6/9/13

Question 1

What is the medical term for “skin tags”?

Answer 1

acrochordons

Question 2

What is the #1 risk factor for A-fib?

Answer 2

htn

Question 3

After controlling Sx w/ a β-blocker, what is the next step in treating a pt. w/ symptomatic hyperthyroidism?

Answer 3

medical anti-thyroid therapy for a few weeks until radio-ablation

Question 4

What is a hereditary form of rickets?

Answer 4

Hereditary Hypophosphatemic Rickets (aka Vit-D resistant rickets)

Question 5

What is the inheritance pattern of hereditary hypophosphatemic rickets?

Answer 5

X-linked

Question 6

Why is the phosphate low in vitamin D-resistant rickets?

Answer 6

excreted in urine

Question 7

What is is the treatment of choice for elderly, demented pts who develop agitation and paranoia?

Answer 7

low-dose atypical antipsychotics

Question 8

What is the significance of a “ferning” pattern of amniotic fluid early in the third trimester?

Answer 8

preterm labor

Question 9

What are the 5 types of tocolytics?

Answer 9

Magnesium sulfate
NSAIDs
β2-agonists
Atosiban
CCBs

Question 10

What heart sound sounds like “Whoop-de-doo!” and is normal in many children, young adults, and athletes?

Answer 10

S3

Question 11

What are 2 key differences between the presentation of Conn’s syndrome and diuretic abuse?

Answer 11

diuretic abuse features:

• volume contraction
• hi plasma renin

Question 12

What is the effect of hyperaldo on serum pH?

Answer 12

alkalosis

Question 13

Will pts with acute exacerbations of COPD show an initial alkalosis and low pCO2 like asthmatic pts?

Answer 13

No!

They’re old fogies; they get acidotic right away!

Question 14

What is the first-line tx for a hemodynamically unstable pt w/ a pulmonary embolism?

Answer 14

thrombolysis

Question 15

Rash, arthritis, abd pain, and p-ANCA.

Answer 15

Polyarteritis nodosa

Question 16

Child has a mild fever and a diffuse, faintly erythematous eruption that progressesto bullae and then sloughing. Dx?

Answer 16

Staphylococcal scalded skin syndrome (SSSS)

Question 17

What body surfaces are usu spared in SSSS?

Answer 17

mucosae

Question 18

What cells mediate Stevens-Johnson syndrome or TEN?

Answer 18

T-cells

Question 19

What is the toxin released in SSSS?

Answer 19

exfoliatoxin-B

Question 20

What do exfoliatoxin B, released in SSSS, and exfoliatoxin-A, released in bullous impetigo, do?

Answer 20

cleave desmoglein-1, a component of the epidermal desmosome