1/30/13

Question 1

A unilateral, hard, non-tender lymph node in the head/neck of an adult smoker is most suspicious for what?

Answer 1

head/neck SCC

Question 2

What is the initial Tx for hyponatremia d/t SIADH (if there is no offending medication to remove)?

Answer 2

fluid restriction

Question 3

Demeclocycline is sometimes used to treat the hyponatremia of SIADH when it does not respond to fluid restriction. What does it do?

Answer 3

reduces the glomerular response to ADH

Question 4

What is the best next step in a pt. w/ clinically diagnosed diverticulitis that does not respond after 48 hrs of Abx? Why do yu do this?

Answer 4

CT scan to look for formation of an abscess, fistula, or frank perforation

Question 5

Why shouldn’t colonoscopy, sigmoidoscopy, or barium enema be performed in the setting of acute divirticulitis?

Answer 5

hi risk of perforation

Question 6

_______ is characterized by leukocytosis,anemia, and increased number of mature granulocytes (e.g. NΦs, bands). Usu. seen in pts over 50, presenting w/ wt. loss, anorexia, bone pain fatigue, malaise.

Answer 6

CML

Question 7

New-onset hearing loss or chronic ear drainage despite antibiotic therapy are typical presenting symptoms of _______, and granulation tissue and skin debris may be seen within retraction pockets of the tympanic membrne on otoscopy.

Answer 7

cholesteatomas

Question 8

What should be done to prevent medullary thyroid carcinoma in pts. found to have the mutated RET proto-oncogene of MEN IIa?

Answer 8

prophylactic total thyroidectomy (risk of ca. is close to 100%).

Question 9

What is the best way to improve LV function in a pt. w/ prolonged tachycardia d/t A-fib?

Answer 9

rate/rhythm control