Amboss 10-17

Question 1

smudge cells are characteristic diagnostic markers for ___

Answer 1

CLL

Question 2

painless lymphadenopathy + splenomegaly in a pt >65 yrs

Answer 2

CLL

Question 3

PBC antibodies

Answer 3

anti-mitochondrial

Question 4

anti-smooth muscle antibodies

Answer 4

autoimmune hepatitis

Question 5

initial tx for fibromyalgia

Answer 5

TCA (amitriptyline)

Question 6

migraine anti-abortive meds

Answer 6

triptans or anti-emeticsd

Question 7

prosthetic valve endocarditis

Answer 7

staph epidermidis

Question 8

native valve endocarditis

Answer 8

viridans strep

Question 9

tx for staph epidermidis endocarditis

Answer 9

IV nafcillin + rifampin 6 wks + gentamicin 2 wks

Question 10

rabies post-exposure prophylaxis

Answer 10

vax + immunoglobulin

Question 11

next steps for pt w/ suspected CML

Answer 11

cytogenetic studies for BCR-ABL (tx w/ imatinib)

Question 12

w/u for pt w/ dyspepsia w/o sx of GERD + no recent NSAID use

Answer 12

urea breath test

Question 13

pneumococcal vax’s

Answer 13

PCV13 then PCV23 starting at age 65

Question 14

lower GI bleeding assoc w/ ESRD

Answer 14

angiodysplasia

Question 15

liver monitoring in pt w/ cirrhosis

Answer 15

abd US every 6 mo for HCC surveillance

Question 16

tx for post-cath pseudo-aneurysm

Answer 16

US guided thrombin injection

Question 17

melanosis coli

Answer 17

dark brown colon w/ scattered white spots - assoc w/ laxative abuse