23

Question 1

frequent asthma exacerbations, bronchiectasis, infiltrates

Answer 1

allergic bronchopulmonary aspergillosis

seen in asthma/CF

Question 2

intestinal obstruction in the ileus with meconium as infant

absent air-fluid levels, ground glass mass

Answer 2

CF

Question 3

kappa statistic measures

Answer 3

inter-rater reliability

Question 4

management of salmonella gastro

Answer 4

supportive

Question 5

which anti HTN med causes photosensitivity reaction

Answer 5

HCTZ (sulfa)

Question 6

treatment for allergic bronchopulmonary aspergillosis

Answer 6

prednisone

Question 7

all kids <2 years old who get febrile UTI should undergo

Answer 7

renal and bladder US- r/o hydronephorisis and ureteral dilation

Question 8

polygonal violaceus papules/plaques

Answer 8

lichen planus

Question 9

dx lichen planus

Answer 9

skin biopsy

Question 10

lichen planus associated with what dz

Answer 10

hep C

Question 11

which psychotherapy for OCD

Answer 11

exposure and response prevention therapy

Question 12

which knee injury when your knee hits the dashboard in an MVC

Answer 12

posterior cruciate ligament injury

Question 13

pt with untreated celiac can develop what

Answer 13

enteropathy-associated T cell lymphoma , primarily in jejunum

Question 14

can you confirm brain death if absent reflexes?

Answer 14

first do apnea test (8-10 min)

Question 15

do you treat subclinical thyrotoxicosis (low TSH, nl TH)

Answer 15

yes if:

• persistently low TSH (<0.1)
• > 65 yo
• comorbid chronic conditions

Question 16

tinea capitis tx

Answer 16

ORAL terbinfaine or griseofulvin

Question 17

decrease or hold insulin in type 1 diabetic who is vomiting and has BG 80

Answer 17

decrease! don’t just stop

Question 18

seizures, delays, skin spots

Answer 18

tuberous sclerosis

Question 19

leading cause of death in tuberous sclerosis

Answer 19

epilepsy

Question 20

whats the most common adverse event among hospitalized patients not having surgery

Answer 20

adverse drug event

Question 21

can you fire your patient?

Answer 21

only once other doc formed first

Question 22

side effect of kava kava

Answer 22

severe liver damage

Question 23

which bacteria causes cellulitis and hemorrhagic bullae from marine environment

Answer 23

vibrio vulnificus

Question 24

best treatment for peri-infarction pericarditis

Answer 24

high dose aspirin

NSAIDs for viral pericarditis

Question 25

sxs of multiple myeloma

Answer 25

CRAB

Calcium elevation
Renal insufficiency
Anemia
Bone pain

Question 26

best way to look at bones for multiple myeloma patient

Answer 26

skeletal survey

Question 27

most significant risk factor for CV events

Answer 27

DM

Question 28

do patients with familial hypocalcuric hypercalcemic have sxs?

Answer 28

nope

Question 29

fever, hyperthyroid, painful goiter

Answer 29

subacute thyroiditis (de quervian)

Question 30

low or high uptake in subacute thyroiditis (de quervian)

Answer 30

low

Question 31

treatment of subacute thyroiditis (de quervian)

Answer 31

supportive (self limiting)- NSAIDs, beta blocker

Question 32

most common sxs of lead toxicity

Answer 32

cognitive impairment, behavioral probs

Question 33

sleepiness, brief muscle tone loss precipitated by emotion (cataplexy), abnormal face movements, hypnagogic hallucinations

Answer 33

narcolepsy

Question 34

first line treatment for narcolepsy

Answer 34

modafinil

Question 35

treatment of cataplexy

Answer 35

SSRIs, SNRIs, TCAs