5/22/13

Question 1

What differentiates toxic epidermal necrolysis from Stevens-Johnson syndrome?

Answer 1

TEN involves >30% of the total body surface area

Question 2

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) is most commonly associated with what drugs?

Answer 2

anti-convulsants (e.g. phenytoin)

Question 3

What should be done for sebaceous nevi discovered in babies?

Answer 3

biopsy and excision

Question 4

Why should sebaceous nevi be removed?

Answer 4

usually develop into malignancies (esp. BCC) in adulthood

Question 5

What kind of malignancy tends to develop at the site of giant congenital melanocytic nevi?

Answer 5

melanoma

Question 6

What parameters define mild persistent asthma?

Answer 6

Sx >2x/wk but not daily, nighttime awakenings 3-4x/mo., FEV1 ≥80%

Question 7

What is the treatment for mild persistent asthma?

Answer 7

albuterol + low-dose inhaled corticosteroid

Question 8

What parameters define moderate asthma?

Answer 8

daily Sx, weekly nighttime awakenings, FEV1 60-80%

Question 9

What is the baseline tx for moderate persistent asthma?

Answer 9

albuterol + low-dose inhaled corticosteroids + LABA

Question 10

_______ is condition found in pts w/ longstanding diabetes. It is characterized by minimal pain, hyperlaxity of the joint, usu. the ankle, swelling, warmth, redness, and joint effusion.

Answer 10

Charcot joint

Question 11

What is the other name for Charcot joint?

Answer 11

neuropathic arthropathy

Question 12

How is neurosyphilis treated?

Answer 12

continuous IV crystalline penicillin G

Question 13

Older pt w/ red eyes, headache, and blurred vision w/ halos around lights which is worse at night.

Answer 13

Acute angle-closure glaucoma

Question 14

What would the fundoscopic exam show in acute angle-closure glaucoma?

Answer 14

optic disc is pale and edematous

Question 15

What is the best initial treatment for acute angle closure glaucoma?

Answer 15

acetazolamide

Question 16

What is the best initial tx for acute trigeminal neuralgia?

Answer 16

carbamazepine

Question 17

_______ is characterized by hypotension, hi fever, vomiting, watery diarrhea, sore throat, myalgias, macular erythematous rash, conjunctivitis, and headache. It may occur following a break in the skin.

Answer 17

Toxic Shock Syndrome

Question 18

What is the tx of toxic shock syndrome?

Answer 18

supportive + clindamycin and vancomycin

Question 19

What are the parameters for itermittent asthma?

Answer 19

Sx ≤2/week, nighttime awakenings ≤2/mo, FEV1 ≥80%

Question 20

What is the Tx for intermittent asthma?

Answer 20

only albuterol

Question 21

What are the parameters for severe persistent asthma?

Answer 21

Sx continuously, nighttime awakenings frequent, FEV1 <60%

Question 22

What is the tx for severe persistent asthma?

Answer 22

albuterol + LABA + hi-dose inhaled corticosteroids