09 APR 2017 1831 MIX

Question 1

what can reduce the chances of a preterm delivery in a woman who has a history of preterm delivery?

Answer 1

progesterone during the second and third trimesters

Question 2

what is the most significant risk factor for preterm delivery?

Answer 2

history of preterm delivery

Question 3

koplik spots are pathognomonic for:

Answer 3

measles (rubeola)

Question 4

equalization of diastolic pressures is seen in:

Answer 4

cardiac tamponade

Question 5

paroxysmal nocturnal hemoglobinuria is diagnosed with what test?

Answer 5

erythrocyte CD55 and CD 59 protein bindings test

Question 6

radioopaque hexogonal crystals and positive urinary cyanide nitroprusside test?

Answer 6

cystinuria

Question 7

anti-histone antibodies are indicative of:

Answer 7

drug induced lupus

Question 8

anti-topoisomerase antibodies are indicative of:

Answer 8

systemic sclerosis

Question 9

an abnormal Rinne test suggests:

Answer 9

conductive hearing loss

Question 10

in a patient with Rinne-confirmed conductive hearing loss, the Weber test will lateralize to the:

Answer 10

affected ear

Question 11

butterfly appearance with central necrosis on head CT?

Answer 11

glioblastoma multiforme

Question 12

false positive VRDL tests can occur due to what condition (in a woman with a history of miscarriages)?

Answer 12

antiphospholipid antibody syndrome

Question 13

what is the treatment for patients with antiphospholipid antibody syndrome who are trying to conceive?

Answer 13

low molecular weight heparin

Question 14

hyperemesis gravidum can be differentiated from typical nausea and vomiting of pregnancy by the presence of:

Answer 14

ketones on urinalysis

Question 15

what is sympathetic ophthalmia (“spared eye injury”)?

Answer 15

immune-mediated inflammation of one eye (sympathetic eye) after a penetrating injury to the other eye

Question 16

what is the presentation for sympathetic ophthalmia (“spared eye injury”)? what is the pathophysiology?

Answer 16

• anterior uveitis (panuveitis, papillary edema, blindness may develop)
• uncovering of ‘hidden’ antigens

Question 17

what is the medical management of catatonia?

Answer 17

benzodizepine (lorazepam) and/or ECT

Question 18

what is the evaluation for a first time unprovoked seizure?

Answer 18

CT or MRI