2/10/13 b

Question 1

Although axial joint involvement in rheumatoid arthritis is rare, what is the most common axial area involved?

Answer 1

cervical spine

Question 2

What class of drugs are trihexyphenidine and benztropine?

Answer 2

anti-cholinergic

Question 3

What kind of a drug is selegiline?

Answer 3

MAO-B inhibitor

Question 4

What ais a dangerous potential drug interaction of selegiline?

Answer 4

serotonin syndrome (w/ SSRIs or TCAs)1

Question 5

Hematuria just at the end of urination (terminal hematuria) is caused by bleeding where?

Answer 5

bladder or prostate

Question 6

Hematuria just at the beginning of urination (initial hematuria) is caused by bleeding where?

Answer 6

urethra

Question 7

Hematuria throughout urination (total hematuria) is caused by bleeding where?

Answer 7

kidneys or ureters

Question 8

What is dysfunctional in uremic coagulopathy?

Answer 8

plts

Question 9

What is the recommended way to remove a tick?

Answer 9

w/ tweezers, ASAP

Question 10

What are the following typical electrolyte levels in Addison’s disease (when abnormal): Na+, K+, Cl-?

Answer 10

Na+ low, K+ hi, Cl- hi

Question 11

_______ should be suspected in COPD pts presenting w/ catastrophic worsening of their respiratory Sx.

Answer 11

Secondary pneumothorax

Question 12

What is a normal PaCO2?

Answer 12

~40 mmHg

Question 13

What is the standard first-line Tx for essential tremor?

Answer 13

propranolol

Question 14

What anti-arrhythmic drug can cause “blurry, yellow vision”?

Answer 14

digoxin

Question 15

WHat does a varicocele (esp. left-sided) that does not empty when pt is recumbent indicate?

Answer 15

obstruction of gonadal vein (as by renal cell carcinoma)

Question 16

What is the most common site of hypertensive brain hemorrhage?

Answer 16

putamen

Question 17

Why does hemorrhage of the putamen often involve hemiplegia?

Answer 17

involvement of internal capsule

Question 18

Do pts usu have focal neuro signs in subarachnoid hemorrhage?

Answer 18

No!

Question 19

What type of atypical pneumonia presents w/ extrapulmonary Sx including erythema multiforme?

Answer 19

Mycoplasma

Question 20

Elderly pt complains of difficulty hearing in crowded and noisy environments. High-pitched hearing is lost first. What is the most likely type of hearing loss?

Answer 20

presbycusis

Question 21

Which kind of hearing loss causes low frequency loss in middle aged individuals?

Answer 21

otosclerosis

Question 22

What kind of hearing loss is consistent with fluctuating, progressive loss in one or both ears, tinnitus, and vertigo?

Answer 22

Ménière’s disease