7-19

Question 1

eval in hemodynamically stable pts w/ SVTs

Answer 1

identify type of SVT w/ adenosine or vagal maneuvers

Question 2

rapidly progressive ascending paralysis w/o fever, nml CSF following hiking

Answer 2

tick-borne paralysis - remove tick -> spontaneous improvement

Question 3

best treatment for hypersensitivity pneumonitis

Answer 3

avoidance of antigen exposure

Question 4

why does niacin therapy cause cutaneous flushing + pruritis

Answer 4

prostaglandin-induced peripheral vasodilation

Question 5

most important prognostic factor for ductal carcinoma

Answer 5

TNM staging

Question 6

study w/ 3 diff interventions w/ 2 diff endpoints

Answer 6

factorial design

Question 7

NNT = ___

Answer 7

1/ARR

Question 8

initial management of sciatica

Answer 8

NSAIDs

Question 9

plateau pressure

Answer 9

elastic pressure + PEEP

-calculate w/ end-inspiratory hold maneuver

Question 10

dirty nail wound w/o tdap booster

Answer 10

tdap booster (no IG)

Question 11

hair loss w/ nml scalp + hair shafts

Answer 11

telogen effluvium

Question 12

workup for primary adrenal insufficiency

Answer 12

8am cortisol + plasma ACTH

Question 13

treatment for symptomatic PAD

Answer 13

antiplatelet, statin, graded exercise program

Question 14

pulmonary manifestations, skin + bone lesions in wisconsin

Answer 14

blastomycosis

Question 15

combativeness, psychosis, delirium, myoclonus for prolonged duration

Answer 15

bath salts - not on standard drug tox

Question 16

3 cardinal signs of parkinsons

Answer 16

rest tremor, rigidity, bradykinesia

Question 17

vascular cutaneous lesions w/ constitutional sx in a pt w/ CD4<100

Answer 17

bacillary angiomatosis - bartonella

Question 18

1st line tx for upper airway cough syndrome

Answer 18

1st gen antihistamines

Question 19

near-daily headache in setting of reg use of acute headache meds

Answer 19

medication overuse headache

Question 20

CAP, arthralgias, erythema nodosum, erythema multiforme in AZ

Answer 20

coccidiodomycosis

Question 21

3-5 days after MI: chest pain w/ new holosystolic murmur + biventricular failure

Answer 21

IV septum rupture

Question 22

how does DKA cause hyperkalemia?

Answer 22

extracellular shift

Question 23

initial tx for afib due to hyperthyroidism

Answer 23

beta blocker

Question 24

pain relieved by flexion of spine

Answer 24

lumbar spinal stenosis