Card/Nephro

Question 1

what is the most common type of cardiomyopathy and what type of hypertrophy does it cause?

Answer 1

dilated
eccentric hypertrophy of the left ventricle

Question 2

what is the timing of postinfectious GN?

Answer 2

1-3 weeks

Question 3

What will biopsy show for Postinfectious GN?

Answer 3

IgG and C3 deposit

Question 4

bag of worms testicles, what am I thinking for diagnosis and which side?

Answer 4

varicocele
left side

Question 5

which inflammatory bowel disease do I think of with Ankylosing?

Answer 5

Crohns

Question 6

what age are children screened for FAP?

Answer 6

10-12

Question 7

how to provide immunization for tetanus with dirty, contaminated wound and unknown shot history?

Answer 7

tdap and tetanus Immunoblobulin

Question 8

hypocalcemia leads to what on ECG?

Answer 8

prolonged QT

Question 9

baby, harsh, holosystolic murmur with thrill, what is diagnosis?

Answer 9

VSD

Question 10

what to use to prevent NSAID induced ulcers?

Answer 10

Misoprostol

Question 11

classic physical exam finding for ASD is?

Answer 11

wide, split fixed s2

Question 12

classic exam finding for PDA?
what to give to close it after birth?

Answer 12

continuous machine line murmur
indomethacin

Question 13

3 lab values to remember for hemochromatosis?

Answer 13

elevated iron, ferritin and decreased TIBC

Question 14

what condition to think of with obturator sign?

Answer 14

appendicitis

Question 15

one main difference in the question stem for subclavian steel and thoracic outlet syndrome?

Answer 15

no response to head tilting with blood pressure discrepancy

Question 16

what nuerological condition is associated with lyme disease to remember?

Answer 16

facial nerve palsy

Question 17

caucasian woman, elevated BP, start an ace, and now bump in Cr over 30%, what am I thinking?

Answer 17

renal artery stenosis

Question 18

what is the most common type of family high cholesterol?

Answer 18

type 2a

Question 19

what are the two conditions to remember that are bilirubin storage problems?

Answer 19

dubin and rotor

Question 20

What is the distingusing factor for Dubin and Rotor?

Answer 20

dubin, black liver
rotor, urine coproprophyrin

Question 21

What are the two bilirubin conditions that have problems conjugating?

Answer 21

Crigler najar
gilberts

Question 22

what is the fluid of choice for DKA?

Answer 22

isotonic

Question 23

what type of injury leads to central cord syndrome?

Answer 23

hyoerextension

Question 24

classical presenting symptoms of central cord syndrome?

Answer 24

weakness greater in UE and cape like distribution of pain and temp sensation

Question 25

what is the most sensititive and specific test for cholecystitis?

Answer 25

HIDA

Question 26

what to remember with shiga toxin in kids?

Answer 26

HUS

Question 27

when to do surgery on hematomas?

Answer 27

thickness greater than 10 mm midline shift greater than 5mm

Question 28

What is the cause of nephrotic syndrome if there are nodular sclerosis in the glomerulus?

Answer 28

Diabetes

Question 29

First line agent for nephrotic syndrome? Second line agent? First line agent to slow progression of diabetic nephropathy?

Answer 29

prednisone cyclophosphamide ace

Question 30

CT finding for renal papillary necrosis? What two risk factors to remember for RPN?

Answer 30

medullary ring shadows NSAIDS and sickle cell

Question 31

How to proceed after a testicular mass is confirmed with ultrasound and serum markers?

Answer 31

radical orchiectomy

Question 32

fena less than 1%, what type of AKI? fena over 2%, what type of AKi?

Answer 32

pre intra

Question 33

If the question points towards nephritic syndrome, which condition to remember?

Answer 33

berger or IgA nephropathy

Question 34

How long after getting an infection does berger who up vs post strep GN

Answer 34

2-3 days berger, 10-14 days post strep

Question 35

most common nephrotic syndrome cause after infection

Answer 35

post strep

Question 36

top 2 causes of epididymitis in males 35 or younger? how to treat?

Answer 36

clahmydia 1 n gon 2 ceftriaxone and doxy

Question 37

where does coarctation of the aorta most commonly occur?

Answer 37

just distal to the left subclavian artery

Question 38

What is standard of care for mobitz type1? What two heart blocks do we do surgical evaL/

Answer 38

asymptomatic Mobitz type 1, observe, but if they are symptomatic Mobitz type 2 and third degree

Question 39

what pain med to think of in ESRD?

Answer 39

methadone

Question 40

what two classes of anti hypertensives for blacks?

Answer 40

calcium channel blocker and thiazides

Question 41

what bug is the most common cause of surgical site infections?

Answer 41

MRSA

Question 42

do varoceles transilluminate?

Answer 42

no

Question 43

What are the three negatives to remember for Shigella

Answer 43

non motile, non h2s, non lactose

Question 44

How to treat shigella that is different from other diarrhea bacteria?

Answer 44

antibiotics cipro, azithro, centriazone

Question 45

what is the classic image finding for coarctation?

Answer 45

rib notching

Question 46

what is the actual cause of the pain when you have a kidney stone?

Answer 46

renal capsular distension

Question 47

what med to give for superficial thrombophlebitis?

Answer 47

ibuprofen

Question 48

what is the imaging choice for renal cell carcinoma?

Answer 48

CT

Question 49

two top causes of peptic ulcer disease?

Answer 49

H Pylori or NSAIDS

Question 50

What is triple and quad therapy for H pylori?

Answer 50

PPI, clarithromycin, Amox or metro PPI, bismuth, tetra and metro