UW: 6/26

Question 1

Difference in vesicle location in herpangina vs HSV gingivostomatitis?

Answer 1

Herpangina: 1 mm gray vesicles on tonsillar pillars and posterior oropharynx
Gingivostomatitis: clusters of vesicles on anterior oropharynx and lips.

Question 2

Tx of acute dystonic rxn (2)

Answer 2

Benztropine, benadryl

Question 3

Tx of anti-psycho-induced akathisia?

Answer 3

BB or BNZ (ativan)

Question 4

Tx of anti-psycho induced parkinsonism?

Answer 4

Amantadine, benztropine

Question 5

3 MCCs of elevated BUN/Cr ratio?

Answer 5

Prerenal azotemia, GIB, systemic steroids

Question 6

What to do w/ parent refusing vitamin K shot for NB?

Answer 6

Counsel on risk of intracranial hemorrhage

Question 7

3 major histopathologic findings of Alz Dz:

Answer 7

Amyloid plaques, neurofibrillary tangles, selective loss of cholinergic neurons

Question 8

CHADSVASC score

Answer 8

CHF: 1
HTN: 1
Age 75+: 2
DM: 2
Stroke/TIA/thromboembolism: 2
Vascular Dz (MI, PAD, aortic plaque): 1
Age 65-74: 1
Sex (female): 1

Question 9

Results of CHADSVASC score in terms of stroke risk and tx?

Answer 9

0: low, no tx
1: intermediate, no tx or ASA or PO anticoagulants
2+: high, PO anticoagulants

Question 10

Name 2 stimulants and 1 inhibitor of PRL production

Answer 10

DA inh

TRH and 5HT stim

Question 11

Tx based on venous lead level

Answer 11

0-4: nothing

5-44: mild. Repeat testing in

Question 12

3 main structures involved in medial medullary syndrome and their Sx

Answer 12

Medullar pyramid-> CL hemiparesis
Medial lemniscus-> CL loss of tactile/vibration/position
Hypoglossal nuc/fibers-> IL tongue paralysis (deviates to side of lesion)

Question 13

Presentation of medial mid-pontine infarct

Answer 13

CL ataxia and hemiparesis of face/trunk/limbs w/ variable loss of CL tactile/position

Question 14

Distinguish lateral medullary syndrome and lateral mid-pontine syndrome based on CN involvement

Answer 14

Medulla: CN 9, 10-> dysphagia, hoarseness, decr gag reflex
Pontine: CN 5-> weak mastication, decr jaw jerk, impaired tactile/position of face

Question 15

3 major differences btwn HSV/VZV retinitis and CMV retinitis in AIDS pts

Answer 15

HSV/VZV: painful, initial keratitis/conjunctivitis, fund: peripheral pale lesions and central retinal necrosis.
CMV: painless, no initial keratitis/conjunctivitis, fund: hemorrhages and fluffy/granular lesions around retinal vessels.