Test 26

Question 1

Abortion

Answer 1

A subchorionic hematoma is an abnormal collection of blood between the uterus and the gestational sac. It can present with first-trimester bleeding or as an incidental finding on route on US. Management is expectant; serial US can be performed to provide reassurance.

Question 2

Benzodiazepines

Answer 2

Benzodiazepine withdrawal occurs with abrupt cessation after prolonged use and may occur several days into a hospitalization. Rapid tx with a bdz is needed to manage this potentially life-threatening condition.

Question 3

Hair loss

Answer 3

Alopecia areata is characterized by smooth and discrete areas of complete hair loss. There is no associated scaling, scarring, or inflammation.

Question 4

Hair loss

Answer 4

Alopecia areata can commonly recurr in patients even after successful tx and normal hair growth.

Question 5

Hair loss

Answer 5

Topical or intralesional corticosteroids are the preferred first-line tx in patients with alopecia areata.

Question 6

Idiopathic intracranial HTN

Answer 6

Idiopathic intracranial HTN, also known as pseudotumor cerebri, is a potential cause of headaches typically seen in overweight women of childbearing age. Papilledema is classically seen on ophthalmoscopic examination. A negative neuroimaging study (except an empty sella) and an elevated opening pressure on LP can help to confirm the dx.

Question 7

Myocardial infarction

Answer 7

Beta blockers reduce short-term morbidity (recurrent symptoms or reinfarction) and improve long-term survival in patients with prior MI and/or left ventricular systolic dysfunction, and are an integral part of pharmacotherapy for secondary prevention of cardiovascular events following MI.