4/1

Question 1

vaccine contraindication in pregnancy

Answer 1

live - MMR, varicela, HPV, live flu

Question 2

SIADH during intense exercise

Answer 2

can be triggered by exertion, hypoglycemia, nausea or pain

Question 3

treatment of acute dystonic reaction

Answer 3

diphenhydramine or benztropine

Question 4

alk phos in pregnancy

Answer 4

usually elevated

Question 5

stepwise decline in functioning

Answer 5

vascular dementia

Question 6

first line treatment for primary dysmenorrhea

Answer 6

NSAIDs - can use OCPs in sexually active females

Question 7

positional plagiocephaly

Answer 7

one ear is in front of the other due to head shifting from position, can be caused by torticollis

Question 8

severe rapid onset hypercalcemia in a smoker

Answer 8

PTHrP from squamous cell carcinoma

Question 9

first test for dementia

Answer 9

neurocognitive testing

Question 10

features of absence seizures

Answer 10

less than 20 seconds, does not respond to verbal stimuli, automatisms

Question 11

test to compare two means

Answer 11

t test

Question 12

test for three or more means

Answer 12

ANOVA

Question 13

dullness to percussion with increased breath sounds

Answer 13

lung consolidation

Question 14

causes for urgent dialysis

Answer 14

acidosis, electrolyte changes, ingestion, overload and uremia

Question 15

hormones in Turner’s syndrome

Answer 15

elevated LH/FSH

Question 16

porphyria cutanea tarda

Answer 16

vesicles or bullae in dorsum of hands in liver disease - HCV

Question 17

most common cause of spontaneous lobar hemorrhage in older adults

Answer 17

amyloid angiopathy

Question 18

two causes of head pathology in neonates

Answer 18

• cephalohematoma - subperiosteal, does not cross suture line, firm, non-tender
• caput succedaneum - above periosteum, crosses suture lines

Question 19

most common cause of epididymitis in non-sexual active males

Answer 19

e coli

Question 20

strongest factor in AAA expansion

Answer 20

cigarette smoking - hypertension has weak association

Question 21

prevention of vasovagal syncope

Answer 21

counter-pressure maneuvers

Question 22

bilateral trigeminal neuralgia

Answer 22

can be caused by MS

Question 23

treatment of minimal change disease

Answer 23

prednisone

Question 24

Lewy bodies in pathology

Answer 24

eosinophilic intracytoplasmic inclusions - alpha synuclein

Question 25

features of Edwards

Answer 25

rocker bottom feet, micrognathia, low set ears, overlapping fingers

Question 26

pain with lateral epicondylitis

Answer 26

resisted wrist extension of passive flexion

Question 27

lumbar fluid in viral meningitis

Answer 27

slightly elevated protein, normal glucose

Question 28

most common cause of viral meningitis

Answer 28

coxsackie virus

Question 29

catalase positive organisms in CGD

Answer 29

staph, aspergillus, serratia, nocardia

Question 30

most common cause of ureteral obstruction in newborn boys

Answer 30

posterior urethral valves

Question 31

Potter sequence signs

Answer 31

pulmonary hypoplasia, flat facies, distorted limbs

Question 32

gestational hypertension BPP

Answer 32

required weekly after 32 weeks

Question 33

what causes vomiting in pregnancy

Answer 33

elevated hcg - higher in twins

Question 34

dissociative disorders

Answer 34

- dissociative amnesia - can't remember personal info - Walter White - dissociative identity - multiple personalities - depersonalization - intact reality testing

Question 35

squamous cells and rare white cells in vaginal discharge

Answer 35

physiologic leukorrhea

Question 36

inpatient treatment of PID

Answer 36

4th cephalosporin and doxy

Question 37

test after multiple febrile UTI in kids after normal ultrasound

Answer 37

voiding cystourethrogram

Question 38

botulinum toxin vs spores

Answer 38

toxin has prodromal flu-like illness first

Question 39

toxic metabolite of tylenol

Answer 39

NAPQI

Question 40

AIDs illness with normal CT

Answer 40

could be cryptococcus - diagnosed with lumbar puncture

Question 41

PCP pneumonia treatment

Answer 41

bactrim and prednisode

Question 42

diagnosis of hereditary sphrocytosis

Answer 42

EMA binding test

Question 43

eosinophils in worm infection

Answer 43

should be over 7%

Question 44

empyema

Answer 44

parapneumonic effusion with bacterial colonization

Question 45

flat loop on flow-volume loop

Answer 45

fixed upper airway obstruction

Question 46

schizoid and schizotypal

Answer 46

oid =loner | typal = like schizo

Question 47

foot drop

Answer 47

damage to common peroneal nerve

Question 48

senile purpura

Answer 48

caused by perivascular connective tissue atrophy, normal part of aging

Question 49

hepatic hydrothorax

Answer 49

pleural effusions due to small diaphragm defects in liver patients

Question 50

first line treatment in herniated disc

Answer 50

NSAIDs - usually resolves

Question 51

treatment of TTP

Answer 51

plasma exchange