Day 14

Question 1

what is kidney stone size that almost always passes on its own?

Answer 1

less than 5 mm

Question 2

sx of idiopathic intrcranial hypertesnion

Answer 2

headache
vision changes
papilledema
pulsatile tinnitus

Question 3

what is work up of idiopathic intrcranial hypertesnion ?

Answer 3

start with CT of head to rule out lesions, then do LP

Question 4

who gets idiopathic intrcranial hypertesnion ?

Answer 4

fat women of child bearing age

Question 5

a cecal volvulus is treated how?

Answer 5

surgical correction

Question 6

a simoid volvulus is treated how?

Answer 6

endoscopic detorsion

Question 7

who gets sigmoid volvulus? who gets cecal volvulus?

Answer 7

old ppl get sigmoid an dyoung get cecal

Question 8

features of congenital syphillis

Answer 8

desquamating rash on hands and feet
rhinorrhea
skeletal defects

Question 9

features of congenital toxoplasmosis

Answer 9

chrioretinitis
diffuse intracranal calcification
hydrocephalus

Question 10

how long are manic episodes?

Answer 10

have to be greater than 1 week

Question 11

what is alternative to penicillin for syphillis?

Answer 11

doxycycline except if neurosyhpilis then use ceftriaxone

Question 12

what is time requirement for GAD diagnosis?

Answer 12

6 months!!!

Question 13

is luekocyte alk phos high in CML or leukemoid reaction?

Answer 13

leukomoid reaction is high and CML is low

Question 14

does leukomoid reaction or CML have basophilia?

Answer 14

CML

Question 15

what is null hypothesis of an ANOVA that compares three means?

Answer 15

that all means are the same…so if p value significant then assume all means are not the sam e

Question 16

what should be done for patient with caustic ingestion?

Answer 16

remove clothing, secure airway, CXR and then endoscopy

Question 17

patients with lewy body dementia have hig sensitivity to what drugs?

Answer 17

antipsychotics

Question 18

what should be prescribed with niacin to prevent flushing issue?

Answer 18

aspirin

Question 19

what is niacin usually prescrbed for?

Answer 19

hypertriglyceridemia

Question 20

what liver lesion can rupture and cause hemorrhagic shock?

Answer 20

hepatic adenoma

Question 21

iron ingestion causes what kind of metabolicissue?

Answer 21

anion gap met acidosis

Question 22

what should weight and height be by 12 months of age?

Answer 22

weight should triple and height increase by 50%

Question 23

what is cause of hypotension in right sided MI?

Answer 23

decreased right contractility

Question 24

what is drug for urge incontinence and moa?

Answer 24

oxybutynin and anti muscarinic

Question 25

what bug can cause GI upset and fetal demise?

Answer 25

listeria

Question 26

what foods have listeria in it?

Answer 26

raw meets, deli meats, unpasteurized dairy products

Question 27

patient has progressively worsening GERD and vomiting after gastric bypass, what is happening?

Answer 27

anastamotic stenosis

Question 28

what is rx of anastomotic stenosis of gastric bypass?

Answer 28

EGD to dilate it

Question 29

features of FAS?

Answer 29

microcephaly smooth palpebral fissures smooth phillthrum

Question 30

if patient has active HSV lesion can they have trial of labor?

Answer 30

NO

Question 31

classic triad of biliary cyst?

Answer 31

RUQ pain, RUQ mass, jaundice

Question 32

risk factors for placenta previa

Answer 32

prior csxn advanced maternal age multiple gestations

Question 33

explain pregnancy weight gain

Answer 33

normal BMI 25-35 lbs skinny girl 28-40 high BMI 15-25 obese 15

Question 34

what are complications of inadequate weight gain during pregnancy

Answer 34

low birth weight and pre term delivery

Question 35

how does tetanus toxoid cause tetanus?

Answer 35

inhibits inhibitory GABA glycine molecules from entering the synaptic clef

Question 36

rx of tetanus

Answer 36

tetanus IG, toxoid and ABX

Question 37

rx of onychomychosis

Answer 37

terbinafine or itraconazole

Question 38

what is a howell jolly body?

Answer 38

RBC DNA remnant

Question 39

who gets howell jolly bodies?

Answer 39

asplenic

Question 40

what causes basophilic stippling?

Answer 40

lead poisoning

Question 41

what is basophilic stippling?

Answer 41

precipitation of rRNA

Question 42

what can you use for ovulation stimulation in PCOS as last line therapy?

Answer 42

letrozole

Question 43

rx of botulism

Answer 43

equine antitoxin

Question 44

what is classic feature of botulism?

Answer 44

descending paralysis

Question 45

two things to give for aspiring OD

Answer 45

sodium bicarb and charcoal

Question 46

what are early sx of aspirin OD?

Answer 46

N/v and abdominal pain

Question 47

what is management of emphysematous cholecystitis?

Answer 47

REMOVE

Question 48

spiral fracture of distal tibia is what?

Answer 48

toddlers fracture...normal

Question 49

what is finding of hsv encephalitis on MRI

Answer 49

temporal lobe hemorrhage/edema

Question 50

can HIV be passed in breast milk?

Answer 50

you bet

Question 51

signs of HIV infection in baby?

Answer 51

FTT chronic diarrhea lymphadenopathy

Question 52

what is surgical indication in NEC?

Answer 52

pneumoperitoneum....NOT pneumatosis intestinalis

Question 53

how is leg positioned in posterior dislocation?

Answer 53

internally rotated and shortened

Question 54

what nerve is injured in posterior hip doslocation?

Answer 54

sciatic