PANRE Test Practice Test

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Where are Greenfield filters inserted to avoid pulmonary emboli for individuals who frequently clot or cannot take anticoagulants?

<label class="wq_answerTxtCtr">Inferior vena cava</label>
<label class="wq_answerTxtCtr">Pulmonary artery</label>
<label class="wq_answerTxtCtr">Superior vena cava</label>
<label class="wq_answerTxtCtr">Femoral vein</label>
Correct! Wrong!

Explanation:
In patients with recurring clots or in those who are unable to take anticoagulants, Greenfield inferior vena cava (IVC) filters, sometimes referred to as venous filters, are implanted. The cone-shaped filter traps blood clots from the lower extremities before they can go to the lungs while still allowing blood to flow around it.

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Which of the following conditions can metronidazole be used to treat?

<label class="wq_answerTxtCtr">Vulvovaginal candidiasis</label>
<label class="wq_answerTxtCtr">Atrophic vaginitis</label>
<label class="wq_answerTxtCtr">Lichen sclerosis</label>
<label class="wq_answerTxtCtr">Trichomoniasis</label>
Correct! Wrong!

Explanation:
Trichomonas vaginalis is primarily transmitted through sexual contact. Patients may exhibit vaginal discharge, pruritis, and dyspareunia. They may also exhibit a "Strawberry cervix" during a pelvic exam and show signs of parasites under a microscope. The drug metronidazole is effective against protozoa. You must also take care of your partner.

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Which type of structure sees the most ectopic pregnancies?

<label class="wq_answerTxtCtr">Fallopian tube</label>
<label class="wq_answerTxtCtr">Pelvic cavity</label>
<label class="wq_answerTxtCtr">Uterine cornu</label>
<label class="wq_answerTxtCtr">Cervix</label>
Correct! Wrong!

Explanation:
The most frequent location for an ectopic pregnancy is the fallopian tube (when implantation occurs anywhere outside the endometrium). Early in pregnancy, individuals may complain of pain and bleeding. (Diazepam) Smoking, PID, and advanced maternal age all increase risk. The uterine cornu is the second most typical location (where the fallopian tube enters the uterus).

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When examining a patient who has known benign prostatic hyperplasia, what would you anticipate finding?

<label class="wq_answerTxtCtr">Hard, nodular prostate with digital rectal exam</label>
<label class="wq_answerTxtCtr">Rubbery prostate with digital rectal exam</label>
<label class="wq_answerTxtCtr">Fever and elevated white blood cell count (WBC)</label>
<label class="wq_answerTxtCtr">Patient report of painful urination</label>
Correct! Wrong!

Explanation:
Urinary frequency, urgency, nocturia, hesitation, and dribbling can all be symptoms of benign prostatic hyperplasia. Although the cause of BPH is uncertain, aging-related hormone changes may be a factor. Prostate cancer patients may have a hard, nodular prostate, whereas BPH patients typically have an enlarged, "rubbery" prostate. An illness like prostatitis, fever, and an elevated white blood cell count would be more typical.

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What might a chest x-ray reveal in a patient with congestive heart failure (CHF)?

<label class="wq_answerTxtCtr">Decreased heart size</label>
<label class="wq_answerTxtCtr">Silhoutte sign</label>
<label class="wq_answerTxtCtr">Kerley B lines</label>
<label class="wq_answerTxtCtr">Ground glass appearance</label>
Correct! Wrong!

Explanation:
On a chest x-ray, the Kerley B lines denote pulmonary edema. They show up as short parallel lines at the costophrenic angles or the margins of the lungs and signify septal thickening. You may anticipate that the heart would enlarge in CHF. The appearance of ground glass is frequently seen with intestinal illness. When a structure's border cannot be seen, as in the case of atelectasis, where the heart is hidden by lung disease, this is referred to be a silent indication.

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What gestational stage is the typical time at which low-risk pregnant women are evaluated for diabetes?

<label class="wq_answerTxtCtr">9 to 10 weeks</label>
<label class="wq_answerTxtCtr">15 to 20 weeks</label>
<label class="wq_answerTxtCtr">20 to 22 weeks</label>
<label class="wq_answerTxtCtr">24 to 28 weeks</label>
Correct! Wrong!

Explanation:
All pregnant women are checked between 24-28 weeks of pregnancy with an oral glucose tolerance test to detect gestational diabetes, which increases morbidity and mortality in both the mother and fetus. Women who have risk factors such as undiagnosed miscarriages, a family history of diabetes, or previous gestational diabetes may be examined in the first trimester.

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Which of the following statements about patients with cystic fibrosis and end-of-life difficulties is accurate?

<label class="wq_answerTxtCtr">Palliative care should be discussed</label>
<label class="wq_answerTxtCtr">Most patient will live into their 50s or 60s</label>
<label class="wq_answerTxtCtr">Lung transplantation is not an option</label>
<label class="wq_answerTxtCtr">All of the above</label>
Correct! Wrong!

Explanation:
The respiratory and digestive systems are most affected by the hereditary disease cystic fibrosis. Supportive care includes management of related illnesses, nutrition adjustments, physical therapy for the chest, and infection control. Although the patient should be offered options and information regarding the quality of life, transplantation is frequently necessary. The late 30s are the median surviving age.

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