V

Question 1

used for diabetics with acute exacerbation of gastroparesis

Answer 1

eryhtromycin

Question 2

signs of acute hemolytic reaction from blood ABO incompatibility

Answer 2

fever, flank pain, hemoglobinuria, renal failure, DIC
within 1 hr transfusion
+ direct coombs test and pink plasma

Question 3

what has + direct coombs test

Answer 3

acute hemolytic blood transfusion reaction

delayed hemolytic reaction

Question 4

clinical presentaiton varicocele

Answer 4

soft scrotal mass that decreases in supine and increases with standing or valsalva
can cause subfertility and testicular atrophy

Question 5

Tx varicocele

Answer 5

gonadal vein ligation

scrota support and NSAIDs

Question 6

acute episodes of hypersensitivity pneumonitis

Answer 6

cough, breathlessness, fever, maliase

Question 7

chronic exposure of hypersensitivity pneumonitis

Answer 7

weight loss, clubbing, honeycombing of the lung

Question 8

common organism to infect after get contact dermatitis

Answer 8

staph epidermidis

Question 9

what causes increased A-a gradient in lungs

Answer 9

diffusion limitation
shunt
V/Q mismatch

Question 10

what lung issues correct with suplemental O2

Answer 10

reduced inspired O2 tension
hypoventilation
diffusion limitation

Question 11

most common site infective endocarditis

Answer 11

mitral valve

Question 12

common cause of B12 deficiency

Answer 12

loss of IF from gastric resection or autoimmune gastritis

Question 13

what can make it difficult to correct K levels

Answer 13

hypomagesemia

Question 14

triad of reactive arthritis

Answer 14

nongonococcal urethritis, asymmetric oligoarthritis, conjunctivits

Question 15

Tx reactive arthritis

Answer 15

NSAIDs

Question 16

what primary tumors commonly mets to liver

Answer 16

GI tract, lung, breast

Question 17

Lynch syndrome

Answer 17

hereditary non polyposis colorectal CA

icnreased risk endometrial CArcinoma

Question 18

which metabolic abnormality can cause decrease in PTH secretion and decrease responsiveness to PTH

Answer 18

hypo Mg

Question 19

most effective Tx for trigeminal neuralgia

Answer 19

carbamazepine

Question 20

Bengin parozysmal positional vertigo

Answer 20

triggered by change sin head position

confirmed by Dix Hallpike maneuver

Question 21

best acute management frsotbite

Answer 21

rapid rewarming with warm water

Question 22

symptoms of graves opthalmopathy

Answer 22

gritty or sandy sensation, redness, photophobia, pain, excess tearing

Question 23

risk factors for graves opthalmopathy

Answer 23

female sex, advancing age and smoking

Question 24

kussmauls sign

Answer 24

increase in JVD with inspiration

Question 25

most common cause of thyrotoxicosis with reduced thyroid uptake

Answer 25

subacute lymphocytic (painless) thyroiditis subacute granulomatous thyroiditis levothyroxine overdose iodine-induced thyrotoxicosis

Question 26

intense pain in thyroid region

Answer 26

subacute granulomatous (de quervains)

Question 27

gross proteinuria with no hematuria

Answer 27

minimal change

Question 28

intermittent asthma

Answer 28

daytime Sx

Question 29

mild persistent asthma

Answer 29

Sx >2 days/week | nighttime awakenings 3-4x/month

Question 30

moderate persistent asthma

Answer 30

>2 days/week | nighttime awakenings weekly

Question 31

severe persistent asthma

Answer 31

Sx thorughout the day frequent nighttime awkenings limited activity

Question 32

What drugs induce peripheral neuropathy

Answer 32

chemo | vincristine, taxanes

Question 33

Sx chemo induced peripheral neuropathy

Answer 33

symmetric distal sensory neuropathy in stocking glove pattern

Question 34

nodular glomeruloscleross

Answer 34

diabetic nephropathy

Question 35

Sx of CML

Answer 35

fatigue, malaise, low grade fever, anorexia, abdominal pain and weight loss

Question 36

increased immature myelocytes on peripheral blood smear

Answer 36

CML

Question 37

fusion in CML

Answer 37

9;22 BCR ABL1

Question 38

lab finding in CML

Answer 38

low alkaline phosphatase

Question 39

``` patient has dizziness, inability to walk, pain in right side of face L pupil larger than R dec corneal reflex partial ptosis of R eye horizontal and rotational nystagmus gag reflex diminished loss of pain and temp on right face L trunk and limbs location of lesion? ```

Answer 39

lateral medulla | wallenberg syndrome

Question 40

sensory Sx of wallenberg syndrome

Answer 40

loss pain and temp of ipsi face and contra trunk and limbs

Question 41

autonomic dysfunction in wallenberg syndrome

Answer 41

ipsi horners hiccups sleap apnea

Question 42

which aa cause wallenberg syndrome

Answer 42

intracranial vertebral a occlusion

Question 43

what vasculature is compromised in subdural hematoma

Answer 43

tearing of bridging veins

Question 44

lens shaped epidural bleed

Answer 44

middle meningeal

Question 45

what vaccines are contraindicated in HIV CD4

Answer 45

MMR, varicella, zoter, live attenuated influenza | all live vaccines

Question 46

what vaccines are absolutely Contraindicated in HIV regardless of CD4 count

Answer 46

bcg, anthrax, oral thyphoid, oral polio, yellow fever

Question 47

high insulin levels and c peptide with severe hypoglycemia

Answer 47

beta cell tumor

Question 48

skin rash in glucagonoma

Answer 48

necrotic migratory erythema

Question 49

TSH and T4 levels in secondary hyperthyroidism

Answer 49

both are high | so MRI of pituitary

Question 50

low TSH and high T4 with low radioactive uptake

Answer 50

measure serum thyroglobulin if high- thyroiditis or iodide exposure if low- exogenous hormone