1/26/13

Question 1

What kidney disease, often caused by acetaminophen or other drugs, causes eosinophiluria?

Answer 1

Interstitial nephritis

Question 2

A pt. is determined to be hypothyroid with a low TSH level. What is the next diagnostic step?

Answer 2

TRH stimulation test

Question 3

What can cause the combination of neurologic dysfunction (esp. extensor muscle weakness), renal failure, and anemia?

Answer 3

lead poisoning

Question 4

What is the MCV in lead poisoning anemia?

Answer 4

low to normal

Question 5

Does pain and temp travel up the spinal cord on the ipsi- or contralateral side?

Answer 5

contra-

Question 6

Do position and vibratory sense travel up the spinal cord on the ipsi- or contralateral side?

Answer 6

ipsi-

Question 7

If a pt. presents w/ hyperrreflexia, sensory loss, and tenderness over the spine, what does this indicate?

Answer 7

spinal cord compression

Question 8

What is the best first step in a pt. that appears to have spinal cord compression?

Answer 8

high-dose dexamethasone

Question 9

What is the best initial test for suspected spinal cord compression?

Answer 9

X-ray

Question 10

The appearance of finger clubbing in COPD patients strongly suggests _______.

Answer 10

lung malignancy

Question 11

Whast is the tx of choice in actinomyces infection?

Answer 11

Penicillin G

Question 12

What kind of gallstones can be formed d/t hereditary spherocytosis?

Answer 12

pigmented (calcium bilirubinate)

Question 13

Fever and a sore throat in a pt. taking propylthiouracil (PTU) or methimazole (MMI) is suspicious for what condition?

Answer 13

agranulocytosis