bright sunshiny day

Question 1

Anticholinergic toxicity

Answer 1

Dry
Hot- hyperthermia
Big pupils
decreased bowel sounds

Question 2

Rapid correction that leads to cerebral edema

Answer 2

hypernatremia

Question 3

Diamond Blackfan anemia

Answer 3

pure red cell aplasia

3 months old- pallor/ poor feeding

Question 4

Fanconi’s anemia

Answer 4

pancytopenia 
cafe au lait spots
short 
hypogond
skeletal abnormalities

Question 5

Acute stress disorder timeframe

Answer 5

> 3 days

< 1 month

Question 6

1st line drugs for maternal htn crisis

Answer 6

hydralazine

labetalol

Question 7

methyldopa in prego

Answer 7

good for treating chronic htn in mom

Question 8

ace inhibitors in prego

Answer 8

contraindictaed

growth restriction 
renal failure 
pulm hypoplasia 
oligohydramnios 
skeletal problems

Question 9

Raloxifene

Answer 9

SERM

good for osteoporosis rx in high BC risk women

contraindicated in clot hx

NO, NONE, NOT AT ALL a risk for endometrial hyperplasia

Question 10

meopause

Answer 10

> 45 yo

12 months amenorrhea

Question 11

Primary ovarian insufficiency

Answer 11

cessation of ovarian fxn < 40 yo

Question 12

PCOS labs

Answer 12

↑ LH

↓ FSH, GnRH (increased estrone / androgens inhibit)

Question 13

Hemodynamically unstable mom w/ inevitable abortion. Rx?

Answer 13

surgical

need to remove products to stop the bleeding

Question 14

Schizoaffective disorder

Answer 14

significnat mood episodes with psychosis

AND

plain ol’ psychosis w/o mood

Question 15

Acting out mechanism

Answer 15

expressing unacceptable feelings through impulsive physical actions

Question 16

Sublimation

Answer 16

channeling unacceptable feelings into socially acceptable behavior

Question 17

Cyanosis time frame in transposition of vessels

Answer 17

presents in hours

Give prostaglandins

PDA keeps you alive long enough to notice

Question 18

meconium ileus is diagnostic for?

Answer 18

CF

Question 19

peds

single S2, narrow mediastinum

Answer 19

transposition of great vessels

Question 20

can parents deny life saving treatment

Answer 20

no

Question 21

peds
Single S2
VSD murmur

Answer 21

tricuspid atresia

Question 22

Hirschprung and rectal tone

Answer 22

has increased rectal tone

can lead to “squirt sign” (forceful poop after exam)

Question 23

Leukocoria

Answer 23

white eye reflex

consider RB until proven otherwise, immediate optho referal

Question 24

painless hematochezia

Answer 24

meckels is likely

tech 99 scan to ddx

Question 25

peds
single S2
systolic ejection murmur

Answer 25

truncus arteriosus

Question 26

milk protein allergy and prognosis

Answer 26

exclusive to infants

resolves by age 1

Question 27

Half of the baby is bigger than the other half. DDX?

Answer 27

possiblly beckwith wiedemann

↑ for wilms tumor / liver tumor

lots is wrong but “hemihyperplasia” is key

Question 28

peds
harch pulmonic stenosis murmur
VSD murmur

Answer 28

Tet

Question 29

What causes achalasia

Answer 29

degeneration of neurons in myenteric plexus