Day 6

Question 1

what is primary risk for fetus with preeclampsia?

Answer 1

small for gestational age

Question 2

define strabismus?

Answer 2

ocular misalignment

Question 3

what is a hyperthyroid state that will have low iodine uptake in thyroid?

Answer 3

painless and subacute thyroiditis

Question 4

when can you be diagnosed with gestational hypertension?

Answer 4

after 20 weeks, no proteinuria

Question 5

mom with chronic hypertension at risk of what during pregnancy?

Answer 5

csxn, preeclampsia, abruption, hemorrhage

Question 6

fibromylagia attacks what age woman?

Answer 6

20-50

Question 7

what are PE signs of fibromyalgia?

Answer 7

tender points with widespread pain

Question 8

what is rx of fibromyalgia?

Answer 8

regular exercise, good sleep and maybe NSAIDs

Question 9

what is size cutoff for TB skin test in healthy patient with no risk factors?

Answer 9

15mm

Question 10

what is size cutoff of TB test to treat in patient TB contact or HIV?

Answer 10

5mm

Question 11

does placenta previa bleeding cause pain?

Answer 11

NO

Question 12

what is management of placenta previa?

Answer 12

no intercourse, no digital exams, inpatient admits for bleedign episodes

Question 13

what e coli causes bloody diarrhea?

Answer 13

shiga toxin e coli

Question 14

what is risk factor for magnesium toxicity?

Answer 14

renal insufficiency

Question 15

what are signs of magnesium toxicity”

Answer 15

hyporeflexia, nausea, vomiting, somnolence

Question 16

what is rx of magnesium toxicity?

Answer 16

calcium gluconate

Question 17

is pH low or high in BV?

Answer 17

high

Question 18

describe treatment timeline of acute TB

Answer 18

2 months 4 drug, followed by 2 months of isoniazid and rifampin only `

Question 19

three medication options for tourettes

Answer 19

VMAT2 (tetrabenazine) and clonidina and antipsychotics

Question 20

what type of spinal lesions does prostate cance cause?

Answer 20

osteoblastic

Question 21

what type of spinal lesions does MM and RCC cause?

Answer 21

mixed blastic and lytic

Question 22

rx of pertussis

Answer 22

macrolide

Question 23

patient with pancreatitis develops pleural effusion, what is cause?

Answer 23

fistula

Question 24

when should patient with depression be candidate for indefinite therapy?

Answer 24

with 3+ episodes, severe depression, chronic dperession

Question 25

patients with mullerian agenesis should be evaluated for what other abnormality?

Answer 25

renal abnormalities with renal US

Question 26

what are causes of neuroleptic malignant syndrome?

Answer 26

antipsychotis, anti emetics

Question 27

what are sx of NMS

Answer 27

fever, AMS, lead pipe rigidity, dysautonomia

Question 28

what lab finding in NMS?

Answer 28

elevated CK and renal insufficiency

Question 29

what are first treatment steps of NMS?

Answer 29

stop offending meds, supportive care, if refractory give bromocriptne or dantrolene

Question 30

what nephrotic syndrome is associated with RA?

Answer 30

amyloid

Question 31

what are signs of lymphangitis?

Answer 31

tender red streaks on skin with tender lymphadenopathy

Question 32

what bug classically causes lymphangitis?

Answer 32

strep pyo and MSSA

Question 33

what abx for lymphangitis?

Answer 33

cephalexin

Question 34

what is treatment of peri anal strep infection

Answer 34

oral amoxicillin

Question 35

what are skin findings in peri anal strep?

Answer 35

bright sharply demarcated redness of perianal area

Question 36

what is management of persistent pulm HTN in infant?

Answer 36

oxygenation and ventilation along with inhaled nitric oxide

Question 37

what is rx of lichen sclerosus?

Answer 37

hig potency steroids

Question 38

who gets biopsy of lichen sclerosus?

Answer 38

new onset in an adult

Question 39

3 common meds that cause SIADH?

Answer 39

SSRI carbamazapine and NSAIDs

Question 40

which lung cancer causes SIADH?

Answer 40

small cell

Question 41

what are sx of brown sequard syndrome?

Answer 41

ipsilateral hemiparesis ipsilateral proprioception and vibration loss contralateral pain and temperature loss

Question 42

in a study, if a lot of ppl are lost to follow up, what is this called?

Answer 42

attrition bias...a form of selection bias

Question 43

what four things are measure in biophysical profile?

Answer 43

amniotic fluid breathing movements movement tone

Question 44

what is abnormal score of biophysical profile?

Answer 44

less than 6

Question 45

how long is non stress test of fetus, what are you looking for?

Answer 45

20-40 minutes, 2+ accelerations

Question 46

how is imaging of developmental hip dysplasia managed?

Answer 46

less than 4 mos US, more than 4 montsh Xray

Question 47

what causes a urethral diverticulum?

Answer 47

recurrent uTIS

Question 48

what are sx of urethral diverticulum?

Answer 48

dysuria dyspareunia post void dribbling ant vaginal wall mass

Question 49

how should you treat urethral diverticulum?

Answer 49

surgical treatment

Question 50

aside from ataxia, what else can happen with medulloblastoma as far as sx? why?

Answer 50

can have elevated ICP sx due to obstructive hydrocephalus

Question 51

what is rx of viral myocarditis in kids?

Answer 51

diuretics, inotropes as needed, IVIG maybe

Question 52

what is timeline of adjustment disorder?

Answer 52

has to be within 3 months of the stressor

Question 53

two lung manifestations of scleroderm

Answer 53

pulm HTN and interstitial lung disease

Question 54

what things is membranous nephropathy associated with?

Answer 54

Hep B, SLE, NSAIDs, malignancy

Question 55

optic disc hyperemia is unique to what poisoning?

Answer 55

methanol poisoning

Question 56

what are sx of cerebral venous thrombosis?

Answer 56

HA, vomiting, papilledema, seizures

Question 57

who is at risk for CVT?

Answer 57

pregnant, peri partum, thrombophilia, OCP users, malignanyc and infection

Question 58

what is imaging to confirm CVT?

Answer 58

MR venography

Question 59

what is rx of CVT?

Answer 59

heparin

Question 60

unilateral breast bloody discharge in older woman gets what imaging?

Answer 60

US and mammogram

Question 61

is gonoccocal early or late conunctivitis in newborn?

Answer 61

early

Question 62

what are signs of orbital compartment syndrome?

Answer 62

eye pain, diplopia and vision loss

Question 63

what is rx of orbital compartment syndrome?

Answer 63

urgent surgical decompression