13

Question 1

management of aut dom polycystic kidney dz

Answer 1

slow progressive renal insufficiency- control BP with ACEI, statins, eventual HD/transplant

Question 2

how do you screen for its with family members w/ ADPKD

Answer 2

renal US- don’t do genetic screen yet or they get fucked psychologically and $$

Question 3

prognosis of GBS

Answer 3

worsen over 2 weeks, plateau for 2-4 weeks, then spontaneously recover over months

shortened with IVIG or plasma xchange

Question 4

intubation is recommended for GCS less than

Answer 4

8

Question 5

is trastuzumab cardiotoxicity reversible?

Answer 5

yes! not cumulative

Question 6

brain death definition

Answer 6

irreversible absence of cerebral and brainstem reflexes

no respiration for 8-10 min

Question 7

treatment for croup

Answer 7

humidified air

corticosteroids

severe- nebulized epi

Question 8

treatment of roseaca

Answer 8

topical metronidazole

Question 9

extra-term manifestation of rosacea

Answer 9

ocular sxs- burning or foreign body sensation, keratitis, corneal ulcers, conjunctivitis, chalazion

Question 10

when can you stop insulin for women who had gestational DM

Answer 10

right after delivery

Question 11

diameter beyond what is concerning of a mole for melanoma

Answer 11

6 mm

Question 12

dx pyloric stenosis

Answer 12

abdominal US

Question 13

which meds associated with risk for pyloric stenosis

Answer 13

macrolides

Question 14

cardiac problems in babies whose mothers had gestational DM

Answer 14

HCM- due to insulin –> hypertrophic septum

transient! resolve w/in weeks

Question 15

do newborns of GBS pos mothers need to be observed?

Answer 15

yes for 48 hours regardless of ppx

Question 16

diagnosing bullous pemphigoid

Answer 16

biopsy

Question 17

concern for pt with seizure with RBC on UA

Answer 17

c/f rhabdo - give isotonic saline

Question 18

Restlesss leg syndrome associated with

Answer 18

iron def anemia

Question 19

treatment for gonadotropin secreting pituitary adenomas

Answer 19

surgery

Question 20

how does PE look on echo

Answer 20

TR

Question 21

treatment for bacterial conjunctivitis in contact lens wearers

Answer 21

topical FQs (since contacts lead to pseudomonas)

Question 22

what is this- someone with bacterial conjunctivitis who then develops photophobia, blurred vision, foreign body sensation

Answer 22

keratitis! go see an opthalmologist pronto