17

Question 1

best test for chronic pancreatitis

Answer 1

MRCP (lipase probably not elevated in chronic)

Question 2

management of goiter with compressive symptoms

Answer 2

surgery

Question 3

do you start a statin if total cholesterol is high but LDL is nl?

Answer 3

not necessarily- do ascvd score

Question 4

licorice uses and side effects

Answer 4

use- stomach ulcers, bronchitis

side effects- HTN, hypokalemia

Question 5

treatment for methotrexate induced anemia

Answer 5

folinic acid (not just folate! this more potent)

Question 6

vasovagal syncope due to

Answer 6

prolonged standing, emotional stress, pain

Question 7

vasovagal symptoms after event

Answer 7

pallor, N, fatigue, warmth/diaphoresis

Question 8

can you accept fruit basket from pt?

Answer 8

apparently yes

Question 9

management of pregnant woman with complex ovarian mass w/ multiple septations

Answer 9

could be cancer! remove 2nd trimester

Question 10

most common cause of steering wheel injury after MVC

Answer 10

aortic injury

Question 11

treatment for mild-mod psoriasis

Answer 11

high dose topical corticosteroids

Question 12

shoulder pain with decreased passive and active ROM and tx

Answer 12

frozen shoulder- adhesive capsulitis

tx- shoulder exercises

Question 13

screening for gestational DM

Answer 13

1. 1 hr 50 g test

2. if >140, do 3 hr 100 g glucose tolerance test

Question 14

what to do if someone osteopenic

Answer 14

calculate 10 yr fracture risk score (FRAX)

Question 15

which stage does neurosyphilis happen

Answer 15

any stage!

Question 16

treatment of cholinergic toxicity

Answer 16

atropine and pralidoxime

Question 17

ST depression on exercise stress test. what to do?

Answer 17

percutaneous coronary angiography- stent

Question 18

management of priapism

Answer 18

aspiration of corpus cavernosa

inject phenylephrine