10/6/21

Question 1

Miosis, big or small?

Answer 1

pinpoint pupils

Question 2

What is antisocial personality disorder called in patients under the age of 18?

Answer 2

Conduct disorder.

Question 3

Which syndrome can be precipitated by giving glucose before thiamine?

Answer 3

Wernicke encephalopathy

Question 4

A brief resolved unexplained event (BRUE) is

Answer 4

a sudden event in infancy that involves cyanosis or pallor, absent, decreased or irregular breathing, hypertonia or hypotonia, and altered level of consciousness

*Management of infants who meet all of the criteria for a low risk BRUE do not require significant interventions or workup

Question 5

What is the relationship between brief resolved unexplained events and sudden infant death syndrome?

Answer 5

There is no known association between brief resolved unexplained events and sudden infant death syndrome.

Question 6

DDX: A congenital or acquired deficiency of the ADAMTS13 protein prevents the normal cleavage of von Willebrand factor, leading to intravascular microthrombi.

Answer 6

• thrombotic thrombocytopenic purpura (TTP)

- primary treatment proven to be effective in TTP is plasmapheresis-

Question 7

What are three other emergent causes of microangiopathic hemolytic anemia besides TTP?

Answer 7

• Hemolytic uremic syndrome
• HELLP syndrome (hemolysis, elevated liver function tests, low platelets)
• disseminated intravascular coagulation.

Question 8

Some things that distinguish ITP from TTP

Answer 8

Immune thrombocytopenia does not cause hemolytic anemia or neurologic symptoms

Question 9

In intracerebral hemorrhage most guidelines suggest lowering blood pressure when?

Answer 9

-systolic pressure approaches 160-180 mm Hg
or
-MAP > 130 mm Hg

Treatment is blood pressure control (nicardipine)

Question 10

What part of the cardiac conduction system conducts electricity the slowest?

Answer 10

The AV node

Question 11

At least according to ROSH, which 2 ECG leads help you determine RBBB vs LBBB?

Answer 11

I and V1

Question 12

What is the age-based formula for the maximum heart rate attributable to sinus tachycardia?

Answer 12

220 minus age in years.

Question 13

What is the treatment for lidocaine toxicity?

Answer 13

Intravenous lipid emulsion therapy.

Question 14

What is the name of the copper chelator

Answer 14

D-penicillamine

Question 15

A mallet finger is characterized by

Answer 15

closed disruption of the distal extensor apparatus
often occurring when there is sudden forceful flexion of an extended finger

Treatment is volar splinting the DIP in extension

Question 16

What is the most common cause of hyperthyroidism?

Answer 16

Graves disease, which involves autoantibodies that stimulate the TSH receptor.

Question 17

What are indications for steroids in PJP pneumonia?

Answer 17

PaO2 < 70 mm Hg or an A-a gradient > 35.

Question 18

On the ECG, right ventricular hypertrophy is best seen in V1.

V1 is normally predominantly negative with a small r wave followed by a prominent S wave.

In right ventricular hypertrophy, the increased muscle mass of the right ventricle produces ___________________

Answer 18

a large R wave and a smaller S wave