4/6

Question 1

ENG/ALK1 mutations

Answer 1

hereditary hemorrhagic telangiectasias

Question 2

precipitating factors for toxic megacolon

Answer 2

• electrolyte abnormalities
• antimotility agents
• opioids
• colonoscopy

Question 3

antibiotics causing ATN

Answer 3

aminoglcosides

Question 4

hepatitis E

Answer 4

naked, ssRNA+ icosahedral

Question 5

other disease with lytic bone lesions

Answer 5

adult T cell lymphoma (also has skin findings)

Question 6

branch of the median nerve that does not go through carpal tunnel

Answer 6

palmar cutaneous sensory branch (only a sensory nerve)

Question 7

treatment of haloperidol excess

Answer 7

• anticholinergics for dystonia (benztropine or diphenhydramine)
• dantrolene for neuroleptic malignant syndrome

Question 8

nerve involved in migraine

Answer 8

CN V1

Question 9

biliary disease associated with ulcerative cholitis

Answer 9

primary sclerosis cholagitis

Question 10

marker for major anaphylactic reaction

Answer 10

tryptase

Question 11

pseudocyesis

Answer 11

woman thinks she is pregnant

Question 12

prostate in urethral injuries

Answer 12

high riding

Question 13

nail pitting

Answer 13

psoriatic arthritis

Question 14

chondylomas

Answer 14

condyloma lata = secondary syphilis

accuminata = HPV

Question 15

prostatectomy and bleeding

Answer 15

release of urokinase activates plasmin, leading to bleeding

Question 16

d dimer in DIC vs fibrinolysis

Answer 16

present in DIC due to fibrinolysis split products

- not present in fibrinolysis because you aren’t ever forming a clot to begin with

Question 17

prothrombin 20210A

Answer 17

increased expression of prothrombin leading to hypercoaguability

Question 18

metabisulfite screen

Answer 18

causes any cells with HbS to sickle, used for screening for sickle trait

Question 19

tests for PNH

Answer 19

• sucrose test (screen) or acidified serum test