Day 8

Question 1

what are sx of kawasaki disease?

Answer 1

fever for 5+ days
conjunctivitis
mucositis
cervical lymphaenopathy
rash
erythema and edema of hands and feet

Question 2

what is rx of kawasaki?

Answer 2

IVIG and aspirin

Question 3

what are complications of kawasaki?

Answer 3

coronary artery aneurysm, or venticular dysfunction

Question 4

theoretically, what is most effective emergency contraception?

Answer 4

copper IUD

Question 5

what is first and second line rx for gestational DM?

Answer 5

first is diet, 2nd is insulin

Question 6

how should you manage shoulder dystocia?

Answer 6

be calm, elevate legs and push against chest, apply suprapubic pressure and maybe make an episiostomy

Question 7

when does intrahepatic cholestasis of pregnancy onset?

Answer 7

3rd trimester

Question 8

what are signs/sx of intrahepatic cholestasis of pregnancy?

Answer 8

generalized pruritis, often worse on hands/feet

RUQ pain

Question 9

what are lab findings in intrahepatic cholestasis of pregnancy?

Answer 9

increas total bile acids, increase LFTs, sometimes bilirubin elevated

Question 10

what is most significant complication of intrahepatic cholestasis of pregnancy?

Answer 10

fetal demise

Question 11

what is rx of intrahepatic cholestasis of pregnancy?

Answer 11

ursodeoxycholic acid and antihistamines

Question 12

when should intrahepatic cholestasis of pregnancy patient be delivered?

Answer 12

37 weeks

Question 13

how does intrahepatic cholestasis of pregnancy differ from acute fatty liver of pregnancy?

Answer 13

acute fatty liver will be in fulminant liver failure and have low platelets

Question 14

what is difference in malingering and factitious disorder>

Answer 14

there is secondary gain in malingering, factitious just wants to play sick rol e

Question 15

what nerve and artery can be injured in supracondylar humeral fracture?

Answer 15

median nerve and brachial artery

Question 16

what is most common cause of sensorineural hearing loss in a child?

Answer 16

congenital CMV infection

Question 17

what precautions for measles infection?

Answer 17

airborne

Question 18

what are calcium levels in CKD?

Answer 18

low!

Question 19

pain with hip extension and infectious signs should make you think about what?

Answer 19

psoas abscess

Question 20

rx for depression with psychotic features

Answer 20

antipsychotic and SSRI

Question 21

what second gen AP for metabolic syndrome?

Answer 21

olanzapine

Question 22

VACTERL

Answer 22

vertebral 
anal
cardiac
treacheoesophageal
renal
limbs

Question 23

findings of NF type 2

Answer 23

scwannomas
meningiomas
cataracts
skin tumors

Question 24

signs of congenital hypothyroidism

Answer 24

puffy face, fat tongue, prolonged jaundice, enlarged fontanelle, lethargy poor feeding

Question 25

rx of congenital hypothyroidism?

Answer 25

levothyroxine

Question 26

what is long term complication of untreated congenital hypothyroidism?

Answer 26

neurocognitive dysfunction

Question 27

what should be done for CIN 3 of cervix?

Answer 27

conization or LEEP

Question 28

what is post conization follow up for CIN 3?

Answer 28

pap at 1 and 2 years post op

Question 29

rapid hyponatremia correction causes...

Answer 29

osmotic demyelination

Question 30

rapid hypernatremia correction causes?

Answer 30

cerebral edema

Question 31

four main findings of sturge weber syndrome

Answer 31

port wine stain ID seizures visual field defect/glaucoma

Question 32

what are signs of digoxin toxicity?

Answer 32

anorexia, NV, fatigue and weakness

Question 33

what happens with eyesight in digoxin toxivity?

Answer 33

color vision alterations

Question 34

what is rx for oppositional defiant disorder?

Answer 34

parent management therapy and psychotherapy

Question 35

what age should menarche occur?

Answer 35

15

Question 36

what are organs of aromatase deficiency

Answer 36

female internal genitalia, no breast development and clitoromegaly

Question 37

what hormone is high and what hormone is low in aromatase deficiency?

Answer 37

testosterone is high, estrogen is low

Question 38

what are some risks for developing second stage of labor arrest?

Answer 38

fetal malpositioning inadequate contractions cephalopelvic disproportiong

Question 39

what is test to tell if patient has central or nephrogenic diabetes insipidus

Answer 39

desmopressin test

Question 40

which of central or nephrogenic will respond to desmopressin?

Answer 40

central