Sep 2024

Question 1

Autoimmune hepatitis
Dx ?
Rx ?

Answer 1

anti-smooth muscle Ab (+)
steroids + azathioprine (induce remission)

Question 2

Crytococcal meningitis (HIV+)
Rx ?

Answer 2

amphoteracin B + flucytosine

Question 3

SOB while lying on bed only. Chest clear. ECHO normal. Dx ?

Answer 3

phrenic nerve injury

Question 4

anti-epilepsy Rx. most safe in pregnancy ?

Answer 4

lamotrigene
levetiracetam

Question 5

small bowel angiodysplasia
Dx ?

Answer 5

AS, resolved with valve replacement

Question 6

Evan’s syn. Dx ?

Answer 6

autoimmune Dz
low PLT, Low Hb,
graves dz association

Question 7

Fish tape warm
Rx ?

Answer 7

Praziquantal

Question 8

BRCA2

Answer 8

breast, ovarain,
pancreatic CA (more common than BRCA1)

Question 9

Delirium tremons Rx ?
(pt 48 hrs fracture surgery Rx).

Answer 9

chlordiazepoxide

Question 10

aspirin toxicity
ABGs ?

Answer 10

initial: Respiratory alkalosis
late: metabolic acidosis

Question 11

Chromogranin A (+) biopsy
HyperCa++
thyroid Dz

Answer 11

Medullary thyroid CA

Question 12

Diabetic neuropathy
Initial Dx step ?

Answer 12

barium swallow

Question 13

MRSA, UTI
Rx ?

Answer 13

Teicoplanin

Question 14

Rhabdomyolysis s/t simva + amiodarone use.
which enzyme?

Answer 14

Simvastatin metabolize CYP34A.
Amiodarone inhibit it
leads to muscle damage (rhabdomyolysis)

Question 15

Peripartum cardiomyopathy
Rx during pregnancy ?

Answer 15

isosorbide dinitrate + hydralazine

Question 16

Spondylolisthesis
Dx ?

Answer 16

displacement of vertebrae (usually anteriorly)
pain/tingling in lower limb (hamstring)

Question 17

Anti-TB treatment
neurological impairment cause ?

Answer 17

Isoniazide - same enzyme metabolize sodium valproate

Question 18

MODY2
Dx
vs MODY1 & 3.

Answer 18

MODY2: Diet & Exercise
MODY 1/3: SU

Question 19

Pneumococcal meningitis Rx ?
(chest infection+)
gram (+) diplococci

Answer 19

ceftriaxone + Vanco + Dexa

Question 20

Bronchial CA association GN ?

Answer 20

Membraneous GN
(Nephrotic syn)

Question 21

adult onset-still Dz
Rx ?

Answer 21

Anakinra

Question 22

Multiple system atrophy
Dx ?

Answer 22

multiple falls + ataxia + parkinsonism
*postural hypotension (prominent feature)

Question 23

progressive supranuclear palsy
Dx ?

Answer 23

gaze palsy (+)
parkinsonism (+)

Question 24

Atrial myxoma
Dx ?

Answer 24

history of AF.
mid-diastolic murmur (loudest in mitral area)
IL-6 (High)
CRP (High)

Question 25

Amiodarone-induced thyroiditis type2 (destructive type) Dx ? Rx ?

Answer 25

IL6 (High) blood flow thyroid (low) Rx: Steroids

Question 26

DVT Pregnancy Rx ? first few weeks ? last week weeks ?

Answer 26

delivery + 6 weeks add 3 months from Dx

Question 27

memeory loss in alzheimer's dz Rx ?

Answer 27

rivastigmine