GENITOURINARY

Question 1

How do you diagnose a kidney stone?

Answer 1

Ultrasound

Question 2

What should be done first for an elderly pt with new onset incontinence?

Answer 2

UA/CULTURE

Question 3

What does the presence of RBC Casts in a UA indicate?

Answer 3

glomerulonephritis

Question 4

3+ protein in urine

Answer 4

24-hour urine for protein and creat clear

Question 5

Signs of dehydration in baby

Answer 5

sunken fontanels, decreased urine, no tears when crying (normal in
babies), dry/sticky mucous membranes, lethargy, irritability

Question 6

Exercise for Stress incontinence

Answer 6

do Kegels 100x day. So 10x a day and 10 each time

Question 7

CN I

Answer 7

Nose

Question 8

CN III, IV, VI

Answer 8

extra-ocular muscles

Question 9

CN IV

Answer 9

superior oblique muscles

Question 10

CN V

Answer 10

Trigeminal Herpes. CORNEAL ABRASION

Question 11

CN VI

Answer 11

lateral muscles

Question 12

CN VII

Answer 12

Facial

Bell’s Palsy

Question 13

CN VIII

Answer 13

Ears

Question 14

CN IX

Answer 14

Shoulder shrug

ROMBERG test -scored by counting the seconds the patient is able to stand with eyes closed.

Question 15

Abortive meds for migraine

Answer 15

Triptans

Question 16

Preventive meds for migraine

Answer 16

BB - (propranolol)

TCA - (Amitriptyline) Anticonvulsants - (gabapentin, topiramate)

Question 17

Tx for cluster headaches

Answer 17

High dose O2 via Mask 12L 100%, Imitrex (abort) and a CCB for prophylaxis.
VERAPAMIL.

Question 18

Test for BPPV

Answer 18

Dix Hallpike maneuver

Question 19

Tx for BPPV

Answer 19

Primidone, or propranolol

Question 20

Fibromyalgia

Answer 20

11/18 points. Widespread pain for at least three months

Question 21

Subarachnoid hemorrhage (SAH)

Answer 21

worst headache of my life: may experience sentinel headache few weeks prior. S/sx of
meningitis. Falls in elderly or MVA younger

Question 22

subdural hematoma (SDH)

Answer 22

skateboarding concussion. Diagnosed with CT (Never do Contrast if you suspect a bleed)

Question 23

Mini Mental Status Exam

Answer 23

<24=dementia

Question 24

Trigeminal Neuralgia

Answer 24

compression of nerve root possibly. Unilateral facial pain close to
nose/cheeks. Sharp shooting pains by eating etc. TREATMENT: high doses of anticonvulsants. MRI /
CT.
AKA “TIC DOULOUREUX”

Question 25

Temporal arteritis

Answer 25

one temple indurated cord like gold stand. Biopsy. Abrupt visual changes
blindness, inc. ESR. CPR. Most have POLYMYALGIA RHEUMATICA. Treat high dose steroids

Question 26

POLYMYALGIA RHEUMATICA

Answer 26

bilateral joint stiffness aching, shoulders neck hips and torso
problems with dressing. 50 or older females

Question 27

Carpal tunnel

Answer 27

MEDIAN NERVE, Tinel’s sign t=tapping. Phalen’s sign- putting phingers together

Question 28

ABSENCE SEIZURE

Answer 28

AKA PETIT MAL SEIZURE

SUDDEN BRIEF LAPSES OF INATTENTION

Question 29

FEVER

Answer 29

DECREASES SEIZURE THRESHOLD