2/11/13 b

Question 1

What sort of arthritis causes X-ray findings of punched out lesions w/ a rim of cortical bone?

Answer 1

gout

Question 2

What arthritis has x-ray findings of periarticular osteopenia and joint margin erosions?

Answer 2

RA

Question 3

What arthritis has x-ray findings consisting of a normal joint space w/ soft tissue swelling?

Answer 3

infectious arthritis

Question 4

What kind of arthritis causes x-ray findings of calcification of cartilaginous structures?

Answer 4

psuedogout (chondrocalcinosis)

Question 5

What does tilt table testing test for?

Answer 5

vasovagal syncope

Question 6

What is the preferred initial screening test for primary hyperaldosteronism? What is a positive result?

Answer 6

plasma aldo:renin activity ratio; >30

Question 7

What is the preferred confirmatory test for primary hyperaldosteronism? What does it entail?

Answer 7

aldo suppression test with NaCl

Question 8

Once hyperaldosteronism is confirmed, what test is used to ID the etiology?

Answer 8

abdominal CT

Question 9

If abdominal CT is negative after the confirmation of hyperaldosteronism, what test is indicated next?

Answer 9

adrenal vein sampling

Question 10

Elevated serum _______ levels are specifically seen in pts w/ androgen-producing adrenal tumors.

Answer 10

DHEA-S (Dehydroepiandrosterone-sulfate)

Question 11

What must happen to androstenedione, DHEA, and DHEA-S in order for them to lead to the Sx of androgen excess?

Answer 11

They must be converted to testosterone.

Question 12

What is the first-line htn Tx for pts w/ no comorbidities?

Answer 12

thiazides

Question 13

What is the first-line htn Tx for pts w/ DM, CHF, MI, or chronic kidney disease?

Answer 13

ACE-Is

Question 14

What kind of LV hypertrophy can be caused by longstanding htn?

Answer 14

concentric

Question 15

Are the emboli that cause PEs more likely to come from DVTs above or below the knee?

Answer 15

above!