present in only abouthalf of patients.

7. A 40 year-old female presents with a 1.5 cm well-circumscribed mass noted on mammography in theright upper, outer quadrant. Which of the followingprocedures is most appropriate and should be donenext?

A. Fine needle aspirationB. BRCA 1 and BRCA 2 genetic testingC. Serum CA-125D. Radiation therapy

A. Fine needle aspiration is fairly accurate, easily performed, andhas minimal morbidity.

8. On examination of a pregnant patient the physicianassistant notes the fundal height is at the level of theumbilicus. This corresponds to what gestational age?

A. 16 weeksB. 20 weeksC. 24 weeksD. 28 weeks

B. At 20-22 weeks, the fundal height is typically at the level of theumbilicus.

9. Which of the following is a common symptomassociated with laryngotracheobronchitis (viralcroup)?

A. DroolingB. High fever

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C. "Hot potato" voiceD. 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 thepast 5 years presents with complaints of increasingshortness of breath for 2 days. Her asthma has beenwell-controlled until 2 days ago. Since yesterday, shehas been using her albuterol inhaler every 4 to 6hours. She is normally very active, however yesterdayshe did not complete her 30 minute exercise routinedue to increasing dyspnea. She denies any cough,fever, recent surgeries, or use of oral contraceptives.On examination, you note the presence of prolongedexpiration and diffuse wheezing. The remainder of theexam is unremarkable. Which of the following is themost appropriate initial diagnostic evaluation prior toinitiation of treatment?

A. Chest x-rayB. Sputum gram stainC. Peak flowD. Ventilation-perfusion scan

C. A peak flow reading will help you to gauge her current extentof airflow obstruction and is helpful in monitoring theeffectiveness of any treatment interventions.