8-7

Question 1

pancreatic tumor w/ diarrhea, facial flushing, hypokalemia, hypochlorhydria

Answer 1

VIPoma

Question 2

gout w/ hepatosplenomegaly, pruritis

Answer 2

myeloproliferative disorder

Question 3

frostbite management

Answer 3

rapid rewarming in water bath

Question 4

cardiac abnormality assoc w/ COPD

Answer 4

multifocal atrial tachycardia

Question 5

heart sound heard during acute phase of MI

Answer 5

4th heart sound (atrial gallop)

Question 6

DOE, LEE, 3rd heart sound in last trimester

Answer 6

peripartum cardiomyopathy

Question 7

treatment for comedonal acne

Answer 7

topical retinoids

Question 8

severe lymphocytosis in older pt

Answer 8

CLL

Question 9

basic workup for 1st time seizure in an adult

Answer 9

blood tests + u-tox

Question 10

stroke w/ focal symptoms initially then signs of elevated ICP

Answer 10

hypertensive intracranial hemorrhages

Question 11

methanol vs ethylene glycol tox

Answer 11

methanol = eye damage

eth glycol = kidney damage

Question 12

joint pain + nail lesions

Answer 12

psoriatic arthritis

Question 13

infection of the lacrimal sac

Answer 13

dacryocystitis

Question 14

tick bite, fever w/ systemic sx, leukopenia, thrombocytopenia, elev LFTs

Answer 14

ehrlichiosis - treat w/ doxy

Question 15

management of COPD exacerbation

Answer 15

• O2
• inhaled brochodilators
• systemic glucocorticoids

Question 16

w/u for headaches that are different from prior, present upon wakening, assoc w/ freq N/V + blurry vision

Answer 16

MRI