CME exam

Question 1

most common histology for germ cell CA (testicular cancer)

Answer 1

seminoma

Question 2

What is the marker for seminoma?

Answer 2

HCG

Question 3

Spondylolisthesis

Answer 3

is a slipping the vertebral body

Question 4

Spondylolysis

Answer 4

scotty dog (before the slip)

Question 5

What electrolyte abnormality is seen in Sarcoidosis?

Answer 5

Hypercalcemia

Question 6

Apical cavitation in the lung = what dx?

Answer 6

TB

Question 7

what cardiac disorder would cause the A wave of the internal jugular vein?

Answer 7

Atrial Fib b/c there is no atrial contraction

Question 8

best method to evaluate cancers of solid organs?

Answer 8

CT with contrast

Question 9

courvoisier sign

Answer 9

enlarged, palpable gallbladder in patients with obstructive jaundice caused by tumors of the biliary tree or by pancreatic head tumors

Question 10

what is Potts disease?

Answer 10

TB of the spine

Question 11

should symptomatic aortic stenosis pt have dobutamine pharm stress test, stress echo, or treadmill EKG?

Answer 11

dobutamine! do not put symptomatic aortic stenosis patients on the treadmill

Question 12

X-ray show thickened pleural and calcified plaques = what dx?

Answer 12

asbestosis

Question 13

do schizophrenic meds surpress estrogen and increase bon e loss?

Answer 13

yes

Question 14

what way to dx nephrotic-type of proteinuria?

Answer 14

24 hour urine

Question 15

Infant is vomiting, lethargy, grossly bloody stools and RLQ mass what is the dx and tx

Answer 15

intussispetion, use air enema

Question 16

double bubble sign is for?

Answer 16

pyloric stenosis

Question 17

acronym to remember medications that cannot be administered via the endotracheal tube?

Answer 17

NAVAL (narcan, atropine, epinephrine, valium, lidocaine)

Question 18

infant with continuous machine like holosystolic and holodiatolic best heard over the left sternal border. what type of murmur is this?

Answer 18

PDA (most frequent in premature infants)

Question 19

hearing is mediated by what nerve

Answer 19

O(smell)O(optic)O(occulomotor)TT(trigeminal)AF(facial)VFVAH

Question 20

treatment for severe psoriasis?

Answer 20

TNF (tumor necrosis factor) alpha inhibitor drugs

Question 21

is a chest xray okay in pregnancy?

Answer 21

yes

Question 22

What is the most common cause of secondary dysmenorrhea in a 35 year

Answer 22

endometriosis

Question 23

if a patient has mono and tonsils are enlarged to the point of having difficulty swallowing, what can be given?

Answer 23

Prednisone

Question 24

is acyclovir approved for use in tx of EBV (mono)?

Answer 24

no, but may be given to pts with AIDs

Question 25

Lamictal should be avoided in kids under the age of 16 cut to what concern

Answer 25

steven johnson syndrome

Question 26

diminished biceps curl and her biceps reflex is diminished, what nerve root

Answer 26

C6

Question 27

extra articular manifestations of RA include?

Answer 27

nodules on extensor surfaces, lung, cardiac, vasculitic and skin changes

Question 28

what is the most common presenting PE finding in serotonin syndrome?

Answer 28

Hyperreflexia/clonus

Question 29

what bone has the greatest potential for blood loss when associated with a fracture

Answer 29

FEMUR

Question 30

most common treatment for antiphospholipid antibody syndrome in a pt with SLE who has lost 3 pregnancy losses

Answer 30

Low molecular weight heparin injections

Question 31

if a pt wakes up with a stroke can you use TPA, what is the next step

Answer 31

no TPA is pt wakes up with stroke symptoms , observe pt and admit to neuro

Question 32

best medical therapy for hypertropic cardiomyopathy?

Answer 32

beta blockers

Question 33

66 man with a cold leg, loud S1, and Afib, what is the dx

Answer 33

aortic valve stenosis

Question 34

which hormone is primarily responsible for proliferative endometrium?

Answer 34

estrogen

Question 35

If an older patient has hematuria and a UTI what do you need to do as the next step?

Answer 35

follow up to be sure that hematuria resolves, #1 genitourinary cancer is bladder cancer

Question 36

what is the most common cause of chronic cough in adults?

Answer 36

postnasal drip syndrome

Question 37

what nerve does Bell's palsy affect?

Answer 37

CN 7

Question 38

exam finding for peritonsilar abscess

Answer 38

trismus-hot potato voice

Question 39

initial treatment for sinusitis

Answer 39

amoxicillin or augmentin

Question 40

Common ENT symptom in CF kids

Answer 40

nasal polyps