2/20/15 #2

Question 1

Rapid development of fever, flank pain, hemolysis, oliguric renal failure, and DIC in a pt receiving PRBC transfusion.

Answer 1

Acute Hemolytic Tranfusion reaction (ABO mismatch)

Question 2

What type of drug should generally be given in serotonin syndrome?

Answer 2

benzos

Question 3

What drug can be given specifically in severe cases of serotonin syndrome?

Answer 3

cryoheptadine

Question 4

Assymetric oligoarthritis +/- uveitis, keratitis, circinate balanitis, Achilles enthesitis, dactylitis.

Answer 4

Reactive arthritis

Question 5

Which infections are most likely to cause Reactive Arthritis?

Answer 5

GU or GI inf w/ Gram(-) rods (e.g. Chlamydia, Yersinia, Campylobacter, Salmonella, Shigella)

Question 6

Pediatric syndrome w/ palpable purpura in legs/buttocks, and abdominal pain 2/2 intususseption.

Answer 6

Henoch-Schonlein purpura

Question 7

What is the classic pentad of TTP?

Answer 7

fever
microangiopathic hemolytic anemia
thrombocytopenia
renal failure
neurologic impairment

Question 8

What is the danger to the fetus from usin fluoroquinolones during pregnancy?

Answer 8

hyperbilirubinemia

Question 9

Empiric antibiotic regimen for SBP

Answer 9

Cefotaxime 2g q8h

Question 10

Autoantibodies seen in autoimmune hepatitis

Answer 10

ANA and anti-smooth muscle Abs

Question 11

What are typical LFTs for autoimmune hepatitis?

Answer 11

elevated transaminases but normal Alk phos

Question 12

What are typical LFTs in primary biliary cirrhosis?

Answer 12

elevated Alk Phos, normal transaminases

Question 13

Best Tx for inoperable head & neck cancer?

Answer 13

chemoradiotherapy

Question 14

What is the other name for measles?

Answer 14

Rubeola

Question 15

Mild illness w/ fever, post. cervical and suboccipital lymphadenopathy, and maculopapular rash that starts on the face and spreads cuadally.

Answer 15

Rubella