Incorrect questions

Question 1

Time for adjustment disorder to resolve once stressor is identified?

Answer 1

= 6mo

Question 2

When are most congenital diaphgramatic hernias detected?

Answer 2

Prenatally with screening US

Question 3

Initial managment of ITP crisis?

Answer 3

1. Steroid infusion

2. If no response to steroid infusion, give IVIG

Question 4

Tx of HTN in scleroderma pt?

Answer 4

ACEi - captopril

Question 5

Green/gray frothy, malordious discharge, Dx and Tx?

Answer 5

Trichomionasis
Motile/flagelated org on wet prep
Single dose 2 g Metronidazole

Question 6

Cheesy, thick, white vaginal discharge, no odor, Dx and Tx?

Answer 6

Vaginal candidisasis
Branching hyphae
Topical/oral antifungal

Question 7

Positive “whiff” test, Dx, Tx, complications?

Answer 7

Bacterial vaginosis - Gardeneralla vaginalis
KOH test - fishy odor
1 week Metronidazole
Disurfram like reaction - avoid OH

Question 8

Best Dx test for intussucption?

Answer 8

Air contrast barium enema

Question 9

How can prinzmetal angina be ruled out?

Answer 9

No response to ergovine

Question 10

Sunburst appeaerance?

Answer 10

codmans triangle, osteosarcoma

long bones

Question 11

osteosarcoma associations?

Answer 11

RB

Question 12

onion skin appearance?

Answer 12

ewings sarcoma

Question 13

Punched out lesions?

Answer 13

MM

Question 14

Lytic bone lesions?

Answer 14

Mets to bone

Question 15

cystic lesion surrounded by inflammatory findings?

Answer 15

abscess

Question 16

CA-125 positive?

Answer 16

Malignant teratomas

Question 17

LDH and CA-125 positive tumors?

Answer 17

Dysgerminomimas

Question 18

beta-hCG turmors?

Answer 18

Choriocarcinoma

Question 19

Testestesterone producing tumors?

Answer 19

Sertoli-leydig

Question 20

Estrogen producing tumor?

Answer 20

Granulosa-theca

Question 21

Sickle cell acute crisis feared complication?

Answer 21

CVA

Question 22

Exchange trasfusion indications in sickle cell patients?

Answer 22

Lung infarction
priapism
Ischemic CVA
Retinal infarction

Question 23

Explain mixing studies?

Answer 23

PTT corrects - factor deficiency

PTT does not correct - inhibiting factor (lupus, factor inhibing antibody)

Question 24

Tx baby exposed to TB?

Answer 24

INH 3 mo then reavulate

Question 25

Managmnet of imminent rupture AAA?

Answer 25

Emergent abdominal laparatomy

Question 26

Imporntat hydroxychloroquine s/e and managmnet?

Answer 26

retinopaty | Frequent eye exams

Question 27

What should be monitored during methotrexate Tx?

Answer 27

LFT - hepatitis and hepatic fibrosis

Question 28

Tx eclampsia?

Answer 28

Deliver

Question 29

Tx hirsprungs disease?

Answer 29

1st - diverting colostomy containgin bowel with ganglionic cells 2nd - aganglionic segment removed by puilling though the rectum

Question 30

Acute, severe chest pain in ED?

Answer 30

Unstable angina

Question 31

Mentions Chest pain that is worse laying down and imporoves sitting up, young <40 yro, most accurate test?

Answer 31

Pericarditis | EKG with ST elevation everywhere excpet PR depression

Question 32

Sharp, pleuritic pain, tracxhael deviation, most accurate test?

Answer 32

pneumothoraz | CXR

Question 33

Nonexertional chest pain, early in the morning, ST elevation?

Answer 33

Prinzmetal angina

Question 34

Mentions chest wall tenderness, most accurate test?

Answer 34

costochondritis | PE

Question 35

Mentions cough, sputum, hemoptysis, most accurate test?

Answer 35

PNA | CXR

Question 36

Mentions Raditatiopn to back, unequal BP in arms, most accurate test?

Answer 36

Aortic dissection CXR w/widened mediastinum Chest CT/MRI/TEE - confirms Dz

Question 37

Mentions Epigastric discomfort, pain imporves with meals, most accurate test?

Answer 37

Duodenal ulcers | Endoscopy

Question 38

Mentions bad taste, cough, hoarsness, most accurate test?

Answer 38

GERD | Response to PPIs, Aluminum hydroxide and magnesiumn hydroxice, viscous lidocaine

Question 39

Sudden onset SOB, tachycardia, hypoxia, most accurate test?

Answer 39

PE | Spiral CT, V/Q scan

Question 40

CABG indications?

Answer 40

3 vessel Dz Left main 2 Vessel in DM

Question 41

>10 mmHg decrease in BP on inspiration?

Answer 41

Pulsus paradoxis (tamponade)

Question 42

Increase in JVP on inspiration?

Answer 42

Kussumul sign - constrictive pericarditis

Question 43

Triphasic scratchy noise?

Answer 43

Rub - pericarditis

Question 44

Continuous "machinery" murmur?

Answer 44

PDA

Question 45

S4 gallop?

Answer 45

Ischemia, stiffened left ventricle

Question 46

PMI displaced into axilla?

Answer 46

CArdiomyopathy and LV dysfunction

Question 47

ST elevation II, III, aVf?

Answer 47

Inferior wall MI

Question 48

ST depression V1 and V2?

Answer 48

Posterior MI

Question 49

St elevation V2-V4?

Answer 49

Anterior wall MI, highest mortality

Question 50

PR segment >200 msec?

Answer 50

1st degree AV block

Question 51

RBBB vs LBBB, prognosis?

Answer 51

RBBB begnin vs LBBB

Question 52

Time to detect CK-MB?

Answer 52

4-6 hrs

Question 53

CK-MB remains elevated for how long?

Answer 53

1-2 days

Question 54

Time to detect troponin?

Answer 54

4-6 hours

Question 55

Troponin remains elevated for how long?

Answer 55

10-14 days

Question 56

Time to detect myoglobin?

Answer 56

1-4 hours

Question 57

Myoglobin remains elevated for how long?

Answer 57

1-2 days

Question 58

PCI standard of care?

Answer 58

PCI within 90 min of arriving in ED with chest pain

Question 59

Absolute contraindications for thrombolytics?

Answer 59

Major Bleed - brain, GI Surgery within past 2 weeks Severe HTN >>180/>110 Nonhemorrhagic stroke with past 6mo

Question 60

Indications for thrombolytics?

Answer 60

STEMI within 12 hrs | New LBBB

Question 61

MoA abciximab?

Answer 61

Glycoprotein IIb/IIIa inhibitors

Question 62

MoA Tirofiban?

Answer 62

Glycoprotein IIb/IIIa inhibitors

Question 63

MoA Eptifibatide?

Answer 63

Glycoprotein IIb/IIIa inhibitors

Question 64

Glycoprotein IIb/IIIa MoA and use?

Answer 64

Inhibit platelet aggregation | use in ACS who undergo stenting