8-17

Question 1

1st line meds for BPH

Answer 1

alpha blockers (tamsulosin, etc) -> can add on 5-a-RI (finasteride) later

Question 2

when to administer tocolytics

Answer 2

<34 wks

Question 3

what graves dz tx worsens ophthalmopathy?

Answer 3

radioiodine ablation

Question 4

tx for neonatal chlamydial conjunctivitis

Answer 4

PO azithromycin

Question 5

how do pts on TPN get gallstones?

Answer 5

no CCK release -> no GB contraction.. so stasis

Question 6

CML mutation, LAP score

Answer 6

BCR-ABL fusion, low LAP

Question 7

cause of death in friedreich ataxia

Answer 7

cardiac dysfunction

Question 8

outpt abx for PID

Answer 8

CTX + doxy

Question 9

w/u for HIV pt w/ watery diarrhea

Answer 9

stool culture, ova/parasites, acid fast stain, Cdiff

Question 10

intrinsic AKI: urine sodium, FENa, BUN:Cr

Answer 10

high urine sodium + FENa b/c tubular damage limits reabsorption

Question 11

tx for body dysmorphic disorder

Answer 11

SSRIs, CBT

Question 12

CMV colitis features

Answer 12

bloody diarrhea in pts w/ CD4<50

Question 13

yellow fluffy + hemorrhagic retinal lesions in pt w/ advanced AIDS

Answer 13

CMV retinitis (HIV retinopathy causes cotton-wool lesions, not hemorrhagic)

Question 14

teenager w/ monoarticular arthritis w/ negative tap, pustular rash

Answer 14

disseminated gonococcal infection

Question 15

tx for tourette syndrome

Answer 15

• behavioral therapy

- antipsychotics

Question 16

indication for c-section in HIV+ mom

Answer 16

viral load >1000 = ART + zidovudine + C/S

Question 17

how does thyrotoxicosis cause HTN

Answer 17

inc HR + contractility

Question 18

holosystolic murmur at cardiac apex

Answer 18

mitral regurg

Question 19

best predictors of post-op outcomes following lung resection

Answer 19

FEV1 and DLCO

Question 20

middle aged woman on OCP w/ liver mass (hyperechoic)

Answer 20

hepatic adenoma

Question 21

tx of HTN in pregnancy

Answer 21

BBs or CCBs

Question 22

XS anxiety + 1+ unexplained symptom

Answer 22

somatic symptom disorder

Question 23

ppx for HIV pts w/ low CD4 counts

Answer 23

TMP-SMX (no antivirals or antifungals)

Question 24

elevated mean corpuscular Hgb conc (MCHC) is assoc w/ what?

Answer 24

spherocytosis