2/9/15

Question 1

What is the most likely complication of untreated varicocele?

Answer 1

testicular atrophy

Question 2

Varicocele is the dilation of the vessels of what structure that drains blood from the testicles?

Answer 2

pampiniform plexus

Question 3

When do you use fibrinolytic therapy in PE?

Answer 3

persistent hypotension (SBP<90)

Question 4

Fatigue, decreased T3, normal TSH and T4 in a person w/ a recent illness.

Answer 4

Euthyroid sick syndrome

Question 5

Triple therapy for H. pylori

Answer 5

Amoxicillin, Clarithroycin, PPI

Question 6

What can be used as an alternative to amoxicillin in triple therapy for H. pylori if pt is penicillin-allergic?

Answer 6

Flagyl

Question 7

Tx for persistent H. pylori infection after triple therapy.

Answer 7

Quadruple therapy!: PPI, bismuth, Flagyl, and tetracycline

Question 8

Increased lumbar pain upon extension of the spine in an elderly person.

Answer 8

Lumbar spinal stenosis

Question 9

Treatment options (2) for lumbar spinal stenosis refractory to conservative Tx.

Answer 9

Epidural block and laminectomy

Question 10

What cause of cough can be induced by forced expiration?

Answer 10

airway hyperreactivity/asthma

Question 11

What is the BP cutoff for tPA for ischemic stroke?

Answer 11

> 185/110

Question 12

Bleeding diathesis and >33% occlusion of infarcted artery are also contraindications to tPA for ischemic stroke.

Answer 12

Bleeding diathesis and >33% hypodensity of infarcted artery

Question 13

Conservative Tx of constrictive pericarditis.

Answer 13

NSAIDs, steroids

Question 14

You have 2 screening tests; which do you use first, the more sensitive or the more specific?

Answer 14

sensitive

Question 15

What is the next step for control of epistaxis after pinching nasal allae?

Answer 15

topical vasoconstrictor (e.g. oxymetolazone)

Question 16

What is the Tx of choice for slipped capital femoral epiphysis?

Answer 16

immediate internal fixation