Week 8

Question 1

pupillary response is _____ in patients with ischemic CN3 palsy and is ______ in patients with CN3 compression

Answer 1

preserved;

absent/abnormal

Question 2

most common side effect of tamoxifen

Answer 2

hot flashes

watch for VTE, endometrial cancer

Question 3

osteomalacia is characterized by _____phosphatemia, _____calcemia, and elevated _______

Answer 3

hypo,hypo;

alk phos

Question 4

clasically, what causes a chronic biphasic stridor in kids? does it improve or worsen with neck extension?

Answer 4

vascular ring;

improves

Question 5

with laryngomalacia, stridor _____ while supine and ____ when prone

Answer 5

worsens; improves

Question 6

subclavian steal syndrome is due to atherosclerosis or occlusion or the subclavian arttery or the vertebral artery?

Answer 6

subclavian

Question 7

B12 vs folate defeciency:
methylmalaonic acid is elevated in _____;
homocysteine is elevated in ______

Answer 7

B12;

both

Question 8

aspirin exacerbated resp disease is mediated by what kind of reaction?

Answer 8

pseudoallergic reaction

Question 9

in patients with hydatiform moles, does B-hcg normalize immediately following D and C or does it take several weeks?

Answer 9

several weeks bruh

Question 10

chrondocalcinosis in an inflamed joint is suggestive of what?

Answer 10

calcium pyrophosphate dihydrate arthritis

Question 11

chronic pelvic pain with a homogenous cystic appearing adnexal mass is suggestive of what?

Answer 11

endometriosis

Question 12

which anti-diabetic drug has the favorable profile of weight loss?

Answer 12

Glp-1 receptor agonists ie exenatide

Question 13

initial management in hemodynamically stable patients with heavy vaginal bleeding?

Answer 13

high dose OCPs (or high dose estrogen)

Question 14

case-control vs cohort:
which is best for determining incidence?
which allows for calculation of relative risk?

Answer 14

cohort;

cohort

Question 15

pneumonia causes hypoxemia due to what?

Answer 15

VQ mismatch (and intrapulmonary shunting)

Question 16

in patients with untreat genital herpes, do outbreaks typically more often or less often as time goes by?

Answer 16

less

Question 17

what immunodefeciency is characterized by recurrent cutaneous/pulmonary functions with catalase positive organisms?

Answer 17

CGD

ie staph aureus, serratia

Question 18

what immunodeficiency presents with oculocutaneous albinism and recurrent cutaneous infections?

Answer 18

chediak higashi

Question 19

asymptomatic bacteriuria is treated in pregnant women due to increased risk of what (without treatment)\?

Answer 19

pyelo

Question 20

what imaging modality is indicated in a patient with suspected esophageal perforation?

Answer 20

water-soluble contrast

Question 21

3 tests used in evaluation of cushing?

Answer 21

1. 24 hour urinary cortisol
2. late night salivary cortisol
3. low dose dex suppression test

Question 22

cauda vs conus:
saddle hyposthesia?
symmetric motor weakness?
hyperreflexia?
early bowel/bladder?

Answer 22

cauda equina =saddle
symmet = conus
hyperref = conus
early bowel = conus

Question 23

cauda equina vs conus:

causes only LMN signs?

Answer 23

cauda

Question 24

Iron defeciency anemia:

_____ transferrin sat, _____ TIBC

Answer 24

decreased;

increased

Question 25

which 2 genetic conditions have a cherry red macula? of these, which has hepatosplenomegaly?

Answer 25

niemann pick and tay sax; | NP has hepatosplenomegaly

Question 26

of the three types of vaginitis, which does not have vaginal inflammation?

Answer 26

bacterial vaginosis (ie gardnerella)

Question 27

do TE fistulas present with oligohydramnios or polyhydramnios?

Answer 27

poly

Question 28

cephalohematomas: does it cross suture lines? risk of mortality? due to _____ hemorrhage

Answer 28

no; low; subperiosteal caput succedaneum = crosses suture lines

Question 29

chorionic villus sampling can be done when? | what about amniocentesis

Answer 29

``` CVS = 10-13 weeks; amniocentesis = 15-20 weeks ```

Question 30

odds ratio is the measure of association in what kind of study? what about relative risk?

Answer 30

case control; | cohort