General Medicine

Question 1

What are the important value ranges for a DEXA scan?

Answer 1

<2.5 osteoporosis

-2.5 - 1 osteopenia

Question 2

What are 2 serious side effects of bisphosphonates?

Answer 2

Osteonecrosis of the jaw

Acid reflux/pill esophagitis

Question 3

Young female presents with inability to keep legs still at night and needs to walk around room. What test would you order next? Treatment?

Answer 3

Order ferritin to r/o IDA, may need colonoscopy

Tx: ropinerole

Question 4

Name live vaccines which we would not give to immunocompromised or pregnant patients

Answer 4

MMR
Varicella/Zoster **
Smallpox
Typhoid
BCG
Yellow fever
Intranasal influenza

Question 5

Common vitamin deficencies in alcoholics?

Answer 5

Thiamine, folate, VitC, VitD, Zinc, copper

Question 6

Vit deficiency: night blindness

Answer 6

Vitamin A

Question 7

Vit deficiency: wet beriberi, dry beriberi

Answer 7

VitB1 thiamine

Question 8

What is wet beriberi

Answer 8

high output HF, ascites, peripheral edema, neuropathy

Question 9

What is dry beriberi (2 diseases)?

Answer 9

Wernicke encephalopathy: nystagmus, opthalmoplegia, ataxia, mental deterioration
Korsakoff syndrome - confabulation, poor recent memory/learning

Question 10

Vit deficiency: glossitis, cheilosis, vomiting, seizures and neuropathy
Can be caused by INH, cycloserine, penicillamine

Answer 10

VitB6 pyridoxine

Question 11

Vit deficiency: macrocytic anemia, neuropathy, dementia, seen in vegans

Answer 11

VitB12 cobalamin

Question 12

Vit deficiency: pellagra (diarrhea, mucosal dermatitis, dementia), seen in carcinoid syndrome, and INH therapy

Answer 12

Niacin B3

Question 13

Vit deficiency: petechial hemorrhage in hair follicles and ecchymosis

Answer 13

VitC

Question 14

Vit deficiency: rickets, osteomalacia,

Answer 14

VitD

Question 15

What group of T2DM meds are contraindicated in heeart failure?

Answer 15

TZDs

rosiglitazone, pioglitazone

Question 16

What is a known side effect of venlafaxine?

Answer 16

elevated BP

Question 17

How do you set up a 2x2 stats table?

Answer 17

Along top: disease
Along left: test result
Sens: TP / (TP + FN)
Spec: TN / (FP + TN)
PPV: TP / (TP + FN)
NPV: TN / (TN + FN)

Question 18

What diet restriction is indicated for Parkinsons?

Answer 18

Protein restricted

Question 19

What diet helps prevent seizures?

Answer 19

ketogenic diet

Question 20

What test should you order in Downs syndrome patient going for surgery/

Answer 20

Cervical XR to r/o AA subluxation

Question 21

A patient that had reaction to poison ivy had what type of hypersensitivity?

Answer 21

Cell mediated Type 4

Question 22

A woman is having breast pain, treatment?

Answer 22

Mastalgia is treated with danazol

Question 23

In patient with resistant HTN, what testing should be ordered?

Answer 23

PSG to r/o OSA

Question 24

A patient with acromegaly is predisposed to ____?

Answer 24

colon cancer