9

Question 1

HUS =

Answer 1

kid w abdp, bloody d, anemia, RF, thrombocytopenia

tx = supportive (plasmapheresis, dialysis prn, steroids)

Question 2

HSP =

Answer 2

abd pain, palpable purpura on LE, arthralgia, renal dis

tx = hydration + NSAIDs (admit + CS if serious)

Question 3

1’ tx for afib w RVR in stable pt?

Answer 3

BB or CCB

Question 4

a/w light chain amyloidosis?

Answer 4

Multiple myeloma

Waldenstrom’s

Question 5

a/w inflammatory amyloidosis?

chains =

Answer 5

RA, IBD, chronic inf

abn folded beta-2 microglobulin, apolipoprotein, transthyretin

Question 6

MEN type 1

Answer 6

1’ hyperparathyroidism
pancreatic tumors
pituitary tumors

Question 7

MEN type 2a

Answer 7

medullary thyr CA
pheochromocytoma
parathyr hyperplasia

Question 8

MEN type 2b

Answer 8

medullary thyr CA
pheochromocytoma
marfanoid
mucosal/int neuromas

Question 9

Emergent tx acute glaucoma?

Answer 9

mannitol, acetazolamide, pilocarpine, timolol

Question 10

Dx aortic dissection?

Answer 10

TEE > CT/MRI

Question 11

Statin indications?

Answer 11

40-75 w DM
clinically sig atherosclerotic dis
190

Question 12

Simple partial sz =

Answer 12

deja vu, +/- aura, no LOC

Question 13

Partial sz with generaliztn =

Answer 13

LOC, tonic-clonic

Question 14

Complex partial sz =

Answer 14

LOC, +/- aura, automatisms, can have bil motor findings

Question 15

etiology of asterixis:

Answer 15

hepatic encephalopathy, uremic encephalopathy, hypercapnia

Question 16

Brown-Sequard syndrome:

Answer 16

damage to lateral spinothalamic tracts = contralat loss of pain and temp beginning 2 levels below lesion

Question 17

UTI with incr pH =

Answer 17

proteus mirabilis

Question 18

Cirrhosis management:

Answer 18

US f/u for HCC q6mo

EGD to monitor varices

Question 19

MC site of htn hemorrhage?

Answer 19

putamen (which involves int capsule, causing contralat hemiparesis)

Question 20

tx fibromuscular dysplasia?

Answer 20

percutaneous angioplasty with stent placement

Question 21

Pernicious anemia is a/w incr risk of…

Answer 21

gastric ca (due to atrophic gastritis)

Question 22

Prosthetic joint inf: early vs >3 mo?

Answer 22

early = S aureus, GNR, anaerobes

> 3 mo: coag negative stah (epi), propionibacterium, enterococi

Question 23

Afib mgmt?

Answer 23

CHADS2 (CHF, HTN, age >75, DM, stroke/tia)

0 = none or ASA
1 = anticoag or ASA
2-6 = anticoag

Question 24

Why are ACEI renoprotective in DM?

Answer 24

decr interglomerular HTN

Question 25

Dis of abn platelet aggregation:

dx?

Answer 25

VW and Bernard Soulier

dx? abn plt function testing

Question 26

Hyper IgM =

Answer 26

Excellent, abnormal CD 40 ligand on T cells ( class switching)

Question 27

Treatment of uric acid kidney stones?

Answer 27

Potassium citrate (alkalize)

Question 28

When does ventricular remodeling occur?

Answer 28

Weeks to months after MI (ventr dil)

* limit with Ace inhibitor, start within 24 hours of heart attack

Question 29

Skin abnormality associated with mycoplasma?

Answer 29

Erythema multiforme

Question 30

Live vaccines are contraindicated in HIV if …

Answer 30

CD 4 less than 200