jan 26

Question 1

treatment of transient synovitis?

Answer 1

rest and NSAIDs

Question 2

what is craniotabes?

Answer 2

skull bones that depress with pressure

Question 3

what is craniotabes a sign of?

Answer 3

rickets

Question 4

what causes rickets?

Answer 4

vit D deficiency

Question 5

bilateral widening of the wrist is a sign of…

Answer 5

rickets

Question 6

frontal bossing is a sign of..

Answer 6

rickets

Question 7

path of diamond-blackfan anemia?

Answer 7

congenital erythroid aplasia

Question 8

clinical findings of diamond-blackfan anemia?

Answer 8

• craniofacial abnormalities
• triphalangial thumbs
• increased risk of malignany

Question 9

FBC findings in diamond-blackfan anemia?

Answer 9

• macrocytic anemia
• reticulocytopenia
• normal platelets and white blood cells

Question 10

treatment of diamond-blackfan anemia?

Answer 10

• corticosteroids

- RBC transfusions

Question 11

what is ‘salvage’ therapy?

Answer 11

an additional form of treatment for a disease after the initial therapy fails

Question 12

what is legg-calve-perthes disease?

Answer 12

idiopathic osteonecrosis of the femoral head

Question 13

management of legg-calve-perthes disease?

Answer 13

• start with conservative: immobilization and splinting of limb
• surgery is needed for displaced femoral heads

Question 14

characteristics of systematic juvenile idiopathic arthritis?

Answer 14

• daily fevers (for at least two weeks)
• pink macular rash that worsens with fever
• fixed arthritis lasting at least 6 weeks

Question 15

what kind of stridor do patients with laryngomalacia have?

Answer 15

inspiratory stridor

Question 16

effects of adenosine on the heart?

Answer 16

stimulates vascular smooth muscle cells -> vasodilation -> increased myocardial blood flow

Question 17

how does angiotensin II effect the glomerulus?

Answer 17

constricts the efferent arteriole

Question 18

what is a delayed sleep-wake phase disorder?

Answer 18

‘night owl’ - someone who has late night insomnia and excessive morning sleepiness - their natural circardian rhythym is to go to bed late and wake up late

Question 19

what is an advanced sleep-wake phase disorder?

Answer 19

someone who falls asleep very early in the evening and wakes up very early in the morning

Question 20

why may a patient with infective endocarditis have painful fingers?

Answer 20

osler nodes

Question 21

what skin infection may pseudomonas cause in an immunocompromised patient?

Answer 21

ecythema gangrenosum

Question 22

are the lesions of ecythema gangrenosum painful or non-painful?

Answer 22

non-painful

Question 23

are the lesions from a drug induced hypersensitivity SJS painful or non-painful?

Answer 23

painful

Question 24

treatment of legionella?

Answer 24

fluoroquinoline

Question 25

which has flat edges - cellulitis or erysipylas?

Answer 25

cellulitis

Question 26

which has raised edges - cellulitis or erysipylas?

Answer 26

erysipylas

Question 27

does food-protein induced enterocolitis present with bililous or non-bilious vomiting?

Answer 27

NON - bilious

Question 28

CSF findings of Creutzfield-Jakob?

Answer 28

positive 14-3-3 protein titers, positive RT-QuIC

Question 29

what are the musculoskeletal manifestations of rheumatoid arthritis?

Answer 29

osteoporosis/osteopenia

Question 30

what type of malignancy is hairy cell leukemia?

Answer 30

chronic B cell malignany

Question 31

clinical manifestations of hairy cell leukemia?

Answer 31

-pancytopenia (bone marrow fibrosis) -splenomegaly -

Question 32

diagnosis of hairy cell leukemia?

Answer 32

- blood smear -> hairy cells | - bone marrow biopsy

Question 33

bactermia with C. septicim is associated with...

Answer 33

bowel cacer

Question 34

a patient with Clostriudium septicim should undergo which procedure?

Answer 34

colonoscopy

Question 35

what type of antibiotic is amikacin?

Answer 35

aminoglycoside

Question 36

Nitrofurantoin respiratory complications?

Answer 36

Acute- hypersensitivity reaction in lungs / pleural effusino | Chronic use - interstitial lung disease

Question 37

if an MRI should Multiple Sclerosis findings do you also need a LP before beginning treatment?

Answer 37

no

Question 38

path of exercise associated postural hypotension?

Answer 38

during strenous exercise the muscles exert significant force on the venous system -> venous return Abrupt cessation -> venous return dramatically decreases -> transient postural hypotension and collapse

Question 39

does a patient remain conscious during an episode of exercise associated postural hypotension?

Answer 39

yes