EOR Topics to Review

Question 1

Prepatellar bursitis – what is the treatment of choice?

Answer 1

Rest and NSAIDs → conservative management indicated to prevent further microtrauma

Question 2

Hypertrophic cardiomyopathy – what is the most likely echocardiography finding associated with the diagnosis?

Answer 2

Ventricular septal hypertrophy

Question 3

What is the best initial test for meningitis with signs of mass effect or hemorrhage?

Answer 3

CT brain, looks for mass effect or hemorrhage prior to performing an LP to prevent brain herniation

Question 4

What is the likely diagnosis in a young (20s) pt with clinical s/sx of walking pneumonia, recent oral thrush diagnosis, and CXR showing diffuse perihilar infiltrates?

Answer 4

PJP pneumonia, need to get an in depth sexual history to confirm

Question 5

What is the most likely diagnosis in a pt with PMH of cirrhosis p/w confusion, distended abdomen that is generally TTP and (+) for a fluid wave?

Answer 5

spontaneous bacterial peritonitis (SBP)

Question 6

What is the imaging method of choice for screening for lung cancer in patients aged 50-80 y/o with a current of 20 pack year history or previous 20 pack year smoking history within the last 15 years?

Answer 6

Per USPSTF, low dose CT scan of the chest

Question 7

What sodium value would be helpful when limiting a pt’s sodium intake to decrease their risk of developing hypertension?

Answer 7

2400 mg

Question 8

What is the common presentation of myasthenia gravis? How can you distinguish this from MS?

Answer 8

Descending weakness that improves with rest and often affects the ocular and swallowing muscles + limbs, paralysis, diplopia, difficulty performing ADLs.Can be distinguished from MS because MS is usually associated with sensory issues/paresthesias, and difficulty controlling their bowel and bladder

Question 9

What is the first line treatment for MG?

Answer 9

Pyridastigmine

Question 10

What is the 1st line treatment for pSVT in a pt who is stable?

Answer 10

Valsalva

Question 11

Transient ST elevations and chest pain at rest with preserved exercise capacity in a 40 y/o F patient is most consistent with what diagnosis?

Answer 11

Prinzmetal (vasospastic) angina

Question 12

When is a beta blocker considered first line management for hypertension?

Answer 12

In patients with a history of MI

Question 13

What imaging is indicated in pts with severe RA prior to procedures or surgeries?

Answer 13

Cervical spine imaging d/t possibility for subluxation with intubation

Question 14

Atni-histidyl transfer RNA (anti-Jo) antibodies are specific for what condition?

Answer 14

Polymyositis

Question 15

What are CREST symptoms and what are they associated with?

Answer 15

Calcinosis deposits
Raynauds
Esophageal dysmotility
Sclerodactyly
Telangiectasias

Associated with LIMITED scleroderma (positive anti-centromere antibodies)

Question 16

What are the antibodies for diffuse scleroderma?

Answer 16

Anti-topoisomerase and anti RNA polymerase III

Question 17

Triple therapy consists of what and is for what kind of infection?

Answer 17

For h. pylori infection (confirmed with + urea breath test):
- omeprazole (PPI)
- clarithromycin
- amoxicillin (or metronidazole if PCN allergic)

Question 18

What is a sister mary joseph node and what is it associated with?

Answer 18

Periumbilical nodule palpable on PE assoc w gastric cancer