Bright and early

Question 1

ewing and osteomylitis

Answer 1

look the same

osteo: lytic w/ sclerosis (brodies)
ewing: lemellated/ onion skin and moth eaten

Question 2

erythema infectiousum is?

Answer 2

fifth disease

aka parvo

Question 3

neuropathic arthropathy

Answer 3

aka charcot
t2dm
obvious deformity and pain

Question 4

shin splint vs tibial stress fx

Answer 4

shin splint= diffuse pain/ overweight

stress fx= point tenderness/ underweight

Question 5

x ray in tibial stress fx

Answer 5

often normal

Question 6

chondrosarcoma

Answer 6

uncommon
50-60 yo
cartilage tumor

Question 7

glomus tumor

Answer 7

• common
• 40 yo
• F> M
• vascular tumor
• severe intermittent pain
• subungal

Question 8

osteonecrosis pain

Answer 8

worse with activity

present at rest/ night

Question 9

chronic back pain rx

Answer 9

• exercise

- intermittent nsaids

Question 10

Whipple disease

Answer 10

tropheryma whipelil infection
gram+
s/s diarrhea, wt loss, arthritis, LAD, fever

Question 11

legg- calve- perthes disease

Answer 11

osteonecrosis of femoral head

4-10 yo boys

insidious

Question 12

bowel disease w/ crypt abscess

Answer 12

UC

Question 13

chikungunya fever

Answer 13

mosquito illness
flu like
rash 
lab 
arthritis

Question 14

dual anti-plt therapy is?

Answer 14

aspirin + P2y12 receptor blocker (clopidogrel, ticagrelor)

Question 15

Rx for uremic pericarditis

Answer 15

hemodialysis

Question 16

Phosphodiesterase 5 inhibitor

Answer 16

vasodilator for ED

Question 17

rx for catatonia

Answer 17

• benzo- reliefe in 15 minutes confirms ddx

- ECT

Question 18

treats muscle rigidity of neuro-epileptic

Answer 18

Dantrolene

Question 19

cyproheptadine treats

Answer 19

serotonin syndrome

Question 20

Long term rx for panic disorder

Answer 20

SSRI/SNRI and/or CBT

Question 21

dilated pupils
hyperthermia
dry skin
↓ bowel sounds

Answer 21

anticholinergic toxicity

Question 22

tricyclic overdose s/s

Answer 22

sz
cardiac conduction delay
+
anticholinergic

Question 23

Pre-term babies and vaccines

Answer 23

give according to chronological age

Question 24

type of bacterial infection common in complement deficiency

Answer 24

encapsulated-

• s pneumo
• h flu
• n meningitidis

Question 25

constitutional growth delay

Answer 25

delayed growth spurt
delayed puberty
delayed bone age

Question 26

erythema toxicum neonatorum

Answer 26

benign rash
blanching
resolves in 2 weeks

Question 27

airway protection and congenital diagraphgmaic hernia

Answer 27

ET tube

NEVER bag mask- can pump air into tummy–> make baby worse

Question 28

when do you do amnioinfusions

Answer 28

to treat variable decels

Question 29

carboprost

Answer 29

prostoglandin
stimulates uterine contraction

exacerbates asthma**

Question 30

fetal tachcardia on monitor

Answer 30

> 160

Question 31

short cervix prego. How do you decrease risk of preterm labor?

Answer 31

-progesterone
maintains uterine quiescence

-consider cerclage

Question 32

what do prostaglandins do to the cervix

Answer 32

soften

used in induction of labor

Question 33

weeks considered previable fetus

Answer 33

under 23-24

Question 34

methylergonovine

Answer 34

uterotonic-> uterus contraction

contracts smooth muscles–> ↑ BP
*Dont use in HTN

Question 35

fetal anemia on heart monitor

Answer 35

sinusoidal

Question 36

rx of neonatal graves disease

Answer 36

Moms TSH receptor ab crosses placenta

self-resolves in baby in 3 months

s/s rx w/ methimazole plus BB