Kaplan Medicine

Question 1

mid systolic click associated with what

Answer 1

mitral valve prolapse

Question 2

auer rod

Answer 2

AML

Question 3

ALL occurs in adults (t/f)

Answer 3

F

Question 4

middle age person with Philadelphia chromosome and striking leukocytosis

Answer 4

CML

Question 5

tx for disk herniation

Answer 5

NSAID and 2 days of bed rest

Question 6

hives after transfusion of blood

Answer 6

selective IgA deficiency

Question 7

side effect of bleomycin

Answer 7

pulmonary fibrosis

Question 8

• decreased TIBC, increased ferritin
• may have microcytosis
• anemic

Answer 8

anemia of chronic disease

Question 9

• h/o chloramphenicol exposure
• anemic with low reticulocyte count
• what is it and how to dx

Answer 9

aplastic anemia

dx with bone marrow biopsy- shows hypocellularity

Question 10

abd discomfort, myalgia, HA, weight loss, neuropathy, encephalopathy

• normal serum iron, normal TIBC, microcytosis, basophilic stippling
• erythrocyte protoporphyrin level > 35

Answer 10

signs of lead poisoning

Question 11

pyridoxine deficiency can cause a ______ _______ anemia

Answer 11

microcytic hypochromic

Question 12

how to dx melanoma

Answer 12

excisional bx

Question 13

most common cause of traveler’s diarrhea

Answer 13

enterotoxigenic E Coli

Question 14

__________ (electrolyte imbalance) associated with prolonged QT

Answer 14

hypocalcemia

Question 15

nocturnal headaches that last 30 min - 2 hours

recur daily for up to 8 weeks and then a year of break

Answer 15

cluster headaches

Question 16

tx for cluster HAs

Answer 16

acute tx: O2, sumatriptan, ergotamine

Question 17

• scalp tenderness over temporal artery
• myalgia, weight loss, malaise
• elevated ESR

Answer 17

giant cell arteritis

Question 18

episodic unilateral throbbing HA assoc with nausea, photophobia, visual sxs

Answer 18

migraine

Question 19

• diffuse, band like HA worse in the back of the head

- pain slowly increases and may last for many hours or even days

Answer 19

tension headache

Question 20

• noncaseating granulomas in the lungs, heart, kidneys, skin, liver
• bilateral symmetric hilar adenopathy
• pulm sxs: dyspnea on exertion, nonproductive cough, wheezing

Answer 20

pulmonary sarcoidosis

Question 21

how to tx pulmonary sarcoidosis

Answer 21

glucocorticoids

Question 22

• microhematuria or mild proteinuria +/- recurrent URI or intestinal infections
• positive IgA
• IgA deposition in the mesangium

Answer 22

IgA nephropathy/Berger disease

Question 23

• hemoptysis and nephritic syndrome
• linear deposits of antibodies along glomerular and pulmonary basement membranes
• what is it and how to tx?

Answer 23

Goodpasture syndrome

tx with aggressive immunosuppression

Question 24

antithyroid peroxidase antibodies

hypothyroidism (but can have normal thyroid labs early on)

Answer 24

Hashimoto disease