GU

Question 1

uncomplicated cystitis

Answer 1

young, healthy, non pregnant female

don’t culture

Question 2

how to differentiate cystitis from urethritis

Answer 2

urethritis usually has post voiding discharge

Question 3

most common cause of orchitis

Answer 3

mumps (paramyxovirus)

enlarged parotid glands (swelling anterior and posterior of ear)

Question 4

cushing syndrome

Answer 4

proximal muscle weakness-big
obesity
hypertension
pigmented striae
oligomenorrhea/amenorrhea
erectile dysfuction
buffalo hump
moon facies

Question 5

tx for pituitary tumor

Answer 5

transphenoidal approach

Question 6

short acting insulin

Answer 6

aspart, humalog, lispro

Question 7

long acting insulin

Answer 7

glargine, levimir

Question 8

diabetic drug that causes hypoglycemia

Answer 8

sulfonurea (glipizide, glyburide)

Question 9

TZD

Answer 9

actos, avandia

hepatic problems

Question 10

bigunide

Answer 10

metformin
lactic acidosis especially w/ contrast
can get gi side effects

Question 11

dx diabetes

Answer 11

fasting bs >126
random blood sugar >200 w/ sxs
a1c >6.5

Question 12

DKA dx

Answer 12

blood sugar >250

ph

Question 13

main tx w/ dka

Answer 13

fluids

Question 14

how does alcohol cause hypoglycemia

Answer 14

decrease hepatoneogenesis in liver

worry about this w/ kids who have alcohol