8-8

Question 1

tx for migraine refractory to simple analgesics

Answer 1

triptan or IV antiemetic (triptans contrindicated in pts w/ CAD)

Question 2

tx for legionella

Answer 2

FQ or macrolide

Question 3

B12 vs folate def: MMA

Answer 3

B12 has elev MMA

Question 4

osteoarthritis tx

Answer 4

• nonpharm
• NSAIDs
• topicals, steroid inj, HA inj

Question 5

cushing initial w/u

Answer 5

late night salivary cortisol vs 24 hr urine cortisol vs low dose dex supp test

Question 6

most effective single agent for allergic rhinitis

Answer 6

glucocorticoid nasal sprays (fluticasone)

Question 7

dementia w/ lewy bodies is assoc w/ __ hallucinations

Answer 7

visual

Question 8

tenosynovitis, dermatitis, migratory polyarthralgia

Answer 8

disseminated gonococcal infxn

Question 9

acute unilateral painless loss of vision w/ retinal hemorrhages + dilated veins

Answer 9

central retinal vein occlusion

Question 10

sublingual nitro MOA

Answer 10

systemic vasodilation -> dec LVEDV + wall stress -> dec demand

Question 11

test before starting trastuzumab

Answer 11

echo

Question 12

tx for CAP in hospital (non-ICU)

Answer 12

oral FQ vs ceftriaxone + azithromycin

Question 13

carcinoid tumors inc risk of what vitamin def?

Answer 13

niacin (B3) b/c tumor uses up tryptophan for 5-HT… niacin is also synth from tryptophan

Question 14

migraine PPX

Answer 14

topiramate, BB, or amitriptyline

Question 15

tx for cocaine induced chest pain

Answer 15

IV benzos + O2 (also can use aspirin, nitro + CCBs)

Question 16

albuterol can alter what electrolyte?

Answer 16

K - drives into cells

Question 17

hyperviscosity syndrome, elevated gamma gap, neuropathy, hepatosplenomegaly

Answer 17

waldenstrom macroglobulinemia (IgM)

Question 18

shoulder w/ dec passive + active ROM, no TTP, nml XR

Answer 18

adhesive capsulitis

Question 19

symptomatic hypercalcemia w/ met alk + AKI

Answer 19

milk-alkali