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Question 1

pericarditis in kidney failure

Answer 1

uremic pericarditis

Question 2

bleeding in angiodysplasia vs diverticulosis

Answer 2

right colon in angio = maroon colored

diverticulosis is arterial and more brisk

Question 3

sinusoidal fetal heart rate tracing

Answer 3

category III, sign of fetal anemia

Question 4

most common middle ear pathology in immunocompromised

Answer 4

serous otitis media, due to lymphadenopathy or obstructing lymphoma

Question 5

causes of stress urinary incontinence

Answer 5

urethral hypermobility or cystocele, increased pressure in abdomen, affecting normal anatomy

Question 6

harsh, barky, seal-like cough

Answer 6

croup caused by paramyxovirus

Question 7

steeple sign

Answer 7

caused by laryngeal oedema in croup

Question 8

med to avoid in G6PD for UTI

Answer 8

nitrofurantoin

Question 9

most common lab finding in JIA

Answer 9

anemia, due to anemia of chronic disease

Question 10

causing of swelling in Turner’s patients

Answer 10

lymphatic network dysgenesis

Question 11

cause of eosinophilic esophagitis

Answer 11

food allergens causing esophageal irritation, try to rule out GERD first

Question 12

most common extracranial tumor in childhood

Answer 12

neuroblastoma

Question 13

neuro symptoms of cerebellar hemorrhage

Answer 13

ipsilateral ataxia

Question 14

three mortality benefiting anti-hypertensives in heart failure

Answer 14

ACEi, Beta blocker and anti-aldo (spironolactone)

Question 15

most definitive definition for polymyositis

Answer 15

muscle biopsy

Question 16

antibodies in polymyositis

Answer 16

ANA, anti-Jo

Question 17

common side effects of amytriptiline

Answer 17

• anti-cholinergic symptoms
• anti-histamine causing lethargy
• anti alpha causing orthostatic hypotension

Question 18

CHF vs COPD based on CO2

Answer 18

COPD is more likely to be retaining CO2, CHF will have crackles on exam

Question 19

eyes in lesion of the thalamus

Answer 19

towards the lesion

Question 20

classic findings of malaria

Answer 20

cyclic fevers, anemia and thrombocytopenia

Question 21

cause of Dressler sydrome

Answer 21

pericarditis 2-4 weeks after MI caused by immunological exposure

Question 22

cause of urinary retention in diabetes

Answer 22

neurogenic bladder

Question 23

atypical lymphocytes

Answer 23

mono

Question 24

sail sign

Answer 24

thymus on xray in children under 3

Question 25

contraindication for buproprion

Answer 25

seizures, eating disorders, MOA inhibitors

Question 26

hypersegmented neutrophils

Answer 26

megaloblastic anemia

Question 27

MMA in B12 deficiency

Answer 27

elevated (normal in folate)

Question 28

endometrial cells on pap smear

Answer 28

in women over 45, require endometrial biopsy due to increased risk of cancer

Question 29

treatment of gestational diabetes

Answer 29

dietary modification followed by metformin or insulin

Question 30

locations of copper deposits in wilsons

Answer 30

basal ganglia, liver, cornea

Question 31

brain issue in prematurity

Answer 31

intraventricular hemorrhage due to ruptured germinal matrix vessels

Question 32

lupus vs preeclampsia

Answer 32

lupus also has joint pain, malar rash, and RBC casts

Question 33

nephrotic syndrome associated with HIV

Answer 33

FSGS

Question 34

treatment for SIADH

Answer 34

water restriction

Question 35

acute unilateral lymphadenitis in children

Answer 35

bacterial infection, usually staph aureus then group A strep

Question 36

non-alcoholic fatty liver disease is strongly associated with...

Answer 36

obesity

Question 37

esophagus manifestations in systemic scerlosis

Answer 37

muscle atrophy and fibrosis

Question 38

microcytic anemia with normal iron studies

Answer 38

hemoglobinopathy

Question 39

melanosis coli

Answer 39

dark brown patches of colon due to laxative use

Question 40

most common pathogens in otitis externa

Answer 40

pseudomonas then s aureus

Question 41

brain lesion causing hemineglect

Answer 41

non-dominant parietal lesion

Question 42

first priority after birth

Answer 42

skin to skin contact

Question 43

high MCHC

Answer 43

usually seen in spherocytosis

Question 44

first step in infertility management

Answer 44

semen analysis