10 APR 2017 1304 MIX

Question 1

what is the treatment for arsenic poisoning?

Answer 1

• dimercaprol

- DMSA

Question 2

mees lines (horizontal lines in the finger nails) are characteristic of:

Answer 2

arsenic poisoning

Question 3

what is the most common cause of isolated, asymptomatic elevation of alk phos in an elderly patient?

Answer 3

paget disease of bone

Question 4

what are the medications used in the treatment of acute bipolar depression?

Answer 4

• quetiapine (antipsychotic)
• lurasidone (antipsychotic)
• lamotrigine (anticonvulsant)
• lithium
• valproate
• olanzapine + fluoxetine

*never use an antidepressant alone

Question 5

what is the pathophysiology of hereditary angioedema?

Answer 5

C1 inhibitor deficiency - leads to elevated c2b and bradykinin

Question 6

• woman over 40
• new onset dysmenorrhea progressing to chronic pelvic pain
• bulky, tender, globular uterus

Answer 6

adenomyosis

Question 7

what is the treatment for adenomyosis?

Answer 7

hysterectomy

Question 8

primary postpartum hemorrhage occurs within 24 hours after delivery and is most commonly caused by:

Answer 8

uterine atony

Question 9

what is the treatment for postpartum uterine atony?

Answer 9

• uterotonic meds (oxytocin, methylergonovine, carboprost, misoprostol)
• IV fluids, oxygen
• bimanual uterine massage

Question 10

what is the only absolute infant contraindication to breastfeeding?

Answer 10

galactosemia

Question 11

what is the test to determine if lactose intolerance is present?

Answer 11

lactose hydrogen breath test - indicates bacterial carbohydrate metabolism