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Question 1

Two antiemetics that can cause EPS (motor symptoms, dystonias, akasthesias, parkinsonism)

Answer 1

Metoclopromide, prochlorperazine

Question 2

Mycophenylate causes ____ _____ suppresion

Answer 2

Bone marrow suppression

Question 3

Hypertension, hyoerkalmeia, tremor, neurotoxicity, nephrotoxocoty

Answer 3

Shared SE of tacrolimus and cyclosporine

Question 4

*** SE that differentiate tacrolimus and cyclosporine

Answer 4

Cyclosporine = hirsutism and gum hypertrophy

Question 5

Azathioprine toxicity

Answer 5

Diarrhea, leukopenia, hepatotoxicity

Question 6

Infection 1-6 mo after liver transplant

Answer 6

CMV, aspergillosis, myco tb

Question 7

Tinnitus, vertigo, sensorineural hearing loss

Answer 7

Meniere disease, due to increased endolymph pressure

Question 8

*** Gentamicin, loop diuretics, cisplatin SE

Answer 8

Hearing loss

Question 9

Cough, hyperkalemia, angioedema SE

Answer 9

ACEi

Question 10

*** Repeat abortions, falsely positive VDRL, abnl blood results

Answer 10

Anti-phospholipid Syndrome, start on LMWH to prevent repeat abortion

Question 11

Ear pain and drainage, osteomyelitis and fascial nerve palsy, diabetes and pseudomonas

Answer 11

Malignant otitis external

Question 12

*** Tuning fork heard when placed on mastoid, but not heard when taken off mastoid

Answer 12

Abnormal conduction, follow up with Webber - if lateralizes that means CONDUCTION LOSS

Question 13

Example of conduction loss

Answer 13

Otosclerosis

Question 14

What type of hearing loss can result from ototoxic medications (aminoglycosides, titanium-containing, loop diuretics)

Answer 14

Sensorineural

Question 15

*** PDE5 inhibitor

Answer 15

Sildenafil, used for ED dysfunction

Question 16

What two medications to avoid when taking sildenafil?

Answer 16

Nitrates and alpha blockers (prazosin, tamsulosin)

Question 17

*** Tx of malignant otitis external

Answer 17

Target pseudomonas, ciprofloxacin

Question 18

Low FSG and LH, small testes

Answer 18

Anabolic steroid use

Question 19

*** Two radiiopaque stones

Answer 19

Struvite (mag phosphate) and calcium phosphate

Question 20

Complication of nephrotic syndrome

Answer 20

Hypercoagulable state - thrombosis of renal vein etc

Question 21

*** After HTN treatment, patient becomes altered, arrhythmia, skin flush

Answer 21

Cyanide toxicity

Question 22

Radiolucent stones, treatment is hydration and alkalization of urine with potassium citrate

Answer 22

Uric acid stones

Question 23

*** This med increases calcium in the urine, increases frequency of calcium stones

Answer 23

Furosemide

Question 24

*** Tx for recurrent calcium stones

Answer 24

HCTZ

Question 25

Calcium > 14

Answer 25

Tx with normal saline and calcitonin

Question 26

Can hypovolemia lead to acute tubular necrosis

Answer 26

Yes, would see muddy brown casts on microscopic amaylsis of urine

Question 27

Fatty casts

Answer 27

Nephrotic syndrome

Question 28

RBC casts

Answer 28

Glomerulonephritis

Question 29

WBC casts

Answer 29

Pyelonephritis and interstitial nephritis

Question 30

HIV associated nephropathy

Answer 30

FSGS

Question 31

*** Two ways to correct acutely elevated potassium (>7)

Answer 31

Calcium gluconate or insulin and glucose