8-15

Question 1

primary ppx for toxo in HIV pts

Answer 1

TMP-SMX in pts w/ pos serology + CD4<100 (also use for PCP PNA ppx)

Question 2

PBC antibodies

Answer 2

antimitochondrial

Question 3

most commonly assoc w/ splenic abscess

Answer 3

infective endocarditis

Question 4

drug tx for overflow incontinence

Answer 4

cholinergic agonist (bethanechol)

Question 5

purpura, arthralgias, renal dz, low complement, in pt w/ hep C

Answer 5

mixed cryoglobulinemia

Question 6

acute pulmonary edema during type A dissection

Answer 6

acute aortic regurg

Question 7

primary ovarian failure labs: FSH, LH

Answer 7

inc FSH, LH (dec neg feedback from dec estrogen)

Question 8

light criteria

Answer 8

pleural:serum prot >0.5
pleural:serum LDH >.6
pleural LDH >2/3 upper lim nml

Question 9

post-op fever

Answer 9

wind - atelectasis (day 1), PNA (day 2 or later)
water - UTI (day 3)
walking - DVT/PE (day 5)
wound - cellulitis (1 wk), abscess (10-14 days)
wonder drugs

Question 10

most common heart defect in Down syndrome

Answer 10

complete AV septal defect (fixed split S2, systolic ejection murmur)

Question 11

stones assoc w/ low urine pH

Answer 11

uric acid - can alkalize w/ potassium citrate

Question 12

painful oral/genital ulcers, uveitis, erythema nodosum, vasculitis

Answer 12

Behcet syndrome

Question 13

drug tx for urge incontinence

Answer 13

antimuscarinic (oxybutynin) - decreases detrusor contractions

Question 14

fever, neck pain, tender goiter following a URI

Answer 14

subacute thyroiditis - tx w/ B-blockers and NSAIDs