8

Question 1

thyr hormones in preg?

Answer 1

decr TSH
incr T4
incr thyr binding globulin

Question 2

Blastomycosis symptoms?

Answer 2

lug: pneumonia
bone: osteomyelitis
skin: wartlike lesions, nodules, ulcers
GU: prostatitis, epididymitis-orchitis

Question 3

Blastomycosis tx?

Answer 3

mild pulm = none
mod pulm/disseminated = itraconazole
severe of ICH = IV ampho B

Question 4

management of pertussis exposure?

Answer 4

prophylaxis for all exposed despite vaccine hx

Question 5

physostigime MOA?

Answer 5

AChAse inh

Question 6

Tx organophosphate poisoning?

Answer 6

atropine (* treat chol excess)

Question 7

tx anaerobic lung inf?

Answer 7

clinda

Question 8

glucagonoma: pres?

dx?

Answer 8

necrolytic migratory erythema, DM, GI s/s, wt loss, venous thrombi, neuropsych

incr glu, incr glucagon, anemia

(do a CT or MRI)

Question 9

Tx cluster HA? tx for acute attack?

Answer 9

verapamil, Li, ergotamine

O2, sumatriptan

Question 10

TCA OD s/s?

Answer 10

antichol, sinus tach, hypotension, arrythmia, MS change, seizure, resp depr

Question 11

TCA OD tx?

Answer 11

IV bicarb + activated charcoal if

Question 12

Scleroderma renal crisis:

Answer 12

sudden RF, malig HTN, microangiopathic hemolytic anemia (schistocytes, decr plt)

Question 13

burr cells =

Answer 13

liver dis, ESRD

Question 14

spur cells =

Answer 14

liver dis

Question 15

MCC viral meningitis?

Answer 15

non polio enteroviruses (echo + coxsackie)

Question 16

pres of chronic/severe Mitral regurg?

Answer 16

LA and LV enlargement –> afib, LV dysf, CHF

Question 17

Mobitz type 1 tx:

Answer 17

exercise, atropine

*worsened with vagal maneuvers

Question 18

tx pseudomonas?

Answer 18

cefepime or piperacillin-tazobactam

Question 19

HUS pres? MC organisms?

Answer 19

bloody D, lethargy, pallor, bruising/petechiae, edema, oliguria

E coli O1H57, shigella (*shiga toxin)

Question 20

Hereditary spherocytosis:

labs?

Answer 20

incr MCHC
neg Coombs
incr osm frality on acidified glycerol lysis test
abn eosin-5-maleimide binding test

Question 21

vaccine needed before travel to Saudi Arabia and Africa?

Answer 21

meningococcal

Question 22

ascitis tx?

Answer 22

1. Na/H2O restr
2. spironolactone
3. loop diuretic
4. freq paracentesis

Question 23

tx chorio?

Answer 23

broad spec abx + delivery

Question 24

Goodpastures tx?

Answer 24

emergent plasmapheresis

steroids, cyclophosphamide

Question 25

nitro MOA:

Answer 25

dil veins (capacitance vessels) –> decr preload and heart size which decr O2 demand

Question 26

Addisons: Na/K?

Answer 26

decr Na

incr K

Question 27

vaccine needed before travel to S am and subsaharan Africa?

Answer 27

yellow fever

Question 28

vaccine needed before travel to N Africa?

Answer 28

Hep A

Question 29

Nocardia pres?

tx?

Answer 29

TB-like pneumonia, brain abscess, cutaneous

trimeth-sulfam, srx drainage if poss

Question 30

SVT tx:
HD instability?
narrow complex?
wide complex?

Answer 30

HD instability: DC cardioversion
narrow complex: vagal maneuvers, CCB, adenosine
wide complex: amiodarone, procainamide

Question 31

Fetal hydantoin: pres?

Answer 31

midfacial hypoplasia, microceph, cleft lip/palate, digital hypoplasia, hirsutism, dev delay

*phenytoin, carbamazepine