Comquest Q Bank 4

Question 1

What is the most common cause of congenital hearing loss?

What is treatment?

Answer 1

CMV

Ganciclovir

Question 2

What is the relationship of dopamine and prolactin and what is the MOA of bromocriptine?

Answer 2

Dopamine blocks prolactin

Dopamine agonist

Question 3

What is the best initial step in the work up of a vulvar lesion?

Answer 3

Punch or shave biopsy

Question 4

What are the two conditions cause by alpha 1 antitrypsin deficiency? How old are these patients usually

Answer 4

Cirrhosis and COPD

Less than 40

Question 5

What to always remember about patients taking warfarin and side effects?

Answer 5

Skin necrosis

Question 6

MOA of ezetimibe to lower cholesterol?

Answer 6

Inhibits absorption of cholesterol by binding Neumann pick c1 like 1 protein

Question 7

In pts with pulmonary embolism, what is the most common EKG finding?

Answer 7

Sinus tach

Question 8

What is the only pharmacological agent proven to increase survival rates in ALS?

Answer 8

Riluzole

Question 9

women with PCOS have a higher risk for which cancer?

Answer 9

Endometrial

Question 10

What is the pathogen most commonly in cat and dog bites?

Antibiotic of choice for cat and dog bites?

Answer 10

Pasteurella

Amoxicillin clavulanate

Question 11

What is the recommendation for chlamydia screening?

Answer 11

All sexually active women until age 24

Question 12

Cervical cancer screening recommendation?

Answer 12

Pap every 3 years 21-65

At 30 you can make it very 5 years with dual pap HPV testing

Question 13

When to not give pepto to pregnant women?

Answer 13

During third trimester

Question 14

What is the most common cause of an elevated alpha fetoprotein level in pregnant mom?
Second most common?

Answer 14

Inaccurate gestational age

Neural tube defects

Question 15

What 3 SSRIs can be given to pregnant women for depression?

Answer 15

Sertraline, fluoxetine, and citalopram

Question 16

What is the mechanism of testicular torsion?

Answer 16

Congenital malformation of the processus vaginalis

Question 17

What is the MAO of kidney stones in pts. With Crohn’s disease?

Answer 17

Decreased absorption of fatty acids and bile salts

Question 18

What is the x ray finding for avascular necrosis of the femoral head?

Answer 18

Subchondral crescent sign

Question 19

What is the protocol when a woman has a baby and the baby gets Groups B infection?

Answer 19

Give mom future penicillin prophalyaxis with each pregnancy

Question 20

What is the most potent risk factor for stroke?

Answer 20

HTN

Question 21

Neimann Pick or Tay Sachs has organomegaly?

Answer 21

Niemann Pick

Question 22

What testicular cancer has early metastasis/most aggressive and what is the marker for it?

Answer 22

Choriocarcinoma

Beta HCG

Question 23

What is the most effective first step in the management of insomnia?

Answer 23

CBT

Question 24

Triad of internal tibial torsion?

Answer 24

Intoeing, forward facing patella, no foot deformity

Question 25

Hemoglobin A1C levels are inaccurate in what setting?

Answer 25

Chronic kidney disease

Question 26

What test diagnoses diabetic retinopathy?

Answer 26

Fluorescein angiography

Question 27

Beta agonists do what to potassium?

Answer 27

Cause it to go inside cells, so causes hypokalemia

Question 28

What flu vaccine is given to pregnancy women?

Answer 28

Inactivated