ComQuest

Question 1

“Egg on a String” CXR in newborn is associated with …

Answer 1

Transposition of Great Vessels

Question 2

DOC for OCD?

Answer 2

SSRI … (not SNRI)

Question 3

Coagulation labs expected to be seen in Hemophilia A?

Answer 3

All normal, except prolonged PTT

Question 4

What accounts for PTT prolongation in Hemophilia A?

Answer 4

Lack of Factor 8

Question 5

Treatment position for Superior Pubic Shear?

Answer 5

Ipsilateral hip extension + abduction

Question 6

Treatment position for Inferior Pubic Shear?

Answer 6

Ipsilateral hip flexion + abduction

Question 7

Treatment position for Pubic compression?

Answer 7

Hips + knees flexed + adducted, then abducted

Question 8

Treatment position for Superior Innominate Shear?

Answer 8

Ipsilateral LE heald above ankle malleoli

Question 9

Treatment position for Inferior Innominate Shear?

Answer 9

Patient laying on contralateral side while physician places hand on ipsilateral ischial tuberosity, other hand on ipsilateral ilium

Question 10

What is the most important modifiable risk factor contributing to ischemic CVA?

Answer 10

HTN

Question 11

Change to BMP in Multiple Myeloma?

Answer 11

Decreased AG

Question 12

Treatment position for anterior tenderpoint on typical ribs?

Answer 12

F STRT

Question 13

Change to muscle tone in Lambert Eaton on repetition?

Answer 13

Increased

Question 14

CI to muscle energy?

Answer 14

Critically ill, recent surgery, major cardiovascular event

Question 15

Complication of silicosis?

Answer 15

TB

Question 16

Complication of twin-to-twin transfusion in donor twin?

Answer 16

Anemia, oligohydramnios

Question 17

Complication of twin-to-twin transfusion in receptor twin?

Answer 17

Jaundice, CHF, polyhydramnios

Question 18

Pathogen most commonly responsible for surgical site infection?

Answer 18

Staph aureus

Question 19

Sacral axis of respiration?

Answer 19

Superior

Question 20

DOC for postherpetic neuralgia?

Answer 20

Amitriptyline

Question 21

Electrolyte changes seen in 21-hydroxylase deficiency?

Answer 21

Hyponatremia, hypokalemia … LOW renin

Question 22

Best treatment for 21-hydroxylase deficiency?

Answer 22

Hydrocortisone

Question 23

Clinical presentation of antisocial personality disorder?

Answer 23

Implusivitiy, disregard for rights of others, inability to conform to social norms

Question 24

Indication for surgical repair of AAA?

Answer 24

Asymptomatic, size > 5.5 cm; Symptomatic, any size

Question 25

Renal disorder associated with lithium?

Answer 25

Nephrogenic diabetes insipidus

Question 26

Renal disorder associated with gentamycin?

Answer 26

Acute tubular necrosis

Question 27

Biliary diagnosis associated with jaundice?

Answer 27

Acute choledocolithiasis

Question 28

Parasite associated with appendicitis?

Answer 28

Pinworm

Question 29

Alternative name for pinworm?

Answer 29

Enterobius vermicularis

Question 30

Difference between Z scores and T scores?

Answer 30

Z scores = used when parameters of population are known; T scores = estimates of population parameters

Question 31

Most common location for gastrinoma?

Answer 31

Duodenum

Question 32

First step in management of hypercalcemic crisis in setting of malignancy?

Answer 32

IV normal saline

Question 33

TB contact precautions?

Answer 33

Airborne

Question 34

2 uncommon associations with shoulder dystocia?

Answer 34

Multiparity, prolonged 2nd stage labor

Question 35

Patient presents for back pain; (+) seated flexion on L, sacral sulcus is shallow on L, R ILA is anterior, lumbosacral spring test is (+) - diagnosis?

Answer 35

Backward, L-on-R sacral torsion

Question 36

Patient presents for back pain; (+) seated flexion on L, sacral sulcus is shallow on L, R ILA is anterior, lumbosacral spring test is (+) - L5 diagnosis?

Answer 36

Flexed, Rr Sr

Question 37

Patient position during treatment of ribs 1-5?

Answer 37

Flexion of head

Question 38

Patient position during treatment of ribs 6-10?

Answer 38

Reaching for knee

Question 39

4 DOCs for patients with new essential HTN?

Answer 39

CCB, ACEI, ARB, thiazide diuretic

Question 40

Bests management of pemphogous vulgaris?

Answer 40

Oral prednisolone

Question 41

Screenings that every 11-12 yo should undergo?

Answer 41

Depression, Substance abuse (tobacco, ETOH, drugs)

Question 42

Which vaccines are 11-12 yo eligible for?

Answer 42

HPV, Meningococcal

Question 43

4 tests that should be ordered for any female with dysuria?

Answer 43

UA, pregnancy testing, chlamydia screen, gonorrhea screen

Question 44

ABX of choice for pyelonephritis?

Answer 44

Ceftriaxone + hospital admission

Question 45

Treatment of choice for tympanostomy tube otorrhea?

Answer 45

Topical ciprofloxacin ear drops

Question 46

5 treatments for stable angina?

Answer 46

B blockers, statin, ASA, NTG, smoking cessation

Question 47

Best management of unstable angina?

Answer 47

Classified as ACS - morphine, O2, NTG, aspirin, B blocker + statin, clopidogrel, heparin, PCI

Question 48

2 tests needed in patients with new asthma diagnosis?

Answer 48

CXR, spirometry

Question 49

4 treatments for patients with new asthma exacerbation?

Answer 49

Albuterol, systemic steroids, avoidance of triggers, asthma education