From ITE-1 and ITE-2 stacks

Question 1

What is the dx of a pt with dec FEV1/FVC ratio and dec FVC?

Answer 1

mixed defect

-severity of abnormality is determined by the FEV1 percentage of predicted

Question 2

What are the characteristics of erythema nodosum?

Answer 2

Nodules on extensor surfaces

• BUE and BLE
• TTP
• erythematous

Question 3

What are 5 causes/associated findings of erythema nodosum?

Answer 3

1. Beta-hemolytic strep infection
2. bacterial/fungal infection
3. pregnancy
4. medications
5. systemic diseases

Question 4

What are the characteristic findings of Churg-Strauss syndrome?

Answer 4

Palpable purpura, nodules, or ulcers on LE only

Question 5

What are the major causes/associated findings of Churg-Strauss syndrome?

Answer 5

• asthma
• allergies
• eosinophilia (pulmonary infiltrates or peripheral)

Question 6

What are the characteristics of erythema multiforme?

Answer 6

Target lesions 1-3cm diameter symmetric hands/feet; mucosal involvement is common

Question 7

What are 3 causes/associated findings of erythema multiforme?

Answer 7

1. HSV
2. mycoplasma pneumoniae
3. URI

Question 8

What dz are represented by these antibodies?

1. Antiglomerular basement membrane
2. Antiparietal cell
3. Antimitochondrial
4. Antineutrophilic cytoplasmic antibodies (ANCA)

Answer 8

1. Goodpasture’s (tram-track; hemoptysis + hematuria)
2. Pernicious anemia
3. Primary biliary cirrhosis
4. Wegener’s (lungs and kidneys also but usually upper airway - sinusitis, sinus abscesses, etc)

Question 9

What diseases are represented by these antibodies?

1. Anti-Smith
2. Anti-centromere
3. Anti-U1RNP
4. Anti - Jo-1
5. Anti-SSA and Anti-SSB

Answer 9

1. SLE
2. Scleroderma
3. Mixed Connective Tissue Disease
4. Polymyositis
5. Sjogren

Question 10

How is obstructive disease defined based on PFTs?

Answer 10

FEV1/FVC 12% chg of FEV1/FVC)

COPD not reversible

Question 11

What screening should preterm infants receive at 4 months and 9-12 months of age?

Answer 11

iron deficiency anemia

*and developmental milestones at each visit

Question 12

What is the 1st line prophylactic antibiotic used for animal bites?

Answer 12

Augmentin

Question 13

Which children should receive RSV prophylaxis (Synagis/pavlivizumab)?

Answer 13

• 0-12 months
• during RSV season (Oct-March)
• if born 29 wks + lung dz

Question 14

What drug is an alpha1 adrenergic antagonist? How does it work? What is it used for?

Answer 14

• Terazosin
• blocks alpha 1 receptors in smooth muscle resulting in relaxation
• HTN and BPH

Question 15

What are the defining characteristics of Nephrogenic Systemic Fibrosis?

Answer 15

• Hardening of skin overlying extremities and trunk

- Marked expansion and fibrosis of the dermis in association with CD34+ fibrocytes