3/28

Question 1

treatment for nocardia

Answer 1

bactrim

Question 2

treatment for actinomyces

Answer 2

penicillin G

Question 3

complication of late delivery

Answer 3

oligohydramnios, due to redistribution of fluid to brain and less to kidneys

Question 4

first step after suspected lichen sclerosis

Answer 4

punch biopsy to rule out vulvar cancer

Question 5

treatment for lichen sclerosis

Answer 5

topical cotricosteroids

Question 6

side effects of cyclophosphamide

Answer 6

hemorrhagic cystitis, bladder cancer and myelosuppression

Question 7

milk alkali syndrome

Answer 7

• excessive intake of calcium and alkalai
• hypercalcemia causes renal vasoconstriction and AKI
• nausea, vomiting, constipation
• worse with HTCZ, ACEi, NSAIDs

Question 8

neurocardiogenic syncope

Answer 8

same as vasovagal

Question 9

MS vs TIAs

Answer 9

MS = days to weeks
TIAs = transient, less than 24 hours, risk factors

Question 10

boggy, tender, symmetrically enlarged uterus

Answer 10

adenomyosis

Question 11

maneuvers increase intensity of HCM murmur

Answer 11

decreasing preload - Valsalva, standing, nitrates

Question 12

respiratory distress syndrome

Answer 12

• due to surfactant deficiency
• grunting, nasal flaring and retractions
• ground glass appearance
• in premature births

Question 13

when does high potassium need to be treated

Answer 13

above 7, give insulin and calcium gluconate

Question 14

time line of adjustment disorder

Answer 14

within 3 months of an event

Question 15

common problem in lyme carditis

Answer 15

AV nodal block

Question 16

EKG in pericarditis

Answer 16

PR depression and ST elevation

Question 17

treatment of pericarditis

Answer 17

NSAIDs and colchicine

Question 18

pure motor hemiparesis

Answer 18

cause by hypertensive vasculopathy in the internal capsule (lacunar stroke)

Question 19

new onset psych and neurological abnormalities with neuropathic abdominal pain

Answer 19

acute intermittent porphyria

Question 20

treatment for varicies

Answer 20

nadolol or propranolol

Question 21

complications in giant cell arteritis

Answer 21

polymyalgia rheumatica, aortic aneurysm, blindness

Question 22

osler-weber-rendu syndrome

Answer 22

telangectasias, epistaxis, AV malformations, reactive polycythemia

Question 23

first step after caustic chemical exposure

Answer 23

ABCs then clothing removal to decrease further exposure

Question 24

how is CLL diagnosed

Answer 24

flow cytometry

Question 25

features of NEC

Answer 25

temp instability, abdominal distension, bloody stool and xray findings

Question 26

indications for hospitalization in anorexia

Answer 26

electrolyte abnormalities, vital sign changes, very low weight, cardiac dysrhythmias

Question 27

treatment for MDD

Answer 27

SSRI AND therapy

Question 28

persistent EKG changes after MI indicate

Answer 28

ventricular wall aneurysm (5 days - 3 months post MI)

Question 29

most common cause of active phase protraction

Answer 29

cephalopelvic disproportion

Question 30

what stage of labor does epidural affect

Answer 30

2nd, after cervix is fully dialated

Question 31

alternative treatment for kids with lyme

Answer 31

amoxicillin

Question 32

characteristics of Lewy body dementia

Answer 32

dementia with fluctuating cognition, parkinsons, hallucinations and REM sleep issues

Question 33

condyloma lata

Answer 33

secondary syphilis

Question 34

initial treatment of androgen insensitivity syndrome

Answer 34

testicle removal - prevent testicular cancer of undescended testes

Question 35

most common cause of MALT

Answer 35

h pylori

Question 36

best test for volvulus in neonates

Answer 36

GI series with barium swallow

Question 37

eggshell calcification in liver

Answer 37

hydatid cyst cause by echinococcus

Question 38

lung vascular findings in CREST syndrome

Answer 38

intimal hyperplasia

Question 39

treatment of hyperthermia

Answer 39

ice water emersion

Question 40

inability to get pregnant after 35 with no other causes

Answer 40

insufficient ovarian reserve

Question 41

treatment for neuroleptic malignant syndrome

Answer 41

bromocriptine or amantadine (reverse dopamine blockade)

Question 42

back pain radiating to thighs with no neuro signs

Answer 42

lumbar spinal stenosis

Question 43

type of hypertrophy in viral myocarditis

Answer 43

eccentric

Question 44

most specific arrhythmias in digoxin toxicity

Answer 44

atrial tachycardia with AV block