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Question 1

Anti RO and anti la increase risk of what in female w/sle?

Answer 1

Neonatal lupus: heart block in neonate

Question 2

Prophylaxis for APS in SLE

Answer 2

• low risk: asprin

- high dose: LMWH+asprin (want baby) warfarin (not)

Question 3

Disease severity markers in SLE

Answer 3

• dsdna

- low complement (lupus)

Question 4

Malar rash + chest infection + renal impairement + low C3&C4, next step?

Answer 4

Lupus nephritis

Biopsy

Question 5

Initial test for SLE

Answer 5

ANA

Question 6

Initial investigation in aplastic anemia

Answer 6

BM BIOPSY

Question 7

Female + SLE + hb low + ferritin high, dx

Answer 7

Anemia of chronic disease

Question 8

Relation of smoking and sle

Answer 8

Excerbate sx

Question 9

Cornerstone mx of lupus

Answer 9

Hydroxychloroquine

Question 10

Sle female + rash + joint pain + currently on NSAID & hydroxychloroquine, not improved mx?

Answer 10

Add low dose steroid + methotrexate \

Question 11

Patiant on Methotrexate, what supplement is indicated?

Answer 11

Folic

Question 12

Female patient with life-threatning lupus cerebritis, Mx?

Answer 12

High dose steroid + immunosuppression (methylprednisolone + Cyclophosphamide\muftei)
“Life threatning CNS, Renal, cardiac”

Question 13

Pedia + conjustive HF + known cardiomyopathy + dyspnea upon exertion, mx?

Answer 13

IV furosamide

Question 14

Pregnant 28 weeks + present w/dyspnea &cough+ restless + bilateral rhonci + nail bed and oral mucosa pale, inv?

Answer 14

Asthma, spirometry

Question 15

Severe left iliac pain + constipation + tenderness + collection 11x9cm, mx

Answer 15

Colonic diverticulitis percutanous drainage if more than or eq to 4

Question 16

Pelvic pressure + no SI + lifting heavy objects + mucosal bulging, mx?

Answer 16

POP start w/passary ring then go surgical

“Kegal is only effictive with very mild or no bulging”

Question 17

SIADH labs

Answer 17

Hyponatremia
Low serum osmolarity
Concentrated urine
Euvoluemeia

Question 18

Bloody diarrhea + joint pain + nectotic skin leison, dx?

Answer 18

UC

Question 19

.17-hydroxyalase deficiency ?

Answer 19

Autosomal recessive

Question 20

When can imptigo return after antibiotic tx

Answer 20

After 1yr

Question 21

Basal ganglia + bedridden + absent gag, best feeding?

Answer 21

Jujenostomy.
If intact is gastrostomy
If initial is NGT

Question 22

After AAA what electrolyte is impaired

Answer 22

Hypomagnesemia