8-19

Question 1

carboprost tromethamine (uterotonic) contraindication

Answer 1

asthma (b/c it is a prostaglandin analog) -> can cause bronchospasm

Question 2

methylergonovine (uterotonic) contraindication

Answer 2

HTN (b/c it is a vasoconstrictor) -> inc risk of stroke

Question 3

risks of short interpregnancy interval

Answer 3

maternal anemia, PPROM, preterm delivery, low birthweight

Question 4

teenage boy w/ onion skinning or moth-eaten femur lesion

Answer 4

ewing sarcoma

Question 5

soap bubble lesion in epiphysis of long bone of young adult

Answer 5

giant cell tumor

Question 6

extensive punched-out lytic bone lesions

Answer 6

multiple myeloma

Question 7

teenage boy w/ small, round lucency on femur XR

Answer 7

osteoid osteoma

Question 8

what causes refeeding syndrome

Answer 8

inc insulin activity -> dec phos, K, mag

Question 9

methemoglobinemia will show a falsely nml ___

Answer 9

PaO2

Question 10

attributable risk percentage

Answer 10

(RR-1)/RR

Question 11

HIV pt CD4<50, watery diarrhea, high fever

Answer 11

MAC

Question 12

kidney injury from acyclovir

Answer 12

pcpt in renal tubules -> intratubular obstruction/toxicity

Question 13

3rd trimester mom w/ elevated LFTs, alk phos, bili, + hypoglycemia

Answer 13

acute fatty liver of pregnancy -> tx w/ immediate delivery

Question 14

skin cancer assoc w/ chronic wound

Answer 14

SCC

Question 15

symmetric descending motor paresis beginning w/ cranial nerves

Answer 15

botulism

Question 16

most common complication of sickle cell trait

Answer 16

painless hematuria

Question 17

lung cancer locations

Answer 17

adeno = peripheral 
SCC = central

Question 18

diffuse dermal scaling

Answer 18

ichthyosis vulgaris (resembles fish scales)

Question 19

neonate w/ diffuse fluctuant scalp swelling extending beyond suture lines

Answer 19

subgaleal hemorrhage

Question 20

painless rapid transient monocular vision loss (curtain descending)

Answer 20

amaurosis fugax - from artherosclerotic emboli - eval w/ carotid duplex

Question 21

child w/ palpable purpura on legs + back, arthralgias, colicky abdominal pain, hematuria

Answer 21

HSP - IgA vasculitis (mesangial deposition of IgA in kidneys)

Question 22

vessel: leads V1-V6

Answer 22

LAD

Question 23

vessel: II, III, aVF

Answer 23

RCA (LCX)

Question 24

lateral MI vessel

Answer 24

LCX