Local IM Exam review

Question 1

Answer 1

-Pneumonia

Question 2

Answer 2

-Pleural effusion

Question 3

Answer 3

-pneumothorax

Question 4

Answer 4

-Pulmonary edema

Question 5

Answer 5

-Congestive heart failure

Question 6

Answer 6

-cardiomegaly

Question 7

Answer 7

-interstitial lung disease

Question 8

Answer 8

-lung tumor

Question 9

Answer 9

• atelectasis
• lung collapse
• appearse more dense on CXR

Question 10

Answer 10

• Iron deficiency anemia
• microcytosis
• the size of the RBC is = to the nucleus of a lymphocyte

Question 11

Answer 11

-macrocytic anemia

Question 12

Answer 12

-sickle cell anemia

Question 13

Answer 13

• Thalassemia
• microcytosis plus target cells

Question 14

Answer 14

• TTP
• schistocytosis

Question 15

Answer 15

-sphereocytosis

Question 16

Answer 16

-Malaria

Question 17

Answer 17

• Mono
• atypical lymphocytes

Question 18

Answer 18

• plasma cell dyscrasia
• multiple myeloma

Question 19

Answer 19

• rouleax
• multiple myelomma

Question 20

Answer 20

• Auer rod
• AML

Question 21

Answer 21

• CLL
• smudge cell

Question 22

Answer 22

-Harry cell leukemia

Question 23

Answer 23

• gram stain
• strep pneumoniae
• gram positive dipplococci

Question 24

Answer 24

• H. influenzae
• gram negative coccibacillus

Question 25

Answer 25

- Staph species - gram positive cocci in clusters

Question 26

Answer 26

- klebsiella pneumoniae - gram negative rods

Question 27

Acid fast stain

Answer 27

-M. tuberculosis

Question 28

Answer 28

- gram negative rods in the urine - E.coli, proteus, etc.

Question 29

Answer 29

- A = hyaline cast - B = erythrocyte cast - C = Leukocyte cast - D = granular cast

Question 30

Answer 30

Urinalysis crystals: - A = calcium oxalate --\> seen with ethylene glycol poisoning - B = uric acid - C = triple phosphate --\> alkaline urine, proteus UTI - D = cystine

Question 31

Urinalysis

Answer 31

- epithelial cells (arrows) - leukocytes

Question 32

Answer 32

Gonococci

Question 33

Answer 33

Candida

Question 34

Answer 34

-trichomonas

Question 35

Answer 35

- bacterial vaginosis - clue cells

Question 36

Answer 36

- herpes - use tzanck stain to detect the multinucleated giant cells

Question 37

Answer 37

- syphilis - treponema pallidum - spirochete is seen under Darkfeild

Question 38

Answer 38

- Chancroid - caused by haemophilus ducreyi

Question 39

Answer 39

- chlamydia trachomatis - obligate intracellular organism

Question 40

Answer 40

-scabies

Question 41

Answer 41

- lice - able to see with naked eye!