6

Question 1

Meniere’s triggers?

Answer 1

etoh, caffeine, nicotine, high salt

tx = low salt diet, diuretics, antihist, antichol

Question 2

Hep A pres? tx?

Answer 2

aversion to smoking, NV, malaise, abdp, hepatomeg

tx: supportive, Ig for close contacts

Question 3

In endocarditis is MC a/w..

Answer 3

MVP and MR

Question 4

Tx PCN sensitive strep?

Answer 4

IV pcn or IV cef

Question 5

Succinylcholine is C/I in…

Answer 5

GuillanBarre, tumor lysis syndrome

causes hyperK and arrythmias

Question 6

Tx tinea corporis?

Answer 6

topical terbinafine vs PO griseofulvin

Question 7

s/s decr niacin:

Answer 7

glossitis, abdp, diarrhea, dermatitis, dementia

pellagra

Question 8

2/2 B6 def:

Answer 8

irritability, depr, dermatitis, stomatits

Question 9

Pemphigus vulgaris =

Answer 9

antidesmoglein (iGG between epidermal cells)

*mucocutaneous, too

Question 10

Bullous pemphigoid =

Answer 10

IgG and C3 along BM/dem/epiderm junction

Question 11

Tx for PPD+ in HIV+

Answer 11

isoniazid and pyridoxine x9mo

Question 12

tx partial sz?

Answer 12

gabapentin, phenytoin

Question 13

tx absence sz?

Answer 13

ethosux, valproic acid

*3hz spike and wave

Question 14

Omega epiglottis

Answer 14

laryngomalacia

Question 15

Pres of central retinal v occlusion?

Answer 15

• optic disc swelling
• retinal hemorrhages
• dil veins
• cotton wool spots

Question 16

Pres of central retinal a occlusion?

Answer 16

• pallor of optic disc
• cherry red fovea
• boxcar segmentation of blood in retinal v

*hyperbar O2 and ocular massage

Question 17

Etiology of hypopituitarism:

Answer 17

Pituitary: primary, metastatic mass, infiltration (lym[ho, hemochromatosis), hemorrhage, infarction

hypothalamic: mass, infiltr (sarcoid), radiation, trauma, inf (TB)

Question 18

Pres of hypopituitarism:

Answer 18

1. ACTH def (postural hypotension, tachy, fatigue, wt loss, hypogly, eosinophilia)
2. hypothyr
3. gonadotropins (amenorrhea, infertility, decr libido, ED)
4. decr cortisol

Question 19

tx chlamydia?

Answer 19

azithro

Question 20

tx gonorrhea?

Answer 20

rocephin

Question 21

Neuroimaging in autism?

Answer 21

incr total brain vol

Question 22

Neuroimaging in OCD?

Answer 22

abn orbitofrontal cortex and striatum

Question 23

Neuroimaging in panic d/o?

Answer 23

decr vol of amygdala

Question 24

Neuroimaging in PTSD?

Answer 24

decr hippocampal vol

Question 25

Neuroimaging in shizo?

Answer 25

enlarged cerebral ventr

Question 26

Ab in systemic sclerosis?

Answer 26

anti-topo I and ANA

Question 27

Ab in a/i hepatitis?

Answer 27

anti sm musc