ExamMaster

Question 1

exacerbating factors atopic derm

Answer 1

changes in temp/humidity
exercise
stress

Question 2

definitive dx for S. typhi

Answer 2

blood cx

Question 3

what test to order to differentiate ZE from other causes of hypergastronemia

Answer 3

stimulatory test w/ secretin

Question 4

adjunct to levodopa to reduce levodopa-induced dyskinesia in Parkinsons pts

Answer 4

Amantidine

Question 5

CN6

Answer 5

abducens

paralysis of nerve = esotropia

Question 6

contrast image for PE shows

Answer 6

partial enhancement of arteries - look for lack of vasculature

Question 7

glaucoma med reduces aqueous humor secretion

Answer 7

betablockers (timolol)

diuretics (acetazolamid - carbondic anhydrase inhibitor)

Question 8

glaucoma rx enhances aqueous humor drainage via canal of Schlemm

Answer 8

cholinomimetics - pilocarpine, physostigmine

Question 9

tx of choice for open-angle glaucoma

Answer 9

cholinomimetics (pilocarpine, physostigmine); enhance drainage

Question 10

glaucoma tx that increases outflow through trabecular meshwork at the anterior chamber angle

Answer 10

Alpha agonists - brimonidine

Question 11

How does tenofivir work

Answer 11

blocks the viral enzyme in reverse transcriptase (NRTI)

Question 12

Hyperchlorhydra + epigastric pain + red flags = dx? complication

Answer 12

ZE

complication of intestinal ulcers b/c continuous acid

Question 13

venous hum over epigastric/umbilical area

Answer 13

hepatic cirrhosis

Question 14

CN3

Answer 14

superior rectus
inferior rectus
medial rectus = unopposed ABDuction eye
inferior oblique
levator palpebrae = ptosis if damaged
pupilloconstrictor

Question 15

mood stabilizer preferred over Li b/c no weight gain

Answer 15

Depakote (divalproex)

Question 16

“coin lesion” on CXR

Answer 16

pulmonary hamartoma (benign) - no cells on FNA

Question 17

Is regular, long term exercise recommended for CF?

Answer 17

yes

Question 18

utureus large for gest length + high hCG + NO fetal parts/heart sounds

Answer 18

choriocarcinoma

neoplams that is most sensitive to chemo

Question 19

if female pt is on what type of med she should be on OCP

Answer 19

valproic acid and other anticonvulsants

Question 20

failure to respont to bactrim
high fever + chills + pleuretic CP + cough
CXR = peribroncial thickening and infiltrates

Answer 20

Mycoplasma PNA

rx: azithromycin

Question 21

B blocker for HTN ok in COPD

Answer 21

selective beta 1 antagonists:
metoprolol
atenolol

Question 22

MCC erythema multiform - recurrent swollen painful lips + targetoid rash

Answer 22

HSV

Question 23

fx of olecranon causes?

Answer 23

injury to ulnar nerve = no sensation to pinkie palmar surface

Question 24

ANA or RF+

CXR = peripheral reticular opacities at lung bases, honeycombing, lower lobe volume loss

Answer 24

idiopathic pulm fibrosis

Question 25

bronch lavage for idiopathic pulm fibrosis

Answer 25

neutrophilia + eosinophilia

Question 26

mypathic gait

Answer 26

weakness 1 side | Trandelenburg +

Question 27

cerebellar ataxia gait

Answer 27

staggering, unsteady, wide-based | Romberg sign+

Question 28

Sensory ataxia gait

Answer 28

feet thrown forward-out-down = 2-slap sound | polyneuropathy or posterior column damage

Question 29

steppage gait

Answer 29

foot drop or lifts knee high up to slap foot against ground | lower neuron disease

Question 30

tx invasive aspergillosis

Answer 30

voriconazole

Question 31

when is backup contraception mandatory for missed OCP

Answer 31

more than 2 missed pills; take 2 pills per day until caught up

Question 32

SE ethambutol

Answer 32

retrobulbar neuritis (posterior optic nerve) = red/green color blindness

Question 33

gram- cocci pairs COPD cough + CP + fever infiltrates on lower lobe

Answer 33

M Cat lobar pneumonia COPD | Augmentin

Question 34

joint pain worse w/ mvmt | fever + swelling + warmth

Answer 34

septic arthritis

Question 35

1st degree AV block assoc w/

Answer 35

blowing diastolic murmur (but no mitral regurg), probably just stiff mitral valve

Question 36

delayed carotid upstroke assoc w/

Answer 36

aortic stenosis

Question 37

hemorrhagic gastritis MCC upper GI bleed in pts taking what?

Answer 37

NSAIDS (stop prostaglandin synthesis)

Question 38

familial adenomatosis polyposis syndrome

Answer 38

APC mutation

Question 39

MEN2: medullary thryoid, PTH adenomas, pheo

Answer 39

RET gene mutation

Question 40

when to recheck scoliosis XR for growing kid

Answer 40

Q3mon (1yr too long)

Question 41

epiglottitis: best way to confirm and initially manage pt

Answer 41

endotrach tube

Question 42

MCC common cold

Answer 42

rhinovirus - HA, runny nose, sore throat, nasal congestion

Question 43

apthous ulcers/stomatitis

Answer 43

chlorhexidine mouth wash to relieve pain and aid healing

Question 44

antimicrobial that cab be used in pt that can't tolerate cholestyramine for PBC tx

Answer 44

Rifampin

Question 45

Can cause theophyline toxicity (via cytochrome 450 inhibition)

Answer 45

cimetidine

Question 46

what should pt's w/ anal fissures avoid to help healing

Answer 46

spicy foods

Question 47

postpartum psychosis

Answer 47

sx interfere w/ mom's ability to func and care for child

Question 48

laryngitis for 2+ weeks in heavy smoker

Answer 48

thinck squamous cell carcinoma larynx | refer to otolaryngologist

Question 49

cardiogenic shock

Answer 49

decreased tissue perfusion = cyanosis, AMS HoTN from low CO cutis marmorata from vasoconstriction

Question 50

neurogenic shock

Answer 50

vasodilation BRADYcardia diaphoresis parasympathetic dominance

Question 51

septic shock

Answer 51

SIRS + evidence infxt, end organ dysfunction, refractory HoTN

Question 52

tx for wide spread impetigo - vesicles/bullae

Answer 52

dicloxacillin

Question 53

ARDS

Answer 53

ratio of PaO2/FIO2 < 200 + bilateral interstitial infiltrates

Question 54

tx ARDS

Answer 54

PEEP to improve oxygenation by opening alveoli

Question 55

``` hx pressure change ringing in ear dizziness HA buldging TM ```

Answer 55

barotrauma