5/26/13

Question 1

_______ occurs most frequently in the upper eyelids of females over age 50 as a nodule that originally resembles a chalazion and then causes loss of lashes and yellowinh of the eyelid.

Answer 1

Sebaceous cell carcinoma

Question 2

What is the proper Tx of a chalazion or stye?

Answer 2

Incision, drainage, and topical Abx

Question 3

What two phenomena may be the cause of morning hypoglycemia in insulin-dependent diabetics?

Answer 3

Dawn phenomenon or Somogyi phenomenon

Question 4

What is the next step in evaluation of an insulin-dependent diabetic pt w/ early morning hypoglycemia?

Answer 4

Measure 3 am blood glucose

Question 5

What would be the 3 am blood glucose in the case of Dawn syndrome?

Answer 5

Euglycemic

Question 6

What would the 3 am blood glucose be in the case of Somogyi syndrome?

Answer 6

Hypoglycemic

Question 7

What 2 hormones mediate the Dawn effect?

Answer 7

GH and Cortisol

Question 8

What would be the appropriate Tx for Dawn phenomenon?

Answer 8

Increase nighttime NPH insulin

Question 9

What would be the proper Tx for Somogyi phenomenon?

Answer 9

Decease nighttime NPH insulin

Question 10

What is the median survival time after Dx w/ ALS?

Answer 10

3-5 yrs

Question 11

What is the usual cause of death in ALS?

Answer 11

Respiratory muscle failure

Question 12

What is the most specific test to confirm CSF leakage?

Answer 12

β-2 transferrin test

Question 13

How long should pts w/ APLA be anti-coagulated?

Answer 13

for life

Question 14

How should pts w/ APLA be anti-coagulated?

Answer 14

Warfarin to a target INR of 2-3 (enoxaparin if pregnant)

Question 15

When a premature infant develops obstructive hydrocephalus, think _______.

Answer 15

germinal matrix hemorrhage

Question 16

Whta is the first-line Tx for rosacea?

Answer 16

avoidance of precipitating factors (e.g. sun exposure, hot drinks)

Question 17

What is the 2nd-line tx for rosacea?

Answer 17

topical Abx, esp. metronidazole

Question 18

What is the 3rd-line Tx for rosacea?

Answer 18

oral Abx, esp. tetracyclines

Question 19

What drugs can be used as monotherapy for inpatient treatment of comminuty-acquired pneumonia?

Answer 19

fluoroquinolones (not cipro) or doxycycline

Question 20

What combination therapy is frequently used for inpatient treatment of community-acquired pneumonia?

Answer 20

cephalosporin (2nd or 3rd gen) + macrolide

Question 21

Name a macrolide commonly given (w/ a cephalosporin) for inpatient treatment of community-acquired pneumonia.

Answer 21

azithromycin

Question 22

Name 3 macrolides.

Answer 22

Azithromycin, Clarithromycin, erythromycin