6/13/13 b

Question 1

What is the tx of choice for somatization disorder?

Answer 1

brief monthly visits w/ primary care physician

Question 2

What personality disorder is common in male relatives of pts w/ somatization disorder?

Answer 2

antisocial p.d.

Question 3

What personality disorder is common in female relatives of pts w/ somatization disorder?

Answer 3

histrionic p.d.

Question 4

What kind of sx would usu. be found in conversion disorder?

Answer 4

pseudoneurological (e.g. mutism, blindness, paralysis)

Question 5

What does “la belle indifference” refer to?

Answer 5

pts. w/ conversion disorder don’t mind their (fake) disability

Question 6

What is the primary gain of a conversion disorder?

Answer 6

keeps real problem out of pt’s conscious awareness

Question 7

Retinal hemorrhages in an infant are indicative of what?

Answer 7

shaken baby syndrome

Question 8

What is found on bronchoalveolar lavage in amiodarone-induced restrictive lung disease?

Answer 8

foamy macrophages

Question 9

What malabsorptive disease is associated w/ hyperpigmentation, lymphadenopathy, cardiac disease, and rheumatologic disturbances?

Answer 9

Whipple’s disease

Question 10

What is the etiology of pseudohypoparathyroidism?

Answer 10

mutant PTH receptor is non-functional

Question 11

What is a normal jugular venous pressure range?

Answer 11

6-8 cm H20

Question 12

What 2 classes of drugs are usef to treat akathisia resulting from the use of psychotropic medications?

Answer 12

β-blockers and anti-cholinergics

Question 13

Cataplexy is characteristically associated w/ what disorder?

Answer 13

narcolepsy

Question 14

What is the standard “triple therapy” protocol for H. pylori?

Answer 14

Amoxicillin, Clarithromycin, and a PPI

Question 15

What can be used in place of amoxicillin in the triple therapy protocol?

Answer 15

metronidazole

Question 16

What is naltrexone?

Answer 16

blocks μ-receptor in brain; reverses effects of opioids

Question 17

What should you warn pts about before prescribing metronidazole?

Answer 17

disulfiram-like fx

Question 18

What are the characteristic CXR findings of silicosis?

Answer 18

bilateral upper lobe involvement and “egg-shell” calcification of hilar lymph nodes

Question 19

Pts w/ silicosis have 30 times the risk of contracting _______ and must be screened for it yearly.

Answer 19

TB

Question 20

Pts w/ intracerebral hemorrhage usu. lose consciousness immediately. At what point do pts. w/ cerebellar hemorrhages lose consciousness?

Answer 20

when cerebellar tonsils herniate through foramen magnum

Question 21

What should be done to treat intra-cerebellar hemorrhage?

Answer 21

immediate surgical evacuation

Question 22

What are some (3) special clinical features of intra-cerebellar hemorrhage?

Answer 22

gait imbalance, gaze palsy, facial weakness