CAQ

Question 1

Meckel Diverticulum

Answer 1

Congenital Malformation
Painless rectal bleeding <5 yo
Radionuclide scanning

Question 2

MC congenital heart defect

Answer 2

VSD 
Eisenmenger syndrome (R->L shunting)

Question 3

Radiation Exposure

Answer 3

Early N/V/D

Prognosis determined by lymphocytes at 48 hours

Question 4

Kaposi Sarcoma

Answer 4

Cutaneous Neoplasm

Human Herpes Virus 8

Question 5

Pulsus Paradoxus

Answer 5

Decrease in SBP +10 during inspiration
Increase thoracic pressure restricting venous return (asthma, tamponade, PE)
Beats on cardiac auscultation that are not palpated by radial

Question 6

Subdural Hematoma

Answer 6

Between dura and arachnoid
Do NOT cross Midline
Bridging Veins
Alcoholic and Elderly

Question 7

Epidural Hematoma

Answer 7

Eye glass
Do NOT cross suture lines
Middle Meningeal Artery

Question 8

Treatment for H. Pylori

Answer 8

Clarithromycin, Amox, Metronidazole and PPI

CAMP

Question 9

Multiple Sclerosis

Answer 9

a/w optic neuritis

Question 10

Myasthenia Gravis

Answer 10

autoimmune disorder
muscle weakness with repetition of movement
Ptosis, diplopia, blurred vision
dec response to acetylcholine

Question 11

Pyridoxine

Answer 11

B6

caution w/ isoniazid

Question 12

Thiamine

Answer 12

B1

Wernicke’s encephalopathy

Question 13

Cyanocobalamin

Answer 13

B12

Question 14

Brown Recluse

Answer 14

Violin
Bull’s eye lesion w/ central necrosis
Cytotoxin- hemolysis, coagulpathy, DIC
Local Tissue Distruction

Question 15

Black Widow

Answer 15

Hourglass
Neurotoxin
Severe muscle cramping & autonomic instability
Antivenom

Question 16

Low Vit D

Answer 16

Rickets, osteomalacia

Question 17

Low B6

Answer 17

pyridoxine (EtoH’s)

HA, seizures

Question 18

Low Folate

Answer 18

EtoH & pregnancy

Megaloblastic anemia

Question 19

Low Vit C

Answer 19

Scurvy
Petechiae
Bleeding gums

Question 20

Rifampin

Answer 20

orange body fluid

Question 21

INH

Answer 21

peripheral neuropathy

Co-administer with B6 (Pyridoxine)

Question 22

EMB (Ethambutol)

Answer 22

Optic Neuritis

Red-green vision loss

Question 23

Croup

Answer 23

Parainfluenza

Steeple; barking

Question 24

SPHERE of Lung CA complications

Answer 24

S- SVC syndrome
P- Pancoast Tumor
H- Horners syndrome
E- Endocrine
R- Recurrent laryngeal nerve
E- Exudative Effusions

Question 25

Asbestosis

Answer 25

insulation/demolition

increased risk for Lung CA and mesothelioma

Question 26

Coal worker’s lung

Answer 26

Nodular opacities at upper lung fields

Question 27

Silicosis

Answer 27

sand blasting, quarry work, stonework

Question 28

Berylliosis

Answer 28

High technology fields

Aerospace, nuclear power, ceramics, tool and die manufacturing

Question 29

OA
Heberden nodes
Bouchard nodules

Answer 29

DIP (Heberden nodes)

PIP ( Bouchard nodules)

Question 30

“tennis elbow”

Answer 30

Pain when resisting extensors
lateral epicondyle
extensor carpi radialis brevis

Question 31

“golfer’s elbow”

Answer 31

Pain when resisting flexors

medial epicondyle

Question 32

Hand bones from proximal medial to lateral

Answer 32

(Distal)
That (trapezium) They (Trapezoid) Can’t Handle
Some Lovers Try Positions
(Proximal)

Question 33

Exanthem’s

Answer 33

My Scarlet Ran excitedly in her race

Measles (3C’s), Scarlet Fever (GAS), Rubella, Erythema Infectiousum (B19), Roseola (HH6)

Question 34

Warfarin affects what in the cascade?

Answer 34

SNOT

Seven, nine, 10, and two

Question 35

Kernig’s sign

Answer 35

Bring pt’s knee to 90 degrees while supine and extend

Question 36

Brudzinski

Answer 36

Brain (flex the head)

Question 37

Myasthenia Gravis

Answer 37

Muscle weakness and fatigability which improve with rest
A/w Thymoma
Improvement with Edrophonium

Question 38

Multiple Sclerosis

Answer 38

Sensory complaints and vision loss
Optic neuritis
Demyelination- White Matter Lesions

Question 39

Ranson Criteria for Pancreatitis

Answer 39

Predictor for mortality rate 
Age +55
WBC +16
Glucose+200
LDH +350
AST +250