UW 3

Question 1

SIADH in Lung cancer

Answer 1

Hyponatremia
Small cell
Low plasma osmolality
High urine osmolality and urince concentration

Question 2

TX for SIADH w lung cancer

Answer 2

Fluid restriction to < 800mL/day

Question 3

Presentation of Renal Cell carcinoma

Answer 3

Triad:
Flank pain
Hematuria
Palpable abd renal mass
Others: scrotal varicocele (L) that fails to empty when recumbant
Ectopic EPO = Polycythemia

Question 4

Most sensitive DX test for Renal Cell Carcinoma

Answer 4

CT Abdomen

Question 5

Causes of elevated BUN/Creatinine

Answer 5

Bacterial breakdown of Hgb in GIT (Peptic duodenal ulcer)
Systemic steroids
Prerenal azotemia

Question 6

S4 + exertional dyspnea

Answer 6

Diastolic HF
Stiff LV
Restrictive CM
LVH = prolonged HTN

Question 7

Cyanosis in first 24 hours

Answer 7

Transposition of GV’s

Question 8

Acyanotic heart disease

Answer 8

ASD
VSD
PDA
Coarctation of the aorta
Dextrocardia

Question 9

Tet of Fallot Presentation

Answer 9

Single S2
Systolic murmur - PS
Cyanosis

Question 10

Transposition of GV’s Presentation

Answer 10

Cyanosis in first few hrs of life
Infants of DM mothers
Males
Single loud S2 + NO murmur

Question 11

Afebrile + blood tinged sputum

Answer 11

Acute Bronchitis

TX: Supportive care and observation

Question 12

HIT Type I Presentation

Answer 12

Non-immune platelet degradation
Occurs w/in 48 hrs
Mild and transient effect on platelets

Question 13

HIT Type II Presentation

Answer 13

Immune-mediated - abs to heparin-platelet factor 4 complexes
Platelet activation, thrombocytopenia, thrombosis
Necrotic lesions at injection site
Occurs 5-10 days after heparin OR within 1 day if heparin exposure in last 1 month

Question 14

Management for HIT

Answer 14

type I - continue heparin and observe

type II - stop heparin, use alternate anticoagulant

Question 15

Antibodies ass’d w acute and chronic hepatitis

Answer 15

Anti-smooth muscle abs

Anti LKM abs

Question 16

Presentation of sympathetic ophthalmia

Answer 16

Damage to one eye after penetrating injury to other eye

Hidden Antigens uncovered

Question 17

Signs of RV Infarct

Answer 17

Clear lung fields
HypoTN
JVD
With inferior MI

Question 18

Management for Inferior wall MI of RV infarct

Answer 18

Fluid resuscitation
Avoid nitrates
Dobutamine if IVF doesn’t increase CO

Question 19

OCD is ass’d with what

Answer 19

Tourette

Question 20

TX for OCD

Answer 20

SSRIs

Question 21

Presentation of Trichotillomania

Answer 21

Recurrent hair pulling resulting in hair loss
Distressed pts
Not due to medical condition

Question 22

TX for Trichotillomania

Answer 22

CBT

Question 23

Comorbidity ass’d with Trichotillomania

Answer 23

OCD

Question 24

Presentation of Trichophagia

Answer 24

Swallowing of hair
Form trichobozoars
Abd Pain + bowel obstruction

Question 25

Hep A Presentation

Answer 25

``` Acute Incubation period 30 days Malaise, anorexia, fatigue Vomiting, abd pain Aversion to smoking HSM ```

Question 26

Triad of Kartagener's

Answer 26

Dextrocardia Bronchiecstasis Recurrent sinusitis

Question 27

Pregnancy screening at 1st Prenatal visit

Answer 27

VDRL/RPR HIV Hep B (CHeck these)

Question 28

Analgesic nephropathy kidney damage?

Answer 28

Papillary necrosis | tubulointerstitial nephritis

Question 29

Which cells make Inhibin? | Feedback inhibition of what?

Answer 29

Granulosa cells of ovarian follicle | Feedback Inhibition of pituitary FSH release

Question 30

Drooling seen in epiglotittis or croup?

Answer 30

E

Question 31

Follicular conjunctivitis and pannus formation/neovascularization in cornea

Answer 31

Trachoma

Question 32

When do we TX elevated BP in pts w acute ischemic stroke

Answer 32

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Question 33

Define Diastolic Dysfunction

Answer 33

BP

Question 34

Causes of High output Heart Failure

Answer 34

Anemia

Question 35

Presentation Acalculous Cholecystitis

Answer 35

C

Question 36

Mitral stenosis presentation

Answer 36

MS-> LA Dilattion | Murmur

Question 37

TX for Tourette

Answer 37

APs | Pimozide

Question 38

Aspirin-exacerbated respiratory dz

Answer 38

P

Question 39

Cerebellar tumor presentatin

Answer 39

Gait

Question 40

Gastrinoma

Answer 40

mC

Question 41

Milk alkali triad

Answer 41

H

Question 42

Diabetic neuropathy

Answer 42

22

Question 43

Theophylline tox

Answer 43

Cipro

Question 44

Lewy body dementia Presentatin

Answer 44

26

Question 45

PML Presntation

Answer 45

29

Question 46

Anti-topoisomerase Abs

Answer 46

34

Question 47

Fibromyalgia

Answer 47

38

Question 48

Pulsus paradoxus

Answer 48

40