Griffin Internal Med Shelf Review

Question 1

severe pain out of porportion to exam, older person with CAD

Answer 1

mesenteric ischemia

Question 2

younger women, sudden lower abd pain

Answer 2

ectopic pregnancy

PID if discharge

Question 3

older person
debiliated
abd distention
massive colon on xray

Answer 3

volvulus

Question 4

vibrio cholera

Answer 4

shellfish, watery, travel, low k, rice water stools

Question 5

HIV - chronic diarrhea

Answer 5

cryptosporidium, giardia, CMV, isospora, cyclospora

Question 6

steatorrhea, dudodenal biopsy with villous atroph, tissue transglutaminase antibodies

Answer 6

celiac dz

Question 7

outdoors exposure, eosinophilia

Answer 7

stongyloides

Question 8

autoimmune hepatitis

Answer 8

40ish woman with jaundice and high transaminases

antiSM, antiLKM

Question 9

Acute Hep B

Answer 9

hbsag+

anti-hepc igm

Question 10

Chronic Hep B

Answer 10

hbsag+

anti-hbc igg

Question 11

recovery from hep b

Answer 11

anti-HBs

anti-HBc igg

Question 12

immunization with hep

Answer 12

anti-hbs

Question 13

megakarocytes on BM biopsy

Answer 13

ITP

often post URI

Question 14

palpitations or syncope in oyoung person

Answer 14

wpw

long qt

Question 15

digoxin ae

Answer 15

visual, nv, ecg changes

Question 16

angioedema

Answer 16

ace

Question 17

AKI with adding ACEI

Answer 17

bilateral RAS

Question 18

hydralazine

Answer 18

lupus like syndrome with antihistone

Question 19

fixed split s2

Answer 19

asd

Question 20

cardiac cath, livedo reticularis, urine eos, AKI

Answer 20

artheroembolic dz

Question 21

post phyaryngitis, AKI, RBC casts, low C3, normal C4

Answer 21

PIGN

Question 22

pulmonary sx, aki, rbc casts, normal c3,4

Answer 22

good pastures

anti GBM

Question 23

c anca

Answer 23

wegners

antiproteinase 3

Question 24

dry eyes dry mouth, ANA+

Answer 24

sjogrens
anti-ssa (ro)
anti-ssb (la)