9-1

Question 1

tx for localized impetigo

Answer 1

mupirocin

Question 2

child w/ hematuria + hearing loss (w/ fam hx)

Answer 2

alport syndrome - type IV collagen defect in basement membrane - see longitudinal splitting of GBM on renal bx

Question 3

HTN, hypoK, low renin, high aldo

Answer 3

primary hyperaldo

Question 4

HTN, hypoK, high renin, high aldo

Answer 4

secondary hyperaldo

Question 5

bronze diabetes, elevated liver enzymes

Answer 5

hereditary hemochromatosis

Question 6

rapidly growing nodule w/ ulceration + central keratin plug

Answer 6

keratoacanthoma -> excisional biopsy

Question 7

tx for acute unilateral cervical lymphadenitis

Answer 7

clinda vs amox-clauv (cover staph aureas + group A strep)

Question 8

huntingtons affects which neurons

Answer 8

loss of GABA-ergic neurons

Question 9

tx for mild UC

Answer 9

5-ASA enemas (mesalamine)

Question 10

most common cause of abnormal hemostasis in pts w/ CKD

Answer 10

platelet dysfunction (uremic coagulopathy) - can tx w/ DDAVP

Question 11

narrow-based budding yeasts

Answer 11

histoplasma (midwest) - assoc w/ bird/bat droppings

Question 12

hexagonal crystals on UA

Answer 12

cystinuria (impaired amino acid transport)

Question 13

precautions for neisseria meningitis

Answer 13

droplet (also for influenza)

Question 14

airborne precautions

Answer 14

TB, VZV, SARS, measles

Question 15

paget disease labs: Ca, phos, alk phos

Answer 15

nml Ca, phos, high alk phos

Question 16

why are asplenic pts susceptible to encapsulated organisms

Answer 16

impaired antibody-facilitated phagocytosis by splenic macrophages

Question 17

episodic vertigo triggered by pressure changes following head trauma

Answer 17

perilymphatic fistula