7-21

Question 1

when does the OR approximate the RR

Answer 1

if the disease is rare

Question 2

ST elevation in II, III, aVF, V4-V6

Answer 2

RCA

Question 3

ST elevation in V1-V6

Answer 3

LAD

Question 4

upper + lower respiratory tract dz + glomerulonephritis

Answer 4

granulomatosis w/ polyangiitis (c-ANCA)

Question 5

hypothyroidism: TSH, FSH, PRL

Answer 5

high TSH, PRL

low FSH

Question 6

chronic hypopigmented lesions w/ peripheral nerve involvement

Answer 6

leprosy - dx w/ biopsy from active edge

Question 7

tx for stable WPW pt w/ acute AFib

Answer 7

procainamide -> AV nodal blockers can promote accessory pathway

Question 8

rapid tx for cluster headache

Answer 8

100% O2 (or subcu sumatriptan)

Question 9

painful keratitis in HIV pt

Answer 9

HSV or VZV

Question 10

bug that causes secondary pneumo following the flu

Answer 10

staph aureus

Question 11

expected CV exam finding in severe MR

Answer 11

S3 gallop

Question 12

inc pH causes __ binding of Ca2+ to albumin

Answer 12

more: alkalosis causes dissoc of H+ from albumin, freeing up spots to bind Ca2+

Question 13

tx for generalized convulsive status epilepticus

Answer 13

• IV benzos to terminate
• non-benzo to prevent recurrence
• then MRI

Question 14

vitiligo pathophys

Answer 14

regional destruction of melanocytes

Question 15

avoid ___ in acute glaucoma

Answer 15

atropine (antimuscarinic)

-want to treat w/ mannitol, acetazolamide, pilocarpine or timolol

Question 16

most common cause of spontaneous lobar hemorrhage in elderly

Answer 16

amyloid angiopathy

Question 17

low levels of ___ = risk factor for MS

Answer 17

vit D

Question 18

digitalis tox EKG

Answer 18

atrial tachy w/ AV block (inc ectopy + vagal tone)

Question 19

EEG w/ sharp, triphasic + synchronous discharges

Answer 19

prion (spongiform encephalopathy)

Question 20

basal ganglia hemorrhage

Answer 20

caused by rupture of charcot-bouchard aneurysms (HTN vasculopathy)

Question 21

why is APL considered a medical emergency?

Answer 21

high risk of consumptive coagulopathy

Question 22

pathophys of age-related hearing loss

Answer 22

cochlear hair cell loss

Question 23

HOCM inheritance

Answer 23

AD

Question 24

emergent treatment for TTP

Answer 24

plasma exchange

Question 25

monoarticular arthritis w/ chondrocalcinosis is assoc w/ ___

Answer 25

hereditary hemochromatosis (pseudogout)

Question 26

tx for post-herpetic neuralgia

Answer 26

gabapentin/pregabalin or TCAs

Question 27

initial tx for sinus bradycardia

Answer 27

IV atropine

Question 28

severe pulmonary edema + new holosystolic mumur 3 days after MI

Answer 28

papillary muscle rupture

Question 29

prophylaxis for thromboembolism in the setting of Afib

Answer 29

DOAC (apixaban, etc) or warfarin

Question 30

untreated hyperthyroid pts are at risk for ___

Answer 30

rapid bone loss (osteoclastic activity)