41-44

Question 1

Anal fissure and abdominal pain

Answer 1

Chrons

Question 2

Medicare part A is

Answer 2

Hospital care

Question 3

Medicare part B covers

Answer 3

outpatient physician care

Question 4

doxylamine is for

Answer 4

nausea and vomiting of pregnancy

Question 5

What area do you always biopsy if a lymph node is enlarged

Answer 5

Supraclavicular

Question 6

Greatest risk factor for development of diabetes in women

Answer 6

hx of gestational diabetes

Question 7

What do you add if serum creatinine is >1.5 mg/dL in patients with resistant hypertension

Answer 7

Loop diuretic

Question 8

changes in the palmar fascia, with progressive thickening and nodule formation

Answer 8

Dupuytren’s contracture

Question 9

Thyriod nodule workup

Answer 9

If TSH is suppressed, do iodide uptake scan
If TSH normal, biopsy
hot nodules almost never malignant

Question 10

When do suicide attempts peak? completed suicide?

Answer 10

peaks in 20s

completed in 30s

Question 11

What is donepezil? AE?

Answer 11

Cholinesterase inhibitor

Associated with bradycardia needing pacemaker

Question 12

Arthritis with palpable purpura

Answer 12

HSP

Question 13

According to JNC 7, CV risk begins to increase with a bp of

Answer 13

115/75

Question 14

Head manifestations of DM

Answer 14

Parotid enlargement, gum bleeding, candidiasis

Question 15

Odd AE of prochlorperazine or metoclopramide? Tx?

Answer 15

Acute dystonia (dopa blockers)
Tx with diphenhydramine

Question 16

Tx for moderate ingrown toe nail

Answer 16

partial avulsion of the medial nail plate and phenolization of the matrix

Question 17

tx for mild ingrown toe nail

Answer 17

Elevation of nail edge with a whisp of cotton

Question 18

If you can’t administer a drug IV during an acute MI, next best route?

Answer 18

Intraosseously

Question 19

Plan of action if placenta previa is seen at 20 weeks gestation in a patient with no bleeding

Answer 19

repeat US at 28 weeks, as most resolve on their own

steroids to promote lung maturity at 24-34 weeks if bleeding

Question 20

Most likely dx if arm pain precedes weakness and pain is difficult to localize

Answer 20

Brachial neuritis

Dx with nerve conduction study

Question 21

Elevated LH and FSH indicate what usually

Answer 21

Ovarian failure (HPA axis trying to make up for it)

Question 22

Best agent to add if Albuterol inhaler not working for asthma

Answer 22

Inhaled corticosteroids

Question 23

What is raloxifine

Answer 23

SERM that reduces risk of breast cancer

• estrogenic activity on bone*
• anti estrogenic on breast and ovary*

Question 24

What is Teriparatide (Forteo)

Answer 24

PTH analoge with potent bone anabolic activity

intermittent PTH increases bone formation

Question 25

Rapid onset of flashes of light and visual field deficit

Answer 25

retinal detachment

Question 26

Vitrous hemorrhage would cause

Answer 26

blurring of vision over most of the visual field

Question 27

Drug that leads to falsely depressed levels of PSA

Answer 27

Finasteride (Proscar)

Question 28

Test to dx thalassemia

Answer 28

Hgb electrophoresis

Question 29

Somatization disorder must include

Answer 29

2 GI complaints
1 sexual complaint
1 neuro complaint
4 pain complaints

Question 30

What can’t you do in ARDS

Answer 30

Get out CO2

will see high CO2 and appropriate rise of pH