7

Question 1

vertigo, unilateral hearing loss and tinnitus

Answer 1

menierie’s

Question 2

do stimulants for ADHD increase likelihood of developing SUD?

Answer 2

no

Question 3

when do you consider rhythm control for afib maintenance?

Answer 3

• poor control with rate control
• recurrent symptomatic episodes
• HF sxs with LV dysfunction

Question 4

when do you anticoagulate for afib

Answer 4

when CHADsVASc >2

Question 5

what med to avoid during ACS and concurrent acute HF?

Answer 5

beta blockers- reduce contractility, women pulmonary edema

Question 6

irregular pulse with present p waves

Answer 6

multifocal atrial tachycardia

Question 7

etiologies of multifocal atrial tachycardia

Answer 7

• pulm dz exacerbation (COPD)
• electrolyte disturbance
• catecholamine surge (sepsis)

Question 8

treatment of multifocal atrial tachycardia

Answer 8

1. correct underlying etiology

2. if persists, CCB or BB

Question 9

LP: WBC 100-500 (high), Glu<45 (low), Protein 100-500 (high)

Answer 9

TB meningitis- lymphocytic predominance

Question 10

viral LP results

Answer 10

high WBC - lymphocytic,
nl glucose,
low protein

Question 11

type of meningitis on LP to have highest protein

Answer 11

GBS (45-1000)

Question 12

treatment of TB meningitis

Answer 12

4 drug therapy for 2 months followed by 9-12 months of IR

steroids for 8 weeks

Question 13

what should healthcare workers do to test for TB if they already got BCG vaccine?

Answer 13

interferon gamma release assay

Question 14

what should you do if positive interferon gamma release assay?

Answer 14

treat for latent TB-
I+ rifapentine for 3 months
or
I for 6-months
or
Rifampin for 4 months

Question 15

therapy for HOCM

Answer 15

*BB or CCB

Question 16

> 50 y/o with diffuse pain especially in shoulder and pelvic girdle

Answer 16

polymyalgia rheumatica

Question 17

dx and tx for polymyalgia rheumatica

Answer 17

dx: ESR, CRP sensitive
tx: low dose oral steroids

Question 18

target cells on blood smear

Answer 18

thalassemia

Question 19

good prognostic factors in schizophrenia

Answer 19

later age onset
female
acute onset (lack of prodrome)
positive symptoms
no fam hx

Question 20

why should SERMs (raloxifine, tamoxifen) be d/c a month before surgery?

Answer 20

increase risk of venous thromboembolism

Question 21

should levo be increased or decreased with OCPs?

Answer 21

increased- (estrogen makes more TBG, gotta saturate)

Question 22

alopecia areata - what is it

Answer 22

smooth hair loss in younger patient, no scarring or inflammation. usually regrow but can recus. maybe autoimmune?

Question 23

alopecia areata- treatment

Answer 23

topical corticosteroid

Question 24

superior vena cava syndrome due to

Answer 24

malignancy

Question 25

dx for SVCS

Answer 25

CT with contrast

Question 26

treatment for breast milk jaundice

Answer 26

reassure to keep breastfeeding, it’ll self resolve by 3 mo

Question 27

in skewed distributions, what’s more valid? mean or median

Answer 27

median