ILS questions

Question 1

What test rules out a DVT?

Answer 1

Low probability Wells score and negative D-dimer

Question 2

Which of the following nerves is associated with meralgia paresthetica?

Answer 2

Lateral femoral cutaneous nerve

Question 3

Which of the following is a normal physiologic change during pregnancy?

Answer 3

Glucose found in patient’s urine

Question 4

A G3P2002 female presents for a routine prenatal visit at 16wks gestation and is found to have asymptomatic bacteruria. What is the proper management for this patient?

Answer 4

Nitrofurantoin

Question 5

Why are women at an increased risk for DVT during pregnancy?

Answer 5

Hyper coagulable state

Question 6

25ryo female presents with cramps abdominal pain over last 3 days. Gets better with defecation and a change in frequency of stool. Denies blood in stool. Working Dx?

Answer 6

IBS

Question 7

Where is Chapman’s pt for appendicitis?

Answer 7

tip of 12th rib

Question 8

25yo man with 5 yr history of progressive solid food dysphagia. Sensation of food sticking in his lower retrosternal area. Episodes of food impaction. No difficulty imitating a swallow and has not had chest pain, no odynophagia. Which is the most likely Dx?

Answer 8

Achalasia

Question 9

44yo male 8/10 sharp abdominal pain that started 4hrs ago. Up all night drinking with friends. Elevated lipase. Vomiting and nausea. Tenderness in mid-epigastric region. Based on most likely Dx, where do the sympathetic nerve fibers originate for the viscerosomatic reflex?

Answer 9

T5-T9

Question 10

73 yo woman present to GI clinic complaining of dark blood in stool. Denies hematemesis. Chronic low back pain for 15yrs. Take ibuprofen for this. What is most likely cause of her melena?

Answer 10

Peptic Ulcer Dz

Question 11

According to the American Academy of Peds, which of the following is a criterion for initiation of anti-bacterial therapy for the Tx of Acute Otitis Media?

Answer 11

Age <2yo

Question 12

What is the most common predisposing factor leading to Acute Otitis Media?

Answer 12

Upper Respiratory Tract Infex

Question 13

Which of the following is the most common bacterial cause of Acute Otitis Media?

Answer 13

S. pneumonia

Question 14

Which of the following is one of the most significant risk factors that increases the prevalence of Acute Otitis Media?

Answer 14

Day care outside of home

Question 15

What physiological difference of the Eustachian tube in children likely increases the risk of the nasophyrayngeal content entering the middle ear?

Answer 15

Negative pressure