6.17.2019

Question 1

1 hour constant testicular pain, sudden onset located in the superior pole. a blue dot is located on the superior pole of the teste, Dx?

Answer 1

Appendix testis

Question 2

tx for Appendix testis ?

Answer 2

pain control, bed rest, scrotal support

Question 3

what is a major reason to further investigate a prostate?

Answer 3

abnormal DRE

Question 4

What test is used to further investigate a prostate that has an abnormal DRE?

Answer 4

Transrectal US

Question 5

what is the hx of someone with poss steven johnson synrome

Answer 5

someone with HSV is most common>Mycoplasma>drug induced (Sulfa, PCN/ceph, Antiretrovirals, anticonvulsants)

Question 6

what is an ominous sign in someone with erythema multiforme?

Answer 6

oral or ophthalmic involvement

Question 7

difference between Toxic epidermal necrolysis and steven johnson syndrome

Answer 7

TEN: >30% of skin surface. sheets of skin sloughed, required to be on burn unit. Bx shows complete dermal necrolysis

SJS: <10% skin surface, appears dusky and more like a severe erythema multiforme. Bx just shows basal layer necrosis/slough

Question 8

how do you differentiated between a folate and b12 deficiency anemia?

Answer 8

MMA! (will be elvated in b12 deficiency)

Question 9

what type of diuretic is known for causing elevation in blood glucose?

Answer 9

thiazides

Question 10

timeline for how soon to operate on a testicular torsion

Answer 10

6 hours is at the point where there is irreversible damage and likely need a orchiectomy

Question 11

ADHD dx?

Answer 11

multiple symptoms of inattention, onset before 12, occur in 2 or more settings

Question 12

ADHD Tx?

Answer 12

CBT and stimulants (together is best first line)

Question 13

ADHD med used in stimulant abuse risk pt?

Answer 13

Atomoxetine

Question 14

Leriche Syndrome

Answer 14

aorto-iliac occlusion. Claudication and ED are main presentations. May have decreased femoral pulses. Atherosclerosis is cause of occlusion