14

Question 1

triad in cardiac tamponade

Answer 1

hypotension, JVD, dec heart sounds

Question 2

plusus parodxus

Answer 2

SBP dec by 10 with inspiration

seen in tamponade

Question 3

echo for tamponade

Answer 3

RA and RV collapse- impaired diastolic filling of right side of heart

Question 4

widespread musculoskeletal pain, fatigue, nl ESR

Answer 4

fibromyalgia

Question 5

what tests to get to rule out fibromyalgia

Answer 5

CBC, TSH, ESR

Question 6

aplastic crisis in Sickle cell

Answer 6

cessation of erythropoiesis , retic <1%

Question 7

drug interactions with lithium

Answer 7

ACEI, thiazide diuretics, NSAIDs(not ASA)

Question 8

management lithium toxicity

Answer 8

Li levels q2-4 hrs

IV hydratation

HD if level>4 or >2.5 + renal failure

Question 9

jones criteria

Answer 9

rheumatic fever

Joints
heart (carditis)
nodules
erythema marginatum
sydenham chorea

Question 10

sydenham chorea

Answer 10

emotional lability
distal hand movements
facial grimacing, feet jerking
pronator drift

develop 1-8 months after strep

Question 11

treatment of s chorea

Answer 11

penicillin until adulthood

Question 12

GI sxs, eosinophilia, iron def anemia

Answer 12

hookworm

Question 13

when is viral conjunctivitis no longer contagious?

Answer 13

once drainage has resolved

Question 14

differentiate viral vs allergic conjunctivitis

Answer 14

viral- burning, viral prodrome

allergic- itching, both eyes

Question 15

unilateral middle ear effusion that persists >3mo c/f

Answer 15

cancer! nasopharyngeal mass

Question 16

treatment for menieres

Answer 16

salt restricted diet, diuretics

Question 17

Nelson’s syndrome

Answer 17

pituitary enlargement, hyper pigmentation, visual field defect

following bilateral adrenalectomy

Question 18

healthy worker effect

Answer 18

working populations generally healthier than general pop and have lower mortality rates (bias effect in studies)

Question 19

initial test for child with prolonged cough

Answer 19

spirometry to test for asthma

Question 20

structural lesions that lead to dysphagia in pharynx and upper esophagus should be visualized how

Answer 20

nasopharyngeal largynoscopy

Question 21

when is CABG preferred over PCI?

Answer 21

its with multi vessel dz or DM

Question 22

pt with pSVT treated with what (vs if persistent tachyarrythmia)

Answer 22

adenosine

if persistent- direct cardioversion

Question 23

ovarian hyperstimulation syndrome

Answer 23

complication of ovarian induction for IVF

b/l ovarian enlargement, ascites, hypercoagulable, hemoconcentration

multi organ failure…

Question 24

when should epi be given for anaphylaxis

Answer 24

generalized skin findings

resp sxs- wheezing

GI sxs- N/V/D

CV sxs- hypotension

Question 25

after HIV exposure, when can HIV test be reliable?

Answer 25

after 4 weeks

Question 26

before starting HIV treatment, what tests should you get?

Answer 26

hep B serologies drug resistance genotype testing

Question 27

rapid strep test for center criteria over..

Answer 27

3

Question 28

kid with mild lead level should have repeat testing in

Answer 28

1 month

Question 29

most common cause of sudden cardiac death

Answer 29

HOCM

Question 30

cause of sudden cardiac death with nl EKG and TTE

Answer 30

anomalous aortic origin of a coronary artery

Question 31

can HELLP san occur postpartum?

Answer 31

yes apparently

Question 32

lead time vs length time bias

Answer 32

lead: detecting earlier length: slow vs rapid progressive dz

Question 33

management of hyatidiform mole

Answer 33

- suction curettage | - monitor bhcg until gone for 6mo

Question 34

do you need to get MRI before joint aspiration for c/f pediatric septic joint?

Answer 34

no- don't delay care

Question 35

preferred tx for ureteral stone in clinically unstable patient

Answer 35

percutaneous nephrostomy or retrograde ureteral stent

Question 36

proximal muscle weakness (cant climb stairs) with elevated CK, ESR, CRP

Answer 36

polymyositis

Question 37

resp dz associated with polymyositis

Answer 37

ILD

Question 38

what can help patients with chronic hypoparathyroidism with low serum Ca and high urine Ca

Answer 38

thiazide diuretics

Question 39

which STI test should asymptomatic man get?

Answer 39

HIV

Question 40

treatment for herpes zoster

Answer 40

valacylovir

Question 41

dx for herpes zoster

Answer 41

clinical- don't need testing

Question 42

precautions for localized vs generalized herpes zoster

Answer 42

localized- standard + covering wounds gen: contact + airborne

Question 43

treatment for raynauds

Answer 43

CCB - nifedipine, amlodipine (NOT verapamil)

Question 44

if c/f cholecystitis but US is inconclusive, what tesT?

Answer 44

HIDA scan

Question 45

ideal imaging for appendicitis in pregnant pt

Answer 45

graded compression abd US

Question 46

treatment for lichen sclerosus

Answer 46

topical corticosteroids