8-17

Question 1

recurrent respiratory + GI infections in an adult

Answer 1

CVID - test for Ig levels

Question 2

MOA of sodium bicarb for TCA OD

Answer 2

treats cardiac tox (wide QRS) + arrhythmias by inc pH + extracell Na - alleviating cardio-depressant action on Na channels

Question 3

tx for painless thyroiditis

Answer 3

propranolol for symptom control

Question 4

obtain what studies before starting methotrexate?

Answer 4

LFTs

Question 5

test w/ high sensitivity for CHF

Answer 5

BNP

Question 6

pneumococcal vax rec for age <65 w/ chronic med cond

Answer 6

23 valent

Question 7

sick pt w/ muffled voice + deviated uvula

Answer 7

peritonsillar abscess

Question 8

central adrenal insufficiency: cortisol, T4, aldosterone

Answer 8

low cortisol, low T4, nml aldo

Question 9

aquagenic pruritis, facial plethora, splenomegaly

Answer 9

polycythemia vera

Question 10

eval for pts on hydroxychloroquine

Answer 10

ophtho - due to retinal tox

Question 11

clubbing + sudden joint pain in pt w/ COPD

Answer 11

hypertrophic osteoarthropathy

Question 12

vestibulocerebellar sx, ipsi face + contra trunk/limbs pain/temp, ipsi bulbar muscle weakness, autonomic dsfxn

Answer 12

wallenberg syndrome - lateral medullary infarct

Question 13

___ reduces progression of diabetic nephropathy

Answer 13

strict BP control

Question 14

tx for fibromyalgia

Answer 14

amitriptyline