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More Sample Questions

More Sample Questions
Written by Steve Dowling on 2016-06-26


Question 1
A 28-week gestation male was born 4 days ago to a G3P3 mother who had an emergency C-section due to placenta previa. He is being ventilated with high pressures for respiratory distress syndrome. On physical examination his breath sounds are symmetric and he has a grade III/VI systolic heart murmur. An echocardiogram is obtained to evaluate the murmur and a patent ductus arteriosus is identified....(Read More)

Sample Pediatric Board Questions

Sample Pediatric Board Questions
Written by Steve Dowling on 2016-06-26


Questions

1. Match each number (GI disorder) to its corresponding diagnostic test on the right.

1) Presence of chronic inflammation

2) Pernicious anemia

3) Carbohydrate absorption

4) Integrity of intestinal lymphatic system

D-xylose absorption study (B) Elevated ESR
(C) CBC
(D) Stool pH

2. An 18-hour-old infant has bilious stained emesis following 3 initial feedings. The...(Read More)

Intravenous heparin

Intravenous heparin
Written by Steve Dowling on 2015-06-01


A 45 year old male with a history of hypertension and dyslipidemia presents to the emergency department with substernal chest pressure for 1 hour. The pain occurred at rest, is 10/10 in severity and is associated with shortness of breath. His temperature is 37.1 C, blood pressure 80/50, heart rate 90, and respirations 20. His laboratory studies are normal. His ECG is below. What is the appropriate...(Read More)

Mitral valve stenosis

Mitral valve stenosis
Written by Steve Dowling on 2015-06-01


A 42 year old female with no significant past medical history presents to the emergency department with hemoptysis of acute onset. She has noted recent dyspnea on exertion now to the point where she can only walk ½ blocks before having to rest. She denies chest pain. Her temperature is 37.0 C, blood pressure 110/60, heart rate 100, respirations 20, and oxygen saturation 95% on room air. Physical...(Read More)

Make Diet and lifestyle modifications

Make Diet and lifestyle modifications
Written by Steve Dowling on 2015-06-01


A 55 year old male with a history of hypertension has the following fasting lipid profile:

Total cholesterol 240 mg/dL
LDL cholesterol 98 mg/dL
HDL cholesterol 35 mg/dL
Triglycerides 140 mg/dL

Which of the following is the most appropriate treatment?

A. Diet and lifestyle modifications

B. Start niacin

C. Start gemfibrozil

D. Start an HMG-CoA reductase inhibitor

E. No therapy...(Read More)

Non-steroidal anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs
Written by Steve Dowling on 2015-06-01


A 32 year old male with no significant past medical history presents to the emergency room with 3 hours of chest pain at rest. His blood pressure is 120/80, heart rate 80, and respirations 20. Physical examination is normal. Laboratory and a chest x-ray is normal. His ECG is below. Which of the following is the appropriate therapy?

A. Observation

B. Non-steroidal anti-inflammatory drugs

C....(Read More)

Diet and lifestyle modifications

Diet and lifestyle modifications
Written by Steve Dowling on 2015-06-01


A 44 year old male with no significant past medical history presents to his primary care physician for a routine physical examination. He has no physical complaints. His blood pressure is 115/85, heart rate 80, respirations 12, and he is afebrile. His physical examination reveals normal lung sounds and normal heart sounds. His ECG is normal. Laboratory studies reveal an total cholesterol of 220 mg/dL,...(Read More)

False positive from red meat

False positive from red meat
Written by Steve Dowling on 2015-06-01


•A 55 y/o man presents with shortness of breath on exertion. Laboratory studies reveal iron deficiency anemia. Patient was started on Iron pills orally. The patient consumes a lot of red meat and was surprised to know that he was iron deficient. Fecal occult blood testing revealed a positive stool guaic. A colonoscopy and EGD were subsequently performed which were absolutely normal. A repeat Guaic...(Read More)

CT urogram + Cystoscopy

CT urogram + Cystoscopy
Written by Steve Dowling on 2015-06-01


A 65 y/o man with history of chronic smoking and COPD presents for follow up visit in your office after being discharged from the hospital about three weeks ago. The patient was admitted and treated in the hospital for community acquired pneumonia and COPD exacerbation. During his hospital stay he was noted to have microscopic hematuria on routine urinalysis. The patient denies any symptoms now. His...(Read More)





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