beep

Question 1

charcot deformity

Answer 1

asc w/ t2dm

foot malformation- rocker bottom

Question 2

erythema infectiousum

Answer 2

parvo rash- slapped cheeks

Question 3

Tinea capitis

Answer 3

fungal infection of scalp

itchy white scales

Question 4

seborrheic dermatitis rx

Answer 4

scalp dermatitis (craddle cap)

rx: emollients, non-medicated shampoo

2nd line- antifungal/ steroids

Question 5

complement deficiency that leads to neisseria infections

Answer 5

C5-C8

Question 6

Nerve frequently injured in mid shft humerus fx

Answer 6

radial

Question 7

injury to the long thoracic nerve leads to

Answer 7

scapular winging

Question 8

Initial interventions for massive lung bleeding

Answer 8

1- airway protection

• bronchoscopy- suction blood / balloon tamponade
• surgery only if the above fails

Question 9

escitalopram is?

Answer 9

SSRI

Question 10

Oppositional defiant disorder

Answer 10

looks like conduct, but less severe

Question 11

Can you ddx conduct disorder before 18?

Answer 11

yes- but not anti-social

Question 12

buspirone treats?

Answer 12

general anx disorder

Question 13

Rx for anti-psych acute dystonia

Answer 13

benztropine

diphenhydramine

Question 14

rx for anti-psych akathesia

Answer 14

beta blocker

lorazapam

Question 15

rx for anti-psych parkinsons

Answer 15

benztropine

amantadine

Question 16

inevitable abortion

Answer 16

vaginal bleeding
ab pain
dilated cervix

*no expulsion of conception yet

Question 17

asymmetric fetal growth restriction

Answer 17

due to 2nd/3rd trimester placental insufficiency
(ex htn)

↓ ab growth vs ~head growth

*head spring growth pattern

Question 18

threatened abortion

Answer 18

• vaginal bleeding
• closed cervix
• • fetal cardiac activity

Question 19

Does advanced maternal age cause fetal growth restriction

Answer 19

no- not independent risk factor

but does increase risk of chromosomal problems, and maternal comorbidities (dm, htn)

Question 20

Symmetric growth restriction

Answer 20

onset: 1st trimester
etiology: chromosomal/ congenital infection

Question 21

Absolute contraindications to combo ocps

Answer 21

• migraine
• smoker/old
• htn
• clots
• anti-phospholipid
• Breast Ca
• cirrhosis/ liver cancer

Question 22

First line anti -htn in prego

Answer 22

labetalol
methyldopa
hydralazine
ccb

NEVER ace/ arb/ furosemide

Question 23

Missed abortion

Answer 23

• no / minimal bleeding
• closed cervix
• empty sac/ no HR

Question 24

Mag clearance

Answer 24

renal- renal insuf ↑ risk of toxicity