2

Question 1

15 mo old with fatigue and anemia who drinks a lot of cows milk

Answer 1

> 24 oz cows milk –> iron def anemia

Question 2

short PR interval, delta wave, wide QRS

Answer 2

Wolf Parkinson White

Question 3

most common acne med that causes photosensitivity sunburn

Answer 3

doxycycline

Question 4

lymphocytic predominant pleural effusion with elevated adenosine deaminase. what pathogen?

Answer 4

TB! *do pleural biopsy to verify

Question 5

lymphadenopathy after mono should resolve after how many weeks

Answer 5

3-4 (if longer, get a biopsy to test for lymphoma)

Question 6

thyroglobulin and radioiodine uptake high or low with exogenous thyroid hormone pills?

Answer 6

both low

Question 7

mastoiditis treatment

Answer 7

IV abx, drainage

Question 8

drug of choice for someone with RA with mild sys but osteopenia on x-ray

Answer 8

DMARDs (methotrexate) to prevent further bone loss

Question 9

supplement recommended for methotrexate therapy

Answer 9

folate

Question 10

cherry red spot on fundoscope

Answer 10

central retinal artery occlusion

Question 11

calcifications within gallbladder wall suggest

Answer 11

porcelain gallbladder- chronic cholelithiasis

at risk for GB cancer- require choley preventatively

Question 12

things to do when you get heparin-induced thrombocytopenia

Answer 12

• stop heparin
• confirmatory test: serotonin release assay
• use direct thrombin inhibitors

Question 13

when can you use warfarin after HIT?

Answer 13

after platelets recover to >150