7/29

Question 1

anterior mediastinal mass t’s

Answer 1

teratoma, thymoma, thyroid, terrible lymphoma

Question 2

decreased peripheral vision with increased cup/disk ratio

Answer 2

glaucoma

Question 3

most sensitive test for diabetic nephropathy

Answer 3

urine-albumin to creatinine ratio

Question 4

onchomycosis organism and tx

Answer 4

trichophyton rubrum

tx: terbinafine and itraconazole

Question 5

long term hyper ca tx >14

Answer 5

bisphosphanates

Question 6

short term tx f hyper ca >14

Answer 6

NS+calcitonin

Question 7

Adult Still’s disease ft

Answer 7

-recurrent high fevers
arthritis/arthralgia
salmon colored rash

Question 8

causes of digital clubbing

Answer 8

malignancy, CF, R–> cardiac shunt

Question 9

what tests predicts risk of future diabetic foot ulcers

Answer 9

monofilament test

Question 10

Disseminated gonococcal infection triad

Answer 10

tenosynovitis
painless vesiculopapular skin lesions
polyarthraligia

Question 11

hookworm tx

Answer 11

ivermectin

Question 12

pathophys of anemia of chronic disease

Answer 12

⬆️ inflamatory cytokines this inhibits ferroportin on enterocytes and macrophages, leading to less iron absorption and increased iron sequestration

Question 13

WPW goes into a fib and is hemodynamically stable, what med do you us

Answer 13

antiarrhythmics like procainamide o ributilide

Question 14

For WPW why can you not use Adenosine, BB, CCB, dig?

Answer 14

they block AV node and promote conduction across the accessory pathway= fib

Question 15

pathophys of esophageal probs in systemic scleroderma

Answer 15

atrophy and fibrosis of smooth muscle in lower esophagus

Question 16

tx for lithium levels over 2.5 and signs if toxicity, or >4 with no signs

Answer 16

hemodialysis

Question 17

which SSRI to avoid in recent MI patients

Answer 17

citalopram bc it prolongs QT.

dose dependent

Question 18

which SSRI should you give post MI depression

Answer 18

Sertraline

Question 19

bupropion class

Answer 19

Norepi and dopamine reuptake inhibitor

Question 20

what is a functional tremor

Answer 20

psychogenic, will be inconsistent and not fit a classic neuron pattern

Question 21

acute dystonia tx

Answer 21

benztropine

diphenhydramine

Question 22

akathisia tx

Answer 22

BB
Lorazapam
Benztropine

Question 23

drug related parkonsism tx

Answer 23

benztropine

amantadine

Question 24

tardive dyskinesia tx

Answer 24

valbenazine

deutetrabenazine

Question 25

cruetzfeldt Jakob marker

Answer 25

14-3-3

Question 26

sSRi short term SE

Answer 26

HA, Nausea, insomnia/sedation, anxiety and dizziness

Question 27

long term SSRI SE

Answer 27

sexual dysfunction

weight gain