24

Question 1

first line tx for onychomycosis

Answer 1

terbinafine, itraconazole

Question 2

LR positive formula

Answer 2

sensitivity / (1- specificity)

Question 3

LR negative formula

Answer 3

(1- sensitivity) / specificity

Question 4

prolonged amiodarone use can cause what resp sxs

Answer 4

fatal palm disease- cough, fever, pleuritic pain, dyspnea, opacities on CXR

Question 5

cat scratch disease in kids treatment

Answer 5

azithromycin (avoid doxy in kids)

Question 6

otitis media resolved but still has effusion, mgmt?

Answer 6

reassure - can last up to 3 mo

Question 7

dx for cerebral palsy

Answer 7

MRI brain

Question 8

best test for achilles rupture

Answer 8

when prone, feet hanging off, squeeze its calf and negative is foot plantar flexes

Question 9

main long term complication of IVC filterr

Answer 9

recurrent DVTs

Question 10

how many hours can you give up and go for c-section if labor is arrested?

Answer 10

3 hrs (4 hr with epidural)

Question 11

dx of scabies

Answer 11

skin scraping under light microscopy

Question 12

most common complication of transurethral resection of the prostate (for BPH)

Answer 12

retrograde ejaculation

Question 13

indications for NIPPV for COPD exacerbation

Answer 13

pco2>45

pH<7.3

Question 14

when do you radical rather than partial nephrectomy for renal cell carcinoma

Answer 14

when it goes beyond renal capsule

Question 15

low T4, high TSH in newborn who’s asymptomatic. if/when you treat?

Answer 15

yes- start levo as soon as possible

Question 16

irregular bleeding in pt >45 who you suspect menopause, should have what managment

Answer 16

endometrial biopsy

Question 17

meds that mess with lithium

Answer 17

diuretics
ACEI/ARBs
NSAIDs
antibiotics- tetracycline, flagyl

Question 18

treatment and prognosis of chronic urticaria

Answer 18

antihistamine

spontaneous resolution within 2-5 years

Question 19

empty uterus, complex adnexal mass, pos pregnancy test

Answer 19

ectopic pregnancy

Question 20

measures in meld score

Answer 20

bili
INR
Cr
Na

Question 21

maneuver for breech and when

Answer 21

external cephalic version at at least 37 weeks

Question 22

multiple skin tags associated with what diseases

Answer 22

insulin resistance
pregnancy
crohns (perianal)

Question 23

acute gout treatment with patient with renal failure

Answer 23

corticosteroids

Question 24

best serology test for lupus nephritis

Answer 24

anti-Ds DNA

Question 25

EF is normal above

Answer 25

60%

Question 26

what med helps with hypoglycemia due to sulfonylurea overdose

Answer 26

octreotide

Question 27

most modifiable risk factor for AAA

Answer 27

smoking