1/29/13 b

Question 1

What condition that mainly affects women is characterized by anogenital discomfort, porcelain-white polygonal macules with patches and a “cigarette paper” quality? Sclerosis and scarring may lead to oblieration of the labia minora and clitoris.

Answer 1

Lichen sclerosis et atrophicus (LS&A)

Question 2

What is the next step in mgmt of a pt. who has suspicious lesions wikth lichen sclerosis et atrophicus?

Answer 2

vulvar punch biopsy

Question 3

What malignancy is more common in women with lichen sclerosis et atrophicus?

Answer 3

squamous cell carcinoma of the vulva

Question 4

What is the treatment for lichen sclerosis et atrophicus?

Answer 4

topical corticosteroid

Question 5

Neonatal abstinence syndrome is caused by fetal withdrawal from _______.

Answer 5

opiates

Question 6

What is the most serious side effect of hydroxychloroquine?

Answer 6

retinopathy

Question 7

Jejunal ulcers are almost pathognomonic for what condition?

Answer 7

Zollinger-Ellison syndrome

Question 8

What is produced by a Zollinger-Ellison tumor?

Answer 8

gastrin

Question 9

How does Zollinger-Ellison syndrome cause steatorrhea?

Answer 9

gastrin up–>stomach acid up–>inactivation of pancreatic ulcers

Question 10

What are the 3 D’s of endometriosus?

Answer 10

dyspareunia, dysmenorrhea, and dyschezia

Question 11

What is the diagnostic procedure for endometriosus?

Answer 11

laparoscopy

Question 12

What are the Tx options for endometriosus?

Answer 12

estrogen/progestin pills, GnRH analogs (leuprolide), or danazol

Question 13

Which malignant form of gestational trophoblastic disease is more commonly metastatic?

Answer 13

choriocarcinoma

Question 14

Which malignant form of gestational trophoblastic disease is not commonly metastatic?

Answer 14

gestational trophoblastic neoplasia

Question 15

What is the most common site of metastasis of choriocarcinoma?

Answer 15

lungs

Question 16

What are the 4 F’s of gallstone formation?

Answer 16

Fat, Female, Fertile, Forty

Question 17

What 3 drugs are first-line for cocaine-induced cardiac ischemia?

Answer 17

benzos, nitrates, and aspirin

Question 18

Why are β-blockers contraindicated in cocaine-induced cardiac ischemia?

Answer 18

they would aggravate the vasoconstriction

Question 19

What is the purpose of each of the first-line drugs in cocaine-induced vasoconstriction?

Answer 19

benzos - lower tachycardia, htn, and anxiety
aspirin - prevent thrombi
nitrates - alleviate coronary vasoconstriction

Question 20

What is the Tx of choice for a pt. w/ V-tach who is alert, has a normal K+ level, and not in hemodynamic compromise?

Answer 20

IV amiodarona (lidocaine may also be used)

Question 21

Digitalis is only for arrhythmias originating in the _______.

Answer 21

atria

Question 22

What is the Tx of choice for a pt. w/ V-tach with hemodynamic compromise?

Answer 22

cardioversion

Question 23

Why do celiac pts. have easy bruising? hyperkeratosis?

Answer 23

Vit. K deficiency; Vit. A deficiency

Question 24

Which bacteria tends to cause infection in pts. w/ chronic indwelling catheters and makes the urine alkaline? How does it change urine pH?

Answer 24

Proteus; urease (+)