10 APR 2017 1901 MIX

Question 1

what is the pemberton sign? what is it indicative of?

Answer 1

• raising arms causes compression of subclavian (and right internal jugular) vein between clavicles and the enlarged retrosternally extended thyroid gland, leading to more prominent venous distension and facial redness
• thyroid lymphoma

Question 2

what is the major side effect of ziprasidone?

Answer 2

QT prolongation

Question 3

what is the first line therapy for social anxiety disorder?

Answer 3

• CBT (non-pharmacologic)

- SSRI / SNRI (pharmacologic)

Question 4

during what week is RhoGam indicated?

Answer 4

28 weeks for prophylaxis and after delivery if the infant is Rh(D) positive

Question 5

how is anovulation and heavy menstrual bleeding managed in adolescent females?

Answer 5

high dose OCPs

Question 6

what is the cause for anovulation and heavy menstrual bleeding in adolescent females?

Answer 6

immature HPO axis

Question 7

a _____________ (short / long) cervix is a risk factor for preterm delivery

Answer 7

short

Question 8

__________________ (low / elevated) levels of fibronectin prior to term are used as an indicator for increased risk of preterm delivery

Answer 8

elevated

Question 9

what is the management for patients with a short cervix in order to prevent preterm delivery?

Answer 9

progesterone-mediated maintenance of uterine quiescence

cerclage may also be indicated

Question 10

frequent, small volume and BLOODY diarrhea in an HIV patient with CD4 count under 50?

Answer 10

CMV

Question 11

what is the MOA of medroxyprogesterone as a contraceptive?

Answer 11

inhibits secretion of gonadatropin-releasing hormone from the hypothalamus, thereby inhibiting the follicular development dependent on FSH and LH

Question 12

what is the most effective emergency contraceptive method? when can it be used?

Answer 12

• copper IUD

- within 3-5 days of unprotected intercourse

Question 13

what is the primary mitral valve abnormality in patients with hypertrophic cardiomyopathy?

Answer 13

systolic anterior motion of the mitral valve, leading to anterior motion of the mitral valve leaflets toward the IV septum (leads to LVOT obstruction)