IM UW 4

Question 1

Classic triad of normal pressure hydrocephalus

Answer 1

Incontinence, dementia and gait abnormalities tx w/shunt

Question 2

tx of restless leg syndrome? what makes it worse?

Answer 2

worse with caffine tx w/D-ag(pramipexole)

Question 3

homelss man w/track marks + cuts on legs now has M pain + stiffness + painful spasm of the neck muscles triggered by physcial stimuli. dx?

Answer 3

tetnus toxin!

Question 4

describe the parkinsons gait?

Answer 4

hypokinetic

Question 5

Postconcussive syndrome

Answer 5

follow TBI, HA, confusion, amnesia, diff concentrating or multi-tasking, vertigo, mood alternation, sleep distrubances, anxiety = resolves w-m.

Question 6

Pt has hx of nocturnal teeth grinding and feeling of pain in his ear. examination shows normal ear. pt says ear pain is worse with chewing. dx? tx?

Answer 6

temporalmandibular join dysfunction tx w/bite guard > surg

Question 7

Afib comes from?

Answer 7

pulmonary veins

Question 8

FC, malaise after blood transfusion. resolves w/in 6 hrs after you stop pt has - antiglobin test and -free hg. dx?

Answer 8

caused by leukocytes in stored blood that release cyokines! prevent w/leukoreduction

Question 9

otitis externa tx

Answer 9

IV ciprofloxicin for nectrotizing pseudomonas

Question 10

62 yo smoker, now dip chewer has white patch on buccal mucosa that doesnt go away with scraping & is not indurated + no lymphadenopathy. dx?

Answer 10

leukoplakia = precancerous

Question 11

Gonococcal vs non gonococcal arthritis

Answer 11

GON: multiple joins, dermatitis, polyarthalgias, common in sexually active ppl, tap: inflam w/NEUTROPHIL PREDOMINANCEnongon: multiple, older, immunosup, IVD

Question 12

Hyperkalemia that needs to be reduced asap. Bag vs Insulin+glu?

Answer 12

B-ag: dont give to ppl w/CADinsulin + glu = works in ppl w/CAD

Question 13

Giant cell temporal ateritis. what else shoudl you be looking for down the road in this pt?

Answer 13

aortic aneurysm!

Question 14

MCC of sudden cardiac arrest w/MI

Answer 14

Vfib

Question 15

another name for monospot test?

Answer 15

heterphile ab test

Question 16

WHich drugs are not ok b4 stress test?

Answer 16

BB, CCB, NO< Dipyridamole, Caffine

Question 17

Antiepileptic drugs cause anemia via depletion of…

Answer 17

folic acid = blocks uptake in gut

Question 18

Thyroid Lymphoma

Answer 18

rapidly enlarging, firm goiter w/COMPRESSIVE SX(dyphagia, horseness) + Bsx(fever, night sweats, weight loss), mild pain and tenderness to palp, more commonly seen in HASIMOTOS