1/19/13

Question 1

What is the most common cause of superior vena cava syndrome?

Answer 1

malignancy (e.g. lung cancer, non-hodgkin lymphoma)

Question 2

What kind of pneumonia-causing Gram(-) bacteria is encapsulated and would grow “mucoid” colonies on sputum culture?

Answer 2

Klebsiella

Question 3

What is the tx for an ongoing cluster headache?

Answer 3

100% O2 and subcutaneous sumatriptan

Question 4

What prophylactic treatment is recommencded in the European guidelines for prevention of cluster headaches?

Answer 4

verapimil

Question 5

What should you suspect in an HIV pt. w/ a CD4 ct.

Answer 5

histoplasmosis

Question 6

What is the most sensitive and rapid diagnostic test for histoplasmosis?

Answer 6

urine or serum Ag

Question 7

What is the effect of histoplasmosis on serum ferritin?

Answer 7

elevation (>10,000 ng/mL)

Question 8

What is the most appropriate Tx for mild to moderate histoplasmosis in an HIV pt?

Answer 8

itraconazole

Question 9

What is the Tx for severe histoplasmosis in an HIV pt?

Answer 9

amphotericin B, followed by itraconazole for 1 yr.

Question 10

What organisms is Flucytosine used against?

Answer 10

Cryptococcus and Candida

Question 11

What is the “cassic triad” of glucagonoma?

Answer 11

hyperglycemia, wt. loss, and necrotizing dermatitis