Black Sheep

Question 1

systolic murmur increases with standing

Answer 1

HCM

Question 2

when to suspect primary CNS lymphoma

Answer 2

HIV
AMS
EBV in csf
solitary weakly ring enhancing lesion

Question 3

Do you need blood thinners in septic emboli

Answer 3

meh- not indicated for JUST this

IV abx are way better

Question 4

migraine prophylaxis

Answer 4

amitriptyline
BB
topiramate

Question 5

Rx for myasthenic crisis

Answer 5

s/s: resp failure

• ET tube
• Steroids
• Plasmapheresis

Question 6

Broca stroke

Answer 6

dominate frontal lobe

Question 7

Trihexyphenidyl

Answer 7

anti-cholinergic

rx in parkinsons

Question 8

Med that potentiates leodopa/carbidopa

Answer 8

entacpone

Question 9

enema in intussusception

Answer 9

US guided air-contrast enema

Question 10

Diamond Blackfen syndrome

Answer 10

red cell aplasia
webbed neck
werd thumb
sheild chest

Question 11

osteosarcoma finding

Answer 11

sunburst or codman triangle

Question 12

Treating milk allergy in breast fed infant

Answer 12

MOM STOPS eating milk/ soy

Question 13

transient synovitis

Answer 13

common- hip pain after after viral illness/ minor trauma

normal labs/ xray

rx rest and ibuprofen

Question 14

Rx for SCFE

Answer 14

urgent surgical fixation

Question 15

marfran gene mutation

Answer 15

fibrilin 1

Question 16

tricuspid valve and surgery

Answer 16

pacemaker implant can lead to TR

Question 17

What increases the A-a gradient

Answer 17

r-> l shunt
v/q mismatch (pe)
impaired gas exchange (ild)

Question 18

supraventricular tachycardia

Answer 18

looks pretty normal but fast
narrow QRS

stable: adenosine/vagal
unstable: shock em

Question 19

ventricular tachycardia

Answer 19

regular wide QRS

stable: amiodarone
unstable: shock

Question 20

lung ca w/ high ca

Answer 20

squamous

Question 21

ear pain w/ granulation in ear

Answer 21

malignant otitis externa
bad t2dm
pseudomonas
rx: cipro

Question 22

most common cause of community acquired bacterial meningitis

Answer 22

s pneumo

Question 23

two sample t test

Answer 23

commonly used to compare the average of two groups

Question 24

olopatadine

Answer 24

mast cell stabalizer

good for allergy eye drops

Question 25

central retinal artery occlusion rx

Answer 25

massage

high flow o2

Question 26

macular degeneration optic exam

Answer 26

x

Question 27

wilsons disease labs

Answer 27

• ↓ serum ceroplasmin

- ↑ UA copper

Question 28

initial tests for cushings

Answer 28

overnight dex supression test

24 hour free ua cortisol

late night salivary cortisol