Day 2 - Rapid Review Preview #2

Question 1

Beck’s triad for cardiac tamponade

Answer 1

Hypotension, JVD, & distant heart sounds

Question 2

Lab findings dx Hashimoto’s thyroiditis

Answer 2

High TSH, Low T4; Antimicrosomal antibodies

Question 3

Want to know if maternal age affects infant mortality rate, but most of variation in infant mortality predicted by SES, then SES is a…

Answer 3

Confounding variable

Question 4

3 reasons for involuntary psych hospitalization

Answer 4

(1) Danger to themselves (2) Danger to others (3) Gravely disabled

Question 5

Charcot’s triad in gallbladder disease; Dx

Answer 5

(1) RUQ pain (2) Jaundice (3) Fever/chills; Ascending cholangitis

Question 6

Tx ITP in children

Answer 6

Usually resolves spontaneous; IVIg or corticosteroids or combo

Question 7

Infx causing aplastic crisis in sickle cell disease

Answer 7

Parvovirus B19

Question 8

Elderly male p/w bone pain, favorite hat no longer fits - Dx, Major lab finding, Tx

Answer 8

Paget’s disease (elevated Alk Phos); Tx Bisphonates

Question 9

Test used in 10th wk GA to screen for chromosomal abnormalities

Answer 9

Chorionic villous sampling (CVS) - can do this sooner than amniotic fluid screening

Question 10

Secondary amenorrhea in pt w/ normal prolactin, no response to estrogen/progesterone challenge, PMH of D + C

Answer 10

Ashermann syndrome (scarring of uterus so endometrial tissue not shed normally)

Question 11

Hyperdensity on CT head not cross midline

Answer 11

Subdural hematoma

Question 12

Most common pathogen causing croup

Answer 12

Parainfluenza virus

Question 13

DDx for transudative effusion

Answer 13

Think: Intact capillaries; CHF, Liver or kidney disease, Protein-losing enteropathy

Question 14

Immunodeficiency w/ doughy skin

Answer 14

Jobs syndrome (aka HyperIg E syndrome)

Question 15

Tx opioid overdose

Answer 15

Naltrexone, Naloxone

Question 16

Tx septic shock

Answer 16

Fluids; IV antibx; Nonresponsive, then pressor of choice is NE (vasoconstriction to tx vasodilation)

Question 17

s/e of Clozapine

Answer 17

Agranulocytosis

Question 18

5 basic criteria for metabolic syndrome

Answer 18

(1) Abdominal obesity (2) High TG (3) Low HDL (4) HTN (5) Insulin resistance (or borderline DM)

Question 19

Basis presence when doctor aware of type of tx patient received

Answer 19

Observational basis

Question 20

Sentinel loop on abdominal x-ray

Answer 20

Acute pancreatitis