June 9

Question 1

Management of catatonia?

Answer 1

Benzo’s

ECT

Question 2

alcohol causes a ___ peripheral neuropathy

Answer 2

toxic

Question 3

presentation of alcohol neuropathy?

Answer 3

bilateral pain, tingling, numbess of feet

• loss of deep tendon reflexes
• loss of light touch, vibration

Question 4

what type of antibiotic is amikacin?

Answer 4

aminoglycoside

Question 5

which presents more acutely, CMS pneumonitis or PCP?

Answer 5

CMV (PCP is more indolent)

Question 6

A woman in labour has intraamniotic infection but her and baby are both stable. Method of delivery?

Answer 6

Augmentation of labour - SVD

Question 7

can ABO incompatibility effect the first pregnancy?

Answer 7

yes

Question 8

can ABO incompatibility effect the first pregnancy?

Answer 8

yes

Question 9

in which condition is micropthalmia seen? (small eyes)

Answer 9

PATAU

Question 10

is micropthalmia (small eyes) seen in edwards?

Answer 10

NO

Question 11

is fever within 6 hr of surgery likely from infection?

Answer 11

NO - could be from tissue damage, blood products, malignant hyperthermia

Question 12

is placental abruption a complication of PPROM?

Answer 12

yes

Question 13

are glucocorticoids useful for treating acute liver failure?

Answer 13

no - increase risk of infeciton

Question 14

diagnosis of tinea pedis?

Answer 14

KOH prep

Question 15

findings on KOH prep of tinea pedis?

Answer 15

branched, segmented hyphae

Question 16

which disease are synthetic cannabinoids useful for?

Answer 16

HIV cacexia

Question 17

s1q3t3 on ecq =

Answer 17

pulmonary embolism

Question 18

does smoke exposure cause methemoglobinemia?

Answer 18

NOOO

Question 19

what causes methemoglobinemia?

Answer 19

exposure to oxidizing agents (nitrates, dapsone, anesthetics)

Question 20

what is the state of Fe in methemoglobinemia

Answer 20

Fe 3+ (as opposed to Fe2+ which is normal)

Question 21

what poisonings does smoke exposure cause?

Answer 21

CYANIDE AND CARBON MONOXIDE

Question 22

path of cyanide poisoning?

Answer 22

Binds Fe3+ preventing reduction to Fe2+ and blocks ATP from oxidative phosphorylation

Question 23

what does pronator drift indicate?

Answer 23

UMN / corticospinal pyramidal tract disease

Question 24

mannitol is contraindicated in..

Answer 24

HF and pulmonary edema

Question 25

acetelzolamide can help prevent which type of kidney stone?

Answer 25

uric acid (because it alkalinizes the urine)

Question 26

why may patients with diabetes mellitus get sialadenosis?

Answer 26

fatty infiltration of parotid glands

Question 27

can you give the varicella vaccine during pregnancy?

Answer 27

no

Question 28

is the MRR vaccine safe for breastfeeding mothers?

Answer 28

yes

Question 29

path of wilson disease?

Answer 29

mutation in ATP7B -> copper accumulation in liver ->leakage into blood

Question 30

path of hereditary hemochromatosis?

Answer 30

increased absorption of iron in the intestine

Question 31

which antibiotics cannot be used in myasthenia gravis?

Answer 31

aminoglycosides

Question 32

how do you treat a child <8 with lyme disease?

Answer 32

amoxicillin

Question 33

what type of reaction is the rash caused by scabies?

Answer 33

type IV hypersenisitivity reaction to mite feces

Question 34

bullous pemphigoid has anitbodies againt...

Answer 34

hemidesmosomes

Question 35

cause of alport syndrome?

Answer 35

X linked mutation in Type IV collagen

Question 36

path of goodpasture syndrome?

Answer 36

autoantibodies against type IV collagen in basement membrane and alveoli

Question 37

what is c-anca

Answer 37

antineutrophilic cytoplasmic antibodies

Question 38

waht is p-anca?

Answer 38

perinuclear antineutrophil cystoplasmic antibodies

Question 39

c-ANCA =

Answer 39

PR3anca

Question 40

p-ANCA =

Answer 40

MPO-anca

Question 41

s1q3t3 on ecq =

Answer 41

pulmonary embolism

Question 42

pathology of myopathy in Cushings syndome?

Answer 42

catabolic effects leading to muscle atrophy