3/30

Question 1

cupping of the optic disc with loss of peripheral vision

Answer 1

open angle glaucoma

Question 2

most common lab findings in kids with HSP

Answer 2

hematuria (nephrotic syndrome is more common in adults)

Question 3

best way to prophylax against gonococcal eye infection of newborn

Answer 3

topical erythromycin

Question 4

how to tell maturity of white cells on diff of CBC

Answer 4

metamyelocytes are more mature (more likely leukemoid reaction)

Question 5

high white count with high alk phos

Answer 5

likely leukemoid reaction

Question 6

medications to give during preterm labor

Answer 6

• steroids for lung maturity
• magnesium for neuroprotection
• tocolytics (indomethacin)

Question 7

treatment of BV in pregnancy

Answer 7

metronidazole

Question 8

uterine tachysystole

Answer 8

usually caused by excess uretotonics

Question 9

use of amnioinfusion

Answer 9

decrease symptoms of cord compression

Question 10

post partum hemorrhage with no uterine atony and forceps delivery

Answer 10

possibly due to urethral damage or laceration

Question 11

seizures after discontinuation of a medication

Answer 11

benzo - alprazolam

Question 12

aplastic anemia vs myelofibrosis

Answer 12

myelofibrosis has hepatosplenomegaly from extramedullary hematopoiesis

Question 13

best tests to evaluate for stones

Answer 13

abdominal ultrasound or CT without contrast

Question 14

chlamydial eye infection in the neonate

Answer 14

usually 5-14 days after birth

- treat with oral macrolide

Question 15

crypt abcesses

Answer 15

in ulcerative colitis

Question 16

lithium toxicity symtpoms

Answer 16

GI, ataxia, confusion and tremor

Question 17

lithium and NSAIDs

Answer 17

NSAIDs can decrease clearance leading to lithium toxicity

Question 18

treatment of prolactinomas

Answer 18

dopamine agonist (bromocriptine or cabergoline)

Question 19

treatment of newborn if mother has active chicken pox infection

Answer 19

varicella immunoglobulin, antivirals are not effective in prevention

Question 20

cancer associated with pernicious anemia

Answer 20

gastric cancer due to atrophic gasritis

Question 21

only fluid resuscitation recommended for children

Answer 21

isotonic saline

Question 22

treatment of status epilepticus

Answer 22

benzo for termination and anti-epileptic for prevention

Question 23

heart sound associated with acute MI

Answer 23

S4