Freakin UW again

Question 1

aconthosis nigracans is associated with

Answer 1

• insulin resistance

- GI malignancy

Question 2

multiple skin tags is associated with

Answer 2

insulin resistance
pregnancy
crohns disease perianal

Question 3

• Porphyria cutanea tarda

- cutaneous leukocytoclastic vasculitis - palpable purpura, secondary to cryoglobulinemia

Answer 3

hep C

Question 4

dermatitis herpetiformis

Answer 4

celiac disease

Question 5

sudden onset severe psoriasis, recurrent herpes zoster, disseminated molluscum contagiosum

Answer 5

HIV infection

Question 6

severe seborrheic dermatitis

Answer 6

• HIV infection

- Parkinson disease

Question 7

explosive onset of multiple itchy, sehorrheic keratoses

Answer 7

GI malignancy

Question 8

pyoderma gangrenosum

Answer 8

inflammatory bowel disease

Question 9

What is the mechanism for maternal thyroid testing in pregnancy?

Answer 9

• beta HCG stimulates TH in 1st trimester
• estrogen stimulates TBG - thyroid increases hormone production to maintain steady state free T4
• TSH gets decreased by negative feedback

Question 10

Acute pancreatitis disease assessment markers…

Answer 10

APACHE II score, SIRS, Hct, BUN

Question 11

Pediatric neck mass; midline and superior displacement with tongue protrusion is

Answer 11

Thyroglossal duct cyst

Question 12

Pediatric neck mass; midline with no displacement with tongue protrusion?

Answer 12

Dermoid cyst

Question 13

Pediatric neck mass; lateral and often associated with sinus tract / fistula?

Answer 13

Branchial cleft cyst

Question 14

Pediatric neck mass; lateral and tender, warm, erythematous

Answer 14

Lymphadenitis

Question 15

Eye pain, redness, variable visual loss, and a constricted and irregular pupil indicates what? How do you confirm the diagnosis?

Answer 15

Anterior uveitis - iritis

Confirmed by visualization of leukocytes in anterior segment

Question 16

What does a hazy flare indicate in the eye?

Answer 16

It is indicative of protein accumulation secondary to a damaged blood aqueous barrier

Question 17

ADHD first line treatment?

Answer 17

1) age 3 to 5 years old = behavioral therapy

2) age greater than 6 = pharmacotherapy

Question 18

Hyponatremia in CHF patients?

Answer 18

water intake restriction