Exam Review 2.2

Question 1

fever, vomiting, petechiae on hands and feet that spread to trunk - think, tx

Answer 1

RMSF, treat w/ doxy

Question 2

neuroendocrine tumor that leads to gastrin hypersecretion and multiple peptic ulcer formation

Answer 2

Zollinger-Ellison syndrome

Question 3

COPD group A med

Answer 3

SABA

Question 4

COPD group B med

Answer 4

LABA or LAMA

Question 5

COPD group C med

Answer 5

LAMA

Question 6

Cushing reflex is what

Answer 6

a physiological NS response to acute ICP that results in the Cushing triad

Question 7

Cushing triad

Answer 7

widened pulse pressure (increasing SBP, decreasing DBP)
bradycardia
irregular respirations

Question 8

first line for mild allergic conjunctivitis

Answer 8

topical antihistamines/mast cell stabilizers

Question 9

group 7 steroid

Answer 9

hydrocortisone - least

Question 10

group 5 steroid

Answer 10

fluticasone

Question 11

group 4 steroid

Answer 11

triamcinolone

Question 12

renal artery stenosis is more common starting in what age group

Answer 12

older than 50

Question 13

small, fluid filled blisters on the eardrum

Answer 13

Bullous myringitis

Question 14

severe hypothyroidism aka

Answer 14

myxedema coma

Question 15

life threatening condition caused by severe hyperthyroidism

Answer 15

thyroid storm

Question 16

peripheral mucinous edema involving the lower leg, is associated with hypothyroidism is called what

Answer 16

pretibial myxedema

Question 17

Kawasaki’s disease presents as
5

Answer 17

high fever
enlarged lymph nodes in neck
conjunctivitis
dry, cracked lips
strawberry red tongue

Question 18

high fever, enlarged lymph nodes, strawberry tongue - think

Answer 18

Kawasaki’s disease

Question 19

gold standard tx for Kawasaki disease
2

Answer 19

IVIG and
ASA?

Question 20

McMurray test + is suggestive of what injury or tear

Answer 20

to medial or lateral meniscus

Question 21

what two test check for ACL tear

Answer 21

Lachmans
anterior drawer test

Question 22

tx for polymylagia rheumatica PMR

Answer 22

oral prednisone

Question 23

estradiol level associated with perimenopause is

Answer 23

30-400

Question 24

FSH level that is associated with decreased ovarian function, which is associated with perimenopause

Answer 24

> 30 FSH

Question 25

med for IBS w/ constipation

Answer 25

lubiprostone

Question 26

meds for IBS w/ diarrhea
2

Answer 26

loperamide
alosetron

Question 27

+ kernig sx

Answer 27

will resist leg straightening when the hip is flexed as a result of painful hamstrings from lumbar nerve root inflammation

Question 28

classic signs of fetal alcohol syndrome
4

Answer 28

microcephaly
narrow eyes
thin lips
smooth philtrum

Question 29

fragile x syndrome s/sx
3

Answer 29

face is long and narrow
prominent forehead and chin
large ears

Question 30

test used to assess for inflammation and presence of bacteria in the lower urinary tract from chronic prostatitis

Answer 30

Meares-Stamey 2 glass test

Question 31

Crohn’s disease - pain is most often when

Answer 31

periumbilical to the RLQ

Question 32

persistent unilateral knee pain, bump below the knee is young male patient

Answer 32

Osgood-Schlatter disease

Question 33

exam that evaluates peripheral vision

Answer 33

confrontation exam

Question 34

first line med for tinea unguium

Answer 34

oral terbinafine

Question 35

med for mild to mod toenail fungal infection

Answer 35

efinaconazole 10% solution

Question 36

asthma step 2 meds

Answer 36

SABA
low dose ICS

Question 37

how long to avoid contact sports after mono and why

Answer 37

risk of splenic rupture; wait four weeks