4

Question 1

S/s benzo OD?

Answer 1

slurred speech, gait abn, drowsiness

Question 2

Phenytoin toxicity?

Answer 2

nystagmus, ataxia, confusion

Question 3

Li toxicity?

Answer 3

tremor, hyperreflexia, ataxia, sz

Question 4

Tachycardia-mediated cardiomyopathy: presentation?

Answer 4

dyspnea, exercise intol, afib w/ RVR, LV systolic dysfunction

*chr tachycardia –> LV dilation + myocardial dysf
(tx agressive rate and rhythm control)

Question 5

CVID: labs?

Answer 5

decr IgG, IgA, IgE, IgM with nml B cells

pres ~15-35 yo

Question 6

Food poisoning: vomiting predominant?

Answer 6

S aureus, B cereus, Norovirus

Question 7

Food poisoning: diarrhea predominant?

Answer 7

Salmonella, campy, Shiga-toxin E coli, Shigella, enterobacter, Vibrio, Yersinia

Question 8

HTN emergency?

Malignant htn?

Answer 8

> 180/120 + end organ complications

retinal hemorrhages, exudates, papilledema

(enceph = cerebral edema + neurological s/s)

Question 9

Raloxifene s/e?

Answer 9

incr risk of DVT, hot flashes, leg cramps

*increases bone mineral density, decr breast cancer risk (NO incr risk for endometrial ca)

Question 10

Tx symptomatic sinus bradycardia:

Answer 10

IV atropine

if no response, transcut pacing, IV dopamine or IV epi

Question 11

ant shoulder dislocation a/w…

post shoulder dislocation a/w…

Answer 11

fall/trauma

sz

Question 12

Central vs nephrogenic DI?

Answer 12

central: desmopressin incr UOP by 50%, Na >150
nephrogenic: thirst intact, Na 142-105

Question 13

1’ Polydipsia Na?

Question 14

FSGS is a/w…

Answer 14

HIV

Question 15

Membranous nephropathy is a/w…

Answer 15

hep B

Question 16

Time frame:
brief psychotic d/o?
schizophreniform?
schizophrenia?
delusional d/o?

Answer 16

brief psychotic d/o = 1d to 1mo
schizophreniform = 1 mo to 6mo
schizophrenia = 6+ mo
delusional d/o = >1 mo

Question 17

tx neonatal thyrotoxicosis?

Answer 17

methimazole + b blocker

Question 18

Vitiligo is a/w…

Answer 18

pernicious anemia, a/i thyroid disease, T1 DM, 1’ adrenal insuff, hypopituitarism, alopecia areata

Question 19

CA a/w PTHrP =

Answer 19

sq cell, renal/bladder, ovarian, endometrial, breast

Question 20

CA a/w vit D prod =

Answer 20

lymphoma

Question 21

multiple ring-enh lesions, esp at basal ganglia

Answer 21

toxo

Question 22

solitary periventr ring-enh lesion in HIV+ pt

Answer 22

1’ CNS lymphoma

*EBV

Question 23

cortical/subcortical atrophy and incr ventrical size in HIV pt

Answer 23

AIDs dementia

Question 24

scarring and atrophy on head CT in HIV pt

Answer 24

subacute sclerosing panencephalitis

Question 25

multiple non-enh lesions in cortical white matter

Answer 25

PML (hemiparesis, abn speech/gait, CN abn

**JC virus

Question 26

HSP: pres?

Answer 26

palpable purpura, hematuria, abdp, arthralgia, +/- scrotal swelling, incr risk of intussusception (target sign) in

Question 27

niacin def is a/w…

Answer 27

incr corn diet, etoh abuse, carcinoid syndr, Hartnups

Question 28

dx Polycythema vera:

Answer 28

decr EPO + JAK2 mutation

Question 29

vanc treats…
aminoglycosides treat…
good choice for anaerobic inf?
amoxicillin treats…

Answer 29

vanc –> G+
aminoglycosides (amikacin) –> G-
anerobes = clinda
amox = G+, G-, anaerobes

Question 30

High RAIU scan w nodular uptake pattern?

Answer 30

toxic adenoma, multinodular goiter

Question 31

Low RAIU scan, decr thyroglobulin

Answer 31

exogenous thyr ingestion

Question 32

Low RAIU scan, incr thyroglobulin

Answer 32

thyroiditis or I exposure

Question 33

WPW afib w RVR tx?

Answer 33

cardioversion or procainamide

AV node blockers will cause vfib