11.13

Question 1

SOMATIC SYMPTOM D/O

Answer 1

need regular appointment to establish a strong physician-patient relationship and minimize unnecessary testing

Question 2

side effects of lithium

Answer 2

nephrogenic DI
CKD
THYROID DYSFUNCTION
hypercalcemia
hyperparathyroidism

teratogenic effects

Question 3

PTSD

Answer 3

tx w/ SSRI/SNRI

Question 4

bronchiolitis obliterans

Answer 4

major manifestations of lung transplant chronic

nearly ahfl of transplant recipients develop evidence of rejection by 5 years post ransplant

chronic lymphocytic INF of small airway submucosa == fibromyxoid tissue into airway lumen

tx w/ supportive management / repeat transplant / maybe steroids

Question 5

cervical insufficiency criteria

Answer 5

painless cervical dilation in current pregnancy

second trimester cervical length of <2.5 cm plus a prior preterm delivery

> 2 prior consecutive painless second trimester losses which present w/ mild sx followed by precipitous delivery

TX W/ CERCLAGE

Question 6

Severe hyperglycemia + mental status changes

Answer 6

hyperosmolar hyperglycemic state

prominent evidence of dehydration due to elevated plasma osmolality

aggressive fluid replacement w/ NS