Jew World? 1/18/15

Question 1

Next step if you see a “porcelain gallbladder”?

Answer 1

elective cholecystectomy

Question 2

Why must calcified “porcelain gallbladders” be removed?

Answer 2

High risk of gallbladder carcinoma

Question 3

Atrialized right ventricle is a congenital anomaly associated with what?

Answer 3

lithium use during pregnancy

Question 4

false positive rate (or the likelihood that a pt w/o the disease will test positive) =

Answer 4

FP/FP+TN

Question 5

sensitivity =

Answer 5

TP/TP+FN

Question 6

Specificity =

Answer 6

TN/TN+FP

Question 7

What macronutrient should be INCREASED in the diet for dumping syndrome?

Answer 7

protein

Question 8

What macronutrient should be DECREASED in the diet for dumping syndrome?

Answer 8

carbohydrates

Question 9

1-2 (<1cm) tubular adenomas; next colonoscopy in ____.

Answer 9

5 yrs

Question 10

3-10 adenomas OR any adenoma >1cm OR adenoma w/ high grade dysplasia or villous features; next colonoscopy in ____.

Answer 10

3 yrs

Question 11

More than 10 adenomas; next colonoscopy in ____.

Answer 11

<3 yrs (consider familial syndrome)

Question 12

Large >2cm sessile polyp removed piecemeal OR adenocarcinoma w/ minimal invasion and clear margins; next colonoscopy in ____.

Answer 12

2-6 mos

2-3 mos

Question 13

What is the initial test of choice for dermatomyositis?

Answer 13

ANA titers

Question 14

Why is a CXR required in the initial workup of dermatomyositis?

Answer 14

to screen for ILD

Question 15

What is the mechanism of increased mortality w/ Ca++ channel blocker use in MI?

Answer 15

hypotension–>reflex sympathetic activation