9/16

Question 1

short systolic murmur, disappears with squatting

Answer 1

mitral valve prolapse, increase in preload delays prolapse and shortens murmur

Question 2

CO2 narcosis

Answer 2

CO2 above 60 due to hypoventiliation

Question 3

dementia drugs

Answer 3

donepezil, galantamine, and rivastigmine

Question 4

reason for aspiration in dementia

Answer 4

impaired cough reflex and impaired swallowing

Question 5

chronic arsenic poisoning

Answer 5

hypo/hyperpigmentation, hyperkeratosis, stocking glove neuropathy

Question 6

manifestations of optic neuritis

Answer 6

acute, monocular vision loss, eye pain with movement, washed out vision, afferent defect

Question 7

Schilling test

Answer 7

for B12 or pernicious anemia

Question 8

testing after ITP

Answer 8

HIV and hep C

Question 9

trichonella

Answer 9

undercooked pork, intestinal stage and muscle stage

Question 10

prophylaxis for malaria

Answer 10

mefloquine

Question 11

presbycsis

Answer 11

age related hearing loss

Question 12

exertional syncope causes

Answer 12

ventricular arrhythmias due to ischemia and outflow tract obstruction

Question 13

physical exam in severe AS

Answer 13

1. delayed and diminished carotid pulse (pulsus parvus and tardus)
2. single soft 2nd heart sound
3. late peaking systolic murmur

Question 14

telogen efflivium

Answer 14

hair goes to rest/shedding form after stressful event

Question 15

Wells criteria

Answer 15

3 - high suspicion
1.5 - previous DVT, HR >100, immobilization
1 - hemoptysis, cancer

> 4 = PE likely

Question 16

cause of Meniere disease

Answer 16

increased volume and pressure of endolymph

Question 17

triad of Meniere

Answer 17

tinnitus, vertigo, sensorineural hearing loss

Question 18

side effects of aminoglycosides

Answer 18

• ototoxicity by damaging cochlear cells

- vestibulopathy by damaging hair cells

Question 19

G6PD test problem

Answer 19

reduced sensitivity during acute attack

Question 20

what is longer, air or bone conduction

Answer 20

air

Question 21

immediate treatment for hyperkalemia

Answer 21

calcium carbonate to stabilize cardiac membrane, then insulin or beta blockers

Question 22

contraindiction with viagra

Answer 22

alpha blockers or nitrates to avoid hypotension

Question 23

melanosis coli

Answer 23

dark brown colon due to laxative use

Question 24

anaphylaxis in blood tranfusions

Answer 24

IgA deficiency