test 2

Question 1

greasy, foul-smelling diarrhea with flatus

Answer 1

giardia

Question 2

management of small pleural effusion after cardiac surgery

Answer 2

observe

Question 3

setting fires/destroying property and stealing more indicative of oppositional defiant d/o or conduct d/o

Answer 3

conduct

Question 4

management of developmental dysplasia of the hip

Answer 4

consult ortho for pelvic harness

Question 5

side effect of intranasal glucocorticoid (for allergic rhinitis)

Answer 5

epistaxis

Question 6

inspiratory stridor due to what disease and which virus

Answer 6

croup- parainfluenza

Question 7

acute rhinosinusiits with purulent draining management

Answer 7

supportive - no abx cuz most likely viral even tho purulent

Question 8

can you just add a survey to IRB already approved project or resubmit protocol to IRB?

Answer 8

always resubmit new addition to study

Question 9

routine colonoscopies end after what age

Answer 9

75

Question 10

can you take spironolactone during pregnancy?

Answer 10

no

Question 11

erythema infectiousum refers to

Answer 11

parvovirus b19

Question 12

can celiac disease delay puberty?

Answer 12

apparently yes- FTT

Question 13

does fetus have complications in lupus mother?

Answer 13

yes- congenital complete heart block, and others

Question 14

spontaneous pneumomediastinum managmenet

Answer 14

observe, oxygen, analgeiscs- resolves

Question 15

side effect of stimulant ADHD meds

Answer 15

increase in BP and HR (not arrhythmia)

Question 16

does Cr increase when starting ACEI?

Answer 16

yes- up to 30%

Question 17

many round small opacities in upper lobes

Answer 17

chronic silicosis

Question 18

can you take estrogen therapy with a history of DVT?

Answer 18

no

Question 19

treatment for hot flashes when you cant take estrogen?

Answer 19

SSRI

Question 20

is it normal for your platelets and Hgb to decrease in pregnancy and bleed from your gums?

Answer 20

ya, woof

Question 21

can you have some bm’s with hiscrprung?

Answer 21

yes

Question 22

modality for joint effusion dx in kids

Answer 22

ultrasound

Question 23

hip pain after viral illness with joint effusion

Answer 23

transient synovitis

Question 24

pH of BV

Answer 24

pH>4.5

Question 25

teen collapses and found to have coronary aneurysm and calcification

Answer 25

old kawasaki from childhood

Question 26

mgmt of pregnant woman with herpes

Answer 26

acyclovir at 36 weeks | c-section if active sxs

Question 27

increased cusp:disk on retina exam

Answer 27

open angle glaucoma

Question 28

management of suspicion for ovarian cancer

Answer 28

surgical exploration- don't do biopsy

Question 29

2 weeks of abdominal pain and N after lap choley

Answer 29

retained common bile duct stone

Question 30

prodrome of syncope (N, diaphoresis, warmth) happens with vasovagal or cardiac etiologies

Answer 30

vasovagal

Question 31

measles spread how

Answer 31

airborne

Question 32

monochorionic diamniotic fetuses at risk of

Answer 32

twin twin transfusion syndrome

Question 33

next step if patients pos for TB screen

Answer 33

CXR- latent or active TB

Question 34

can you keep taking heparin if you have a mild reduction in platelets?

Answer 34

yes, type 1 is immediate and mild whereas type 2 is later (4-5 days after) and life threatening

Question 35

what distinguishes postpartum blues from depression besides timeframe?

Answer 35

anhedonia

Question 36

hiking in NE + AV block

Answer 36

lyme

Question 37

when do you need abdominal imaging for cdif infection

Answer 37

WBC>15K Cr>1.5 septic shock severe abdominal pian r/o toxic megacolon

Question 38

acalculus cholecystitis management

Answer 38

abx, cholecystostomy tube for drainage

Question 39

next step with abnormal fetus non stress test

Answer 39

BPP

Question 40

management of uterine inversion after labor

Answer 40

shove it back in, stop oxytocin

Question 41

ileus vs SBO feature

Answer 41

ileus- decreased or absent bowel sounds, air in colon SBO: high pitched active, no air in colon

Question 42

ileus mangament

Answer 42

bowel rest- NG tube

Question 43

how does chronic constipation lead to fecal incontinence

Answer 43

constant dilation --> weaken anal sphincter

Question 44

amenorrhea, hyperthyroid sxs, abdominal mass

Answer 44

hyatidform mole

Question 45

pt with hx/o heavy alcohol use get hospitalized then discharged and develop weakness, diminished reflexes, paresthesias, ileus, +/- encephalotpahy, why?

Answer 45

hypophosphatemia

Question 46

risk of waiting till spontaneous delivery of still birth

Answer 46

coagulopathy- DIC

Question 47

do patients with lower urinary tract sxs need to get UA or can you start finasteride?

Answer 47

get UA dummy