Duke PA Challenge Bowl
Help!
|
|
||||
|---|---|---|---|---|---|
| congenital abnormality which results in narrowing of the aorta, usually in the ascending region, which increase pulmonary vascular resistance PVR due to the stenosis. | coarctation of the aorta
🗑
|
||||
| catecholamine producing large tumors of adrenals | Pheochromocytoma
🗑
|
||||
| Papilledema must be present | malignant hypertension
🗑
|
||||
| Alcohol can raise | blood pressure
🗑
|
||||
| First Line Therapy for HTN | Thiazide Diuretic
🗑
|
||||
| Beta-blockers end in | olol
🗑
|
||||
| Ace inhibitors end with | pril
🗑
|
||||
| What antihypertensive can cause Hyperkalemia | ACEI's
🗑
|
||||
| What do most ARBs end with | sartan
🗑
|
||||
| S1 | closing of mitral valve
🗑
|
||||
| S2 | closing of aortic valve
🗑
|
||||
| normal site of Apical impulse | midclavicular line 5th left intercostal space
🗑
|
||||
| Flex the knee slightly and dorsiflex the foot. Pain in the calf is a positive test | Homan's sign
🗑
|
||||
| Ensures patency of the ulnar artery before puncturing the radial artery for blood sampling | Allen test
🗑
|
||||
| The trachea is ~ __cm long | 10
🗑
|
||||
| decreased fremitus | pulmonary edema, emphysema
🗑
|
||||
| increased fremitus | consolidation
🗑
|
||||
| percussion of fluid filled or solid area | dullness
🗑
|
||||
| Identify drawn figure (draw number or letter) Deficit may indicate lesion in sensory cortex or posterior column | Graphesthesia
🗑
|
||||
| Rigid flexion=Corticospinal tract above brainstem | Decorticate posturing
🗑
|
||||
| Rigid extension=Brainstem lesion | Decerebrate posturing
🗑
|
||||
| Loss of ability to recognize previously familiar objects | agnosia
🗑
|
||||
| Winging of scapula-Medial border of scapula juts outward with arm extension | Weakness of serratus anterior muscle or injury to long thoracic nerve
🗑
|
||||
| most common cause of right heart failure is | left heart failure
🗑
|
||||
| Chagas disease is a common form of myocarditis which is caused by infection with | Trypanosoma cruzi
🗑
|
||||
| The most common primary cardiac tumor is | atrial myxoma
🗑
|
||||
| what are the 4 distinct types of pain | nociceptive, inflammatory, neuropathic, functional
🗑
|
||||
| what is the study of what the body does to a drug | pharmacokinetics
🗑
|
||||
| what are the two broad categories of pain | adaptive, and maladaptive
🗑
|
||||
| what is a study of what a drug does to the body | pharmacodynamics
🗑
|
||||
| this type of chemotherapy agent inhibits cell growth and proliferation by competing for binding sites on enzymes and incorporating into DNA or RNA | anti-metabolites
🗑
|
||||
| what is the most effective drug for Parkinson's | levodopa
🗑
|
||||
| what is a molecule that has both affinity and efficacy at a receptor site | agonist
🗑
|
||||
| what type of bacteria is Helicobacter pylori | gram negative bacilli
🗑
|
||||
| what is stomatitis | inflammation of the oral mucosa
🗑
|
||||
| what is a molecule that has affinity but no efficacy at a receptor site | antagonist
🗑
|
||||
| A patient presents with epigastric pain, vague diffuse pain, worsened by food, with N/V, what is wrong with this patient | gastric ulcer
🗑
|
||||
| What is considered the fifth vital sign | pain
🗑
|
||||
| what is the incubation period for influenza | 1-2 days
🗑
|
||||
| what is considered first line treatment for mild to moderated osteoarthritis | acetaminophen
🗑
|
||||
| A patient presents with epigastric pain that is relieved by food and antacids, present at night, with heart burn, what is wrong with this patient | duodenal ulcer
🗑
|
||||
| what organism is a classic postinfluenza complication | Staphylococcus aureus
🗑
|
||||
| what has developed when greater doses are needed to produce previously obtained effect | tolerance
🗑
|
||||
| what is the drug of choice in acute otitis media | amoxicillin
🗑
|
||||
| what type of diuretic is best for someone with CKD | loop
🗑
|
||||
| treatment of choice in beta-lactam allergic patient with sinusitis | levofloxacin or moxifloxacin
🗑
|
||||
| when meidcations have a combined effect that is greater thatn the sum of individual effects this is called | synergism
🗑
|
||||
| what is the maximum daily dose for acetaminophen in a healthy individual | 4000mg
🗑
|
||||
| what is currrently the only COX-2 inhibitor available in the US | Celecoxib
🗑
|
||||
| this injection for osteoarthritis can give patients up to 6 months of relief. Forms viscoelastic solution in water and functions as a joint lubricant | hyaluronic acid
🗑
|
||||
| what is the disease modifying anti-rheumatic drug of choice | methotrexate
🗑
|
||||
| what pregnancy category has some fetal risk, benefits may outweigh risk | D
🗑
|
||||
| what pregnancy category has fetal abnormalities in animal or human studies, risk outweighs any benefit | X
🗑
|
||||
| what opioid antagonist is used for opioid reversal | Naloxone (Narcan)
🗑
|
||||
| what medicationis used for benzodiazepine overdose | Romazicom
🗑
|
||||
| What is the treatment of choice for hypothyroidism | Levothyrosine (T4)
🗑
|
||||
| a ventricular arrhythmia caused by digitalis toxicity should be treated initially with | lidocaine
🗑
|
||||
| the systolic ejection murmur in hypertrophic obstructive cardiomyopathy is diminished when the patient | performs the Valsalva maneuver
🗑
|
||||
| in the patient with fever and productive cough what diagnosis would be suggested by egophony at the left base | LLL pneumonia
🗑
|
||||
| which hormone peaks at ovulation in the normal menstrual cycle | Leteinizing horomone (LH)
🗑
|
||||
| what knee injury is indicated in a positive anterior drawer sign | anterior cruciate ligament tear
🗑
|
||||
| crampy abdominal pain that waxes and wanes is also called what | colic
🗑
|
||||
| what is the most commonly injured area of the mandible | angle
🗑
|
||||
| what is the most commonly abused drug by teenageres | alcohol
🗑
|
||||
| what is the most common location for ectopic pregnancies | fallopian tube
🗑
|
||||
| what organism iduces rose spots and watery diarrhea, as well as high fever and relative bradycardia | salmonella
🗑
|
||||
| a healthy asymptomatic 68 yo woman is found to have bacteriuria on a clean catch urine specimen. what would be the most appropriate next step in her management | no treatment or further testing necessary
🗑
|
||||
| what type of hearing loss is experienced by the patient with cerumen impaction | conductive
🗑
|
||||
| what organism is known to cause hand-foot-mouth disease | coxsachievirus
🗑
|
||||
| the first cardiac enzyme to be detected in the setting of acute MI | troponin
🗑
|
||||
| the absene of audible bowel sounds for several minutes in a patient with acute abdominal pain indicates what underlying problem | ileus or obstruction
🗑
|
||||
| a chest x-ray on a 69 year old smoker shows flattened diaphragms, what do you suspect | Emphysema or COPD
🗑
|
||||
| Alzheimer's disease is the most common type of dementia. what is the next most common type | multi-infarct
🗑
|
||||
| what disease is suggested by the presence of Kaiser-Fleisher rings around the corneas | Wilson's disease
🗑
|
||||
| what will be the appearance of pericardial effusion on an x-ray | a water bottle silhouette
🗑
|
||||
| livedo reticularis commonly develops on what body part | the legs
🗑
|
||||
| a 60 year old man presents with seborrheic dermatitis affecting mostly the face. He has also noticed the onset of a shuffling gait and slowness of movement. From his history what diagnosis might account for all of these features | Parkinsonism
🗑
|
||||
| your pateint complains of calf pain. Forceful dorsiflexion of the foot cuases an increase in the pain. What is this finding called | Homan's sign
🗑
|
||||
| What rast presents with a christmas tree distribution and a harald patch | pityriasis rosea
🗑
|
||||
| what microbial agent is associated with mesenteric adenitis and pseudoappendicitis | Yersinia
🗑
|
||||
| two weeks after a myocardial infarction a patient takes warfarin and ahs sudden onset of hypotension, right flank pain, right CVA pain, epigastric pain, fever, nausea, and vomiting. what is the diagnosis | adrenal gland hemorrhage (adrenal apoplexy)
🗑
|
||||
| what class of antihypertensive medication would you want to avoid in a patient who has asthma | beta blockers
🗑
|
||||
| what organism cuases diarrhea that is profuse and bloody, but does not cause vomiting | entamoeba histolytica
🗑
|
||||
| what is the organism most commonly identified with antibiotic associated colitis | clostridium deficile
🗑
|
||||
| what is the drug class of choice in reducing afterload in patients with congestive heart failure | ace inhibitor
🗑
|
||||
| the most appropriate initial test for the detection of prostate cancer is | digital rectal exam
🗑
|
||||
| peptic ulcer disease may be causally related to an infection of | helicobacter pylori
🗑
|
||||
| poisoning from this gas may result from exposure to improperly vented gas heaters, automobile exhaust, or smoke inhalation | carbon monoxide
🗑
|
||||
| which medications may be used for Crohn's disease but not for ulcerative colitis | antidiarrheal agents
🗑
|
||||
| you are following a patient with pernicious anemia, what vitamin deficiency are you concerned about | vitamin B12
🗑
|
||||
| what is the pediatric condition occuring when a portion of the intestine telescopes into an adjoining section | intussuception
🗑
|
||||
| bilateral black eyes due to a basilar skull fracture are called | raccoon eyes
🗑
|
||||
| what is the most common cause of visual impairment in the elderly | cataracts
🗑
|
||||
| what diagnosis is suggested byt he presence of translucent papules with central ubilication | molluscum contagiosum
🗑
|
||||
| what are you testing by grasping the great toe and moving it up and down | proprioception
🗑
|
||||
| what condition is best treated by following a gluten free diet | celiac disease
🗑
|
||||
| infection with what organism is associated with an increased risk of cervical cancer | human papilloma virus
🗑
|
||||
| which gastric gland secrete pepsinogen | chief cells
🗑
|
||||
| upon fertilization and implantation of the ovum during pregnancy, the developing placenta secretes __ which in turn stimulates the corpus luteum to continue to secrete estrogen and progesterone, preventing endometrial sloughing | HCG or hyman chorionic gonadotropin
🗑
|
||||
| what are the three elements of the triad of Reiter's syndrome | iritis, urethritis, and arthritis (can't see, can't pee, can't climb a tree)
🗑
|
||||
| what two drugs are used as first line treatment of uncomplicated gonorrhea in a non-pregnant patient | rocephin and doxycycline
🗑
|
||||
| acute pyogenic pericarditis is most commonly caused by what organism | staphylococcus and heamophilus influenza
🗑
|
||||
| what percentage of patients with palpitations also have cardiac disease | 50%
🗑
|
||||
| what does normal ventilation with decreased lung perfusion suggest | pulmonary embolus
🗑
|
||||
| what disease is the M protein associated with | multiple myeloma
🗑
|
||||
| community aquired pneumonias are most often caused by what organism | Strep pneumoniae
🗑
|
||||
| what is the most common cause of embolic stroke | atrial fibrillation
🗑
|
||||
| what is the infection caused by Borrelia burgdorferi | Lyme disease
🗑
|
||||
| Your patient has a low frequency resting tremor of the hand. What diagnosis do you suspect | parkinson's disease
🗑
|
||||
| what does a delta wave on EKG suggest | Wolfe-Parkinson-White syndrome
🗑
|
||||
| What is the most common cause of traveler's diarrhea | E. coli
🗑
|
||||
| which bacterium is associated with peptic ulcer disease | helicobacter pylori
🗑
|
||||
| your patient has weight loss, weakness, nausea and vomiting and diffuse muscle pain. On exam you find increased skin pigmentation. What condition is consistent with these findings | Addison's disease
🗑
|
||||
| What is the most common sign on physical exam of the patient with pelvic inflammatory disease (PID) | cervical motion tenderness
🗑
|
||||
| what is the most common joint dislocation | anterior shoulder dislocations account for half of all joint dislocations. they occur with abductions and external rotation.
🗑
|
||||
| You are treating a patient for syphilis who develops high fever and worsening clinical picture, you suspect what? | Jarisch-Herxheimer Reaction
🗑
|
||||
| The medical record indicates your patient has “Cullen’s sign”, what does this indicate? | Periumbilical ecchymosis which is classically associated with hemorrhagic pancreatits
🗑
|
||||
| In general children should triple their birth weight by what age? | In the first year
🗑
|
||||
| This extrapelvic manifestation of PID presents with RUQ pain and is associated with inflammation of the liver capsule. | Fitz-Hugh-Curtis Syndrome
🗑
|
||||
| These 1-3 mm white/gray elevations with an erythematous base are seen on the buccal mucosa typically opposite the molar teeth. | Koplik’s Spots
🗑
|
||||
| Koplik’s spots are pathognomonic for what disease? | Measles
🗑
|
||||
| Rapidly progressive mental deterioration and myoclonus are the two cardinal manifestations of this prion disease? | Creutzfeldt-Jakob disease
🗑
|
||||
| This periumbilical nodule represents metastasis from an intraperitoneal source? | Sister Mary Joseph’s Node or Nodule
🗑
|
||||
| Where would you find Virchow’s node? | Left supraclavicular area
🗑
|
||||
| Who is the father of the the PA profession? | Eugene Stead, MD (if you get that wrong. . . )
🗑
|
||||
| what hormones are produced by the medulla of the adrenal gland | epinephrine and norepinephrin
🗑
|
||||
| what is the treatment of choice for an HIV positive patient with pneumocystis carinis pneumonia | Trimethoprim-sulfamethoxazole (TMP-SMZ)
🗑
|
||||
| The most common initial symptom of subarachnoid hemorrhage is? | severe headache
🗑
|
||||
| Which is the most common type of hernia in children? | Indirect. Direct inguinal hernias are more common in the elderly.
🗑
|
||||
| What is the most common complication of Nitroprusside? | Hypotension, Thiocyanate toxicity accompanied by blurred vision, tinnitus
🗑
|
||||
| The most common cause of Left Ventricular Hypertrophy is? | Hypertension
🗑
|
||||
| What level of prevention is treatment for a person with AIDS using AZT? | Secondary Prevention
🗑
|
||||
| Your Diabetic patient presents with white plaques on his tongue and palate that, when scraped, reveal a red base, What is your diagnosis? | Thrush or Oral Candidiasis
🗑
|
||||
| The most common physical finding in symptomatic patients with Pulmonary Embolism is? | Tachypnea or tachycardia
🗑
|
||||
| What is the drug of choice for the initial treatment of an anaphylactic reaction? | Epinephrine
🗑
|
||||
| The most common pathogen associated with bronchiolitis in infants under the age of 2 y.o. is? | Respiratory Syncytial Virus (RSV)
🗑
|
||||
| Which do nitrates affect, preload or afterload? | Predominantly preload
🗑
|
||||
| The most common type of benign primary tumors of the heart are | myxomas
🗑
|
||||
| A diastolic murmur is associated with | Aortic regurgitation
🗑
|
||||
| A patient with atrial fibrillation is at high risk of developing | Arterial emboli
🗑
|
||||
| The most common congenital heart malformation is | ventricular septal defect
🗑
|
||||
| The physical exam finding most consistent with coarctation of the aorta after one year of age is | diminished or absent femoral pulses
🗑
|
||||
| For a patient with a prosthetic heart valve, endocarditis prophylaxis is NOT recommended in which of the following procedures | Cardiac catheterization
🗑
|
||||
| The earliest and most frequent symptom in congestive heart failure in an adult is | Shortness of breath
🗑
|
||||
| What is Virchow's triad | 1) Injury to the endothelium of the vessels 2) Hypercoagulable state3) Stasis
🗑
|
||||
| With which liver disease would you expect to find Kaiser-Fleisher rings around the corneas? | Wilson's Disease
🗑
|
||||
| What is the most common sign of CA of the urogenital tract? | Hematuria
🗑
|
||||
| What is the most important lab test in the diagnosis of endocarditis? | Blood cultures
🗑
|
||||
| A 45 y.o. woman has had several episodes of sudden stabbing pain in her R face lasting about 5 minutes. There are no other symptoms and no focal neurological findings on exam. What is the most likely diagnosis? | Trigeminal neuralgia (tic douloureux)
🗑
|
||||
| What skin disorder is characterized by greasy yellow and red macules involving the scalp, eyebrows, and nasolabial folds? | Seborrheic dermatitis
🗑
|
||||
| An adult patient presents with a circumferential burn of the right arm. Using "the rule of nines" what is the percentage of body surface area involved? | 9%
🗑
|
||||
| What disease is caused by rickettsia rickettsii? | Rocky Mountain Spotted Fever
🗑
|
||||
| What is the most common cause of death during the first few hours of a MI? | Cardiac dysrhythmias, generally ventricular fibrillation
🗑
|
||||
| What finding on physical examination of the abdomen would be consistent with congestive heart failure? | Hepatojugular reflux
🗑
|
||||
| Chronic synovitis with pannus formation is pathologic for what disease? | rheumatoid arthritis
🗑
|
||||
| What sign best indicates the severity of airway obstruction during an asthma attack | Use of accessory muscles for respiration
🗑
|
||||
| The reticulocyte count provides an indirect assessment of _____________ | Bone marrow activity
🗑
|
||||
| Which type of hepatitis is transmitted via the fecal/oral route | Hepatitis A
🗑
|
||||
| Your patient is being treated with IV cephalosporin for pneumonia and develops diarrhea and abdominal pain. The most likely cause of these symptoms is | C. difficile (pseudomembranous colitis)
🗑
|
||||
| On x-ray, what is the finding considered diagnostic of intestinal obstruction | Air-fluid levels
🗑
|
||||
| What is the anatomic location of conduction delay in first degree AV block | AV node
🗑
|
||||
| What is the drug of choice in treating methicillin-resistant staph aureus infections | Vancomycin
🗑
|
||||
| A 2 year old child presents with a 4 day history of URI and onset in the past 12 hours of barking cough. The most likely diagnosis is _________ | croup (viral)
🗑
|
||||
| What is the most common cyanotic heart lesion in pediatric patients | Tetralogy of Fallot
🗑
|
||||
| Your healthy 12 year old patient has a continuous murmur associated with a palpable thrill in the right lower neck only when in an upright position. What is this | venous hum
🗑
|
||||
| The most common cause of fever 1-2 days post-operatively is ____________ | atelectasis
🗑
|
||||
| A laryngeal fracture is suggested by noting the hyoid bone elevated above what cervical level on an x-ray | C3
🗑
|
||||
| What is the most common cause of upper GI tract hemorrhages | duodenal ulcers
🗑
|
||||
| What is the most effective treatment for pernicious anemia | Monthly IM injection of B12
🗑
|
||||
| The treatment of choice for bacteria vaginosis | Metronidazole/Flagyl
🗑
|
||||
| Which antibiotic is associated with a disulfiram-like reaction when alcohol is taken concurrently | Metronidazole/Flagyl
🗑
|
||||
| An adult presents to the ER with burns of the entire right leg and arm. Using the "rule of 9's", what percent burn injury does he have | 27%
🗑
|
||||
| Which skin neoplasm has the greater potential for metastasis: basal cell or squamous cell carcinoma | Squamous cell
🗑
|
||||
| What is the most likely cause of increasingly secondary dysmenorrhea associated with a tender premenstrual uterus | uterine adenomyosis
🗑
|
||||
| Describe the location of a Spigelian hernia | 3-5 cm above the inguinal ligament
🗑
|
||||
| A postmenopausal woman presents with vaginal bleeding. What diagnostic test is indicated | Endometrial biopsy
🗑
|
||||
| A holosystolic murmur heard best in the apical area is most suggestive of what valvular condition | Mitral regurge
🗑
|
||||
| What strain of influenza is more common in adults | influenza A
🗑
|
||||
| What strain of influenza is more common in children | influenza B
🗑
|
||||
| Name a part of the body where you would want to avoid using lidocaine with epinephrine for local anesthesia | Digits, ear lobe, or tip of nose
🗑
|
||||
| What is the triad of symptoms present in Reiter's syndrome | Arthritis, urethritis, and conjunctivitis
🗑
|
||||
| What is the most common parasite in the US | Giardia. Infected individuals present with foul-smelling, floating stools; abdominal pain; and perfuse diarrhea. The parasite may be identified with a positive string test or duodenal aspiration for trophozoites
🗑
|
||||
| What is the most common cause of intestinal obstruction | Adynamic ileus
🗑
|
||||
| What organism most commonly causes subacute infectious endocarditis | S. viridans
🗑
|
||||
| What are the major sequelae of untreated streptococcal infections | Acute glomerulonephritis unrelated to treatment and rheumatic heart disease
🗑
|
||||
| Strangulation is most common with which type of hernia: direct, indirect, or femoral | Femoral
🗑
|
||||
| A 60 yo male presents with sore mouth. On exam, he has glossitis and stomatitis. Lab studies show anemia, leukopenia, and low platelets. What is the likely diagnosis | B12 deficiency/Pernicious anemia
🗑
|
||||
| What is the causative organism in Lyme disease | Borrelia burgdorferi
🗑
|
||||
| Rubella is commonly known to patients by what other name | German measles
🗑
|
||||
| Bitemporal hemianopsia is caused by a lesion of what part of the optic pathway | Optic Chiasma
🗑
|
||||
| This EKG abnormality is distinguished by Delta waves. What is it called | WPW
🗑
|
||||
| Heberden's nodes are associated with what disease | Osteoarthritis
🗑
|
||||
| What does an anti-HB indicate | Prior infections and immunity
🗑
|
||||
| Condylomata acuminata are caused by ______ | human papillomavirus
🗑
|
||||
| A firm, movable yellowish nodule on the helix of the ear of a patient with arthritis is most likely what | tophus
🗑
|
||||
| Red cell casts in the urine would be indicative of what renal disease | Glomerulonephritis
🗑
|
||||
| What is the drug of choice for a patient with primary herpes genitalis | Oral acyclovir
🗑
|
||||
| The most common organism in otitis media in children is what | strep pneumonia (30% of cases)
🗑
|
||||
| The absence of bowel sounds for several minutes in a patient with acute abdominal pain indicates what underlying problem | ileus or obstruction
🗑
|
||||
| Name an ocular finding in cases of endocarditis | Roth spots or conjunctival hemorrhage
🗑
|
||||
| Subluxation of the radial head in young children is called what | Nursemaid's elbow
🗑
|
||||
| Is TSH increased or decreased in hyperthyroidism | Decreased
🗑
|
||||
| Which side effect most commonly leads to a request for removal of levonorgestreal implant (Norplant) | Menstrual irregularities
🗑
|
||||
| What is hematochezia | Bright red blood in stool
🗑
|
||||
| 2 weeks following what seemed like a common cold you patient develops numbness and weakness of her toes and fingers. Over the next 48 hours her symptoms extend proximally. DTRs are decreased, and there is symmetric weakness. What diagnosis is suggested | Guillain-Barre Syndrome
🗑
|
||||
| In cases of hyperkalemia, the initial EKG finding is often what | tall, peaked T waves
🗑
|
||||
| What is the drug of choice for treating an uncomplicated chlamydial infection of the urethra, cervix or rectum | Doxycycline
🗑
|
||||
| Name the congenital or acquired disorder affecting the lungs, and causing permanent abnormal dilation and destruction of bronchi | Bronchiectasis
🗑
|
||||
| In a woman with no known risk factors, by what age should the first mammography be done | 40
🗑
|
||||
| What is the virus most often associated with colds in adults | Rhinovirus
🗑
|
||||
| What is the most common presenting illness in AIDS patients | Pneumocystis carinii pneumonia
🗑
|
||||
| The most common cause of bowel obstruction is | Adhesions
🗑
|
||||
| On chest exam, your patient has increased tactile fremitus and dullness to percussion. What is more likely: Asthma or pneumonia | Pneumonia
🗑
|
||||
| Which organism is most often the cause of urinary tract infections in women | E. coli
🗑
|
||||
| What organism is associated with botulism food poisoning | Clostridium botulinum
🗑
|
||||
| What is the most common cause of water-borne infectious diarrhea in the US | Giardia lamblia
🗑
|
||||
| What constitutes a normal Weber test | Sound perception is midline
🗑
|
||||
| A 35 yo woman, with many hospitalizations for unexplained sepsis is found to e injecting herself with infected material. What disease does this support | Munchausen's
🗑
|
||||
| What syndrome presents with obesity and sleep apnea | Pickwickian syndrome
🗑
|
||||
| What is the antibiotc of choice for trichomonas vaginits | Metronidazole, (Flagyl)
🗑
|
||||
| What is the most common extrahepatic source of an elevated alkaline phosphatase | Prostate
🗑
|
||||
| A 20 yo male presents with dysuria and purulent penile discharge. Gram stain shows gram negative intracellular diplococci. What is the diagnosis | Gonorrhea
🗑
|
||||
| Roth's spots, Osler's nodes, and Janeway lesions are findings associated with what | Endocarditis
🗑
|
||||
| What are the four degrees of frostbite | First degree-erythema and edema; second degree-blister formation; third degree-necrosis; fourth degree-gangrene
🗑
|
||||
| What organisms are usually implicated in the development of diverticulitis | E coli and B fragilis
🗑
|
||||
| Kaiser-Fleischer rings of the corneas are associated with which hereditary disease | Wilson's disease
🗑
|
||||
| What finding is most suggestive of early oral carcinoma | Erythroplasia
🗑
|
||||
| What is the most common cause of painless lower GI bleeding in an infant or child | Meckel's diverticulum
🗑
|
||||
| Your patient has an elevated carcinoembryonic antigen (CEA). Which type of cancer would this most likely be associated with | Colon Ca
🗑
|
||||
| What physical finding would be expected on lung auscultations in a patient with a pneumothorax | Decreased or absent breath sounds
🗑
|
||||
| What physical exam finding is most consistent with an orbital fracture | Loss of upward gaze
🗑
|
||||
| What physical finding is most likely in a patient with lateral epicondylitis | Pain when wrist extension is resisted
🗑
|
||||
| What is the most common form of kidney stone | Calcium oxalate
🗑
|
||||
| What is the most frequent side effect for patients taking ACE inhibitors | Dry cough
🗑
|
||||
| What does a "delta wave" on EKG tracing suggest | Wolff-Parkinson-White syndrome
🗑
|
||||
| An active 13 year old boy presents with bilateral pain and edema of the tibial tuberosities. What is your diagnosis | Osgood-Schlatter Disease
🗑
|
||||
| Vasodilator drugs are most likely to cause what of the heart | Reflex tachycardia
🗑
|
||||
| The most frequent cause of Vitamin B12 deficiency in patients with pernicious anemia is | Lack of intrinsic factor
🗑
|
||||
| Your patient has a positive psoas sign. What does this indicate | Peritoneal irritation
🗑
|
||||
| A 46yo white woman is found to have a 2-cm breast nodule on physical exam. What is the next appropriate course of action | Fine needle aspiration
🗑
|
||||
| The rash appears as grouped vesicles on an erythematous base in a dermatomal distribution is called | Herpes zoster or shingles
🗑
|
||||
| The reflex associated with sustained blink response to tapping between the eyes is what | Glabellar reflex
🗑
|
||||
| What adverse effect is associated with aspirin useage in children | Reye's syndrome
🗑
|
||||
| What condition is indicated by a positive Tinel's sign | Carpal tunnel syndrome
🗑
|
||||
| What is the most common presenting symptom of mitral valve prolapse | Palpitations
🗑
|
||||
| What screening procedure has the highest sensitivity for the detection of colon cancer | Colonoscopy
🗑
|
||||
| What is the first line class of drugs used in the treatment of status epilepticus | Benzodiazepines
🗑
|
||||
| What are the seven areas included in the neuro exam | MS, CNs, Motor, Sensory, Cerebellar, DTR's
🗑
|
||||
| What is the most common childhood leukemia | ALL-acute lymphoblasic leukemia
🗑
|
||||
| Name the virus which causes recurrent small grouped vesicles on an erythematous base, especially in the oral and genital areas | Herpes simplex
🗑
|
||||
| What is the most common causes of small bowel obstruction | Adhesions, followed by hernias
🗑
|
||||
| Which type of infarct commonly leads to papillary muscle dysfunction | Inferior wall MI. Signs and symptoms include a mild transient systolic murmur and pulmonary edema
🗑
|
||||
| What is the drug of choice in treating methicillin resistant Staph aureus | Vancomycin
🗑
|
||||
| What is the most common cause of death in patients with diabetes mellitus | MI, coronary artery disease
🗑
|
||||
| Deficiency of which vitamin is associated with peripheral neuropathy | B12
🗑
|
||||
| What organisms are typically responsible for causing bacterial conjunctivits | Staphylococcal, the second most common is Streptococcal
🗑
|
||||
| What is the most common type of skin cancer | Basal cell carcinoma
🗑
|
||||
| Which material used in making jewelry is a common cause of contact dermatitis | Nickel
🗑
|
||||
| What is the most prevalent form of contraception in the world | Surgical sterilization
🗑
|
||||
| What is the drug of choice for Pneumocystis carinii pneumonia | Trimethoprim-sulfamethoxazole
🗑
|
||||
| What neurologic disorder is characterized by complaints of diplopia, difficulty swallowing, limb weakness and fatigue | Myasthenia gravis
🗑
|
||||
| What dx is suggested by the following findings: hyperpigmentation and low fasting plasma cortisol | Addison’s disease
🗑
|
||||
| What is the most common side effect associated with digitalis toxicity | Nausea and vomiting
🗑
|
||||
| Hard nodules found on the distal interphalangeal joints of patients with osteoarthritis are called | Heberden’s nodes
🗑
|
||||
| What is the first sign of puberty in girls | Breast enlargement
🗑
|
||||
| Painful sexual intercourse is called what | Dyspareunia
🗑
|
||||
| The two bacteria responsible for most cases of impetigo are | Strep pyogenes and Staph aureus
🗑
|
||||
| What dx is made by finding an elevated sweat chloride test | Cystic fibrosis
🗑
|
||||
| What three sensations must be tested in the sensory exam | Light touch, pain, and vibration
🗑
|
||||
| What are the most common causes of large bowel obstruction | Carcinoma, followed by volvulus and sigmoid diverticulitis.
🗑
|
||||
| What side effect can occur with a rapid infusion of procainamide | Hypotension. Other side effects include QRS/QT prolongation, ventricular fibrillation, pointe.
🗑
|
||||
| What organism is commonly found in infected wounds caused by animal bites | Pasteruella multocida. The second most common organism is Staphylococcus aureus.
🗑
|
||||
| What are the most common causes of nongonococcal urethritis | Chlamydia trachomatis. Ureaplasma urealyticum is another common cause.
🗑
|
||||
| What is the incubation period for hepatitis A | 30 days. The disease is caused by a retro-virus.
🗑
|
||||
| The two bacteria responsible for most cases of impetigo are: | Streptococcus pyogenes and staphylococcus aureus.
🗑
|
||||
| In most chemical burns to the skin or eyes, what is the cornerstone of initial treatment | Flushing or hydrotherapy.
🗑
|
||||
| What is the leading cause of death in patients with systemic lupus erythematosus | Renal disease.
🗑
|
||||
| What rash presents with a "Christmas tree" distribution and a herald patch | Pityriasis rosea.
🗑
|
||||
| Name the classic dissecting scissors which are used for cutting soft tissue and should not be used to cut suture material or thick fascia | Metzenbaum
🗑
|
||||
| The prodrome of fever, coryza, cough, conjuncitivitis, and Koplik's spots is typical of what disease | Measles
🗑
|
||||
| What hematologic disorder is a serum ferritin most useful in diagnosing | iron deficiency anemia
🗑
|
||||
| The most common AIDS defining illness is | Pneumocyctis carinii pneumonia
🗑
|
||||
| On physical exam, what neurological finding would suggest hypothyroidism | Decreased relaxation phase of deep tendon reflexes
🗑
|
||||
| Which type of hepatitis is transmitted orally | Hepatitis A
🗑
|
||||
| Name the pulmonary autosomal recessive disorder characterized by sweat chloride > 80 meq/L | Cystic fibrosis
🗑
|
||||
| The most common non-alcohol related cause of pancreatitis is | Gallstones
🗑
|
||||
| The first cardiac enzyme to be detected in the setting of acute myocardial infarction is | troponin
🗑
|
||||
| What type of glaucoma is the most common | Open-angle (chronic) Glaucoma
🗑
|
||||
| Which class of drugs can be responsible for the formation of cataracts | Corticosteroids
🗑
|
||||
| Fundal height in your pregnant patient is at the level of the umbilicus. This indicates how many weeks gestation | 20 weeks
🗑
|
||||
| What laboratory testing would be most useful in diagnosing Cushing's syndrome | Dexamethasone suppression test
🗑
|
||||
| A mid-systolic click with a late systolic crescendo murmur is indicative of what cardiac disease | MVP (mitral valve prolapse)
🗑
|
||||
| Where can you find the Islets of Langherhans | Pancreas
🗑
|
||||
| Your pt's Weber test lateralizes to the R and on Rinne BC > AC on the R | R conductive loss
🗑
|
||||
| The phase of the cardiac cycle which occurs at the beginning of systole when the ventricles begin to contract and both the aortic and mitral valves are closed, is termed | Isovolumetric contraction
🗑
|
||||
| What is the classic triad of clinical manifestations in infectious mononucleosis | Fever, lymphadenopathy, pharyngitis
🗑
|
||||
| What is the major glucocorticoid | Cortisol
🗑
|
||||
| What is the most effective procedure for confirming the diagnosis of a pericardial effusion | echocardiography
🗑
|
||||
| What is the best way to diagnose sickle cell syndromes | Hemoglobin electrophoresis
🗑
|
||||
| What are the "ABCD"s of melanoma | Asymmetry, Border Irregularity, Color variation, Diameter > 6mm
🗑
|
||||
| What is Spanierman’s sign | Blood under the nails. This indicates nose bleeds due to nose picking. Bleeding in such cases is generally from the Keisselbach's plexus
🗑
|
||||
| What is the best X-ray view for diagnosing lunate and perilunate dislocations | Lateral X-ray view of the wrist
🗑
|
||||
| Presence of the Philadelphia chromosome is consistent with what blood disorder | Chronic Myelogenous leukemia
🗑
|
||||
| A 5 y.o. girl is seen with a 1 day history of a maculopapular rash on both cheeks, creating a "slapped cheek" appearance. What is the most likely diagnosis | Fifth's disease (erythema infectiosum)
🗑
|
||||
| Name the most sensitive diagnostic test for acute pancreatitis | Urinary amylase
🗑
|
||||
| What treatment is most appropriate for the alert patient who has ingested on overdose of aspirin | Syrup of ipecac (induce vomiting)
🗑
|
||||
| What are the classic ECG results associated with posterior MI | A large R wave and ST depression in V1 and V2
🗑
|
||||
| What is a major concern for a patient with unilateral Parkinsonian features | Intracranial tumor
🗑
|
||||
| What physical finding indicates acute pericarditis | Pericardial friction rub. The rub is best heard at the left sternal border or apex with the patient in a forward sitting position. Other findings include fever and tachycardia.
🗑
|
||||
| What is the most common cause of mitral stenosis | Rheumatic heart disease. The most common initial symptom is dyspnea.
🗑
|
||||
| Define a diastolic hypertensive emergency | Elevated diastolic blood pressure > 115 mm Hg with associated end organ dysfunction or damage.
🗑
|
||||
| What is the physical exam finding that is most predictive of otitis media in children | Decreased motility of the TM
🗑
|
||||
| What effect may be caused by the use of potent topical corticosteroids on the face | Depigmentation
🗑
|
||||
| In elderly patients in hospitals and nursing homes, what is the most common cause of fecal incontinence | Fecal impaction
🗑
|
||||
| A patient with psoriasis complains that her usual topical steroid preparation is becoming less and less effective. This phenomenon is called | Tachyphylaxis
🗑
|
||||
| Eighty to ninety percent of patients who experience sudden non-traumatic cardiac arrest are in what rhythm | Ventricular fibrillation. Early defibrillation is key. In an acute MI, the infarction zone becomes electrically unstable. Ventricular fibrillation is most common during original coronary occlusion or when the coronaries begin to re-perfuse.
🗑
|
||||
| You ask a patient to stick out her tongue. Which cranial nerve are you testing | 12th CN or hypoglossal
🗑
|
||||
| The erythematous skin lesion considered pathognomonic for lyme disease | ECM; erythema chronicum migrans
🗑
|
||||
| Which type of hepatitis is caused by a DNA virus | Hepatitis B. The incubation period is 90 days.
🗑
|
||||
| Which vessels are larger in the fundus, arterioles, or venules | Venules
🗑
|
||||
| What is the most worrisome side effect of rifampin | Hepatotoxicity
🗑
|
||||
| Which class of antibiotics is associated with renal failure | Aminoglycosides
🗑
|
||||
| What is the most appropriate drug in the management of genital HSV-2 | Acyclovir
🗑
|
||||
| When diagnosing pericardial effusion, how much fluid must be present in the pericardial sac for visualization on a cardiac echocardiography and by x-ray | At least 15 mL for an echocardiography and 250mL for an x-ray
🗑
|
||||
| The most common etiologic agent in non-gonococcal septic arthritis is | Staph aureus
🗑
|
||||
| What neurological disorder may be associated with seborrheic dermatitis | Parkinson's Disease
🗑
|
||||
| What is the most common malignancy in young men | Testicular cancer
🗑
|
||||
| What is the drug of choice for pneumocystis pneumonia | Trimethoprim-sulfamethoxasole (Septra or bactrim)
🗑
|
||||
| What is the organism most commonly identified with antibiotic-associated colitis | Clostridia difficile
🗑
|
||||
| What abnormal finding would be expected on nasal swab in the patient with allergic rhinitis | Eosinophilia
🗑
|
||||
| Which class of antihypertensive medications is most effective for African-Americans | Calcium channel blockers
🗑
|
||||
| What is the initial treatment of choice for ganglion cyst of the wrist | Nothing
🗑
|
||||
| Eileen is afraid to leave the house but she isn't sure why. She has her groceries delivered and never visits her friends any more. What may she be suffering from | Agoraphobia
🗑
|
||||
| Which type of myocardial infarction is more often associated with thrombosis: transmural or subendocardial | Transmural. Thrombolytic therapy increases left ventricle ejection fraction post MI, reduces the development of post infarction CHF, and can reduce early MI mortality by 25%
🗑
|
||||
| Name a common cause of intermittent isolated proteinuria | Exercise
🗑
|
||||
| What anatomic landmark on the anterior thorax marks the bifurcation of the trachea | Angle of Louis or sternal angle
🗑
|
||||
| What are two relatively specific CXR findings in PE | Hampton's hump: area of lung consolidation with rounded border facing the hilus; Westermarks's sign: dilated pulmonary outflow tract proximal to the emboli with decreased perfusion distal to the lesion.
🗑
|
||||
| How much aspirin should a post MI patient ingest daily to reduce the incidence of reinfarction | 160 to 325 mg/day
🗑
|
||||
| A 55-year-old man presents in the ED with q severe headache, vomiting, and blurred vision. HX of hypertension untreated. you note a blood pressure of 240/186,papilledema evident on fundoscopy. drug of choice in the initial treatment of this patient is | E. nitroprusside
🗑
|
||||
| A 60-year-old man, hospitalized for an acute myocardial infarction, has had an uneventful course and responded well to therapy. When you examine him on the third day, you note an apical systolic murmur. The most probable cause would be | papillary muscle dysfunction
🗑
|
||||
| Name one of the two sports with which medial epicondylitis is most commonly associated | Golf and baseball
🗑
|
||||
| What is the most common central nervous system manifestation of AIDS | Dementia
🗑
|
||||
| What is the sign produced by retroperitoneal bleeding that results in a hematoma of the flank | Turner's sign
🗑
|
||||
| What is the condition related to pulmonary hypertension and resulting in right ventricular dilatation and hypertrophy | Cor pulmonale
🗑
|
||||
| What do the letters CREST stand for in scleroderma | Calcinosis cutis, Raynaud's phenomenon, esophageal dismotility, sclerodactyly, and telangiectasia
🗑
|
||||
| When you tap on the facial nerve just in front of the ear, your patient's face contracts on that side. What is this sign called | Chvostek's sign
🗑
|
||||
| What diagnostic study is most appropriate for a patient with suspected allergic rhinitis | Nasal smear for eosinophils
🗑
|
||||
| Tan to dark brown discoloration of the buccal mucous membranes and the folds of exposed areas of the skin are most characteristic of ____________ | Addison's disease
🗑
|
||||
| In cases of hypothyroidism, would you expect the TSH level to be increased, decreased or normal | Increased
🗑
|
||||
| Use of the artificial sweetener aspartame is contraindicated in patients with what disease | Phenylketonuria
🗑
|
||||
| What condition is present in a patient who has paradoxical movement of a portion of the chest wall after severe chest trauma | Flail chest
🗑
|
||||
| A diagnosis of AIDS is consistent with a CD4 count less than | 200
🗑
|
||||
| The most common etiologic agent in non-gonococcal septic arthritis is | Staph aureus
🗑
|
||||
| What hematologic disorder can be precipitated by exposure to antimalarials or mothballs (naphthalene) | G6PD anemia
🗑
|
||||
| blue sclera | osteogenisis imperfecta
🗑
|
||||
| Your patient has frequent episodes of alternating diarrhea and constipation, abdominal pain and mucous in her stool. Exam is normal as are stool studies. What diagnosis is likely | Irritable bowel syndrome
🗑
|
||||
| The bicarbonate buffer system is the most important buffer in the extracellular fluid. The normal ratio of base (bicarbonate) to acid (carbonic acid) is | 20:1
🗑
|
||||
| The optic disk is more medial or later in the fundus | medial
🗑
|
||||
| Which bone of the middle ear is normally visualized on otoscopic exam | Malleus
🗑
|
||||
| What is the most common bacterial pathogen in pediatric otitis media | Strep pneumoniae
🗑
|
||||
| What is the most common cause of anemia in adults | Occult blood loss
🗑
|
||||
| Herpes zoster infection involving the facial nerve, external ear, and occiput is known by what name | Ramsay Hunt Syndrome
🗑
|
||||
| How many mm’s. of induration determine a positive PPD test in an otherwise healthy individual | 15mm or greater
🗑
|
||||
| A 40 year old woman complains of pain in the knee on kneeling. There is a slight infusion present and pain is reproduced by pushing the patella against the condyles. What is the likely diagnosis | Chondromalacia patellae
🗑
|
||||
| An upper motor neuron lesion would have what effect on deep tendon reflexes | Increased
🗑
|
||||
| Your patient has an elevated carcinoembryonic antigen. Which type of cancer would this most likely be associated with | Colon
🗑
|
||||
| You are following a patient with pernicious anemia. What vitamin deficiency are you concerned about | B12
🗑
|
||||
| What is the most common adverse reaction of intranasal corticosteroids | Nasal irritation
🗑
|
||||
| What disease classically presents with severe hypertension, sweating, and palpitations | Pheochromocytoma
🗑
|
||||
| The neurotransmitter released from preganglionic nerve fibers in the parasympathetic nervous system is___________ | Acetylcholine
🗑
|
||||
| The two major hormones involved in the regulation of fluid balance in the kidney are ________ and ________ | Aldosterone and Antidiuretic Hormone (ADH)
🗑
|
||||
| Nephrotic syndrome is a collection of symptoms caused by glomerular disease. It is characterized primarily by ____________ | An increase in permeability to serum proteins; increased loss of plasma proteins, etc.....
🗑
|
||||
| Which organism is most commonly associated with acute bacterial prostatitis | E. Coli
🗑
|
||||
| How many doses of Varicella vaccine are needed by a child under the age of 12, who has never had chickenpox | One
🗑
|
||||
| Your patient has a low frequency resting tremor of the hand. What diagnosis do you suspect | Parkinson's disease
🗑
|
||||
| What is the most common cause of right ventricular heart failure | left ventricular heart failure
🗑
|
||||
| You are doing a routine exam on a healthy 19 year old college student and find that he has a prominent third heart sound. What does this most likely indicate | this is a normal finding
🗑
|
||||
| Progressive, ascending, symmetric weakness associated with viral infections is known as | Guillain-BarreSyndrome
🗑
|
||||
| What diagnostic test is most important in the evaluation of monoarticular arthritis | Joint aspiration-gram stain/culture of joint fluid
🗑
|
||||
| Treatment of giant cell arteritis with prednisone is aimed at prevention of what problem | Blindness
🗑
|
||||
| The Philadelphia chromosome is associated with what type of leukemia | CML-chronic myelocytic
🗑
|
||||
| Which joints in the fingers are commonly affected by reheumatoid arthritis | PIPs or MCPs
🗑
|
||||
| A woman with a malodorous vaginal discharge is found to have a "strawberry cervix". What is the most likely diagnosis | trichomonas vaginitis
🗑
|
||||
| What test is considered the gold standard for the diagnosis of DVT | venography
🗑
|
||||
| What test is considered the gold standard for the diagnosis of PE | pulmonary angiography
🗑
|
||||
| What is the most common CXR finding in PE | elevated dome of one hemidiaphragm.
🗑
|
||||
| What is the most common laboratory value abnormality in pts. taking oral diuretics for hypertension | Hypokalemia
🗑
|
||||
| Which bacterium is associated with peptic ulcer disease | Helicobacter pylori
🗑
|
||||
| A 33 year-old white man traveled to South America for 3 days. Within hours of his return he had onset of watery diarrhea and abdominal cramping. What organism is the most likely etiology | E. Coli
🗑
|
||||
| The single most reliable physical sign of congestive heart failure in patients over the age of 40 is | a third heart sound (S3)
🗑
|
||||
| What is the most common side effect of esmolol, labetalol and bretylium | Hypotension
🗑
|
||||
| A patient presents with sudden-onset chest and back pain. Further workup reveals an ischemic right leg. What is your diagnosis | Suspect an acute aortic dissection when chest or back pain is associated with ischemic or neurologic deficits.
🗑
|
||||
| What is the most prevalent cause of obstruction of airway in adults | Food, usually meat. Obstruction occurs because the food was
🗑
|
||||
| What is the most common cause of intestinal obstruction | Surgical adhesions
🗑
|
||||
| What fundoscopic finding is characteristic of diabetic proliferative retinopathy | Neovascularization
🗑
|
||||
| In women, the leading cause of death due to malignancy is cancer of the _________ | Lung
🗑
|
||||
| Ingestion of what substance improves benign essential tremors | Alcohol
🗑
|
||||
| Which heart lesion is associated with a mid-systolic click | Mitral valve prolapse
🗑
|
||||
| What is the most common cause of acute pancreatitis | Gallstones
🗑
|
||||
| Calf pain on forceful dorsiflexion of the foot is called ___________ | Homan's sign
🗑
|
||||
| The paranasal sinus most commonly affected is ________ | Maxillary
🗑
|
||||
| The 2 first line agents in the treatment of tuberculosis are what | Isoniazid and rifampin
🗑
|
||||
| In a patient with cold intolerance, constipation, and weight gain, would you expect a TSH to be increased, decreased, or normal | Increased
🗑
|
||||
| What laboratory finding is the earliest evidence of diabetic nephropathy | Microalbuminuria
🗑
|
||||
| What site does acetominophen cause its most toxic effects | Liver
🗑
|
||||
| What is the most common cause of pancreatitis | Alcohol abuse or gallstones
🗑
|
||||
| Retroperitoneal bleeding causing a hematoma at the umbilicus is called what | Cullen's sign
🗑
|
||||
| What problem is most commonly associated with Kerley B lines | Congestive heart failure
🗑
|
||||
| Which of the following is NOT a risk factor for cervical cancer: Multiple sexual partners, early sexual activity, obesity, early age 1st pregnancy | Obesity
🗑
|
||||
| A fundal height at the level of the umbilicus corresponds to how many weeks gestation | 20-22
🗑
|
||||
| What is the term for excessive menstrual bleeding | Menorrhagia
🗑
|
||||
| The first MMR shot should be given at what age | 12-15 mths
🗑
|
||||
| A chest x-ray on a 68 yo smoker shows flattened diaphragms. What dx do you suspect | Emphysema or COPD
🗑
|
||||
| Cough is a common side effect of what class of anti-hypertensive drugs | ACE-inhibitors
🗑
|
||||
| A 78yo woman with dementia who has been treated with Haldol, presents with bizarre repetitive movements of her tongue and mouth. What is this | Tardive dyskinesia
🗑
|
||||
| A patient with cholecystitis abruptly stops inspiring while you palpate beneath the Right Costal Margin. What is this called | Murphy's sign
🗑
|
||||
| What funduscopic exam finding would be indicative of glaucoma | Increased cupping of the disc
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bwyche