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Question 1

situational syncope

Answer 1

caused by coughing, urinating or defecating - specific triggers

Question 2

confirmation test for carpal tunnel

Answer 2

nerve conduction studies

Question 3

types of immunity with polysaccharide vs conjugate vaccine

Answer 3

poly sacc = T cell independent B cell response (polysaccharides can not be presented to T cells_
conjugate = T cell dependent B cell response (can be presented)

Question 4

2 things that HIT causes

Answer 4

1. thrombocytopenia - spleen takes up platelets with antibodies
2. thrombosis - antibodies activate platelets leading to clots

Question 5

levels of prolactin, LH and TSH in prolactinoma

Answer 5

prolactin = above 200 (very high)
LH = low
TSH = normal to low

Question 6

hypocalcemia after tranfusions

Answer 6

due to calcium chelation from citrate

Question 7

follow up study after detecting adenocarcinoma

Answer 7

CT scan for staging

Question 8

tacrolimus vs cyclosporine

Answer 8

tacrolimus = no gingival hyperplasia or hirsutism but has more neurotoxicity, diarrhea and glucose intolerance

Question 9

best treatment for chronic lower back pain

Answer 9

exercise therapy

Question 10

hallmark of prolonged seizures

Answer 10

cortical necrosis

Question 11

treatment that worsens eye problems in graves

Answer 11

radioactive iodine (treatment also gives steroids to prevent)

Question 12

important side effect of Ca channel blocker

Answer 12

lower extremity edema

Question 13

always rule out ______ before giving folate replacement

Answer 13

B12

Question 14

free air under the diaphragm

Answer 14

ruptured peptic ulcer

Question 15

morbilliform exanthum

Answer 15

seen in adult parvo B19

Question 16

viruses causing arthritis

Answer 16

B19, HIV, mumps rubella

Question 17

when you should give tPA in stroke

Answer 17

within 4.5 hours

Question 18

if you get punctured, has kid vaccine but no boosters, what to do?

Answer 18

give one dose of booster