14

Question 1

cat scratch disease (skin lesion and lymphadenopathy, +/- fever,bartonella) treatment

Answer 1

azithromycin

Question 2

anaphylaxis presentation and treatment

Answer 2

+/- hypotension, wheezing, hives, GI sx.

IM epi

Question 3

carpel tunnel syndrome features

Answer 3

pain and numbness in wrist and palmar surface of first three fingers with repetitive movement of wrist

Question 4

Intertrigo (erythematous plaques and erosion in intertriginous regions), common bug and treatment

Answer 4

candida

antifungals

Question 5

Etiology of paralytic ileus, and presentation of air in imaging

Answer 5

• metabolic (hypokalemia), medication induced, recent surgery
• possible distension
• reduced/absent bowel sounds
• air present in both small bowel and large bowel vs in SBO, no air in large bowel.

Question 6

Children with sickle cell disease is at highest risk for what complication? What should they receive for management?

Answer 6

spleen sequestration

• daily penicillin administration
• vaccines (pneumococcal, meningococcus, haemophilus influenza)

Question 7

highly suggestive test for testicular torsion

Answer 7

cremaster reflex— absent in testicular torsion

Question 8

stiffness/pain in shoulder, pelvic, proximal arms, age over 50. diagnostic test? ddx? treatment?

Answer 8

Polymyalgia rheumatica
ESR
prednisone