6/5/13

Question 1

What is the mechanism of α-blockers in benign prostatic hyperplasia?

Answer 1

relax urethral sphincter

Question 2

What are the best hypertensive choices for pts w/ chronic kidney failure?

Answer 2

ACE-Is and ARBs

Question 3

What causes black pigment stones in the gallbladder?

Answer 3

hemolysis

Question 4

What causes brown pigment stones in the gallbladder?

Answer 4

chronic infection, esp. parasitic

Question 5

In any acute spinal injury or compression of any process, the first intervention should be ______.

Answer 5

hi-dose IV steroids

Question 6

What is the next best step for suspected cord compression after steroids?

Answer 6

MRI

Question 7

How long is the max. delay allowed for choosing PCI over thrombolytics for AMI?

Answer 7

90 mins

Question 8

What is the inheritance pattern of hereditary spherocytosis?

Answer 8

AD

Question 9

What vitamin should be supplemented in pts w/ hereditary spherocytosis?

Answer 9

folate

Question 10

What is the best medication for slowing the progression of diabetic nephropathy in all pts, whether or not they have htn?

Answer 10

ACE-Is

Question 11

What is the major cause of mortality in TCA overdose?

Answer 11

hypotension

Question 12

What should be administered to pts of TCA overdose to combat hypotension, prolonged QT interval, and arrhythmia?

Answer 12

sodium bicarb

Question 13

What should be infused into pts suffering from torsade de pointes?

Answer 13

Mg sulfate

Question 14

What is the initial treatment of anal fissure?

Answer 14

dietary modification, stool softeners, and local anesthetic

Question 15

Define “salvage therapy”.

Answer 15

A form of therapy used after standard therapy as failed.

Question 16

How is induction therapy different from neoadjuvant?

Answer 16

induction may or may not be followed by another tx (e.g. surgery)

Question 17

What is the other name of herceptin, the monoclonal Ab that targets the HER2 receptor?

Answer 17

trastuzumab

Question 18

What is resistance, a psychological defense mechanism?

Answer 18

refusal to bring an unpleasant unconscious thought to awareness

Question 19

What electrolyte abnormality is a common complication of subarachnoid hemorrhage?

Answer 19

hyponatremia - “cerebral salt-wasting syndrome”

Question 20

What are the two main mediators of cerebral salt-wasting syndrome following SAH?

Answer 20

vasopressin and Atrial/brain natriuretic peptide