D3

Question 1

mastoiditis Tx?

Answer 1

Systemic Ab

drinage (tympanostomy/mastoidotomy)

Question 2

Exercise-induced hypotension?

Answer 2

Occur in well-trained athletes
Collapse at end of the exercise
Due to decreased venous return
Elevated core T0
The patient is alert(Help to d/t from EI Hyponatremia and Heatstroke)

Question 3

A treatment used for STEMI but not for UA and NSTEMI?

Answer 3

fibrnolytics

Question 4

d/t from CVT from preceptal celulitis?

Answer 4

CVT–The periorbital edema/muscle dysfunction was bilateral and there will be headache and vomiting

Question 5

PCP?

Answer 5

Loss of sensation
paraesthesia
Paranoia
slurred speech
loss of balance
nystagmus
ditachment

Question 6

informed consent for the mentally ill or forcefully admitted patients?

Answer 6

the patient itself is in power especially if a non-urgent procedure

Question 7

atypical depression?

Answer 7

type of MDD with a special feature

Question 8

CM of slipped capital femoral epiphysis?

Answer 8

chronic groin pain radiates to the knee
gait abnormality
limited internal rotation during hip flexion

Question 9

what to do in a patient with positive HCAb?

Answer 9

repeat test(Tor/o False positive)
RNA PCR if repeatedly positive(to r/o resolved infection)

Question 10

seasonal depression management?

Answer 10

bright light therapy (light in awakening)

antidepressant

Question 11

for how long do we store Vit K?

Answer 11

30 days in healthy

7-10 days in pt with underlying liver disease

Question 12

why serology not used for early Lyme disease diagnosis?

Answer 12

negative in early lesion(i.e posetive in late/dissiminated disease)

Question 13

Mammary duct ectasia discharge??

Answer 13

green-brown and sticky

Question 14

nasal septal hematoma managment?

Answer 14

incision and drainage

Question 15

a complication of NSH?

Answer 15

blood accumulate B/N nasal cartilage and perichondrium–cartilage ischemia–necrosis and perforation
Septal abscess

Question 16

ITP management?

Answer 16

In children
only cutaneous sx--observe
if bleeding --C/S/IVIG/Anti-D
In adult
only cutaneous sx/platelet < 30k--observe
if bleeding/PlT < 30 K --C/S/IVIG/Anti-D

Question 17

cauda equina specific feature help to d/t from CM and SC/Brain injury?

Answer 17

CE has a lower motor neuron sign

Question 18

cervical dilatation inactive phase?

Answer 18

> =1 CM/2hr

Question 19

normal uterine tone?

Answer 19

> =200 MTV over 10 min

Question 20

epidural effect on labor?

Answer 20

only affect the second stage of labor

Question 21

intranasal CS and immunodeficiency?

Answer 21

less likely to cause IS

Question 22

D/t HC from coccidomycosis?

Answer 22

HC: bilateral infiltrates and LD/yeast and granuloma on biopsy.
CM: Unilateral infiltrate and LD/spherule with endospore in biopsy

Question 23

a typical sign of LAD?

Answer 23

Neutrophilia
Poor wound healing
No pus at the infection site

Question 24

atypical sign of PID?

Answer 24

Abdominal pain exacerbation during menses

AUB(interministerial spotting due to cervicitis)

Question 25

TMJD CM?

Answer 25

Headache
Facial pain worse with jaw movment
Ear pain and tinnitus
Tenderness of mastication muscle
Crepitation on the joint area

Question 26

D/t fro GCA?

Answer 26

less likely to occur in age <50

The pain is not facial

Question 27

Diagnosis and Management?

Answer 27

Dx: Clinical
Management: Behavioural/NSAID/Cyclobenzaprine if muscle spasm

Question 28

animia of B-12 deficieny?

Answer 28

Reespond to folic acide

But nurologic Sx persist

Question 29

Benign appearing endometrial cell in pap smear endometrial biopsy indication?

Answer 29

postmenopausal
AUB
Having risk for endometrial hyperplasia

Question 30

but it is an atypical glandular cell?

Answer 30

AUB
Age > 35
Having risk for endometrial hyperplasia

Question 31

Hepatic adenoma CT finding?

Answer 31

Hyperechoic CT image