4/27/13 a

Question 1

A fleshy, immobile mass on the midline of the hard palate in a younger person is most likely what?

Answer 1

torus palatinus

Question 2

Bite cells and Heinz bodies are associated with what condition?

Answer 2

G6PD deficiency

Question 3

What type of abnormal red blood cells are associated with Thalassemia minor?

Answer 3

microcytic target cells

Question 4

What is the main difference between OCD and OCPD?

Answer 4

OCD pts may know their actions are unreasonable

Question 5

What is the best next step when a pt. presents clinically with the Sx of a DVT? What next?

Answer 5

Heparin (if no contraindications); THEN spiral CT

Question 6

_______ is characterized by palpable, indurated, cord-like, tender, subcutaneous venous segments accompanied by a low-grade fever.

Answer 6

Thrombophlebitis

Question 7

At how many hours after overdose should you check the serum level of acetaminophen?

Answer 7

4 hours

Question 8

Administration of N-acetylcysteine after acetaminophen overdose can be delayed up to ___ hrs with no adverse effects on prognosis.

Answer 8

8

Question 9

What 3 things should be done first in an HIV pt presenting w/ diarrhea?

Answer 9

stool culture, examination for ova and parasites, and test for C. dif toxin

Question 10

What surgical treatment option is available for myasthenia gravis?

Answer 10

thymectomy

Question 11

What does this sound like: malabsorptive diarrhea, migratory non-deforming arthritis, lymphadenopathy, and low-grade fever.

Answer 11

Whipple’s disease

Question 12

What is the causatie agent of Whipple’s disease?

Answer 12

Tropheryma whippelii

Question 13

How is the Dx of Whipple’s disease made?

Answer 13

small intestinal biopsy and PCR

Question 14

What is seen on small intestinal biopsy in pts w/ Whipple’s disease?

Answer 14

PAS-(+) macrophages containing Gram(+) bacilli

Question 15

In sarcoidosis, biopsy shows _______.

Answer 15

non-caseating granulomas

Question 16

The A-a gradient equals the difference of what 2 values?

Answer 16

PAO2 - PaO2

Question 17

How do you calculate PAO2?

Answer 17

FiO2(760-47) - PaCO2/0.8

Question 18

What is the normal FiO2?

Answer 18

0.21

Question 19

What is a normal A-a gradient in a young person?

Answer 19

<15

Question 20

What is the tx for cervicofacial actinomycosis?

Answer 20

IV penicillin

Question 21

What is athetosis?

Answer 21

slow, writhing movements, typically of the hands and feet, as in Huntington’s disease

Question 22

Generally, does metastatic breast cancer respond better to local or systemic approaches?

Answer 22

local

Question 23

If you had a pt. who had undergone tx for breast cancer and now has a solitary metastasis, what treatment would you choose?

Answer 23

surgical resection or external beam radiation

Question 24

What is the most common solid organ to be injured in blunt abdominal trauma (BAT)?

Answer 24

spleen

Question 25

What Sx must be present to Dx somatization disorder?

Answer 25

pain in at least 4 sites, 2 GI Sx, one sexual Sx, and one psuedoneurologic Sx