5

Question 1

mid systolic murmur at left upper sternal border with RA and RV dilatation

Answer 1

atrial septal defect (left to right shunt)

Question 2

harsh crescendo-descrescendo systolic murmur at apex and lower left sternal border

Answer 2

HCM

Question 3

when does HCM murmur increase

Answer 3

increase with valsalva and rising from squatting/sitting to standing

Question 4

harsh holosytolic murmur over left 3rd and 4th intercostal space, with palpable thrill

Answer 4

VSD

Question 5

4 gastro viruses that lower seizure threshold

Answer 5

rotavirus
adenovirus
norovirus
parainfluenza

Question 6

HSP symptoms

Answer 6

palpable purpura
arthralgia
abdominal pain, intussception
renal disease - IgA nephopathy

Question 7

when can you get iron def anemia as an infant?

Answer 7

• breastfed only after 6 mo without solid foods
• any cows milk before 1 year
• prematurity

Question 8

mentzor index

Answer 8

MCV/RBC

if <13 –> thalassemia
>13 –> iron def anemia

Question 9

unilateral LAD + conjunctivitis + owns a cat

Answer 9

bartonella cat scratch

Question 10

complication of bartonella

Answer 10

lymph node suppuration and drainage

Question 11

antifreeze clinical manifestation

Answer 11

kussmaul breathing (AG met acidosis)

Question 12

antidote of choice for ethylene glycol (antifreeze)

Answer 12

fomepizole

Question 13

early treatment for cocaine induced cardio toxicity and hypertension

Answer 13

benzos! reduce sympathetic outflow

nitroglycerin can also be useful

Question 14

cocaine ingestion with persistent CP and new neuro findings suggestive of

Answer 14

acute aortic dissection (clots fly off to brain)

Question 15

dx of aortic dissection

Answer 15

CT/MR angiography or TEE

Question 16

increased power reduces what type of statistical error

Answer 16

type 2

Question 17

hypercalcemia, low urine ca, family hx, nl PTH and what should you do

Answer 17

familial hypocalciuric hypercalcemia

reassure, observe

Question 18

NNT equation

Answer 18

1/ARR

Question 19

ARR equation

Answer 19

control rate- experimental rate

Question 20

relative risk equation

Answer 20

experimental treatment rate/control rate

Question 21

common complication of anal abscess

Answer 21

anal fistula

Question 22

older woman with apathy, weight loss, new afib

Answer 22

hyperthyroidism

Question 23

treatment of choice for persistent symptomatic bradyarrythmia

Answer 23

try atropine first, then cardiac pacing

Question 24

is scrubbing face good to prevent acne?

Answer 24

no!

Question 25

when you start HAART, how much time will it take to reduce to <50 viral load

Answer 25

4-6 mo