Qbank Errors Flashcards
In patients with suspected renovascular HTN what methods should you use for evaluation?
Renal duplex US or CTA/MRA
What is immune reconstitution inflammatory syndrome?
Acute worsening of symptoms which often occurs in individuals just started on HIV theraphy
How should you change meds in a patient with bipolar disorder that is in an acute manic episode despite being treated with lithium?
Check serum levels of Li and increase it but make sure you’re still in therapeutic window. Patients in acute mania may need higher dose than those just receiving it for prevention
What is circinate balanitis and what is it associated with?
Ulcers on penis. An extra-articular manifestation of reactive arthritis which may follow an infection (i.e. Chlamydia).
Necrolytic migratory erythema is associated with what condition?
Glucagonoma
What is the difference between a length-time bias and a lead-time bias?
Length-time bias: ID cases which are benign and slower progressing which overestimates benefit of screening
Lead-time bias: ID’s cases earlier in their natural history to overestimate survival
What is seborrheic dermatitis?
Dandruff
What is the difference between the mortality rate and case fatality rate?
Mortality rate: percentage of general population who die from a disease
Case fatality rate: percentage of those with a particular disease who die
What is appropriate treatment for priapism?
First place an ice-pack and see if that helps
Second, consider phenylephrine
What is the cause of HIT type 2? How does it present?
Antibodies forming to platelet factor 4 complexed with heparin. Often occurs 3-5 days after starting heparin and leads to thrombocytopenia and thrombosis.
How should pregnant patients with congenital heart disease leading to cyanosis be counciled?
That there is a high risk of death to the mother and fetus if becoming pregnant so elective termination should be considered
Which TORCH disease can present in infants with microcephaly?
Toxoplasmosis
Mucormycosis is best treated with ….
Amphotericin B
What are some of the indications for parathyroidectomy in patients with secondary or tertiary hyperparathyroidism?
i) PTH > 1000
ii) Calcium >10.5 and unresponsive to medicaal mgmt
iii) Hyperphosphatemia unresponsive to medical mgmt
iv) Intractable bone pain/pruritis
v) Episode calciphylaxis
vi) Soft tissue calcification
Young patients with diabetes, HTN, hypokalemia, and osteoporosis should be screened for …
Cushing syndrome
What disorder is caused by exaggerated IgE and IgG response to pathogens in the lungs? What is treatment?
Allergic Bronchopulmonary Aspergillosis (ABPA)
Tx: glucocorticoids and itriconazole
What is the treatment of choice for Bell’s palsy?
Corticosteroids
What is the main form of mgmt of anal abscesses?
Incision and drainage
Patients in whom you suspect prostatitis should be evaluated with what tests?
UA and urine culture before proceeding to treatment
Symptomatic relief of nonbacterial prostatitis is best achieved how?
Sitz baths and anti-inflammatory medications
Chronic alcoholic patients are often depleted in what electrolyte that becomes exacerbated by refeeding?
Phosphate
Patients with Sjogren’s syndrome are at heightened risk of what malignnacy?
B-cell non-Hodgkins lymphoma
Can a parent refuse life-sustaining treatment for their young child?
No. If the child is not of age to consent on their own the physician must act in the child’s best interest
What is the SAAG and what is its utility?
Serum to ascites albumin gradient
Serum - ascites. If > 1.1 then indicates a portal HTN cause of ascites and if
