EXTRA MISC

Question 1

eye thing in someone with seborrheic dermatitis

Answer 1

blepharitis

Question 2

arsenic tx

Answer 2

dimercaprol

Question 3

how does lead poisoning cause anemia

Answer 3

decreased heme synthesis

Question 4

duodenal ulcer tx

Answer 4

abx and PPI

Question 5

eosinophilic esophagitis signs and sx

Answer 5

solid food dysphagia and heart burn, will have asthma or atopic dermatitis

Question 6

SIBO tx

Answer 6

rifaximin or neomycin

Question 7

most common cause of GI bleed in adults

Answer 7

diverticulosis-large vol

Question 8

size of angiodysplasia bleed

Answer 8

small vol

Question 9

secretary diarrhea osmotic gap

Answer 9

small

Question 10

lateral medullary syndrome vessel and signs

Answer 10

vertigo, nystagmus 
diplopia vomiting
ipsi face loss of pain and temp
ataxia
diminished gag reflex
dysphagia
dysphonia
contralateral loss of trunk and extremity pain and temp
vertebral(or other posterior) artery

Question 11

first line meds Alzheimers

Answer 11

cholinesterase inhibitor( donepizil, rivastigmine, galantamine

memantadinbe is an MDMA receptor antagonist that may help

Question 12

what causes lacunar stokes

Answer 12

microatheroma and lipohylanosis in small arteries resulting in pure motor hemiparesis or pure sensory loss

Question 13

internal capsule/putamen stroke signs

Answer 13

contralateral hemiparesis, contralateral hemisensory loss and conjugate deviation toward the side of he lesion

Question 14

Are there DTR’s in Brian death

Answer 14

sometimes

Question 15

normal ct but you still think subarachnoid hemorrhage

Answer 15

get LP

Question 16

pulses in septic shock

Answer 16

pounding bc widened pulse pressure

Question 17

invasive aspergillosis stuff

Answer 17

fever, chest pain, hemoptysis
halo sign pulmonary nodules
look for the immunocompromised guy especially with NEUTROPENIA

Question 18

how to evaluate undiagnosed pleural effusion

Answer 18

THORACENTESIS!

the only time you can skip thes is clear evidence of CHF

Question 19

probably has CAP

Answer 19

get a chest x-ray

Question 20

looks like Addisons but has TB

Answer 20

Infectious adrenalitis

Question 21

lung biopsy with systemic sclerosis

Answer 21

Arterial intimal hyperplasia

Question 22

septal widening with hemosiderin laden macrophages dx

Answer 22

pulmonary edema from left sided ♥️ failure

Question 23

PE heart complication

Answer 23

right heart dysfunction

Question 24

most common asbestosis cancer

Answer 24

bronchogenic carcinoma, mesothelioma will probably have ascites also

Question 25

suspect osteonecrosis in SLE patient or anyone on steroids forever test?

Answer 25

MRI the x-ray is normal sometimes

Question 26

systemic sclerosis marker

Answer 26

anti topoisomerase 1(anti-scl-70)

Question 27

African American woman with arthralgia and erythema nodosum next test

Answer 27

x-ray for scleroderma even if she has 0 pulmonary symptoms

Question 28

chalky white tumors/deposits in hands dx

Answer 28

tophaceous gout

Question 29

what electrolyte abnormality can Bactrim cause

Answer 29

hyperkalemia

Question 30

sx of poycystic kidney disease

Answer 30

HTN, polyuria, flank pain, and renal dysfunction,

Question 31

what causes hepatorenal syndrome in cirrhotics

Answer 31

splanchnic arterial dilation

Question 32

AIN manifestation

Answer 32

acute renal failure fever, rash, WBC casts

Question 33

sickle cell patient looks like rhabdo buyt has RBC’s not just blood

Answer 33

papillary necrosis

Question 34

exogenous thyroid hormone use thyroglobulin levels

Answer 34

low, will have low uptake on RAIU scan