8/30

Question 1

tracheal deviation in pneumothorax

Answer 1

rare, only seen in primary pneumothorax

Question 2

nonspecific systemic symptoms with large spleen and high alk phos in HIV

Answer 2

MAC (treat with azithromycin)

Question 3

pseudodementia

Answer 3

depression in the elderly

Question 4

symptoms of Pagets disease

Answer 4

bone pain, headaches, unilateral hearing loss, femoral bowing

Question 5

cell problem in Pagets

Answer 5

osteoclast dysfunction

Question 6

tinea versicolor can be triggered by…

Answer 6

sun

Question 7

cyanide-nitroprusside test

Answer 7

for detecting cystinuria

Question 8

features of carcinoid syndrome

Answer 8

episodic pounding sensation, chronic diarrhea, weight loss and valvular heart disease with tricuspid regurg

Question 9

episodic flushing is the hallmark of….

Answer 9

carcinoid syndrome

Question 10

chancroid

Answer 10

h ducreyi infection, painful ulcer with lymphadenitis

Question 11

Wernike triad

Answer 11

encephalopathy, ocular dysfunction and gait ataxia

Question 12

common bug in febrile neutropenia

Answer 12

pseudomonas

Question 13

treatment for febrile neutropenia

Answer 13

piperacillin-tazobactam

Question 14

ulkaline urine in UTI

Answer 14

proteus or klebsiella (urease positive)

Question 15

treatment for norcardia

Answer 15

bactrim

Question 16

acid fast branching filamentous rods in immunocompromised

Answer 16

nocardia

Question 17

major infection in chronic liver disease

Answer 17

spontaneous bacterial perotinitis

Question 18

treatment of Pagets disease

Answer 18

biphosphonates - inhibit osteoclasts and suppress bone turnover

Question 19

elevated creatinine kinase and proximal muscle weakness

Answer 19

polymyositis

Question 20

in spinal stenosis, movements that make it better

Answer 20

flexion (sitting and walking up stairs - widens gap)