2/23/15

Question 1

A person is less likely to actually have the dz if the negative likelihood ratio (LR-) is (high/low).

Answer 1

low

Question 2

Anticoagulation is preferred for a CHADS2 score of ___ or higher.

Answer 2

1

Question 3

What factors might make digoxin preferred over beta- or Ca++ channel blockers in A-fib RVR?

Answer 3

low BP, low LVEF

Question 4

systemic Tx for psoriasis

Answer 4

MTX, cyclosporine, or “biologics”

Question 5

Why are corticosteroids relatively contraindicated in psoriasis?

Answer 5

risk of pustular psoriasis

Question 6

What is the difference between mortality rate and case fatality rate?

Answer 6

mortality compares to total population

Question 7

Best Dx test for esophageal rupture.

Answer 7

esophagogram w/ water-soluble contrast

Question 8

Which study design is most appropriate for localizing the source of an infectious outbreak?

Answer 8

case-control

Question 9

What is the first step in mgmt of pts w/ severe pre-eclampsia at term?

Answer 9

Mag sulfate (MgSO4) and hydralazine (or labetalol)

Question 10

Chronic or recurrent epigastric pain w/o significant heartburn.

Answer 10

dyspepsia

Question 11

Increase in Cr after start of ACE-I is highly suggestive of _______.

Answer 11

Renal Artery Stenosis

Question 12

What is the first-line Tx for a large prolactinoma?

Answer 12

dopaminergic drugs (i.e. bromocriptine, cabergoline)

Question 13

Tight glucose control decreases the risk of _(micro-/macro-)_vascular complications.

Answer 13

micro!

Question 14

What is the hallmark of non-functioning pituitary adenomas?

Answer 14

alpha-subunit overproduction (also hypogonadotropic hypogonadism)

Question 15

What is the preferred Tx for (large) non-functioning pituitary adenomas?

Answer 15

trans-sphenoidal resection