9/24

Question 1

tumor with bHCG and AFP

Answer 1

nonseminoma germ cell

Question 2

thyroid mass, FH of thyroid cancer, high calcitonin

Answer 2

MEN2 - check for pheochromocytoma

Question 3

labs in chrons

Answer 3

relative thrombocytosis, elevated ESR, anemia, leukocytosis

Question 4

acid base status in furosemide use

Answer 4

alkalosis

• more sodium to DCT, more H+ and K+ secretion
• volume contraction leads to aldo release and more loss of H+

Question 5

side effect of norepi use to raise BPs

Answer 5

vasoconstriction leading to ischemia in distal extremities

Question 6

eggshell calcifications in hepatic cyst

Answer 6

hydatid cyst (simple have no calcifications)

Question 7

epigastric burning after heaving lifting, not relieved by antacids

Answer 7

atypical angina

Question 8

how thyroid hormone effects heart

Answer 8

increases contractility and increase in sensitivity to catecholamines

Question 9

preferred treatment of hypertension in APCKD

Answer 9

ACEi

Question 10

condylomata acuminata

Answer 10

HPV

Question 11

polymyalgia rheumatica

Answer 11

stiffness > pain in shoulders, hip and neck

• high ESR/CRP
• associated with giant cell

Question 12

CJD on EEG

Answer 12

sharp, triphasic, synchronous discharges

Question 13

lab values in tumor lysis syndrome

Answer 13

• hyperuricemia - nucleic acids released
• hyperkalemia and hyperphosphatemia - intracellular ions released
• hypocalcemia - phosphate binds and precipitates calcium

Question 14

glomerulus disease with HIV

Answer 14

FSGS

Question 15

expansile, eccentric lytic bone lesion

Answer 15

giant cell tumor

Question 16

only drugs used in HIV prophylaxis

Answer 16

bactrim and azythrio (itraconazole for histo)

Question 17

pentad of TTP

Answer 17

• thrombocytopenia
• microangiopathic hemolytic anemia
• renal insufficiency
• neurologic changes
• fever

Question 18

peripheral cavitary lung lesions in drug user

Answer 18

septic emboli for staph aureus

Question 19

chlorpheiramine

Answer 19

H1 blocker, treating allergies

Question 20

thyroid hormone and bones

Answer 20

increase osteoclast leading to bone resorpition

Question 21

thyroid nodules leading to cancer

Answer 21

cold, not hot

Question 22

live vaccines in HIV

Answer 22

ok, in those above 200 cells

Question 23

alternate treatment for syphilis if penicillin allergic

Answer 23

doxy for 2 weeks