This exam covers subjects I've learned for the past two years in podiatry school: Biochemistry, Microbiology, Physiology, Pathology, Pharmacology, Histology, Immunology, Neuroscience, General Anatomy, and Lower Extremity Anatomy.
I've been studying pretty diligently the past 2 months so I'm hoping my work will pay off. If I don't pass this exam, I will have to retest in October, and if I fail that, then I am subject to dismissal from my school. Hopefully I can pass it tomorrow so that it never gets to that point. All the upperclassmen said that they felt like they had failed it walking out of the test, but my school had a 96% passing rate last year so I guess it's not as bad as it seems. After I take this test I will officially be a 3rd year and will start seeing patients this Thursday (yes, the day after my exam lol).
I can't wait to walk out of that exam and head over to a bar for happy hour with my classmates. $2 drafts sounds pretty awesome right about now haha.
For those curious, here are a few practice problems. Answers are at the bottom!
+ Show Spoiler [Practice Problems] +
1. A 60-year-old male patient with a 20-year history of type 1 diabetes undergoes cardiac catheterization in preparation for balloon angiography following a myocardial infarction. Approximately 20 hours following the procedure, his BUN and creatinine rise and his urine output decreases. Which of the following is most likely true about this patient's condition?
A. The condition is irreversible.
B. The patient will need temporary dialysis.
C. The patient will need lifelong dialysis or a renal transplant.
D. The morphologic changes include membranous glomerulonephritis.
2. A hyperpyrexic coma can result from an interaction between meperidine and:
A. a MAO inhibitor (eg phenelzine)
B. a phenothaizine antipsychotic (eg chlorpromazine)
C. a barbiturate (eg phenobarbital)
D. a selective serotonin reuptake inhibitor (eg fluoxetine)
3. If the lateral plantar nerve is cut, which of the following muscles will be directly affected? Select 3 that apply.
A. Abductor hallucis
B. Quadratus plantae
C. Second lumbrical
D. Flexor hallucis brevis
E. Plantar interossei
4. Which of the following nerves courses between the oblique head of the adductor hallucis and the interosseous muscles?
A. First common digital branch of the medial plantar.
B. Proper digital branch of the medial plantar.
C. Deep branch of the lateral plantar.
D. Superficial branch of the lateral plantar.
5. Which of the following statements best explains why muscle glycogen is not a principal source of blood glucose?
A. Muscle glycogen cannot be converted to glucose-6-phosphate.
B. Muscle does not contain glucose-6-phosphatase.
C. Glucokinase activity does not occur in muscles.
D. Glycogen debranching activity does not occur in muscles.
6. The speed of onset for inhalation anesthesia can correctly be described as:
A. directly proportional to the solubility of the anesthetic in blood.
B. inversely proportional to the solubility of the anesthetic in blood.
C. directly proportional to the partial pressure of the anesthetic in alveoli.
D. inversely proportional to the partial pressure of the anesthetic in alveoli.
7. A patient presents with draining lesions of the foot that demonstrate granules or grains in the exudate. The most likely diagnosis is:
A. Blastomycosis
B. Sporotrichosis
C. Chromomycosis
D. Mycetoma
+ Show Spoiler [Answers] +
A. The condition is irreversible.
B. The patient will need temporary dialysis.
C. The patient will need lifelong dialysis or a renal transplant.
D. The morphologic changes include membranous glomerulonephritis.
2. A hyperpyrexic coma can result from an interaction between meperidine and:
A. a MAO inhibitor (eg phenelzine)
B. a phenothaizine antipsychotic (eg chlorpromazine)
C. a barbiturate (eg phenobarbital)
D. a selective serotonin reuptake inhibitor (eg fluoxetine)
3. If the lateral plantar nerve is cut, which of the following muscles will be directly affected? Select 3 that apply.
A. Abductor hallucis
B. Quadratus plantae
C. Second lumbrical
D. Flexor hallucis brevis
E. Plantar interossei
4. Which of the following nerves courses between the oblique head of the adductor hallucis and the interosseous muscles?
A. First common digital branch of the medial plantar.
B. Proper digital branch of the medial plantar.
C. Deep branch of the lateral plantar.
D. Superficial branch of the lateral plantar.
5. Which of the following statements best explains why muscle glycogen is not a principal source of blood glucose?
A. Muscle glycogen cannot be converted to glucose-6-phosphate.
B. Muscle does not contain glucose-6-phosphatase.
C. Glucokinase activity does not occur in muscles.
D. Glycogen debranching activity does not occur in muscles.
6. The speed of onset for inhalation anesthesia can correctly be described as:
A. directly proportional to the solubility of the anesthetic in blood.
B. inversely proportional to the solubility of the anesthetic in blood.
C. directly proportional to the partial pressure of the anesthetic in alveoli.
D. inversely proportional to the partial pressure of the anesthetic in alveoli.
7. A patient presents with draining lesions of the foot that demonstrate granules or grains in the exudate. The most likely diagnosis is:
A. Blastomycosis
B. Sporotrichosis
C. Chromomycosis
D. Mycetoma
+ Show Spoiler [Answers] +
1. B
2. A
3. BCE
4. C
5. B
6. B
7. D
2. A
3. BCE
4. C
5. B
6. B
7. D
Anyway time for bed, I need to wake up early in the morning. Wish me luck!