11 JAN 2017 2138 IM

Question 1

What is a Marjolin ulcer?

Answer 1

SCC arising in a wound or burn

Question 2

What arrhythmia is most specific for digitalis toxicity?

Answer 2

Atrial tachycardia with AV block

Question 3

How does digitalis cause atrial tachycardia with AV block?

Answer 3

• Ectopic rhythms

- Increased vagal tone

Question 4

What is the only antiplatelet agent that is effective in reducing the risk of early recurrence of ischemic stroke? When should it be given?

Answer 4

• Aspirin

- Within 24 hours

Question 5

What therapy / agent is recommended for eligible patients presenting with acute ischemic stroke symptoms within 3-4.5 hours of symptom onset?

Answer 5

Thrombolysis (IV alteplase)

Question 6

What therapy / medications are recommended for patients who have recurrent stroke despite being on aspirin therapy?

Answer 6

Aspirin PLUS dipyridamole OR clopidogrel

Question 7

In stats, 95% of all values are within ____ SDs of the mean

Answer 7

2

Question 8

What are the CSF findings in Guillain Barre syndrome? What is the treatment?

Answer 8

• High protein, normal everything else (albuminocytologic dissociation)
• IVIG of plasmapheresis

Question 9

Uremic encephalopathy is an indication for urgent ___________

Answer 9

Hemodialysis

Question 10

Stevens Johnson syndrome involves over ___% of the body while toxic epidermal necrosis involves ___% of the body

Answer 10

• Less than 10%
• Over 30%
• (in between is overlap syndrome)

Question 11

What drugs can cause toxic epidermal necrosis?

Answer 11

• Antibiotics
• Anticonvulsants
• Allopurinol

Question 12

Which has systemic symptoms – Stevens Johnson syndrome or toxic epidermal necrosis?

Answer 12

Toxic epidermal necrosis