100 Top Secrets (3)

Question 1

Primary cause of Bitemporal Hemianopsia

Answer 1

space occupying lesion like a pituitary tumor (order a CT of MRI)

Question 2

Risks and S/E of estrogen therapy

Answer 2

Endometrial Cancer, hepatic adenomas, DM, dvt, Stroke, Cholelithiasis, HTN, endometrial bleeding, depression, wt gain, n/v, HA, aggravation of fibroids, breast fibroadenomas, migraines and epilepsy

Question 3

ABCDE of mole for malignancy

Answer 3

Asymmetry, Borders, Color (change or multi), diameter (>6mm), evolving or elevated
Do excisional bx or if a mole starts to itch or bleed

Question 4

Child’s age for bronchiolitis

Answer 4

0-18months

Question 5

Child’s age for croup (acute laryngotracheitis)

Answer 5

1-2y/o

Question 6

Child’s age for epiglottitis

Answer 6

2-5y/o

Question 7

Common causes of Bronchiolitis

Answer 7

RSV for 75%, parainfluenza, influenza

Question 8

Common causes of Croup or Acute Laryngotracheitis

Answer 8

Parainfluenza for 50-75%, influenza

Question 9

Common causes of Epiglottitis

Answer 9

Haemophilus influenzae, Staph, Strep

Question 10

X-ray findings of Bronchiolitis

Answer 10

hyperinflation

Question 11

X-ray findings of Croup (acute laryngotracheitis)

Answer 11

subglottic tracheal narrowing on frontal X-ray (STEEPLE SIGN)

Question 12

X-ray findings of Epiglottitis

Answer 12

swollen epiglottis on lateral neck x-ray (THUMB SIGN)

Question 13

infant comes in with URI symptoms followed by tachypnea and expiratory wheezing

Answer 13

Bronchiolitis

Question 14

Infant comes in with URI symptoms followed by a barking cough, hoarseness and inspiratory stidor

Answer 14

Croup (acute laryngotracheitis)

Question 15

Child comes in with high fever, toxicity, drooling, and respiratory distress

Answer 15

Epiglottitis

Question 16

Tx for bronchiolitis in infants

Answer 16

humidifies oxygen, bronchodilators?, ribavirin is severe or high risk RSV infection

Question 17

Tx for Croup (acute laryngotracheitis)

Answer 17

dexamethasone, nebulized epinephrine, humidified oxygen

Question 18

Tx for epiglottitis

Answer 18

est airway, 3rd generation cephalosporin, vancomycin, clindamycin

Question 19

Sequelae of Streptococcal infection

Answer 19

rheumatic fever, scarlet fever, and poststreptococcal glomerulonephritis (only 1st 2 can be prevents with antibiotics)

Question 20

Diagnostic tests for MS

Answer 20

MRI; lumbar puncture (increased IgG oligoclonal bands and myelin basic protein levels, mild elevated lymphocytes and protein)

Question 21

Tx for opioid overdose

Answer 21

naloxone

Question 22

Tx for thiamine deficiency

Answer 22

thiamine first, then glucose if the patient is an alcoholic

Question 23

Onset fo delirium

Answer 23

acute and dramatic

Question 24

Onset of dementia

Answer 24

Chronic and insidious

Question 25

Common causes of Delirium

Answer 25

illness, toxin, withdrawal

Question 26

Common causes of Dementia

Answer 26

Alzheimer, multiinfarct dementia, HIV/AIDS

Question 27

Arousal level in delirium

Answer 27

Flucatuates

Question 28

Arousal level in Dementia

Answer 28

Normal

Question 29

Tx of Anaphylaxis

Answer 29

IV or SQ Epinephrine