8-16

Question 1

CJD CSF

Answer 1

14-3-3 protein titers, sharp wave complexes on EEG

Question 2

BCL-2 overexpression

Answer 2

follicular lymphoma - indolent, seen in elderly

Question 3

sinusoidal fetal heart tracings

Answer 3

severe fetal anemia

Question 4

calcified suprasellar mass in child

Answer 4

craniopharyngioma

Question 5

shortened + internally rotated leg @ hip

Answer 5

posterior dislocation - assoc w/ sciatic nerve injury (impaired dorsiflexion)

Question 6

PAN vs FMD

Answer 6

FMD: Females, string of pearls, renal mostly
PAN: vasculitis preceded by months of constitutional sxs, mesenteric mostly

Question 7

how does SLE cause pancytopenia

Answer 7

peripheral, immune-mediated destruction

Question 8

when to give mom anti-D immune globulin

Answer 8

28-32 weeks

Question 9

sudden onset of flashes + floaters -> curtain coming down over eyes

Answer 9

retinal detachment

Question 10

hypocalcemia + hyperphos w/ nml renal fxn

Answer 10

hypoPTH

Question 11

bartholin vs skene gland location

Answer 11

bartholin = 4/8 oclock
skene = paraurethral

Question 12

baby w/ diffuse intracranial calcifications

Answer 12

congenital toxo

Question 13

insulin changes for pts w/ DM1 starting exercise program

Answer 13

dec premeal bolus, dec basal if prolonged exercise, inc carb intake prior to exercise

Question 14

tx for septic arthritis

Answer 14

joint drainage + abx

Question 15

kidney mass in 2-5yo

Answer 15

wilms tumor (nephroblastoma)

Question 16

colitis + smear w/ atypical lymphocytes after organ transplant

Answer 16

CMV colitis

Question 17

elderly pt w/ osteolytic lesions, multiple strep infections

Answer 17

multiple myeloma

Question 18

graves vs silent thyroiditis

Answer 18

graves has nml/inc RAIU vs painless (postpartum) has dec RAIU

Question 19

immediate tx for panic attack

Answer 19

benzo

Question 20

4mo w/ doll-like face, hypoglycemia, lactic acidosis, hyperuricemia, hepatomegaly

Answer 20

G6P def (impaired glycogen -> glu)

Question 21

infant w/ stridor that improves w/ prone position

Answer 21

laryngomalacia

Question 22

eczematous rash on nipple/areola

Answer 22

mammary paget dz - assoc w/ adenocarcinoma

Question 23

child w/ abdominal mass + raccoon eyes

Answer 23

neuroblastoma

Question 24

chlamydia + gonorrhea tx

Answer 24

G: azithro + CTX
C: just azithro

Question 25

how does pituitary apoplexy cause hTN

Answer 25

adrenal crisis (no ACTH -> no cortisol)

Question 26

deficiency: impaired taste, alopecia, pustular skin rash, immune dysfunction

Answer 26

zinc

Question 27

hyperpigmented nodule <1cm that dimples in center when pinched

Answer 27

dermatofibroma

Question 28

active phase of labor arrest

Answer 28

no change in 4 hrs despite adequate contractions (>200 MV units avg over 10min)

Question 29

progressive dyspnea, obstructive PFTs, yrs after lung transplant

Answer 29

bronchiolitis obliterans

Question 30

polyps vs fibroids

Answer 30

polyps = intermenstrual spotting w/o uterine enlargement
fibroids = globular mass w/ prolonged menstrual bleeding, dysmenorrhea, miscarriage

Question 31

acid-base in aspirin tox

Answer 31

resp alkalosis -> met acidosis (w/ nml pH): see low pCO2 and HCO3

Question 32

endoscopy w/ thickened gastric folds, multiple peptic ulcers in duodenum + jejunum

Answer 32

gastrinoma

Question 33

indication for statin tx (primary prevention)

Answer 33

LDL >190
age >40 w/ DM
10yr risk >7.5%

Question 34

life-threatening complication of clozapine

Answer 34

agranulocytosis

Question 35

kidney mass in <2yo

Answer 35

neuroblastoma (adrenal gland neural crest tumor)