8/7

Question 1

Immunosuppressed patient with nausea, vomiting, bloody diarrhea, endoscopy showing large shallow ulcers dx?

Answer 1

cmv

Question 2

cervical radiculopathy first line tx

Answer 2

NSAIDs and avoid activity

Question 3

chronic mesenteric ischemia sx

Answer 3

unexplained chronic abdominal pain
weight loss
and food aversion usually celiac or mesenteric

Question 4

what position relieves pain in chronic pancreatitis?

Answer 4

leaning forward

Question 5

tine has what micro

Answer 5

segmented hyphae

Question 6

second jock itch next step

Answer 6

check toes, probably infection from that

Question 7

does Steven Johnson and TEN cause mucosal involvement

Answer 7

yeas

Question 8

meds that cause Steven Johnsons

Answer 8

allopurinol abx, anticonvulsants, NSAIDS(piroxicam), sulfasalazine

Question 9

conditions that cause Steven Johnsons

Answer 9

mycoplasm pna
vaccination
graft vs host

Question 10

what shape is erythema multiform

Answer 10

target, has mucosal lesions also

Question 11

molluschi contagious everywhere what is the tx

Answer 11

cellular immunodeficiency probably HIV

Question 12

erythematotelangiectaticrosacea tx -flushing, erythema, and pustules

Answer 12

topical brimonidine, lasers

Question 13

papulopustular rosacea tx

Answer 13

1st: metro
2nd: oral tetra cyclones

Question 14

phymatous rosacea tx

Answer 14

oral isotretinoin

lasers

Question 15

isolated hyper pigmented lesion of papule with central dimple, lasts months, healthy person

Answer 15

dermatofibroma

Question 16

most common causes of CN3 palsy

Answer 16

compression(aneurysm, tumor) or microvascular ischemia

Question 17

tx myasthenia crisis

Answer 17

plasmapheresis or IVIG and steroids.

Intubate if in respiratory distress

Question 18

cerebellar dysfunction signs

Answer 18

progressive gait dysfunction
truncal ataxia
nystagmus
intention tremor
dysdiadochokinesia

Question 19

where is lesion that causes hemi-neglect

Answer 19

right parietal lobe or whatever is non dominant

Question 20

bilateral symmetric hyper intensity on MRI

Answer 20

hypoxic brain injury

Question 21

symptoms of Wallenberg syndrome (lateral medullary)

Answer 21

vertigo, diplopia, nystagmus, loss of pain and temp in psi face and contra limbs, dysphagia, hoarseness, psi hornets syndrome, hiccups, lack of automatic respiration.

Question 22

medial mid pontine infarction signs

Answer 22

contralateral ataxia and hemiparesis

Question 23

medial medullary syndrome signs

Answer 23

alternating hypoglossal hemiplegia, contra lateral paralysis of the arm and leg and tongue deviation toward lesion

Question 24

prenatal lab tests first visit

Answer 24

RH
H and H with mcv
HIV
VDLR or RPR
HBsAg
rubella and varicella
Pap test if needed
chlamydia PCR
Urine culture
urine protein

Question 25

prenatal labs 24-28 weeks

Answer 25

H and H RH antibody if Rh neg 1 hr glucose

Question 26

prenatal lab 35-37 weeks

Answer 26

group b strep

Question 27

tx for hyperandrogegism of pregnancy with ovarian masses on US

Answer 27

leave it alone, resolves after pregnancy

Question 28

describe round ligament pain

Answer 28

sharp pain that radiates to vagina usually from gravid uterus

Question 29

Hemorrhagic pustules with surrounding erythema that involve necrotic ulcers probs got neutrophilspenia and bacteremia.

Answer 29

ecthyma gangranosum from pseudomonas, systemic infection not systemic autoimmune thing like pyoderma gangrenoum

Question 30

Lemierre syndrome organism and who it affects

Answer 30

Fusobacterium necrophrum, young immuno COMPETENT people

Question 31

Lemierre presentation

Answer 31

weeklong sore throat and high fever, rigors, dysphagia and neck pain + swelling through sternociedomasto will have nodules on x-ray and causes jugular thrombosus.

Question 32

besides ulcers what can gastrinoma(ZE) cause in the tummy

Answer 32

thickened folds

Question 33

best test for c spine injury in the ER

Answer 33

CT

Question 34

Nexus criteria for CT c spine

Answer 34

``` neuro deficit spinal tenderness AMS Intoxication Distracting injury ```

Question 35

what nerve is responsible for knee extension and hip flexion

Answer 35

femoral

Question 36

what nerve provides sensory information to anterior thigh and medial leg

Answer 36

femoral

Question 37

what nerve enervates medial compartment of thigh

Answer 37

obturator

Question 38

high TSH and T3/T4 + sx

Answer 38

TSH secreting pituitary tumor

Question 39

micro characteristics of diabetic nephropathy

Answer 39

glomerular hyperinfiltration, basemetn membrane thickening, mesangial nodules.

Question 40

why do CF/ chronic pancreatitis patient's get hypoglycemia easy

Answer 40

kills alpha and beta cells so no glucagon to prevent hypoglycemia

Question 41

how to tell apart liver vs cardiac cause of le edema

Answer 41

hepatojugular reflex, if pos then it's the ❤️

Question 42

quickest way to lower symptomatic hyper K

Answer 42

insulin and glucose

Question 43

VWD MOA

Answer 43

impaired platelet - endotheliallial binding

Question 44

what test to do if patient is on hydroxychloroquine chronically

Answer 44

eye exams