3

Question 1

oligoarthritis after GI or GU infection, with blurry vision

Answer 1

reactive arthritis

Question 2

synovial results for reactive arthritis

Answer 2

elevated WBC, no bacterial clx

Question 3

patient with HIV with widespread skin papule withs umbilication - with central necrosis and hemorrhagic crust

Answer 3

cutaneous cryptococcosis

Question 4

diagnosis of cutaneous cryptococcus with

Answer 4

biopsy

Question 5

best prognostic factor for HIV patient with CNS lymphoma

Answer 5

CD4 count increasing - degree of immunosuppression

Question 6

if 40 y/o diabetic is perfect health wise, does he still need a statin?

Answer 6

yes

Question 7

how many years into a DM diagnosis should you get a diabetic retinopathy screening

Answer 7

5 years

Question 8

if someone has a DVT and then gets a stroke, what test should you do?

Answer 8

TEE to see if there’s a patent shunt in the heart for this paradoxical embolus

Question 9

eye problems in sarcoid

Answer 9

uveitis

Question 10

what comes first in vaccines- PCV13 or PPSV23 for people over 65?

Answer 10

13

Question 11

meningitis with high opening pressure

Answer 11

cryptococcus

Question 12

ways to reduce ICP in patient with cryptococcus

Answer 12

perform serial LPs

Question 13

when do you start HAART for someone with severe AIDS

Answer 13

when theres subclinical improvement- 2-10 weeks (prevent reconstitution inflammatory syndrome)

Question 14

when is mannitol used to reduce ICP

Answer 14

intracranial hemorrhage, CNS tumors, stroke

Question 15

1st line therapy for acute gout

Answer 15

NSAIDs

Question 16

2nd line for acute gout

Answer 16

colchicine

Question 17

maintenance med for gout

Answer 17

allopurinol

Question 18

liver mass for young healthy woman on OCPs

Answer 18

hepatic adenoma (if asx, just stop OCP)

Question 19

if someone has medullary thyroid cancer, what should you do

Answer 19

also check for pheo and hyperparathyroidism (MEN 2)- check CEA, calcitonin, metanephrines, neck US

Question 20

diagnosis of tourettes requires vs chronic tic disorder

Answer 20

T: multiple motor tics AND at least one vocal tic

C: At least one motor OR vocal tic

Question 21

diabetic with early satiety and postprandial fullness and dizzy, sweatiness

Answer 21

gastroparesis

Question 22

dx for gastroparesis

Answer 22

nuclear gastric emptying study

Question 23

treatment for chronic prostatitis

Answer 23

6 weeks cipro or bactrim

Question 24

whats intelligence like for people with Turner syn

Answer 24

normal but at risk for learning disabilities