8-20

Question 1

tx for diabetic gastroparesis

Answer 1

prokinetic (metoclopramide)

Question 2

tx for recurrent late decels on toco

Answer 2

stop uterotonics (late decels = sign of uteroplacental insufficiency)

Question 3

complete vs partial moles

Answer 3

complete = 46 XX/XY
partial = 69 XXX/XXY/XYY

Question 4

recurrent cutaneous + pulm infections w/ nml leukocyte, plt, B/T cells

Answer 4

chronic granulomatous disease

Question 5

minute ventilation

Answer 5

RR X TV (TV should be 6ml/kg)

Question 6

hypo/hyperpigmented macules, short stature, abnormal thumbs + pancytopenia

Answer 6

fanconi anemia (DNA repair defect)

Question 7

most sensitive test to detect early elevations in albumin excretion

Answer 7

urine albumin:creatinine ratio

Question 8

tx for SVT

Answer 8

vagal maneuver, adenosine

Question 9

salt cravings, depression, lack of libido + reduced pubic hair

Answer 9

check for addisons w/ cosyntropin stim test

Question 10

acute angle closure glaucoma can be assoc w/ what parkinsons med

Answer 10

trihexyphenidyl (anticholinergic)

Question 11

arthritis with chondrocalcinosis

Answer 11

pseudogout - look for hyperPTH, hypothyroid, hemochromatosis

Question 12

verification for high lead levels; tx

Answer 12

repeat w/ venous sampling (rather than capillary); tx w/ chelation (succimer) if >45

Question 13

Multifocal atrial tachycardia etiology, tx

Answer 13

pulm dz exacerbation, electrolyte abnml, catecholamine surge - tx by correcting underlying disturbance + AV nodal blockade (verapamil) if persistent

Question 14

1st line anti-emetics for chemo

Answer 14

5HT antagonists (ondansetron)

Question 15

non anion-gap metabolic acidosis + hyperkalemia

Answer 15

renal tubular acidosis

Question 16

high myopia increases risk of __ and __

Answer 16

retinal detachment + macular degeneration

Question 17

surveillance after colon cancer resection

Answer 17

stage I: colonoscopy 1yr then every 3-5yrs

stage II-III: +annual CT scan

Question 18

check for __ in pt w/ medullary thyroid cancer

Answer 18

pheochromocytoma (MEN2)

Question 19

call-exner bodies (rosettes)

Answer 19

granulosa cell tumor (inc estradiol and inhibin)

Question 20

common sinusitis bugs (typical)

Answer 20

strep pneumo, nontypable H flu

Question 21

analysis methods used to compare means

Answer 21

two-sample t test and ANOVA

Question 22

analysis method used to compare proportions of a categorized outcome

Answer 22

chi-square test

Question 23

first step in w/u for primary amenorrhea in 16yo girl

Answer 23

pelvic US

Question 24

nasopharyngeal carcinoma is assoc w/ ___

Answer 24

EBV, Asia

Question 25

MEN-1 tumors

Answer 25

pituitary, hyperPTH, pancreatic/GI neuroendocrine

Question 26

baby w/ holosystolic murmur at L lower sternal border

Answer 26

VSD

Question 27

jaundice + black liver w/ nml AST/ALT/alk phos

Answer 27

dubin-johnson (defect in hepatic excretion of bili)

Question 28

androgen-producing adrenal tumor: DHEAS, T, LH

Answer 28

high DHEAS, T; low LH

Question 29

hereditary spherocytosis: retics, coombs, MCHC

Answer 29

high retics, MCHC; neg direct coombs