Day 9

Question 1

who gets posterior urethral valves

Answer 1

ONLY BOYS

Question 2

young kid with recurrent UTIs, what anomaly should be on differential?

Answer 2

vesicouretal reflux

Question 3

what happens in vesicouretal reflux?

Answer 3

get kidney scarring and blunted calcyes along with recurrent UTIS

Question 4

what is rx for stimulant toxicity?

Answer 4

lorazepam

Question 5

what is treatment of molloscum in adults? kids?

Answer 5

liquid nitrogen in adults

reassurance in kids

Question 6

what is complication of epidural that progresses slowly after it is removed?

Answer 6

spinal epidural hematoma

Question 7

describe symptoms of spinal epidural hematoma

Answer 7

will progress slowly, tenderness over back with neuro changes of legs

Question 8

what is imaging for spinal epidural hematoma?

Answer 8

MRI

Question 9

what is rx of spinal epidural hematoma?

Answer 9

surgery

Question 10

what is management of Serotonin syndrome?

Answer 10

stop serotonergic meds, give benzo if needed, the cyproeheptadine

Question 11

what is longterm complication of hemophilia in joints?

Answer 11

hemophilia arthropathy

Question 12

should dextrose be in fluid boluses? any age?

Answer 12

NO not at any age

Question 13

how do vagal maneuvers end SVT?

Answer 13

slow AV node conduction pathway

Question 14

what is standard for post exposure prophylaxis for varicella?

Answer 14

if immunized nothing
if not immunized but immunocompetent then vaccine
if not immunized and immunocompromised then VZIG

Question 15

when are varicella vaccines

Answer 15

1 and 4 years old

Question 16

what abx for human bite?

Answer 16

augmentin

Question 17

what is normal vaginal pH?

Answer 17

3.8-4.5

Question 18

what is ph of candida vaginosis?

Answer 18

normal

Question 19

what is pH of trich and BV?

Answer 19

4.5+ basic

Question 20

does tamponade cause hyper or hypotension?

Answer 20

hypotension…muffled heart sounds and JVD

Question 21

persistent oxygen requirement in premature baby after mechanical ventilation is what?

Answer 21

bronchopulmonary dysplasia

Question 22

what is cxr findings in bromchopulmonary dysplasia?

Answer 22

haziness and decreased lung volumes

Question 23

what is rx of sporotrichosis?

Answer 23

itraconazole

Question 24

what is sign of sporotrichosis?

Answer 24

skin papule that ulcerates and puts out fluid then can move up lymphatic tract

Question 25

what are sx of hodgkin lymphoma?

Answer 25

B symptoms, mediastinal mass, painless lymphadenopathy

Question 26

what are reasons for doxy ppx after tick bite?

Answer 26

if it was a deer tick longer than 36 hour attachment within 72 hours of tixk removal must meet them all

Question 27

if patient getting chlamydia multiple times in a row...what is happening?

Answer 27

sex with untreated partner

Question 28

what are two qualifications for status epilepticus?

Answer 28

2 seizures without appropriate return to neuro baseline or seizure of more than 5 minutes

Question 29

what is rx of status epilepticus? 2 things

Answer 29

benzos to stop it then fosphenytoin or valproate or leviteracetam to prevent more

Question 30

how long is brief psychotic disorder?

Answer 30

a day to month `

Question 31

describe diagnosis of schizophreniformdisorder

Answer 31

1-6 months of schizophrenia symptoms

Question 32

describe schizoaffective disorder

Answer 32

mood episodes with psychotic features and 2+ weeks of only psychotic features

Question 33

elderly with hyperthyroid should get what rx?

Answer 33

methimzole

Question 34

what i hyperthyroid rx in pregnancy?

Answer 34

PTU first trimester then methimazole after

Question 35

malignant hyperthermia has what classic lab finding?

Answer 35

sky high CK

Question 36

bugs you see in CGD?

Answer 36

``` burkholderia nocardia aspergillus staph aureus serratia ```

Question 37

which stage of labor can epidural extend?

Answer 37

2nd stage

Question 38

what abx for acute endocarditis?

Answer 38

vancomycin

Question 39

when can ECV be done?

Answer 39

37 weeks plus

Question 40

who gets an ECV?

Answer 40

patients without contraindications to vaginal delivery and who are breech

Question 41

what are Cardio contraindications to pregnancy?

Answer 41

sx mitral stenosis sx aortic stenosis EF less than 30 PAH