PANRE Practice Test 65 Questions with Verified Answers,100% CORRECT, Exams of Nursing

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PANRE Practice Test 65 Questions with Verified Answers

Abdominal pain that is worse with eating (intestinal angina), pt develops anorexia

• CORRECT ANSWER chronic mesenteric ischemia LLQ pain and bloody/mucusy stools - CORRECT ANSWER UC Define akathisia - CORRECT ANSWER extrapyramidal symptoms of restlessness and the need to be in constant motion (dopamine- blocking agents can lead to this) amaurosis fugax (transient vision loss). What test should you do? - CORRECT ANSWER carotid U/S- indicated TIA arising from the carotid artery Clots in the R. anterior cerebral artery cause - CORRECT ANSWER L .sided weakness (worse in the leg than in the arm) and also urinary incontinence and personality changes SE of Hydralazine - CORRECT ANSWER Tachycardia GI Symptoms Drug-induced lupus neutropenia MI peripheral neuritis Gait anormalities, eye muscle weakness, confusion in an alcoholic? - CORRECT ANSWER Wernicke's encephalopathy, due to Vitamin B1 deficiency horizontal nystagmus, indicates? - CORRECT ANSWER Peripheral vertigo- ie Meiere's or other benign causes of vertigo vertical nystagmus indicates? - CORRECT ANSWER Central vertigo that is often on- fatigable, and casued by MS, brainstem or cerebellar lesiosn or migraines

Drug most associated with Diabetes inspididus - CORRECT ANSWER Lithium, which can also cause thirst, seizures, arrhythmias, hypercalcemia, hyperparathyroidism, and hypothyroidism Large B cells with multilobed nuclei and prominent nucleoli/owl-eyed nuclei; with eosinophilic inclusions, Dx? - CORRECT ANSWER Reed Sternberg cells indicating Hodgkin lymphoma translocation between chromosome 9 and 22, Dx? - CORRECT ANSWER PHildelphia chromosome, associated with CML Severe abdominal pain out of proportion to PE, Dx? - CORRECT ANSWER acute mesenteric ischemia Define Urticaria- in terms of type of allergic rxn - CORRECT ANSWER Type 1 hypersensitivity rxn associated wtih IgE and incrased mast cells in the skin Define Koebners phenomenon, Dx? - CORRECT ANSWER new skin lesions appearing along the lines of trauma, can be seen in psoriasis, lichen planus, vitiligo, and some infectious diseases Define Nikolsky's sign, Dx? - CORRECT ANSWER Sloughing off the epidermis with slight pressure. Dx: toxic epidermal necrolysis, Steven-Johnsons, pemphigus vulgaris, and staph scalded skin syndrome Clustered white lesions on buccal mucus with an erythematous rim. - CORRECT ANSWER Measles (Rubeola) Which TB drug causes optic neuritis(specifically retrobulbar neuritis, no papilledema)? - CORRECT ANSWER Ethambutol IgG in alveoli, Dx? - CORRECT ANSWER hallmark of Goodpasture's syndrome (rapid kidney failure and hemoptysis) CSF that his high protein with normal WBC , Dx? - CORRECT ANSWER Guillain Barre Syndrome- symmetric LE weakness that progresses to include UE

CSF that shows increased oligoclonal IgG bands, Dx? - CORRECT ANSWER MS 1st line Tx for symptomatic bradycardia? - CORRECT ANSWER Atropine presence of cells and flare on eye examination - CORRECT ANSWER anterior uveitis Staghorn calculi are caused by what bacteria? - CORRECT ANSWER Proteus mirabilis, UA typically shows pH> Condition caused by absence of ADH - CORRECT ANSWER Central diabetes insipidus Condition caused insensitivity to ADH - CORRECT ANSWER Nephrogenic diabetes insipidus How do you determine if diabetes insipidus is central or nephrogenic? - CORRECT ANSWER Desmopressin stim test, and then measure urine osmolarity Gradual increase in urine osmolarity--> central No change in urine osmolarity--> nephrogenic Screening test for suspected diabetes insipidus - CORRECT ANSWER Fluid deprivation test Second Degree Heart Block (Mobitz II) - CORRECT ANSWER Wenckebach Positive Hep B surface antibody can indicate? - CORRECT ANSWER Hep B vaccination or infection (core antibodies used to figure this out core= you have/had hep B) defect seen in the pars interacticularis, Dx? - CORRECT ANSWER Spondylolysis Lyme disease inpatient Tx for when pt has sever symptoms (including heart block, or neuro disease (other than bells palsy)? What drug is preferred for a child less than 8 y/o - CORRECT ANSWER IV ceftriaxone in patient, amoxicillin for child

red elevated nodule with adherent white scaly or crusted bloody margins, DX - CORRECT ANSWER SCC dry, rough scaly, sandpaper like rash with kyperkeratotic plaque, Dx? - CORRECT ANSWER AK What is the Dx if pt has symptoms of schizophrenia, but has had symptoms for less than 6 months? - CORRECT ANSWER Schizophreniform disorder Define myclonus - CORRECT ANSWER brief sporadic single repititve jerks or twitching, an extrapyramidal Sx, but also can be seen when pt is falling asleep Difference between myclonus and clonus - CORRECT ANSWER clonus is rhythmic, myoclonus is sporadic What is the FEV1/FVC ratio in restrictive disorders? - CORRECT ANSWER Increased, because FVC is more decreased than FEV1 is XXY is? - CORRECT ANSWER Klinefelter's syndrome X0 is a? - CORRECT ANSWER Turner's Syndrome- primary amenorrhea, premature ovarian failure TPO antibodies are associated with? - CORRECT ANSWER autoimmune thyroiditis Pupils in cholinergic crisis? other Sx? - CORRECT ANSWER constricted; SLUDD-C salivation lacrimation urination defecation digestion saccharomyces cerevisiae antibodies indicate - CORRECT ANSWER Crohn's disease (70%) UC only 10-15%

Vitamin deficiency patients with Crohn's disease can develop? - CORRECT ANSWER vitamin B pANCA antibodies, And LUQ pain with bloody diarrhea, dx? - CORRECT ANSWER UC What diseases can pANCA be positive in? - CORRECT ANSWER primary sclerosing cholangitis, UC, microscopic polyangiitis, Churg- Strauss Pupils in cocaine intoxication - CORRECT ANSWER dilation TCA overdose Sx - CORRECT ANSWER anticholinergic SE and ventricular arrhythmias (due to sodium channel blocking effects) avulsion fracture of lateral tibial condyle is associated with what other injury? - CORRECT ANSWER ACL tear BP contraindication to nitroglycerin - CORRECT ANSWER systolic BP< bronchoscopy reveals pink/purple well-vascularized lesion? - CORRECT ANSWER Bronchial carcinoid tumor- can intermittently secrete serotonin Autoimmune disruption of the desmosome layer, Dx? - CORRECT ANSWER pemphigus vulgaris- positive Nikolsky's sign Malassezia furfur - CORRECT ANSWER pityriasis (tinea) versicolor Type 1 IgE-Mediated Hypersensitivity reaction of the dermis/subcu. - CORRECT ANSWER urticaria keratin hyperplasia; proliferating cells in the stratum basale + stratum spinosum due to T-cell activation - CORRECT ANSWER psoriasis Type II hypersensitivity rxn in the basement membrane - CORRECT ANSWER bullous pemphigoid- negative Nikolsky's sign

epigastric pain worsened with food - CORRECT ANSWER gastric ulcer, duodenal ulcer typically gets better with eating electrolyte abnormality in Vitamin B12 replacement? - CORRECT ANSWER hypokalemia Upper or lower motor neuron disease: upward babinski reflex, spastic paralysis, increased DTRs, and no muscle atrophy - CORRECT ANSWER Upper motor neuron Dz prominent S1 and opening snap - CORRECT ANSWER mitral stenosis- almost always caused by rheumatic fever Bounding pulses, wide pulse pressure, Dx? - CORRECT ANSWER aortic regurg Weak delayed carotid upstroke - CORRECT ANSWER aortic stenosis Negri bodies in the brain - CORRECT ANSWER rabies Lewy bodies can be found in what diseases - CORRECT ANSWER Parkinson's in the substantia nigra and also Lewy Body Disease Tau proteins in the brain, Dx? - CORRECT ANSWER Alzheimers