Week 7

Question 1

minimal change disease is clasically seen in patients with what disease?

Answer 1

lymphoma (HL)

[membranous qglomerulopathy is associated with SOLID cancers]

Question 2

hit me with 2 adverse effects of oxytocin

Answer 2

hyponatremia
tachysystole
hypotension

Question 3

burr cells (echinocytes) are seen in what disease?
how about spur cells (acanthocytes)

Answer 3

burr= ESRD

spur = liver

Question 4

what is the name of hemangiomas that appear in the first few weeks of life, grow, and then regress spontaneously?

Answer 4

superficial infantile hemangioma aka strawberry hemangioma

Question 5

diseases and auto-antibodies:
systemic sclerosis =
______ = PBC
autoimmune hepatitis =

Answer 5

sclerosis = anti-topoisomerase (Scl-70);
antimitochondrial = PBC
hep = anti smooth muscle

Question 6

what defect is characteriized as a systolic murmur loudest at the LLSB and a diastolic rumber at the apex?

Answer 6

VSD

Question 7

___ is the probability of being disease free if a test is negative

Answer 7

NPV

high pretest prob = low NPV

Question 8

main side effect of hydroxychloroquine?

Answer 8

retinopathy

Question 9

CSF findings meningitis:
high WBCs (PMNs), low glucose, high protein?

elevated WBC, normal gluc, low protein?

Answer 9

bacterial;

viral

Question 10

post MI, what is characterized by persistent ST elevation with deep Q waves on EKG?>

Answer 10

ventric aneurysym

Question 11

for MIs, is PCI recommended within 90 minutes of symptom onset or 90 minutes of medical contact?

Answer 11

medical contact

within 12 hours of symptom onset

Question 12

initial step in patient with suspected urethral injury?

Answer 12

retrograde urethrogram

Question 13

in down syndrome, beta HCG is ____, AFP is ____, estriol is ____ and inhibin is ______

Answer 13

hcg increased
afp decreased
estriol decreased
inhibin increased

(for trisomy 18, hcg is decreased)

Question 14

vasospastic or prinzmetal angina is treated with what?

Answer 14

Ca channel blockers ie dilt

Question 15

rapid strep antigen testing is indicated prior to treatment of GAS pharyngitis in kids or adults?

Answer 15

kids

if + CENTOR, ok to treat empirically when > 14

Question 16

fetal tachycardia is defined as HR > ______

Answer 16

160 (sustained)

Question 17

Small for gestational babies can have complications such as hypoxia, polycythemia, ____glycemia, ____thermia, and ____Calcemia

Answer 17

hypo, hypo, hypo

Question 18

how does one assess cervical length?

Answer 18

Trans Vaginal US

Question 19

classically, LAD on a neonatal EKG is caused by what?

Answer 19

tricuspid atresia

also with decreased pulm markings

Question 20

diaphragmatic rupture usually occurs on what side?

Answer 20

left side (r side is protected by liver)

Question 21

what is the kleihauer-betke test used for?

Answer 21

determines dose of Rhogam needed following delivery or procedure

Question 22

what should neonates with moms with HBV receive after delivery?

Answer 22

HB Ig and HBV vaccine

Question 23

initial management frostbite

Answer 23

rapid rewarming in waterbath

Question 24

first line management diverticulitis with abscess?

Answer 24

ct guided percutaneous drainage

Question 25

the diagnosis of bronchiectasis is made with what?

Answer 25

high res CT

Question 26

hyperthyroidism in neonates is caused by what?

Answer 26

transplacental Abs

Question 27

PAP testing begins at what age?

Answer 27

21

Question 28

initial 2 steps in management of infant with suspected meningitis

Answer 28

LP --> ABX kids have open fontanelles and thus dont need CT

Question 29

2 ways to increase oxygenation in ventilated patients?

Answer 29

increase FiO2; increase PEEP (esp for ARDS)

Question 30

first line benzo in management of alc withdrawal in patients with liver disease

Answer 30

lorazepam

Question 31

4 anti-hypertensives in pregnant women

Answer 31

hydralazine labetalol nifedipine methyldopa (not for emergencies)

Question 32

lung compliance and distensibility are _____ in patients with COPD

Answer 32

increased

Question 33

first line treatment for lyme disease in patients < 8?

Answer 33

amoxicillin