COMBANK Missed Qs

Question 1

What to measure to definitively diagnose DMD?

Answer 1

Serum creatinine kinase

Question 2

What bones form the jugular foramen?

Answer 2

Occiput and temporal bone

Question 3

Gene mutation and result in DMD

Answer 3

mutation in dystrophin gene causing muscle breakdown with normal muscle usage

Question 4

Classic presentation for optic neuritis?

Answer 4

Female in her 20s with acute onset eye pain

Question 5

Management of optic neuritis?

Answer 5

IV methylprednisolone

Question 6

The more sensitive and specific test to accurately diagnose acute cholecystitis?

Answer 6

HIDA scan

Question 7

What titers are to be obtained at a woman’s first prenatal visit?

Answer 7

Rubella

Question 8

Cobb angle that defines scoliosis?

Answer 8

10 degrees

Question 9

Treatment of a Cobb angle between 10 and 20 degrees?

Answer 9

Home exercise, observation, serial XR q 6-12 mos

Question 10

Treatment of Cobb angle between 20 and 45 degrees in skeletally immature patients?

Answer 10

Bracing and serial monitoring

Question 11

Treatment of Cobb angle >45 degrees in skeletally immature patients?

Answer 11

Surgical fusion

Question 12

Cobb angles greater than 60 degrees decrease what?

Answer 12

Pulmonary function capacity

Question 13

Cobb angles greater than 10 degrees are associated with increased risk of death from?

Answer 13

Cor pulmonale or cardiac failure

Question 14

Loss of abduction and adduction in the 4th and 5th digit and hypothenar atrophy?

Answer 14

Ulnar nerve entrapment in Guyon’s canal

Question 15

Loss of abduction, adduction and flexion of the 4th and 5th (DIPs) digits?

Answer 15

Ulnar nerve entrapment at the cubital tunnel

Question 16

Presentation of acute angle-closure glaucoma?

Answer 16

Nausea, vomiting, abdominal pain, eye pain, blurry vision

Question 17

Nausea, vomiting, abdominal pain, eye pain, and blurry vision?

Answer 17

Acute angle-closure glaucoma

Question 18

Pathophysiology of acute angle closure galucoma

Answer 18

Inability of the aqueous humor to drain leading to increased intraocular pressure

Question 19

Treatment of acute angle closure glaucoma

Answer 19

Acetazolamide

Question 20

Ferruginous bodies in asbestos exposure stain with what?

Answer 20

Prussian blue due to iron coating

Question 21

Most common cause of malignant mesothelioma?

Answer 21

Asbestos exposure

Question 22

Most common cancer seen with asbestos exposure?

Answer 22

Bronchogenic carcinoma

Question 23

HVLA for an adducted ulna, abducted wrist and decreased carrying angle?

Answer 23

Slight extension of arm with a medially directed thrust from the lateral elbow

Question 24

Transient monocular loss of vision followed by complete recovery lasting 1-15 minutes

Answer 24

amaurosis fugax

Question 25

Initial screening for carotid stenosis

Answer 25

carotid US

Question 26

Next step in management for subacromial bursitis when conservative management has failed?

Answer 26

Subacromial corticosteroid injection

Question 27

Winter's formula:

Answer 27

[1.5 x bicarb] +8 +/- 2

Question 28

When is Winter's formula used?

Answer 28

To determine if there is proper compensation occuring in a metabolic acidosis

Question 29

Flushing, diarrhea, pruritus?

Answer 29

1st signs of medullary thyroid carcinoma

Question 30

AFP

Answer 30

Nonseminomatous and HCC

Question 31

CEA

Answer 31

Colon Cancer

Question 32

CA 125

Answer 32

Ovarian Cancer

Question 33

Calcitonin

Answer 33

Medullary Thyroid Carcinoma

Question 34

CA 19-9

Answer 34

Pancreatic Cancer

Question 35

Ataxia, weakness, and possible cardiac involvement in a child?

Answer 35

Freiderich's Ataxia

Question 36

Inheritance pattern of Friedreich's Ataxia?

Answer 36

AD, trinucleotide repeat

Question 37

Best initial test to diagnose RAS?

Answer 37

Renal a. US

Question 38

Gold Standard for diagnosing RAS

Answer 38

Renal angiogram

Question 39

Lab findings in Kleinfelter's Syndrome:

Answer 39

Increased LH, Increased FSH, Decreased testosterone, Increased GnRH, Decreased bone mineral density

Question 40

An intentional act on the part of the caregiver to fail to respect a patient’s advanced directive

Answer 40

Battery

Question 41

When the caregiver-patient relationship is terminated without making reasonable arrangement with an appropriate person so they care by others can be continued

Answer 41

Abandonment

Question 42

A failure to maintain the duty that the physician does to the patient, deviating from the standard of care

Answer 42

Breach of duty

Question 43

The level at which a professional having the same training and experience in good standing in a same or similar community with practice under the same or similar circumstances

Answer 43

Standard of care

Question 44

Employers are liable for negligent acts or omissions by their employees in the course of employment

Answer 44

Vicarious liability

Question 45

Personality disorder that makes them vulnerable to manipulation and abuse

Answer 45

Dependent personality disorder

Question 46

2nd Trimester complication of oligohydramnios

Answer 46

pulmonary hypoplasia, contractors (club foot)

Question 47

3rd trimester complication of oligohydramnios

Answer 47

Uteroplacental insufficiency, umbilical cord compression, meconium aspiration

Question 48

4 Characteristics of HSIL:

Answer 48

Increased nucleus to cytoplasm ration (>50%) Thickened, irregular nuclear membranes Irregular chromatin distribution with increased granularity Nuclear/cytoplasmic ratio discrepancy