69

Question 1

The initial treatment for testicular cancer is__________

Answer 1

medical orchidectomy, which is treatment with antiandrogen therapy.

Question 2

Basal Cell Carcinoma management

Answer 2

local excision <1 cm

or Mohs micro surgery

Question 3

This syndrome may be precipitated by antibiotic use or other drug exposures. Symptoms include clinical jaundice and anemia

Answer 3

Autoinmune hemolytic anemia!

Question 4

How would you manage hyperphosphatemia in chronic kidney disease?

Answer 4

by limiting - restricting dietary phosphorus intake on diet when phosphate is mildly elevated.

phosphate binder is used only if the phosphate is persistently and progressively elevated despite dietary phosphorus restrictions

Question 5

Osmolality formula=

Answer 5

2 x sodium + urea + glucose

Question 6

Osmolal gap formula=

Answer 6

Difference between Measured and calculated serum osmolality.

Question 7

Cx Fx differences among infections:
Bacillus cereus
Staph aureus

Answer 7

Bacillus cereus: vomit + diarrhea

Staph aureus: mainly vomit

Question 8

episodic vertigo, sensorineural hearing loss and tinnitus during 20-30 min. Dx

Answer 8

Meniere disease

Question 9

30 year old man w cough. Chest Rx shows multiple pulmonary nodules also seen at CT scan as para aortic lymph nodules. Serum alpha fetoprotein and betahuman chorionic gonadotropin are markedly elevated. Dx

Answer 9

nonseminomatous germ cell tumour.

Question 10

Which of the following medication is most likely to cause weight gain and increase LDL ?
Clonidine
Risperidone

Answer 10

Risperidone

Question 11

Hypercalcemia treatment

Answer 11

First IV fluid resuscitation to correct the significant volume contraction.
Then, if needed,
Furosemide, second line, to prevent heart failure from high volume saline.
Then
Alendronate and Calcitonin as adjunctive,

Question 12

People with this syndrome believe that parts of their body are missing, or that they are dying, dead, or don’t exist. Name it!

Answer 12

Cotard’s syndrome (also called walking corpse syndrome or Cotard’s delusion)

Question 13

Normal Central Venous Pressure values are:

Answer 13

from 8 to 12 mmHg

it goes up in cardiogenic shock.
down in hypovolemic shock

Question 14

A woman present with miscarriages and PTT prolonged. Dx?

Answer 14

Antiphospholipid Sx.

you dx this by lupus anticoagulant test

Question 15

old man, sudden onset of vertigo + nausea + complete hearing loss in one ear. Dx

Answer 15

Internal auditory artery infarction.

Despite acoustic neuroma and meningioma might have similar symptoms, their onset is gradual!