7-17

Question 1

predominantly nocturnal chronic cough

Answer 1

asthma

Question 2

initial workup for asthma

Answer 2

PFTs

Question 3

cough for 1-3 wks following URI w/o systemic findings, wheezing/rhonchi

Answer 3

symptomatic treatment

Question 4

most common causes of digital clubbing

Answer 4

lung malignancy, CF, R->L cardiac shunts

Question 5

tx for viridans strep endocarditis

Answer 5

IV pen G or IV ceftriaxone

Question 6

differentiate leukemoid rxn from CML

Answer 6

CML has low leukocyte alkaline phosphatase (LAP)

Question 7

initial workup for possible septic arthritis

Answer 7

synovial fluid analysis

Question 8

metoclopramide MOA

Answer 8

dopamine antag (anti-emetic)

Question 9

acute dystonia

Answer 9

muscle spasms in head + neck - caused by dopamine antagonists

Question 10

diarrhea assoc w/ CD4 <50

Answer 10

MAC (high fever)

CMV (freq sml vol, abd pain, hematochezia)

Question 11

bloody diarrhea in HIV pt

Answer 11

CMV

Question 12

early finding: distortion of straight lines to appear wavy

Answer 12

macular degeneration

Question 13

dark urine following course of dapsone

Answer 13

G6PD def

Question 14

treatment of bell’s palsy

Answer 14

glucocorticoids

Question 15

how to dx budd-chiari

Answer 15

abd doppler US

Question 16

what neoplasm is assoc w/ budd-chiari?

Answer 16

polycythemia vera

Question 17

acute back pain w/ localized tenderness in elderly pt

Answer 17

vertebral compression fracture

Question 18

when to treat PPD in person w/o risk factors

Answer 18

> 15mm induration

Question 19

Eikenella is found where?

Answer 19

human oral flora

Question 20

HIV pt w/ nonenhancing hypodense white matter lesions + no surrounding edema

Answer 20

progressive multifocal leukoencephalopathy

Question 21

next step in COPD exacerbation following failure of medical tx

Answer 21

noninvasive positive-pressure ventilation (intubate if fails)

Question 22

chronic ant knee pain w/ stairs/squatting + atrophy of quads

Answer 22

patellofemoral pain syndrome

Question 23

severe complication of pseudotumor cerebri

Answer 23

blindness

Question 24

drug commonly assoc w/ pulm tox

Answer 24

amiodarone

Question 25

HIV pt w/ severe watery diarrhea + low grade fever

Answer 25

crypto

Question 26

how does pneumonia cause hypoxemia?

Answer 26

R->L shunting (V/Q mismatch)

Question 27

electrolyte abnormalities assoc w/ primary adrenal insufficiency

Answer 27

**hyponatremia, hyperkalemia

Question 28

hyperpigmentation, fatigue, GI symptoms, postural hTN

Answer 28

primary adrenal insufficiency

Question 29

severe headache, bilateral periorbital edema, CN eye deficits following skin infection

Answer 29

infectious cavernous sinus thrombosis