question bank 2

Question 1

what is the problem with Wilson disease?
defieicny of?
treatment?

Answer 1

copper build up
ceruloplasmin
penicillinamine

Question 2

treatment for hemachromatosis?

Answer 2

deferoxamine

Question 3

what to supplement babies with right away that are breast fed exclusively, and if not, what can it cause?
What to supplement as well at about 4 months?

Answer 3

vitamin d
rickets
iron

Question 4

two lab values to remember with VIPOMAS?

Answer 4

low potassium and high glucose

Question 5

patient faking illness for secondary gain, what do we call this?

Answer 5

malingering

Question 6

what is first line therapy for tourettes?

Answer 6

guanfacine or clonidine

Question 7

features of donor twin in twin to twin?

Answer 7

hypovolemia, anemia, and oligo fluid

Question 8

features of recipient twin?

Answer 8

hypervolemia, poly fuid, jaundice and congestive heart failure

Question 9

what is first line treatment for cdiff?

Answer 9

oral vanc or oral fidaxomicin

Question 10

Pentad of TTP

Answer 10

fever, hemolytic anemia, purpura, neurologic symptoms and renal dysfunction

Question 11

What does ITP lack that is very important?

Answer 11

anemia

Question 12

most common precceding infection to GBS

Answer 12

camp je

Question 13

most effective birth control?

Answer 13

IUD

Question 14

Most common bug causing respiratory infection in CF

Answer 14

pseudomonas..then staph

Question 15

leukocyte alkaline phosphatase is the classic lab finding for what?

Answer 15

leukamoid reaction

Question 16

what is the most common cause of inherited cognitive impairment?

Answer 16

fragile x

Question 17

3 clinical features of fragile x to rememebr?

Answer 17

long face, large ears and large testes

Question 18

what thyroid level change happens during pregnancy?

Answer 18

increased t4

Question 19

what two agents to treat rosacea?

Answer 19

topical metronidazole or topical ivermectin

Question 20

what to think if I see rapidly progressive dementia with myoclonus or extrapyramidal symptoms?

Answer 20

CJD, get MRI

Question 21

what is the difference between brief psychotic disorder, schizophreniform disorder, and schizophrenia?

Answer 21

less than 1 month
1-6 months
over 6 months

Question 22

dexa score for osteopenia?
dexa score for osteoperosis?

Answer 22

-1 and -2.5
below -2.5

Question 23

placenta is stuck on the uterine wall and difficult to remove, what am I thinking?
What is the major risk factor

Answer 23

placenta accreta
revious c section

Question 24

first line therapy for narcolepsy?
first line therapy for narcolepsy when cataplexy is involved?

Answer 24

modafinil
pitolisant

Question 25

what bug causes meningitis in the following age groups? neonate to 3 months? 3 months to 9 years? teenagers and young adults? older adults?

Answer 25

group b strep strep pneumonia neiserria strep p

Question 26

what lymph nodes drain the ovaries and tests?

Answer 26

para aortic lymph nodes

Question 27

how to empirically cover for gonorrhea and chalmydia?

Answer 27

ceftriaxone and doxy

Question 28

What abx for syphillis?

Answer 28

penicillin

Question 29

unilateral, soul smelling nasal discharge in a child is most likely?

Answer 29

foreign body

Question 30

first and second line treatment for lice?

Answer 30

topical spinosad ivermectin

Question 31

when do we use t scores and when do we use z scores

Answer 31

t scores when we estimate data, z scores when data is known

Question 32

what medicine do we use for hemorrhagic prophylaxis in cirrhotic patients?

Answer 32

propranolol or Nadolol

Question 33

teenager has meningitis, what 3 meds can be given to close contacts as prophylaxis?

Answer 33

rifamipin, ceftriaxone, or cipro

Question 34

What is the first stage of labor?

Answer 34

contractions to complete dilation of cervix 10cm?

Question 35

What is the latent and active phase of first stage of labor?

Answer 35

0-6 cm 6-10

Question 36

What are normal length of time for latent and active phase of stage 1 of labor

Answer 36

20 hours for first time moms 14 hours for multi moms

Question 37

what is normal second and third stage of labor?

Answer 37

full dilated to birth delivery of placenta

Question 38

What is prolonged second stage of labor?

Answer 38

First time moms push more than 3 hours multi mom push more than 2 hours

Question 39

What is meant by protracted active phase of first stage of labor?

Answer 39

cervix is dilating slower than 1 cm per hour

Question 40

what is the most sensitive test for SLE? What is the most specific test for SLE?

Answer 40

ANA Anti ds DNA and anti amith

Question 41

pagets disease of the breath means what

Answer 41

underlying breast cancer

Question 42

Top 2 cancers that go to bone?

Answer 42

prostate and breast

Question 43

top 3 infections causing eshopagitis in HIV patients?

Answer 43

candida HSV CMV

Question 44

most common leukemia in kids?

Answer 44

ALL

Question 45

most common leukemia for patients over 60?

Answer 45

CLL

Question 46

What to remember about CML?

Answer 46

Philadelphia chromosome 9:22 translocation bcr abl fusion which is active tyrosine kinase

Question 47

How do you treat CML?

Answer 47

imatinib

Question 48

What it the most common leukemia in adults over 30?

Answer 48

AML

Question 49

What are symptoms of AML related to?

Answer 49

pancytopenia

Question 50

worldwide, what is the most common cause of hypothyroidism?

Answer 50

iron deficiency

Question 51

What is the most common cause of hypothyroidism in developed countries and what is causing it?

Answer 51

hashimotos antibodies again TPO

Question 52

What is the most common cause of hyperthyrodism and cause?

Answer 52

graves antibodies against TSh

Question 53

most common cause of thyroid cancer?

Answer 53

papillary

Question 54

is cancer a cold or warm thyroid nodule

Answer 54

cold

Question 55

what cardiac thing to think about with Turner syndrome?

Answer 55

bicuspid aortic valve or coarctaton of the aorta

Question 56

men type 1 tumors men type 2a tumors men type 2b tumors

Answer 56

pituitary, parathyroid, pancreas parathyroid, medullary thyroid, and pheo mucosal neuroma, medullary thyroid, and pheo

Question 57

what is the most specific test for m gravis?

Answer 57

acetylcholine receptor antibody test

Question 58

antidote for serotonin syndrome?

Answer 58

cyproheptadine