Kaplan Qbank

Question 1

leatd poisoning treatment in kids

Answer 1

level below 70:succime

over 70:EDTA and BAL

Question 2

animal bite antibiotic

Answer 2

• amoxi clav

- 2 line: clinda + doxy a fluoroquinolone or TMP/SMX

Question 3

DUB treatmetn

Answer 3

stable: high dose orally estrogen-progestero
unstable: IV stronge

Question 4

most common cause of hypertension in children

Answer 4

renal disease

Question 5

SAAG below 1.1

serum albumin- acitis albumin

Answer 5

• cancer
• infection(except SBP)
• nephrotic

Question 6

treatment of choice for tularemia

Answer 6

streptomycin

Question 7

speckled appearance US of the heart

Answer 7

amyloiodosis

Question 8

best initial test for pulmonary hypertension

Answer 8

US

Question 9

biliary colic with normal galllbladder, and dilated common bile duct

Answer 9

Sphincter of oddi dysfunction(SOD)

• do a ERCP
• gold standerd: sphincter manometry
• complication:biliar pain and pancreatitis

Question 10

quervain tenosynovitis

Answer 10

abductor pollicis longus and extensor pollicis brevis

Question 11

lumpectomy

Answer 11

only in tumor less than 4 cm

Question 12

IUGR type in a chronic maternal disease

hypertension,DM,SLE, cardiovascular disease

Answer 12

DECREASED PLACENTAL PERFUSION

normal head -small abdominal circumference

Question 13

cryptococcal antigen assay in CSF

Answer 13

do it when you have highly suspicion of cryptococcal meningitis and a negative indian ink .

Question 14

best treatment option for localized ( no invacion of capsule) carcinoma of the prostate

Answer 14

radical prostatectomy

Question 15

patient with slowly developing with severe hypernatrenia, best IV fluid for rehydrate

Answer 15

5% dextrose in 0.45% sodium chloride

Question 16

EKG findings in princemetal angina

Answer 16

ST elevation

Question 17

diagnosis confirmation for HSV encephalitis

Answer 17

PCR of the CSF for HSV

Question 18

Diagnosis of EVB mononuclosis

Answer 18

Heterophil antibodies if negative order a igM for VCA(viral capsid antigen)

Question 19

first line treatment for A.baumannii pneumonia

Answer 19

imipenem

Question 20

AECB in patients with COPD results from S.pnuemo and moraxella …. drug of choice

Answer 20

amoxi/clav

other choices

• fluoroquinolones
• macrolides
• cephalosporins

Question 21

most common presentation of HOCM

Answer 21

DYSNEA

-AD
-chormosome 14 mutation
DxEcho
Tx:BB,CCB and surgery

Question 22

difference between botulism and Miastenia gravis

Answer 22

botulism has dilated pupils and increase in muscle fiber contraction in EMG

Question 23

acute pyelonephritis managment

Answer 23

if inpatient IV Abx , after 24-48 of no fever, discharge home to complete 14 days of oral Abx.

Question 24

admission criteria for pyelonephritis

Answer 24

• concer of sepsis, pregnancy, old age, other medical illnes
• noncompliance
• cannot tolerate oral intake
• severe illness
• uncertain diagnosis.

Question 25

traetment for neonatal apnea

Answer 25

iv Theophylline o cafeine

Question 26

euthyroid sick syndrome

Answer 26

low T3 and T4 and a normal or midly elevated or mildly decreased TSH level

Question 27

hospitalization criteria for PID

Answer 27

pregnancy - temperature above 39 - IUD - evidence of pelvic abscess

Question 28

best study to confirm amebic liver abscess

Answer 28

serum antibodies

Question 29

best study for Normal pressure hydrocephalus

Answer 29

CT and Spinal tab

Question 30

firts line treatment for HEG

Answer 30

1-.pyridoxine-doxylamide 2-.promethazine 3-.ondansetron

Question 31

ABG on COPD acute exacerbation

Answer 31

``` respiratory acidosis ( CO2 retencion) (ashtma exacerbation present with respiratory alkalosis) ```

Question 32

lyme treatment in children under 8 y

Answer 32

amoxicilin

Question 33

rickettsia treatment for child

Answer 33

DOXYCYCLINE

Question 34

first step to Dx HOCM

Answer 34

TTE and HOLTER

Question 35

digitalis toxicity ... next best step

Answer 35

check electrolites

Question 36

pancreatic metastasis treatmetn

Answer 36

chemoretherapy

Question 37

most common cause of epistaxis in children

Answer 37

nose picking-induce-trauma

Question 38

best initial step for syphilis

Answer 38

NONTREPONEMAL SEROLOGIC STUDIES - VDRL - ART(Automated regain test) - rapid plasma reagin (RPR) - recombinant antigen test(ICE)

Question 39

fixed drug eruption assoaciation

Answer 39

sulfas,anticonvulsants,NSAIDs,Pseudoephedrine and tetacyclines

Question 40

most sensitive test for neurosyphilis

Answer 40

FTA on CFS

Question 41

achalasia manometry results

Answer 41

decreased peristalsis and elevated resting LES pressure

Question 42

best step for organic erecttile dysfunction

Answer 42

obtain testosterone,prolactine and glucose level