June 30

Question 1

When should you suspect DM 1 instead of DM 2?

Answer 1

Suspect DM 1 if the patient is

<30

not obese

Question 2

What are the signs of dry beriberi?

Answer 2

distal, symmetrical, peripheral neuropathy

muscle atrophy

decreased proprioception/vibration

decreased DTR

orthopnea

*dry beriberi is caused by a thiamine deficiency. Look for clues in the stem about alcoholism, recent gastric bypass, TPN nutrition

Question 3

Why is cervical HVLA contraindicated in patients with

RA or Down Syndrome?

Answer 3

Cervical HVLA is contraindicated because there is weakness in the alar and transverse ligaments of the cervical spine

Question 4

C-ANCA is an antibody against what?

Answer 4

C-ANCA is an antibody against proteinase 3

this is highly specific for granulomatosis with polyangiitis (Wegners granulomatosis)