Mix10

Question 1

Vitiligo is also commonly associated with what disease?

Answer 1

Autoimmune thyroid disease (Hashimoto’s). Can also be assoc with other autoimmune disease like pernicious anemia, type I DM, hypoparathyroid, and primary adrenal insufficiency

Question 2

First line pharm management of eosinophilic esophagitis?

Answer 2

Oral aerosolized steroids (fluticasone)

Question 3

What drug class is chlordiazepoxide?

Answer 3

Benzo

Question 4

First line treatment options for alcohol use disorder (after psychosocial intervention):

Answer 4

naltrexone (mu opioid R antagonist) and Acamprosate (glutamate modulator). Naltrexone can be started in Pt who are still drinking, but is contraindicated in Pt taking opioids because it could precipitate withdrawal.

Question 5

Rx for Lyme disease in children:

Answer 5

PO amoxicillin or cefuroxime for kids < 8yo. No doxy for kids.

Question 6

Which should be done first, LP or CT in case of hydrocephalus in a child?

Answer 6

CT.

Question 7

What techniques can reduce radial head subluxation?

Answer 7

hyperpronate the forearm while applying pressure on the radial head. Can also do forearm supination with elbow flexion.

Question 8

Wernicke’s encephalopathy. Give thiamine or glucose first?

Answer 8

thiamine before glucose

Question 9

Eczema, microthrombocytopenia, and recurrent infections in a child:

Answer 9

Wiskott Aldrich. XLR defect in WAS protein. Impaired cytoskeletal change in leukocytes

Question 10

How to calculate alveolar O2 (formula):

Answer 10

PAO2 = 150 - (PaCO2/.8)

Question 11

Rx for invasive aspergilloma:

Answer 11

voriconazole +/- caspofungin

Question 12

Rx for group a strep infection in kids:

Answer 12

amoxicillin or penicillin (can give macrolide i.e. azithromycin for pen allergic).

** Remember need to do rapid strep test in kids. CENTOR criteria is unreliable in kids compared to adults.

Question 13

Rx for vasospastic angina:

Answer 13

diltiazem (CCB for preventive therapy) and sublingual nitro for abortive therapy