2/12/13 b

Question 1

_______ is a severe form of ocular allergy. The most common symptoms are itching, tearing, thick mucous discharge, photophobia, and blurred vision.

Answer 1

Atopic keratoconjunctivitis

Question 2

Where would redness and telangiectasias be seen in posterior blepharitis?

Answer 2

eyelid margins

Question 3

What is seen in anterior blepharitis?

Answer 3

crusty discharge on the eyelashes

Question 4

What treatment for hyperthyroidism can initially aggravate thyrotoxicosis?

Answer 4

radioiodine ablation

Question 5

What is the antibiotic of choice for human/dog bites? Why?

Answer 5

amoxicillin-clavulanic acid; b/c it has good Gram (+) and (-) and anaerobic coverage

Question 6

_______ is characterized by sudden, unilateral visual impairment that is usually noted upon waking in the monring. Diabetics at increased risk. Ophthalmoscopy reveals disc swelling, venous dilation and tortuosity, retinal hemorrhages, and cotton wool spots.

Answer 6

Central retinal vein occlusion

Question 7

What kind of vision loss causes distortion and a central scotoma?

Answer 7

macular degeneration

Question 8

What type of vision loss presents unilaterally as blurred vision that progresively worsens?

Answer 8

retinal detachment

Question 9

Which type of vision loss is characterized by loss of peripheral vision and ophthalmoscopic findings of cupping of the optic disc?

Answer 9

open angle glaucoma

Question 10

WHat procedure is done to prevent the complications of diabetic retinopathy?

Answer 10

argon laser photocoagulation

Question 11

What is required to confirm the Dx of malignant htn in a pt w/ very high blood pressure (>/=200/140)?

Answer 11

papilledema

Question 12

The pathologic change responsible for end-organ damage in malignant htn is _______ of the small arterioles.

Answer 12

fibrinoid necrosis

Question 13

What happens to total body potassium stores in DKA?

Answer 13

reduced d/t osmotic diuresis

Question 14

What is the most common cause of megaloblastic anemia in chronic alcoholics?

Answer 14

Folate deficiency!!@!

Question 15

How does alcohol cause folate def?

Answer 15

impairs its enterohepatic cycle and absorption

Question 16

What is usually the best antibiotic for infectious diarrhea?

Answer 16

Ciprofloxacin

Question 17

What is the best Tx for Giardiasis?

Answer 17

metronidazole

Question 18

How often should people 65 or older receive the pneumococcal vaccine?

Answer 18

once

Question 19

What are the 4 dietary recommendations for pts w/ calcium oxalate stones, the most common type of renal stones?

Answer 19

1. decrease protein and oxalate
2. decrease Na+
3. increase fluid
4. increase Ca++

Question 20

What is a normal liver span?

Answer 20

6-12 cm