General Internal Medicine

Question 1

Osteonecrosis of Hip

Answer 1

dull aching groin pain, indolent - a/w excess etoh use or chronic steroid use - limited range of motion of hip, radiographs normal - MRI could be +

Question 2

Patellofemoral pain syndrome

Answer 2

women <45yo, anterior knee pain worse with sitting, and on stairs, reproduced by pressure to patella with ext knee and moving patella medially and laterally

Question 3

Pes Anserine bursitis

Answer 3

pain near anteromedial aspect of prox tibia,

Question 4

Pre-patellar bursitis

Answer 4

recurrent knee trauma, gout, swelling, tenderness to palpation

Question 5

Knee osteoarthris

Answer 5

age >50, stiffness >30min, crepitus

Question 6

Name the live virus vaccines that are contraindicated in immunocompromised patients with inflammatory bowel dz (if on high dose steroids, anti-TNF tx, 6MP, azathropine)

Answer 6

varicella, yellow fever, nasal influenza, MMR, bCG, oral typhoid

Question 7

Statin with least drug-drug interactions

Answer 7

Pravastatin (renally cleared) - all others cleared in liver