Week 1

Question 1

Nephrotic syndrome complicated by hematuria

Answer 1

Renal vein thrombosis as a complication of AT3 loss. Happens most commonly in membranous nephropathy.

Question 2

Preeclampsia BP

Answer 2

> 140/90 at >=20 weeks

Question 3

Most common complication of sickle trait?

Answer 3

Painless hematuria

Question 4

Difference between pneumonia and bronchitis

Answer 4

Bronchitis has clear xray

Question 5

What causes amaurosis fugax

Answer 5

Retinal emboli from atherosclerosis

Question 6

NMS vs serotonin syndrome

Answer 6

NMS is an idiosyncratic reaction to antipsychotics characterized by high fevers and lead pipe rigidity with autonomic instability. Serotonin syndrome has GI distress, low grade fever, and myoc1lonus.

Question 7

Lupus serologies

Answer 7

Anti dsDNA and anti smith antibodies.

Question 8

Digoxin toxicity heartbeat

Answer 8

Atrial tachycardia with av block

Question 9

Cauda equina vs conus medullaris

Answer 9

Cauda has hypo/arreflexia, conus has hyperreflexia

Question 10

Charge syndrome

Answer 10

Coloboma, Heart abnormalities, Atresia of chonanae, genital/urinary deficits, ear abnormalities/deafness.

Question 11

VACTERL

Answer 11

Vertebral abnormalities,

Anal atresia, cardiac abdormalities, TE fistula, renal problems, limb deficits.

Question 12

NF1 phenotype

Answer 12

Cafe Au lait spots, freckles, optic gliomas, litsch nodules, sphenoid dysplasia

Question 13

Tuberous Sclerosis phenotype

Answer 13

Acne, tubers in brain, ash-leaf spots, angiomyolypoma

Question 14

Sturge Weber

Answer 14

Microcalcifications in brain

Question 15

Von hippel lindau

Answer 15

Hemangioblastomas, pheochromocytomas, renal cell carcinoma

Question 16

Schizoid personality disorder

Answer 16

Loner, detached, unemotional

Question 17

How to treat dermatitis herpetiformis?

Answer 17

Dapsone

Question 18

Serologies for celiac?

Answer 18

Anti tissue transglutaminase

anti-endomysium

Question 19

Porphyria cutanea tardea

Answer 19

Defect in uroporphyrinogen, hypertrichosis and blistering in sun, dx with woods lamp of urine (Coral red)

Question 20

Seborrheic Dermatitis

Answer 20

Flakey rash around hair (eyebrows, hairline) treat with selenium shampoo.

Question 21

Medication induced purple papule

Answer 21

Lichen planus (usually with acei, thiazides)

Question 22

Time course of drug rash?

Answer 22

7-14 days after starting drug

Question 23

Painful rash in patient with atopy

Answer 23

Eczema herpeticum

Question 24

How to treat incomplete SBO?

Answer 24

Watch and wait (and make sure not hypoK), if no change in 3 days go to surgery

Question 25

Antibiotics for ascending cholangitis?

Answer 25

Give while temporizing patient before ERCP. Cipro+MTZ, or Amp/gent + MTZ.