8/10

Question 1

chronic non-nonhealing wound becomes which cancer

Answer 1

squamous

Question 2

knee dislocation test after reduction

Answer 2

ABI to make sure that popliteal is doing ok

Question 3

pathophys of neonatal thyroxosis

Answer 3

transplacental passage of maternal anti-TSH receptor antibodies.
Antibodies bind to infant’s TSH receptors and cause excessive thyroid hormone release

Question 4

dumping syndrome post GI procedure next step

Answer 4

dietary mod

Question 5

hyperplastic polyp removed on colonoscopy when is next colonoscopy

Answer 5

10 years, those aren’t cancer

Question 6

ab pain, distension, SINGLE dilated loop of large bowel on x-ray dx? tx?

Answer 6

colonic volvulus most likely cecal.

laparotomy

Question 7

sigmoid volvulus tx

Answer 7

endoscopic detorsion

Question 8

progressive esophageal dysphagia first test

Answer 8

endoscopy

Question 9

how do you tell if the cystic duct or common bile duct is obstructed

Answer 9

look at LFTS, will be elevated in common bile duct

Question 10

most common cause of death in people with ESRD

Answer 10

CV disease

Question 11

high anion gap, high serum osmol gap, metabolic acidosis, envelope or rhomboid crystals in urine. dx and tx

Answer 11

ethylene glycol poisoning, fomepazole.

Question 12

how to calculate serum osmal gap and normal serum osmolal gap

Answer 12

measured-calculated <10

Question 13

formula for calculated serum osmolar gap

Answer 13

(2*Na)+(glucose/18)+(BUN/2.8)

Question 14

utetral stone imaging

Answer 14

NON contrast CT ot US

Question 15

preterm labor meds 34-36

Answer 15

pen if gbs+ or unknown, maybe betamethasone but really either way

Question 16

preterm labor meds 32-33 (6/7)

Answer 16

betamethasone
tocolytics
pen if GBS + or unknown

Question 17

preterm labor meds <32

Answer 17

betamethasone
tocolytics
pen if GBS + or unknown
and Mg2+

Question 18

GBS abx mild pen allergy

Answer 18

cephalosporin

Question 19

GBS sever pen allergy

Answer 19

erythromycin or clindamycin, if resistant to those bad boys do the Vanc

Question 20

can you use ergots for migrants in pregnancy

Answer 20

NOOOOOO!!!!!

Question 21

when to avoid NSAIDS pregnancy

Answer 21

1st and 3rd trimesters

Question 22

diagnostic test for HIT

Answer 22

serotonin release assay

Question 23

antihypertensives okay for pregnancy

Answer 23

labetalol
nifedipine
hydralazine
methyldopa

Question 24

long standing RA what nephrotic syndrome will they get

Answer 24

AA amyloidosis

Question 25

most common cause of abnormal hemostasis in patient’s with CKD and tx

Answer 25

platelet dysfunction with NORMAL PT, PTT.

DDVAP is tc

Question 26

sodium nitroprusside SE in patient’s with CKD

Answer 26

cyanide tox- HA, confusion, arrhythmia., flushing, respiratory depression

Question 27

what does DHES raise risk for

Answer 27

clear cell vaginal cancer

Question 28

undetectable serum estrogen, high ash and lh normal internal female genitals dx?

Answer 28

aromatase deficiency

Question 29

emergency contraception options

Answer 29

copper iud
ulipristal
levonorgestrel

Question 30

rf for worsening of scoliosis

Answer 30

female, premenarche, age <12

Question 31

fu for gestational diabetes post baby

Answer 31

2hr glucose tolerance test at 6 weeks

Question 32

what is autonomic dysreflexia

Answer 32

response to noxious stimuli in spinal cord injury patients trigger unregulated sympathetic response.

Question 33

worse prognostic factors for the panc

Answer 33

older age >55
BMI over 30
AMS
SIRS+
⬆️ BUN,Cr or HCT
pulmonary infiltrates
severe necrosis on ct

Question 34

confirmatory thing to do for epiglottis if patient is stable

Answer 34

lateral neck radiograph