UVA Quiz

Question 1

LDL goal for diabetics

Answer 1

Less than 100

Question 2

tx for bacterial meningitis

Answer 2

ceftriaxone and vanc

Question 3

first and second line treatment for enterobiasis, and what scenario would you use the second line

Answer 3

mebendazole

pyrantel pamoate - use if pregnant

Question 4

kidney disease 5 days vs 10+ days after URI

Answer 4

5 days: IgA nephropathy

10+ days: PSGN, also has cola colored urine, periorbital edema

Question 5

indications for using sodium polystyrene sulfate (kayexalate) for hyperkalemia

Answer 5

all other meds failed

constant leakage of potassium from damaged cells (myonecrosis)

Question 6

indications for using sodium polystyrene sulfate (kayexalate) for hyperkalemia

Answer 6

all other meds failed

constant leakage of potassium from damaged cells (myonecrosis)

Question 7

episodic headache
sweating
tachycardia

Answer 7

pheochromocytoma

Question 8

indications for biventricular pacemaker placement

Answer 8

symptomatic bradyarrhythmias

sinus or AV node dysfunction

Question 9

2 classic groups of people with myasthenia gravis

Answer 9

20s - 30s females with autoimmune disorders

men in 70s or 80s

Question 10

when is splitting of S2 normal

Answer 10

during inspiration

Question 11

low pitched, harsh holosystolic murmur at LLSB

Answer 11

VSD

Question 12

microcytic anemias

Answer 12

Thalassemia
Anemia of chronic disease
Iron deficiency anemia (sometimes normocytic)
Lead poisoning
Sideroblastic anemia

Question 13

tx autoimmune hemolytic anemia

Answer 13

corticosteroids

Question 14

tx autoimmune hemolytic anemia

Answer 14

corticosteroids

Question 15

LDL goal for people with no risk factors

Answer 15

less than 160

Question 16

increased HVA and VMA. Differential, and how to distinguish between the two

Answer 16

neuroblastoma vs pheochromocytoma (also increased metanephrine and normetanephrine)

Question 17

increased HVA and VMA. Differential, and how to distinguish between the two

Answer 17

neuroblastoma vs pheochromocytoma (also increased metanephrine and normetanephrine)

Question 18

fever, anemic, thrombocytopenic, renal dysfunction, neuro abn - dx and tx

Answer 18

TTP

plasmapheresis

Question 19

tx of vWD

Answer 19

mild: desmopressin (incr prod and release of vWF)
severe: cryoprecipitate

Question 20

familial short stature vs constitutional growth delay

Answer 20

FSS: bone age = chronological age
CGD: bone age less than chronological age

Question 21

elevated AFP in pregnant

Answer 21

multiple gestations
NTDs
and wall defects

Question 22

why TMP SMX CI in last trimester

Answer 22

causes hyperbilirubinemia of newborn

Question 23

workup before starting a prophylactic med for gout

Answer 23

24 hour uric acid urinary excretion

• if less than 600 mg uric acid, under secreter, so use probenecid
• if more than 600 mg uric acid, over producer, so use allopurinol

Question 24

first line tx for scabies

Answer 24

permethrin cream or oral ivermectin

Question 25

first line tx for scabies

Answer 25

permethrin cream or oral ivermectin

Question 26

low AFP in pregnant

Answer 26

trisomy 18 and 21

Question 27

dipstick UA shows blood
microscopic UA doesn’t
dx?
tx?

Answer 27

rhabdo - myoglobinuria

IVF

Question 28

first line for acute bacterial sinusitis

Answer 28

amox/clav

Question 29

hypertensive urgency vs emergency

• definition
• management

Answer 29

urgency >220/120 - PO labetalol

emergency - IV agents

Question 30

CD4 count below 50, start prophylaxis with __ for what bug?

Answer 30

azithromycin or clarithromycin

mycoplasma avium complex (MAC)

Question 31

HIV patient vaccines

Answer 31

pneumococcal

flu