Study Topics from Practice Exams

Question 1

Adam Stokes syncopy is related to what cardiac dysrhythmia?

Answer 1

3rd Degree AV Block

Question 2

Hearing loss is associated with central or peripheral vertigo?

Answer 2

peripheral (non-CNS)

Question 3

A pupil which does not react to light, but does react to accommodation and related to syphilis infection is called what?

Answer 3

Argyll Robertson Pupil

Question 4

Which joint do heberden’s nodes affect?

Answer 4

DIP

Question 5

which joint to bouchard’s nodes affect?

Answer 5

PIP (B before H)

Question 6

Most common pediatric leukemia?

Answer 6

ALL

Question 7

Most common pediatric brain malignancy?

Answer 7

medulloblastoma

Question 8

brain lesion on pediatric patient above 4th ventricle…

Answer 8

medulloblastoma

Question 9

Diet changes to prevent kidney stones…

Answer 9

hydration low protein low salt

Question 10

slurred, wide QRS tachycardia on EKG

Answer 10

Wolff-Parkinson-White Syndrome

Question 11

Tx for stable WPW

Answer 11

Procaineamide/amiodarone

Question 12

Tx for unstable WPW

Answer 12

Sync Cardioversion

Question 13

Definitive Tx of WPW

Answer 13

Radiofrequency Catheter Ablation

Question 14

2 rate control drug classes for stable AF…

Answer 14

Beta 1 Blockers (atenolol, esmolol, metoprolol)

Non-Dihydropyridine CCBs (Dilt, Verapamil)

Question 15

test used to assess need for anticoags in AF…

Answer 15

CHADS2VASC

Question 16

Wide, fixed split S2 without respiratory variation with systolic ejection murmur at LUSB

Answer 16

ASD

Question 17

Why are NSAIDs tx of choice for PDA?

Answer 17

inhibit prostaglandin synth (which is cause of PDA)

Question 18

Harsh holosystolic murmur at left sternal border and right ventricular heave…

Answer 18

VSD murmur of Tetralogy of Fallot

Question 19

Tx of cardiogenic shock

Answer 19

Oxygen

Pressers –> Intra-aortic balloon pump

avoid aggressive IV fluid

Question 20

Etiology of PS…

Answer 20

congenital, young patients w/ rubella hx

Question 21

harsh mid-systolic crescendo-decrescendo 2LICS increased with inspiration

Answer 21

Pulmonic Stenosis

Question 22

mid-late systolic ejection click with murmur

sxs of autonomic dysfunction (CP, anxiety, palpitations)

Answer 22

MVP

Question 23

Brief decrescendo early diastolic murmur with inspiration

2LICS

Answer 23

pulmonic regurgitation

Question 24

mid-diastolic murmur at LLSB, worse with inspiration, opening snap

Answer 24

Tricuspid stenosis

Question 25

holosystolic blowing, high-pitched murmur at subxiphoid area worse with inspiration

Answer 25

tricuspit regurgitation

Question 26

Immediate surgical repair is required for a AAA of what size?

Answer 26

5.5cm or greater

Question 27

AAA of 3-4cm mgmt...

Answer 27

screen yearly

Question 28

Mgmt of AAA 4-4.5cm

Answer 28

US q 6 mo

Question 29

A prolonged QT may result in what type of dysrhythmia?

Answer 29

VT

Question 30

Transient ST elevations which resolve with sxs resolution Non-exertional CP

Answer 30

vasospastic angina

Question 31

vasospastic angina dx

Answer 31

ECG (screen), angio w/ ergonovine (Dx)

Question 32

Screening and imaging of choice for dx of SPNs

Answer 32

CXR Screen CT Chest for Dx

Question 33

Syndrome of: - periodic diarrhea - flushing - tachycardia - bronchoconstriction

Answer 33

Carcinoid Syndrome

Question 34

On bronchoscopy: -tumor of pink/purple, well vascularized, centrally located

Answer 34

carcinoid

Question 35

lung CA screening for smokers...

Answer 35

55-80 yo + 30 pack year hx even if quit in last 15 years.

Question 36

Which lung CA? - peripheral lesion - MC type

Answer 36

adenocarcinoma

Question 37

Which Lung CA? - strongly a/w smoking - Central location - Cavitary lesion - Hypercalcemia - Pancoast syndrome

Answer 37

Squamous Cell

Question 38

Which lung CA? - central location - a/w paraneoplastic syndromes - no surgery

Answer 38

small cell/oat cell

Question 39

Proximal muscle weakness dry mouth hyporeflexia small cell lung CA

Answer 39

lambert-eaton syndrome

Question 40

SVC syndrome a/w which type of tumor?

Answer 40

small cell bronchogenic

Question 41

Apical tumor shoulder/arm pain Horner syndrome weakness of hand muscles a/w SCC lung CA

Answer 41

pancoast tumor

Question 42

Post-exposure HAV prophylaxis age 1-40

Answer 42

HAV vaccine

Question 43

post-exposure HAV prophylaxis for immunocompromised or liver disease

Answer 43

HAV vaccine + HAV Immunoglobulin

Question 44

3 step approach to HBV serology

Answer 44

1. Surface antigen (if (+), acute or chronic infx) 2. Core Ab (IgM acute vs IgG distant) 3. Surface Ab if antigen negative ( POS = vaccination or recovery)

Question 45

What indicates vaccination with immunity to HBV?

Answer 45

Surface Ab only positive serology