Health Care > EXAM > PACKRAT Exam Study Guide | 100% Correct Answers | Verified | Latest 2024 Version (All)

PACKRAT Exam Study Guide | 100% Correct Answers | Verified | Latest 2024 Version

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1. Health Maintenance/Obstetrics/Gynecology Which of the following portends the greatest risk for the development of breast cancer? A. Nulliparity B. Early menarche C. BRCA 1 positivity D. Maternal family history of ...

1. Health Maintenance/Obstetrics/Gynecology Which of the following portends the greatest risk for the development of breast cancer? A. Nulliparity B. Early menarche C. BRCA 1 positivity D. Maternal family history of breast cancer - ✔✔(u) A. See C for explanation. (u) B. See C for explanation. (c) C. BRCA1 positivity is associated with half of the early onset breast cancers and 90% of the hereditary ovarian cancers. (u) D. See C for explanation. 2. Clinical Therapeutics/Urology/Renal In order to help delay the progression to kidney disease in a diabetic patient with proteinuria, which of the following would you consider using to treat the patient's concomitant hypertension? A. Atenolol (Tenormin) B. Amlodipine (Norvasc) C. Accupril (Quinapril) D. Amiloride (Midamor) - ✔✔(u) A. Atenolol is a beta blocker. Beta blockers are not first line therapy for hypertensive diabetics. (u) B. Amlodipine is a calcium channel blocker. Calcium channel blockers are not first line therapy for hypertensive diabetics. (c) C. Accupril is an ACE inhibitor. Because of their beneficial effects in diabetic neuropathy, ACE inhibitors (and ARBs) should be part of the initial treatment regimen for hypertension in diabetics. (u) D. Amiloride is a potassium-sparing diuretic. An ACE inhibitor is the standard first line therapy for hypertensive diabetics. :3. Diagnosis/Pulmonology A 58 year-old with a 20 pack-year history of tobacco use presents to the emergency department with sudden onset of severe, progressive right-sided chest pain and shortness of breath. She denies fever, nausea and productive cough but reports returning from a mission trip to South Africa yesterday. Her exam reveals tachycardia, tachypnea, clear lung fields and 3+ edema and erythema of the left leg. Her chest radiograph is normal. Which of the following is the most likely diagnosis? A. Pulmonary embolism B. Pneumothorax C. Pneumonia D. Pleurisy - ✔✔(c) A. The patient's risk factors, acutely progressive presentation and normal chest radiograph make a pulmonary embolism the most likely and most worrisome diagnosis. (u) B. See A for explanation. (u) C. See A for explanation. (u) D. See A for explanation. : (8) 4. History & Physical/Dermatology

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