Random Questions

Question 1

Blood work for aplastic anemia:

Answer 1

Pancytopenia:

Low platelets, low rbc, low wbc

Question 2

What are the types of cells in Hodgkin’s lymphoma?

Answer 2

Reed- Steinberg cells

Enlarged lymph nodes

Question 3

Scabies rash?

Answer 3

Small red pruritic dots between fingers and toes

Question 4

Petechiae:
Ecchymosis:
Purpura:
Annular rash:
Diffuse rash:

Answer 4

Petechiae:small macular lesions 1-3mm

Ecchymosis: purple to brown bruise, macular or papular, varied size

Purpura:purple macular lesions larger than 1 cm

Annular rash: ring shaped

Diffuse rash: widely distributed scattered lesions

Question 5

Bulla:
Macule:
Nodule:
Papule:
Plaque:
Pustule:
Vesicle:

Answer 5

Bulla: a circumscribed, elevated fluid-filled lesion greater than 1 cm in size.
Macule: a circumscribed, flat lesion with color change up to 1 cm in size that is not palpable.
Nodule: a circumscribed, elevated solid lesion with depth up to 2 cm e.g. cyst.
Papule: a circumscribed, elevated solid lesion up to 1 cm in size, elevation may be accentuated with oblique lighting, e.g. Mila, acne, verrucae.
Plaque: a circumscribed, elevated, plateaulike, solid lesion greater than 1 cm in size (e.g. psoriasis).
Pustule: a circumscribed, elevated lesion filled with purulent fluid, less than 1 cm in size e.g. acne.
Vesicle: a circumscribed, elevated, fluid-filled lesion up to 1 cm in size (e.g. herpes simplex).

Question 6

What to watch for with Vancomycin?

And how to manage symptoms

Answer 6

Redman syndrome- flushing, pruritus, myalgia, dyspnea, hypotension.

Management: stop infusion, give diphenhydramine, can restart infusion once symptoms resolve.

Question 7

What to watch for with Amphotericin B infusion?

What is it used for?

Answer 7

It is an antifungal.

Shaking and chills, which could be signs of anaphylactic shock
Hypotension, headache, dyspnea

“Shake and bake”
Renal toxicity
Neurotoxicity: seizures and paresthesia

Low K and mg

Question 8

What food to avoid with gout?

Answer 8

Foods high in purines:

Organ meats, seafood, alcohol

Question 9

First line of defense against bacteria?

Answer 9

Neutrophils

They also are against fungi

Question 10

First line of defense against parasites ?

Answer 10

Eosinophil

Are also against allergic inflammation response

Question 11

Incubation for Lyme disease?

Treatment of Lyme?

Answer 11

Incubation 3-32 days

Tx: 10-20 days of tetracycline

Question 12

What is Kernig’s sign?

Answer 12

positive when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful (leading to resistance).

This may indicate subarachnoid hemorrhage or meningitis.

Question 13

Epiglottitis is caused by what?

Answer 13

H. influenza B

Question 14

If a rash is present with strep throat, what is it called?

Answer 14

Scarlett Fever

Question 15

Septic shock treatment?

Answer 15

ICU admission
IV fluids
Vasopressors
Oxygen

Question 16

Mono is caused by what?

Answer 16

Epstein-Barr virus

Question 17

Obtain stool sample for all helminthic diseases EXCEPT:

Answer 17

Pinworm

Question 18

Ribavirin is used for what?

What kind of contraindications

Answer 18

Antiviral med for RSV.

Odorless, white powder used in aerosolized mist tent / hood.
Use PPE.
Wear respirator!
Throw in chemo waste.

Pregnant women should not be near while child getting med.

Question 19

Rifampin side effects

Answer 19

Orange urine, sweat or tears (harmless)

Hepatotoxicity

antibiotic used to treat or prevent tuberculosis. Rifampin may also be used to reduce certain bacteria in your nose and throat that could cause meningitis or other infections.

Question 20

2 positive signs of meningitis

Answer 20

Kernig’s sign (when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful (leading to resistance). This may indicate subarachnoid hemorrhage or meningitis.

Brudzinski’s sign :Severe neck stiffness causes a patient’s hips and knees to flex when the neck is flexed.

Question 21

Test for HIV

Answer 21

Western blot
Elisa
Must get 2 positives of each for confirmation

Question 22

WBC that increases with healing

Answer 22

Basophils

Question 23

Syphilis sign in stage one

Answer 23

Painless chancre

Question 24

What is CREST syndrome

Answer 24

CREST syndrome, also known as the limited cutaneous form of systemic sclerosis (lcSSc), is a multisystem connective tissue disorder. The acronym “CREST” refers to the five main features:

Calcinosis: (formation of calcium deposits in any soft tissue)
Raynaud’s phenomenon:
Esophageal dysmotility
Sclerodactyly: (thickening and tightening of fingers and toes)
Telangiectasia: (spider veins)