Practice test

Question 1

pruritic rash during pregnancy

Answer 1

pruritic urticarial papules and plaques of pregnancy

Question 2

MC AE metformin

Answer 2

diarrhea

Question 3

intussusception TOC to confirm

Answer 3

barium enema

Question 4

camping and drank water from stream. mild -mod GI sx. Pathogen?

Answer 4

giardia

Question 5

UTI w/ urease producing bacteria or abnormal urinary tract anatomy. type of stones?

Answer 5

struvite

Question 6

congenital abnormality associated w/ tracheoesophageal fistula

Answer 6

esophageal atresia

Question 7

TOC insomnia during pregnancy

Answer 7

doxylamine

Question 8

TOC otitis externa

Answer 8

cipro HC drops (cipro and hydrocortisone)

Question 9

celiac confirm dx

Answer 9

small bowel bx

Question 10

MCC pneumonia in 4yo

Answer 10

viral

Question 11

pneumonia pathogen and childhood

Answer 11

<3wk: GBS, E. coli, chlamydia
3wk-3mo: strep pneumo, bacterial
preschool: Virus, RSV, influenza
>5yo: atypical, mycoplasma

Question 12

warfarin inhibits which clotting factors

Answer 12

2, 7, 9, 10

Question 13

med that affects INR for patient taking warfarin

Answer 13

bactrim

Question 14

MC malignant primary tumor of bone

Answer 14

osteosarcoma

Question 15

RBBB with ST elevation V1, V2, and V3

Answer 15

Brugada

Question 16

overnight dexamethasone suppression test if cushings syndrome

Answer 16

elevated morning cortisol levels

Question 17

excessive exposure to tobacco sx and tx

Answer 17

V/D bronchorrhea, salivation wheezing

supportive, atropine if severe

Question 18

aseptic necrosis of hip xray

Answer 18

crescent sign

Question 19

bullous myrinitis sx

Answer 19

painful blisters on TM

mycoplasma pneumoniae

Question 20

tx dacrostenosis

Answer 20

congenital nasolacrimal duct obstruction
increased tearing in a baby, may be unilateral
tx w/ digital massage

Question 21

increased risk of tendon rupture

Answer 21

FQ (ciprofloxacin)

Question 22

LH surge when

Answer 22

day 11-13

Question 23

peritonsilar abscess complication from what condition

Answer 23

pharyngitis from GAS

Question 24

sign associated w/ idiopathic intracranial HTN

Answer 24

papilledema

Question 25

subclinical hypothyroidism

Answer 25

elevated TSH | normal T4

Question 26

follicular phase

Answer 26

starts from onset of menses until the day before LH surge

Question 27

patients who take warfarin cannot eat too much

Answer 27

leafy green veggies

Question 28

hormone responsible for milk ejection during lactation

Answer 28

oxytocin

Question 29

med that can cause hypokalemia

Answer 29

furosemide (loop diuretics)

Question 30

radial nerve palsy

Answer 30

wrist drop | "Saturday night palsy"

Question 31

what impairs iron absorption

Answer 31

calcium

Question 32

orbital blowout fx, which muscle involved

Answer 32

inferior rectus

Question 33

positive fat pad sign

Answer 33

radial head fx

Question 34

MC complication of pericarditis

Answer 34

pericardial effusion

Question 35

AE bisphosphonates

Answer 35

osteonecrosis of jaw

Question 36

pain along joint line with deep squatting

Answer 36

meniscal injury

Question 37

risk factors of hemorrhagic stroke

Answer 37

AV malformation | aneurisms

Question 38

presentation DMT1

Answer 38

polydipsia polyphasia weight loss immunosuppression (thrush)

Question 39

seizure med that causes gingival hyperplasia

Answer 39

phenytoin

Question 40

MCC erectile dysfunction

Answer 40

vascular disease

Question 41

MCC status epilepticus

Answer 41

medication noncompliance

Question 42

thrombocytopenia associated with contaminated food or drink

Answer 42

HUS

Question 43

functional incontinence

Answer 43

inability to get to the bathroom due to cognitive disability (ex: dementia)

Question 44

cause of anemia and patient with alcohol dependance

Answer 44

folate deficiency

Question 45

sputum smear positive for acid fast bacilli

Answer 45

TB

Question 46

absolute CI for combo estrogen-progesterone birth control

Answer 46

coronary artery dz

Question 47

best contraceptive for patient with CAD

Answer 47

depo provera injection progestin only OCP (minimill) Nexplanon IUD

Question 48

rickets lab

Answer 48

``` low serum Ca low P Low vitD elevated serum ALP elevated parathyroid hormone ```

Question 49

hep c screen

Answer 49

one time screen for anyone born 1945-1965

Question 50

complication fo phenylketonuria if not detected

Answer 50

intellectual disability hyperactivity seizures

Question 51

BMI for age percentiles

Answer 51

underweight: less than 5th percentile normal weight: 6th-85th percentile overweight: 85th to less than 95th percentile obese: >95th percentile

Question 52

fat embolism syndrome sx

Answer 52

fat globules in pulmonary circulation from long bone/pelvic fx dyspnea, confusion, petechiae

Question 53

fragile X syndrome sx

Answer 53

pale blue irises, long narrow face, large protruding ears, large protruding jaw, flat feet, hyper extensible

Question 54

sign of acute leukemia

Answer 54

significantly elevated WBC prolonged bleeding thrombocytopenia

Question 55

1st line reactive arthritis

Answer 55

NSAIDS

Question 56

what can falsely lower PSA level

Answer 56

finasteride

Question 57

patients with myelodysplastic syndrome are at risk for developing

Answer 57

AML

Question 58

key feature for rickets

Answer 58

hyperparathyroidism