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1

Indications for cystoscopy

- gross hematuria with no signs of infection/glomerular disease
- recurrent UTI
- obstructive sx w/ suspiscion for stones, stricture
- irritative sx w/o UTI
- abnormal bladder imaging or urine cytology

2

Prognosis of childhood absence seizures

good, usually disappears by teenage years if not related with generalized tonic clonic sezures

3

Diagnostic test and treatment of intussusception (currant jelly stool, episodic crampy abdominal pain, "sausage shaped" abdominal mass). Common risk during tx?

- "target" lesion on ultrasound
- treatment: enema (air or water soluble contrast), surgical removal of lead point
- common risk: perforation

4

Positive pregnancy test, abdominal tenderness and guarding, no intrauterine pregnancy. Diagnosis and management?

- ruptured ectopic pregnancy
- surgical evaluation

5

Most common short term complication with LEEP (loop electrosurgical excision procedure)

bleeding

6

Most useful strategy to decrease mortality in ARDS patients

- low tidal volume mechanical ventilation

7

Clinical features of epididymitis

- mild to moderate scrotal pain with swelling and tenderness
- normal UA
- decrease in pain on testicular elevation
- cremasteric reflex intact

8

Acute chest syndrome in sickle cell disease diagnostic criteria and treatment

- new chest x-ray finding PLUS 1 or more of the following:
-------fever, hypoxemia, chest pain, increased work of breathing, coughs, tachypnea, wheezing
- tx: ceftriaxone and azithromycin, IV fluids, pain control

9

TCA overdose (mental status changes, seizures, arrhythmias, prolonged intervals, anticholinergic effects) treatment?

sodium bicarb for arrhythmias
IV fluids
activated charcoal w/i 2 hours of ingestion
oxygen, intubation

10

Prognosis and TX of sleep terror and sleep walking

Self limiting
Low dose benzo if episodes are recurrent and distressing

11

Asthma most commonly caused by?

House dust mites

12

Diagnosing criteria for Tourette's syndrome, and treatment

- both motor AND vocal tic >1 year *yelling obscenities is in minority of pts
- tx: antipsychotics, behavioral therapy, alpha adrenergic receptor agonists (clonidine)

13

organophosphate toxicity (cholinergic toxicity--- excessive salivating, drooling) treatment

atropine and pralidoxime

14

Giardia treatment? traveler's diarrhea tx?

giardia: metronidazole
traveler's: cipro. TMP-SMX

15

Diagnosis of malaria (fever, headaches, thrombocytopenia, subsaharan africa)

peripheral blood smear
* no vaccines, just antimalarial ppx

16

Classic features of allergic bronchopulmonary aspergillosis (ABPA)

- hx of asthma/CF
- x-ray- fleeting infiltrates, CT- central bronchiectasis
- Diagnostic testing: increased IgE and IgG, eosinophilia, skin test for aspergillus fumigatus

17

Tight blood glucose control in patients with diabetes will decrease risk in what kind of complications?

microvascular-- nephropathy, retinopathy
** macrovascular not yet established (MI, stroke, PVD)

18

How do you treat acute hemolytic reactions after blood transfusion? (w/i one hour of transfusion, b/l flank pain, renal failure, DIC, fever-- caused by ABO incompatibility, positive coombs test)

- stop transfusion and give IV fluids

*** IV steroids are only given for IgA rx which occurs immediately

19

Which lab levels are needed to monitor disease activity in SLE?

anti dsDNA and serum complements, NOT anti smith or ANA

20

Treatment of Alzheimers

donepezil, rivastigmine, galantamine (cholinesterase inhibitors)

21

Which lab levels are needed to monitor disease activity in SLE?

anti dsDNA and serum complements, NOT anti smith or ANA

22

Treatment of Alzheimers

donepezil, rivastigmine, galantamine (cholinesterase inhibitors)

23

acute stress disorder timing, PTSD timing

3 days to one month
PTSD: 1 month or more

24

Multiple demyelinating nonenhancing region with no mass effect in AIDS patient

progressive multifocal leukoencephalopathy

25

botulism (acute bulbar, descending limb weakness, absent reflexes, autonomic dysfx--blurry vision, preserved sensation) treatment

acetylcholinesterase inhibitors (same treatment for myasthenia gravis too. MG does not lose reflexes)

26

Features of radiation induced cardiotoxicity

- MI/ infarction
- restrictive cardiomyopathy with DIASTOLIC dysfx
- constrictive pericarditis
- valvular abnormalities
- conduction defects

27

hypocalcemia clinical signs

- chovstek's signs, trousseau's signs

28

preferred means of treating hemochromatosis

phlebotomy

29

Treatment of hyperkalemia with severe ECG changes

IV calcium gluconate

30

Most appropriate next step in patients suspected for pseudotumor cerebrii.

- ophthalmoscopic exam
- then perform neuroimaging study (should be negative), THEN lumbar puncture