Day 13

Question 1

what is rx of TTP?

Answer 1

plasmapharesis
steroids
rituximab

Question 2

what are classic findings in TTP

Answer 2

low platelets
HUS
renal failure
fever
neuro manifestations

Question 3

what commonly happens to kidneys in pregnancy?

Answer 3

they get natural hydronephrosis

Question 4

what maternal hormones are elevated in T21?

Answer 4

bhcg and inhibin A

Question 5

what are signs of phenytoin toxicity?

Answer 5

ataxia
horizontal nystagmus
dysmetria
increased reflexes

Question 6

male patient with CF is infertile, why?

Answer 6

no semineferous tubules

Question 7

shipyard workers have what exposure that is concerning for lungs?

Answer 7

asbestos

Question 8

what is management of pulmonary stenosis in young person?

Answer 8

balloon valvulotomy

Question 9

what other heart sound can be associated with severe mitral regurgitation?

Answer 9

an S3

Question 10

what is rx of dressler syndrome?

Answer 10

NSAID and colchicine

Question 11

atrial tachycardia with second degree AV block is from what?

Answer 11

digoxin toxicity

Question 12

if pressures in heart chambers are about equal, what is going on?

Answer 12

cardiac tamponade

Question 13

define active phase arrest in stage 1 of labor

Answer 13

4 hours of no cervical change with adequate contractions

Question 14

if patient is symptomatic from sinus bradycardia, what should you give?

Answer 14

atropine

Question 15

what is first line therapy for severe hypercalcemia?

Answer 15

fluids (NS)

Question 16

what can be given with fluids to help lower calcium?

Answer 16

calcitonin

Question 17

in addition to calcitonin, what other med can help lower calcium?

Answer 17

bisphosphonates

Question 18

pregnant patient that just deluvered suddenly has fever, hypoxia crackles in both lungs is experiencing what?

Answer 18

chemical pneumonitis from aspiration

Question 19

what are indications for bone imaging in diabetic foot ulcer?

Answer 19

if large greater than 2cm
if deep like exposed bone
if lasted longer than 2 weeks

Question 20

what are three tests for diagnosing hypercortisolism?

Answer 20

late night salivary cortisol
24 hour urine cortisol
low dose dexamethasone suppression test

Question 21

what is a common tumor that secretes EPO?

Answer 21

RCC

Question 22

what are EPO levels in primary polycythemia?

Answer 22

LOW

Question 23

abx for postpartum endometritis

Answer 23

clinda and gent

Question 24

what blood cancer can cause testicular enlargement?

Answer 24

ALL

Question 25

what can ALL cause in chest?

Answer 25

anterior mediastinal mass

Question 26

what part of brain can be seen as atrophied on scan with Alzheimers?

Answer 26

temporal lobe

Question 27

what parkinsons med is associated with acute angle closure glaucoma?

Answer 27

trihexphenidyl

Question 28

what is moa of trihexyphendiyl?

Answer 28

anti cholinergic medication

Question 29

what is Moa of pramipexole?

Answer 29

dopamine agonist

Question 30

5 Ps of lichen planus

Answer 30

purple/pink pruritic polygonal papules plaques

Question 31

rx for lichen planus?

Answer 31

roids

Question 32

when do kids with beta thal present?

Answer 32

usually 6-12 months as amount of fetal Hgb decreases

Question 33

what is rx for beta thal major?

Answer 33

chronic transfusion therapy and chelation

Question 34

atlantoaxial instability is associated with what?

Answer 34

down syndrome

Question 35

what is rx of atlantoaxial instability?

Answer 35

joint fusion

Question 36

findings of beta blocker toxicity

Answer 36

hypotension bradycardia bronchospasm AMS

Question 37

what happens to sugar levels in beta blocker toxicity?

Answer 37

LOW

Question 38

what is rx of beta blocker overdose?

Answer 38

atropine glucagon and fluids

Question 39

what is the only resting tremor really?

Answer 39

parkinsons

Question 40

is parkinsons tremor more likely to be symmetric or asymmetric?

Answer 40

asymmetric

Question 41

do uric acid stones like basic or acidic urine?

Answer 41

acidic

Question 42

what is appearance of uric acid stones on xray?

Answer 42

trick...they are radiolucent so you cannot see them

Question 43

two rx for refractory neuroleptic malignant syndrome

Answer 43

bromocriptine and dantrolene

Question 44

will P vera only show erythrocytosis?

Answer 44

no all cell lines usually elevated

Question 45

in addition to itching, what are some other sx of p vera?

Answer 45

splenomegaly, facial plethora

Question 46

what is rx of p vera?

Answer 46

phlebotomy and hydroxyurea

Question 47

what is treatment of acute hypotension during labor?

Answer 47

mom on left side and phenylephrine

Question 48

what SSRI in elderly and those with cardiac issues?

Answer 48

sertraline

Question 49

what is viral load of HIV that determines labor management?

Answer 49

1000

Question 50

if above 1000, what is management of HIV mom at time of delivery?

Answer 50

csxn, with normal therapy plus zidovudine

Question 51

if below 1000, what is management of HIV mom at time of delivery?

Answer 51

normal therapy and vaginal delvery

Question 52

infant to mom with viral HIV load greater than 1000 needs what?

Answer 52

full ART therapy

Question 53

infant to mom with viral HIV load less than 1000 needs what?

Answer 53

zidovudine

Question 54

abx for epiglottitis?

Answer 54

vanc and ceftriaxone

Question 55

what is imaging for epiglottitis?

Answer 55

lateral neck xra

Question 56

name some weird associations with celiac disease

Answer 56

``` iron deficiency anemia osteoporosis peripheral neuropathy depression/anxiety atrophic glossitis ```

Question 57

peroneal nerve injury is due to what type of injury?

Answer 57

proximal fibula

Question 58

peroneal nerve injury symptoms?

Answer 58

loss of sensation in posterolateral leg and dorsolateral foot, foot drop and decreased eversion

Question 59

rx of staph scalded skin syndrome?

Answer 59

vanc or nafcillin

Question 60

findings of staph scalded skin syndrome?

Answer 60

fever, generalized erythema and blisters then nikolsky sign

Question 61

what is rash of scarlet fever like?

Answer 61

fine pink sandpaper like rash in flexural regions...it does not blister

Question 62

what causes scarlet fever?

Answer 62

strep pyo

Question 63

sausage link retinal veins///

Answer 63

waldenstroms macroglobulinemia

Question 64

using population level data is what type of study?

Answer 64

ecological study

Question 65

heart defects in marfans

Answer 65

MVP and aortic root dilation