9/13

Question 1

acute unilateral painless vision loss

Answer 1

central vein occlusion

Question 2

central vein occlusion signs

Answer 2

• cotton wool spots
• disc swellings
• scattered and diffuse hemorrhages

Question 3

amaurosis fugax

Answer 3

amboli from carotid causing temporary vision loss

Question 4

external hordeolum

Answer 4

stye, treat with warm compress

Question 5

rapid onset hirsutism with virilization

Answer 5

androgen secreting tumor

Question 6

meningitis treatment

Answer 6

vanc, ceftriaxone, steroids, amp in immunocomprimised

Question 7

6 Ps of acute limb ischemia

Answer 7

pain, poikiolothermia (cool leg), parethesias, pulselessness, pallor, paralysis

Question 8

common cause of primary adrenal insufficiency

Answer 8

TB in endemic areas

Question 9

findings in primary adrenal insufficiency

Answer 9

hypoglycemia, hyperkalemia, eosinophila

Question 10

light criteria for pneumonia

Answer 10

• pleural fluid protein/serum protein > 0.5
• pleural fluid LDH/serum >0.6
• pleural LDH > 2/3 ULN

Question 11

test for primary raynauds vs secondary

Answer 11

ANA

Question 12

raynaud treatment

Answer 12

CCBs

Question 13

benign features of renal cyst

Answer 13

thin, smooth, unilocular, no septae, homogenous, asymptomatic, no treatment

Question 14

medication causing cyanide toxicity

Answer 14

sodium nitroprusside

Question 15

constellation of hypercalcemia symptoms

Answer 15

stones, bones, abdominal moans, psych overtones

Question 16

risk in cyclophosphamide

Answer 16

hemorrhagic cysitis, bladder cancer, infertility and myelosuppression

Question 17

interstitial cystitis

Answer 17

painful bladder, worse with filling, better with voiding, worse with exercise and sex

Question 18

cerebellar degeneration due to…

Answer 18

alcohol use

Question 19

single subcapsular cyst in right hepatic lobe

Answer 19

entamoeba histolytica

Question 20

benefits of sodium hydroxide in TCA

Answer 20

• sodium - stops binding of TCAs to sodium receptors

- base - decreases avidity of drug to sodium channels

Question 21

aspirin and asthma

Answer 21

can make it worse

Question 22

oldest age for HPV

Answer 22

26

Question 23

most common cause of muscle weakness in young otherwise healthy female

Answer 23

thyroid

Question 24

NSAIDS and heart failure

Answer 24

don’t use, can lead to exacerbation

Question 25

temp in septic shock

Answer 25

hypo or hyperthermia

Question 26

med used for decresased risk of gastric varicel bleeding

Answer 26

propronalol