III

Question 1

signs diabetes inspidus

Answer 1

polyuria, polydipsia, hypernatremia, low urine osmolality and high serum osmolality

Question 2

acute pancreatitis essential imaging

Answer 2

US for gallstones because commonly cause acute pancreatitis

Question 3

electrolyte imbalance with succinylcholine

Answer 3

cause increased potassium leading to arrhythmias

Question 4

what causes metabolic acidosis after a grand mal sezure

Answer 4

lactic acidosis that will resolve

Question 5

What do you give someone post MI to prevent ventricular remodeling

Answer 5

ACEI

Question 6

what type of cancers can give multiple mets to brain

Answer 6

lung cancer and malignant melanoma

Question 7

which cancers give solitary brain mets

Answer 7

breast
colon
renal cell

Question 8

signs of diabetic retinopathy

Answer 8

microaneurysms, hemorrhage, exudates, retinal edema
cotton wool spots
newly formed vessels

Question 9

Tx for diabetic retinopathy

Answer 9

argon laser photocoagulation

Question 10

porphyria cutanea tarda

Answer 10

fragile skin, photosensitivity, vesicles and erosions on dorsum of hands

Question 11

what hepattis is correlated with porphyria cutanea tarda

Answer 11

hep C

Question 12

presentation of mixed cryoglobulinemia

Answer 12

palpable purpura, arthralgias, renal complications like membranoproliferative glomerulonephritis

Question 13

erythema nodosum

Answer 13

streptococcal or TB
sarcoid
or idiopathic

Question 14

polyarteritis nodosa

Answer 14

Hep B

necrotizing vasculitis in small and medium vessels

Question 15

primary effect of nitroglycerin in angina is

Answer 15

dilation of capcitance (veins)

decreasing preload

Question 16

what causes heart failure in systemic sclerosis

Answer 16

pulmonary arterial HTN

Question 17

antimitochondrial Ab

Answer 17

Primary biliary cirrhosis

Question 18

ANCA

Answer 18

wegeners

Question 19

anti smooth muscle Ab

Answer 19

autoimmune hepatitis

Question 20

sore throat, muffled voice with a deviated uvula

Answer 20

peritonsillar abscess

Question 21

progressive scotoma

Answer 21

macular degeneration

Question 22

vaccines for post spleectomy

Answer 22

meningococcal, PCV13, Hib in 2 weeks post surgery

Question 23

bite cells and heinze bodies

Answer 23

G6PD deficiency

Question 24

started thiazide for HTN and get hypokalemia shortly after

Answer 24

hyperaldosteronism
will also have hypernatremia
check early morning aldosterone and plasma renin activity

Question 25

ehrlichiosis

Answer 25

flu like neurologic (confusion) rash uncommon leukocytopenia and thrombytopenia

Question 26

Tx erlichiosis

Answer 26

doxy

Question 27

cafe au lait, axillary freckling and has decreased visual acuity, what is the syndrome and what is causing visual acuity decrease

Answer 27

Neurofibromatosis I | optic glioma

Question 28

Bakers cyst is what

Answer 28

inflammed synovium in popliteal fossa

Question 29

most common site of hypertensice hemorrhage

Answer 29

putamen | internal capsule right next door

Question 30

clinical presentation interstitial cystitis

Answer 30

bladder pain with filling, relief with voiding increased urgency and frequency dyspareunia

Question 31

common tumors in sella turcica

Answer 31

pituitary adenoma craniopharyngioma meningioma

Question 32

shy drager syndrome

Answer 32

multiple system atrophy parkinsonism autonomic dysfunction like orthostatic hypotension widespread neurological signs

Question 33

lupus nephritis next step

Answer 33

renal biopsy because different types need different treatment

Question 34

diarrhea in HIB

Answer 34

salmonella,c ampylobacter, entamoeva, chlamydia, shigella and giardia CMV cryptosporidium, isopora belli, blastocystis, MAC

Question 35

CMV colitis

Answer 35

bloody diarrhea, abdominal pain and CD4

Question 36

management of exertional heat strok

Answer 36

ice water immersion fluid resuscitation electrolyte correction

Question 37

IV for infective endocarditis

Answer 37

vanco

Question 38

what causes thrombocytpoenia in SLE

Answer 38

immune mediated destruction

Question 39

what causes leukopenia in SLE

Answer 39

autoimmune mediated | medications, hypersplenism or bone marrow dysfunction also likely

Question 40

Tx cat scratch fever

Answer 40

bartonella | give azithromycin

Question 41

what medication can cause crystal induced acute kidney injury

Answer 41

IV acyclovir

Question 42

pain management in cancer patients

Answer 42

don't be afraid to use narcotics

Question 43

Tx malignant otitis externa

Answer 43

IV cipro

Question 44

salvage therapy

Answer 44

Tx disease when standard therapy fails

Question 45

target INR for idiopathic VTE or atrial fib

Answer 45

2-3

Question 46

poor prognostic factor for CLL

Answer 46

thrombocytopenia

Question 47

heinz bodies

Answer 47

G6PD deficiency

Question 48

AA amyloidosis is associated with what conditions

Answer 48

rheumatoid, IBD, osteomyelitis, TB

Question 49

AL amyloidosis is associated with what conditions

Answer 49

MM | waldenstrom macroglobulinemia

Question 50

what makes up the AA amyloid

Answer 50

beta 2 microglobuline or apolipoprotein or transthyretin

Question 51

what makes up amyloid in AL amyloid

Answer 51

light chains, like lambda

Question 52

causes of nephrotic syndrome

Answer 52

membranous glomerulopathy, focal segmental glomerulosclerosis, minimal change disease, amyloidosis

Question 53

stain for amyloidosis

Answer 53

birefringence green under polarized light