6/14/13 b

Question 1

What property of atypical antipsychotics accounts for their ability to combat the negative Sx of schizophrenia and reduced extrapyramidal effects?

Answer 1

blockade of 5-HT receptors

Question 2

Sudden onset of sharply demarcated, red, edematous, tender skin lesion w/ raised borders accompanied by fever suggests _______.

Answer 2

erysipelas

Question 3

What is the most common causative organism of erysipelas?

Answer 3

GAS

Question 4

Which antibody is ulcerative colitis associated with?

Answer 4

p-ANCA

Question 5

What Ab is assoc’ed w/ subacute cutaneous lupus erythematosis and neonatal lupus, esp. when assoc’ed w/ congenital heart block?

Answer 5

anti-Ro

Question 6

Which antithyroid drug is preferred durng preg?

Answer 6

PTU

Question 7

If a woman will have a subtotal thyroidectomy during preg, when should it be done?

Answer 7

2nd trimester

Question 8

Which is the hearing test in which the tuning frk is placed in the middle of the forehead?

Answer 8

Weber

Question 9

Which is the hearing test in which the tuning fork is placed on the mastoid process and then held next to the ear?

Answer 9

Rinne

Question 10

What syndrome may feature a glucagonoma?

Answer 10

MEN-1

Question 11

What happens in Zollinger-Ellison syndrome?

Answer 11

gastrinoma causes many peptic ulcers

Question 12

What causes hyponatremia w/ a high fractional excretion of Na+ in a pt w/ recent brain trauma or a major CNS procedure?

Answer 12

SIADH

Question 13

What is the usu tx of SIADH?

Answer 13

fluid restriction and furosemide

Question 14

For SIADH, what can be used in addition to fluid restriction and loop diuretics for more aggressive tx or in those who cannot take more fluid loss?

Answer 14

ADH antagonists

Question 15

Name 2 ADH antagonists.

Answer 15

demeclocycline, and Li

Question 16

Anti-DNAse B and anti-hyaluronidase are Abs against what organism?

Answer 16

group A Strep

Question 16

What are the 5 major Jones criteria for Dx of rheumatic fever.

Answer 16

Joints (migratory polyarthritis)
O-shaped heart (carditis)
Nodules, subcutaneous
Erythema marginatum
Sydenham's chorea

Question 17

Describe the rash of erythema marginatum.

Answer 17

serpiginous red macules w/ pale centers, non-pruritic (spares the face)

Question 17

What electrocardiographic abnormality may be found in rheumatic fever?

Answer 17

prolonged PR interval

Question 18

An AIDS pt presenting w/ odynophagia should be empirically treated for _______.

Answer 18

Candida

Question 19

If empiric tx for odynophagia in an AIDS pt fails, what is the next step?

Answer 19

endoscopy

Question 20

What do esophageal ulcers caused by HSV look like grossly?

Answer 20

small and volcano-like

Question 21

What do esophageal ulcers of CMV look like grossly?

Answer 21

large and deep