Incorrect Rosh Review

Question 1

Organic vs functional psychosis: memory deficit

Answer 1

organic

Question 2

organic vs functional psychosis: visual hallucinations

Answer 2

organic

Question 3

organic vs functional psychosis: emotional lability

Answer 3

organic

Question 4

organic vs functional psychosis: disorientation

Answer 4

organic

Question 5

organic vs functional psychosis:occasional periods of lucidity

Answer 5

organic

Question 6

organic vs functional psychosis: psychomotor retardation

Answer 6

organic

Question 7

organic vs functional psychosis: slow onset of symptoms

Answer 7

functional

Question 8

organic vs functional psychosis: normal vital signs

Answer 8

functional

Question 9

organic vs functional psychosis: auditory hallucinations

Answer 9

functional

Question 10

what three parts make up a tripod fracture?

Answer 10

zygomaticofrontal suture, zygomaticotemporal suture, infraorbital rim

Question 11

Cause of tripod fracture?

Answer 11

direct blow to cheek

Question 12

BUN and creatinine triggers for initiation of dialysis in patients with CKD?

Answer 12

BUN of 100, Cr of 10

Question 13

Management of chorioamniotis?

Answer 13

delivery

amp and gent

Question 14

Treatment of primary genital herpes infection?

Answer 14

acyclovir x 7 days

valacyclovir x 7 days

Question 15

treatment of secondary genital herpes infection

Answer 15

famciclovir x 1 day

acyclovir x 2 days or x 5 days

Question 16

Hydrogen sulfide poisoning treatment?

Answer 16

sodium nitrite or amyl nitrite - causes methemoglobinemia

Question 17

hydrogen sulfide cause and sx?

Answer 17

inhibits oxidative phosphorylation

sx - vertigo, confusion, LOC, cough, dyspnea, hemoptysis

Question 18

tx of adult with intussusception?

Answer 18

ex lap

Question 19

tx of children with intussusception?

Answer 19

air/contrast enema

Question 20

most common malignancy in children?

Answer 20

hematologic malignancy

Question 21

valsalva maneuver causes what to HOCM murmur?

Answer 21

causes increase

Question 22

squatting/trendelenburg causes what to HOCM murmur

Answer 22

causes decrease

Question 23

what percentage of patients with TIA will have ischemic stroke within 2-3 days of presentation?

Answer 23

5%

Question 24

most common symptoms of acute aortic dissection?

Answer 24

chest pain

Question 25

most common cause of death from high altitude illness?

Answer 25

HAPE

Question 26

treatment of HAPE

Answer 26

``` descent - if sx severe oxygen nifedipine hyperbaric descent ```

Question 27

most common cause of infectious foodborne illness?

Answer 27

norovirus

Question 28

most common viral cause of cirrhosis in the US?

Answer 28

hep C

Question 29

treatment of HACE?

Answer 29

oxygen decadron descent

Question 30

meds via ETT in adults vs peds

Answer 30

``` NAVEL (adults) naloxone atropine vasopressin epi lidocaine ``` ``` LANE (peds) lidocaine atropine naloxone epi ```

Question 31

elevation of which liver enzyme within 48 yhour of symptom onset best predicts gallstone pancreatitis?

Answer 31

ALT > 150

Question 32

tx of mild malaria?

Answer 32

chlorquine

Question 33

treatment of chloroquine resistent mild malaria?

Answer 33

atovaquone-proguanil

Question 34

treatment of complicated malaria?

Answer 34

artesunate | quinidine + doxy

Question 35

tx of patient huffing with ventricular dysrhythmias

Answer 35

esmolol

Question 36

temperature cutoff for active rewarming?

Answer 36

32 C

Question 37

nitrates work by?

Answer 37

decreasing preload and afterload

Question 38

example of drug that reduces cardiac contractility?

Answer 38

beta blockers

Question 39

when do you give lower dose of succ for intubation?

Answer 39

organophosphate eaton-lambert syndrome hypothyroidism

Question 40

when do you give bigger dose of succ for intubation

Answer 40

myasthenia gravis

Question 41

effect of hypercalcemia on EKG?

Answer 41

shortened QT

Question 42

effect of hypocalcemia on EKG?

Answer 42

prolonged QT

Question 43

tx of sulfonylurea OD if glucose not working

Answer 43

octreotide

Question 44

most common cause of maternal death during delivery? Most common complication?

Answer 44

hemorrhage

Question 45

JONES Criteria?

Answer 45

``` Joints carditis nodules erythema marginatum sydenham's chorea ```

Question 46

best correlator with placental abruption?

Answer 46

fibrinogen levels

Question 47

ACA stroke

Answer 47

contralateral weakness of leg > arm and face with minimal sensory findings