13 APR 2017 1831 MIX

Question 1

studies have shown that the risk of sepsis is present for up to ____ years and probably longer following splenectomy

Answer 1

30

Question 2

when antipsychotic dose reduction is not possible due to risk of worsening psychosis, tardive dyskinesia is best managed by switching to ________________

Answer 2

clozapine (least likely to cause EPS)

Question 3

which antipsychotic is least likely to cause EPS? what should you monitor for?

Answer 3

• clozapine

- monitor for neutropenia

Question 4

what drugs can be used to treat dystonia?

Answer 4

• benztropine

- diphenhydramine

Question 5

what drug is used to treat akathisia?

Answer 5

propanalol

Question 6

how does the kleihauer betke test work?

Answer 6

• maternal RBCs are fixed on a slide
• slide is exposed to an acidic solution and adult Hb lyses, leaving ‘ghost cells’
• the dose of anti-D Ig is calculated from % of remaining fetal Hb

Question 7

during what weeks is screening for gestational DM performed?

Answer 7

24-28 wks

Question 8

a normal anion gap is between:

Answer 8

6-12

Question 9

when is the urine anion gap calculated? what does it show?

Answer 9

• when there is a normal anion gap metabolic acidosis

- helps determine if such acidosis is due to the renal or intestinal bicarb losses

Question 10

what is pseudocyesis?

Answer 10

nonpsychotic woman presents with signs and symptoms of early pregnancy and the belief that she is pregnant (evaluation excludes pregnancy)

Question 11

what is the gold standard test diagnosis of duchenne muscular dystrophy? what does it show?

Answer 11

• genetic testing

- deletion of dystropin gene on Xp21

Question 12

what is the jarisch-herxheimer reaction?

Answer 12

acute febrile illness within 12 hours following rapid destruction of spirochetes (syphilis) - headaches, myalgias, rigors, sweating, hypotension, worsened syphilitic rash - resolves after 48 hours

*can also occur borrelia, bartonella