Internal Medicine Random

Question 1

manifestations of Hariy cell leukemia

Answer 1

pancytopenia (GAT)

• granulocytopenia (infections), some have leukocytosis
• anemia
• thrombocytopenia

splenomegaly

Question 2

what would you see in ALL pt with perioheral blood smear

Answer 2

lymphoblasts

Question 3

which leukemia has leukocytosis over 100 k

what other sx does it have

Answer 3

CLL

B symptoms

Question 4

triad of polyarthralgia, tenosynovitis, and painless vesiculopustular skin lesions

Answer 4

disseminated gonococcal infection

Question 5

episode of pharyngitis typically precedes the onset of acute rheumatic fever by how many weeks

Answer 5

2-4

Question 6

PML symptoms and MRI

Answer 6

AMS, motor deficits (ataxia), vision abnormal

MRI = focal asymmetric lesion

Question 7

HIV associated neurocognitive disorder symptoms and MRI

which HIV pts most at risk (age and CD4)

Answer 7

HAND

decline in memory, attention, calculation, executive function MOOD and BEHAVIOR

MRI = diffuse increase in intensity in the white matter

pts over 50 and CD4 under 200

Question 8

frontotemporal dementia MRI

Answer 8

atrophy in frontal and anterior temporal cortices

Question 9

MRI for toxo

Answer 9

multiple, ring enhancing, spherical lesions in the basal ganglia

Question 10

MRI for primary CNS lymphoma and CSF

Answer 10

presence of EBV DNA in CSF is specific

weak ring enhancing mass that is solitary and periventricular