Day 15

Question 1

what are some classic symptoms of acute intermittent porphyria?

Answer 1

abdominal pain, psychiatric issues, peripheral neuropathy

Question 2

what is acute management of pregnant patient with pyelonephritis?

Answer 2

inpatient IV abx (ctx often)

Question 3

classic sx of febrile hemolytic transfusion reaction

Answer 3

fever, chills, hematuria flank pain

Question 4

what is management of cerebellar hemorrhage?

Answer 4

if patient has big hemorrhage, then surgery. But definitely maintain low ICP and reverse patients anticoagulation

Question 5

what is appearance of throat in diphtheria?

Answer 5

gray color with pseudomembran

Question 6

what is rx for somatic symptom disorder? first and second line?

Answer 6

first line is frequent follow up visits with same doc, second is SSRI or CBT

Question 7

which kids are at risk of bronchopulmonary dysplasia?

Answer 7

kids who have O2 requirement for more than 28 days when an infant

Question 8

when does thrombocytopenia become worrisome in pregnancy?

Answer 8

if less than 100K

Question 9

what level of potassium requires repletion in HHS?

Answer 9

anything below 5.2

Question 10

what is most common cause of CNIII palsy?

Answer 10

diabetic neuropathy leading to ischemia

Question 11

what do you do about severe bradycardia and hypotension from hypothermia?

Answer 11

REWARM

Question 12

three features of horner syndrome

Answer 12

anhidrosis, miosis and ptosis

Question 13

type 1 RTA is where in kidney?

Answer 13

alpha intercalated cells cant excrete H+

Question 14

what is urine pH and serum potassium in type 1 RTA?

Answer 14

urine is basic and hypokalemia is present

Question 15

what is issue in type II RTA?

Answer 15

proximal tubule cant reabsorb HCO3

Question 16

what is issue in type III RTA?

Answer 16

aldosterone doesnt work

Question 17

what are some big differences in preeclampsia and SLE flare in pregnancy?

Answer 17

RBC casts on UA
arthralgias
facial rash

Question 18

findings of riboflavin deficiency

Answer 18

stomatitis, glossitis, seborrheic dermatitis, normocyic anemia

Question 19

what are indications for BRCA testing?

Answer 19

ovarian cancer in first degree, breast cacncer in first degree less than 50

Question 20

what is treatment of muscular dystrophy? when does it onset?

Answer 20

2-3 years…roids

Question 21

d-xylose test can be positive in what two conditions?

Answer 21

celiac and SIBO

Question 22

how do you didfferentiate between SIBO and celiac with dxylose test?

Answer 22

if abnormal, empirically treat with rifaximin and see if it gets better. if it does then SIBO, if it doesnt then celiac

Question 23

what is used instead of doxy in lyme disease in pregnant patient?

Answer 23

amoxicillin

Question 24

what are EKG signs of ventricular aneurysm?

Answer 24

ST elevations that are persistent

Question 25

what are sx of ventricular aneurysm?

Answer 25

HF sx pretty much

Question 26

what differentiatses meconium ileus and hirschprung?

Answer 26

meconeum will have negative squirt test
meconium will have dilation of small bowel while hirschprung dilates in large bowel
meconium will have normal rectal tone

Question 27

describe steps of rx in acne?

Answer 27

topical retinoid…topical abx…oral isoretinoin

Question 28

what type of acne is classically treated by topical abx?

Answer 28

inflammatory

Question 29

patient gets epidural and shortly afterbecomes hypotensive…why?

Answer 29

because epidural can decrease sympathetic response in legs and lead to increased venous pooling and vasodilation in legs

Question 30

laboring patient with hypotension after epidural should receive what?

Answer 30

fluid and phenylephrine

Question 31

name a weird risk factor for colon cancer?

Answer 31

obesity/DM

Question 32

raised sharply demarcated borders of infected skin is indicative of what type of infection?

Answer 32

erysipelas

Question 33

what is balanitis?

Answer 33

inflammation of glans of penis

Question 34

what can cause balanitis?

Answer 34

irritation, infection and trauma

Question 35

when should you do test for balanitis?

Answer 35

if thick white d/c then do KOH, if urethral dc then C/G

Question 36

what are sx of balanitis

Answer 36

erythema pruruitis and d/c around penis

Question 37

a rigid person that is a perfectionist has what type of personality disorder?

Answer 37

Obsessive compulsive personality disorder

Question 38

what is a common measure of association in randomized control trials?

Answer 38

relative risk

Question 39

despite gestational age, what is management of chorioamnionitis?

Answer 39

Iv abx and immediate delivery (can induce labor)

Question 40

when do you do a fetal fibronectin test?

Answer 40

patient having preterm contractions…

Question 41

/when do you test fetal lung maturity

Answer 41

if gestational age unclear and need to determine management of patient…ie how long to try to keep baby in

Question 42

with bad fetal heart tracing and imminent demise can a mom deny c sxn?

Answer 42

yes…

Question 43

lesch nyhan is deficiency of what?

Answer 43

HGPRT

Question 44

what are clinical features of lesch nyhan?

Answer 44

ID
hypotonia
self mutilation
gout

Question 45

what is clinical feature of interstitial cystitis?

Answer 45

bladder pain with filling…so patients pee to relieve the pain

Question 46

is interstitial cystitis an infection…

Answer 46

no

Question 47

what is rx of interstitial cystitis?

Answer 47

not really a treatment…behavior modification

Question 48

nitrites in urine indicate what?

Answer 48

presence of bacteria

Question 49

LE in urine indicates what?

Answer 49

presence of WBC

Question 50

AKI after starting lisinopril wth HTN….

Answer 50

renal artery stenosis