2/7/13 c

Question 1

What is the first-line Tx for acute glaucoma?

Answer 1

IV mannitol

Question 2

What is the first-line medical Tx for hypertrophic cardiomyopathy?

Answer 2

beta-blockers

Question 3

What is the second-line Tx for hypertrophic cardiomyopathy (i.e. in pts that can’t tolerate beta-blockers)?

Answer 3

Ca++ channel blocker (cardiac), like diltiazem

Question 4

Why does the murmur of hypertrophic cardiomyopathy decrease with maneuvers that INCREASE preload, such as squatting?

Answer 4

larger ventricular volume decreases obstruction

Question 5

Why do beta-blockers and diltiazem help in hypertrophic cardiomyopathy?

Answer 5

They allow the ventricle more time to fill and decrease the obstruction

Question 6

Bilateral hearing loss, hyperpigmented spots, and subcutaneous nodules should make you think of what disorder?

Answer 6

neurofibromatosis-2

Question 7

Lichenoid papules overlying the joints, known as Gottron’s papules, are pathognomonic for _______.

Answer 7

dermatomyositis

Question 8

What is the pulmonary manifestation of dermatomyositis?

Answer 8

pulmonary fibrosis

Question 9

What is the facial cutaneous manifestation of dermatomyositis?

Answer 9

periorbital edema (heliotrope sign)

Question 10

Is measles or rubella the one that also causes arthritis in adult women?

Answer 10

rubella