6/8/13 a

Question 1

What are the 2 options for mgmt if ASCUS is found on Pap smear?

Answer 1

1) repeat Pap smear in 4-6 mos

2) HPV DNA

Question 2

If pt has ASCUS and HPV test shows hi-risk type (14, 16, 30’s), what is the next step?

Answer 2

colposcopy

Question 3

What would be seen on peripheral smear in TTP, HUS, and DIC, but not ITP?

Answer 3

schistocytes

Question 4

2 Abx choices for treating MRSA aside from vancomycin.

Answer 4

linezolid and daptomycin

Question 5

3 Abx choices for treating VRSA.

Answer 5

linezolid, dalfopristin, or quinupristin

Question 6

What are the first 3 steps of the “breaking bad news” protocol?

Answer 6

1) comfortable enviro (e.g. fam/no fam)
2) what does pt think of illness?
3) how much do they want to know?

Question 7

What tumor marker is assoc’ed w/ hepatocellular carcinoma?

Answer 7

α-fetoprotein

Question 8

What cancers are associated w/ carcinoembryonic Ag (CEA)?

Answer 8

colon and ovarian

Question 9

What differentiates pseudostrabismus from strabismus?

Answer 9

normal corneal light reflex

Question 10

What would cause sudden, massive hemorrhage into the peritoneum in a pregnant woman w/ no sig. med Hx?

Answer 10

ruptured visceral aneurysm

Question 11

What is the first step in mgmt of a highly suspicious pulmonary nodule >1cm that has been identified on CT?

Answer 11

resection

Question 12

What would cause an apparent pulmonary infection w/ a chronic course, foul-smelling sputum, B-type Sx, and a normal physical exam? Hint: alcoholics are more susceptible.

Answer 12

anaerobic lung abscess

Question 13

What Abx is most appropriate for an anaerobic lung abscess?

Answer 13

clindamycin

Question 14

How might an anaerobic pulmonary abscess appear on CXR?

Answer 14

thick-walled cavitary lesion

Question 15

How is the x-ray appearrance of malrotation w/ volvulus different from duodenal atresia?

Answer 15

gas in bowel distal to “double bubble”

Question 16

What is the initial treatment of TTP?

Answer 16

large-volume plasmapheresis

Question 17

What is the standard Tx of lipomas?

Answer 17

observation

Question 18

What should be done in the case of a solitary thyroid nodule and normal or high TSH?

Answer 18

FNA

Question 19

Elderly pt: Hyperviscosity; Plasmacytoid lymphocytes on peripheral smear and invading bone marrow; Monoclonal IgM spike.

Answer 19

Waldenstrom’s macroglobulinemia

Question 20

What part of the lung tends to be most involved by asbestosis?

Answer 20

lower lung fields

Question 21

What kind of lung disease are people exposed to asbestos most at risk for?

Answer 21

interstitial lung cancer

Question 22

What part of the lungs is most involved by silicosis?

Answer 22

upper lung fields

Question 23

What lung disease are people exposed to silica at increased risk for?

Answer 23

TB

Question 24

What special test should be done routinely for pts w/ silicosis?

Answer 24

yearly PPD

Question 25

What part of the lung is most affected in coal worker’s pneumoconiosis?

Answer 25

upper lung fields

Question 26

What differentiates coal worker’s pneumoconiosis from silicosis in labs?

Answer 26

immunologic abnormalities