I think I have hypochondrosis

Question 1

Teen w/ SI, do you have to tell parents?

Answer 1

YES

and admit- but you dont need consent from parents/ kid

Question 2

1st line rx for acne

Answer 2

• topical retinoids
• add topical abx for inflammatory
• add oral abx for severe
• unresponsive add isotretinoin

Question 3

mitral regurg murmur

Answer 3

holosystolic at apex
radiates to axilla

s/s: dyspnea, fatigue, a fib, HF

Question 4

Alcoholic cirrhosis

Answer 4

-Liver shrunken/ nonpalpable

AST 2x > ALT

Question 5

Down syndrome iris

Answer 5

brushfield spots- grey/ white spots

Question 6

Most effective emergency contraception

Answer 6

copper IUD
used 0-120 hours
toxic to sperm, impairs implantation

Question 7

Most common cause of tricuspid stenosis

Answer 7

rheumatic heart disease

Question 8

Most common sequelae of hemochromatosis

Answer 8

cirrhosis 
HF 
DM
hypogonadism 
arthritis

Question 9

Small PTX rx

Answer 9

observation

supplemental o2- speeds resorption

Question 10

Ulipristal pill

Answer 10

anti-progesterone
emergency contraception
used 0-120 hours

Question 11

Autoimmune hepatitis

Answer 11

young/ middle aged women
LFTs in 1000s
significant liver injury

Question 12

syringomyelia

Answer 12

common after whiplash

impaired strength/ pain/ temp

Question 13

Donepezil

Answer 13

acetylcholinesterase inhibitor

slows cognitive decline in alzheimer’s

Question 14

The only absolute INFANT contraindication to breast feeding is?

Answer 14

Galactosemia

Question 15

Cervical spondylosis

Answer 15

> 40 yo
neck pain/ stiffness
may –> stenosis

Question 16

Amphetamines in pregnancy

Answer 16

preterm delivery 
preeclampsia
fetal growth restriction
placental abruption
fetal demise

Question 17

Does hypoxia cause cerebral palsy

Answer 17

NO

risks are:
prematurity, growth restriction, infection, hemorrhage, twins, etoh, tobacco

Question 18

Physical exam of mesenteric ischemia

Answer 18

pain on history is out of proportion (worse) than exam

Question 19

Bed wetting is normal before age?

Answer 19

5 years

Question 20

Biophysical profile measures?

Answer 20

• non-stress test- FHT
• amniotic fluid index
• fetal movements
• fetal tone
• fetal breathing

Question 21

Non stress test antepartum fetal surveillance

Answer 21

measures external fetal heart tones

• normal > 2 accels
• non- reactive < 2 accels or any decels

Question 22

Normal fetal movement on biophysical profile

Answer 22

> 3 general body movements

Question 23

most common cause of primary adrenal insufficiency in developed countries

Answer 23

autoimmune adrenalitis (addisons)

Question 24

Sympathetic opthalmia

Answer 24

immune mediated damage of one eye after penetrating injury of other eye due to uncovering of hidden antigens

Question 25

Contraction stress test

Answer 25

external FHT during induced contractions

late decels > 50% of contractions= abnormal

dont do if there are contraindications to labor ( placenta previa)

Question 26

Fetal tone on biophysical profile

Answer 26

> 1 episode of flexion/ extension of limbs

Question 27

Adrenoleukodystrophy

Answer 27

congenital, affects males

accumulation of long chain fatty acids in adrenals –> adrenal failure

Question 28

Trigeminal neuralgia and MS

Answer 28

MS should be suspected if neuralgia is bilateral

Question 29

How long is a nonstress test in fetus?

Answer 29

> 40 min

needs to account for sleep

Question 30

When is a doppler umbilical study helpful?

Answer 30

fetal growth restriction
fetal weight < 10%

no, decreased, or reversed flow= abnormal