june 4

Question 1

occlusion of the ___ leads to lateral medullary syndrome

Answer 1

PICA

Question 2

livedo reticularis and peripheral edema are side effects of which parkinsons drug?

Answer 2

amantidine

Question 3

is bupivicaine a long acting or short acting local anesthetic?

Answer 3

long acting

Question 4

Respiratory symptoms in patients wtih ALS are often more prominent at…

Answer 4

night time (when gravity isn’t helping with chest expansion)

Question 5

blood findings in a patient with systemic juvenile idiopathic arthritis?

Answer 5

leukocytosis

thrombocytosis

Question 6

electrolyte disturbance caused by acetelzolamide?

Answer 6

hypokalemia

Question 7

major manifestation of chronic lung transplant rejection?

Answer 7

bronchiolitis obliterans

Question 8

should you use tocolytics in PPROM?

Answer 8

NO - premature contractions often indicate something is wrong

Question 9

can nitrufurantion treat pyelonephritis?

Answer 9

no - poor penetration of kidney. Better for UTI

Question 10

treatment of bacillary angiomatosis?

Answer 10

oral erythromycin

Question 11

endometrial cells on pap smear are an abnormal finding in women aged >….

Answer 11

45

Question 12

should a patient with chronic hep C be vaccinated against hep B and hep A?

Answer 12

yes - unless already immune

Question 13

churg strauss AKA

Answer 13

eosinophilic granulomatosis with polyangitis

Question 14

presentation of churg strauss?

Answer 14

-asthma
-eosinophilia
-poly/mononeuropathy
-pulmonary infiltrates
-

Question 15

what antibodies are seen in churg strauss syndrome?

Answer 15

p-ANCA

Question 16

all men and women over age 35 should be screened for…

Answer 16

lipid disorders

Question 17

number 1 risk factor for stroke =

Answer 17

hypertension

Question 18

acute sinusitis is most commonly…

Answer 18

VIRAL

Question 19

how to treat stable pericarditis?

Answer 19

antiinflammatories (NSAIDS, colchicine)

Question 20

do you need to do pericardiocentesis in a patient with a small effusion pericarditis?

Answer 20

no

Question 21

a child with FS has…

Answer 21

sickle cell disease

Question 22

a child with FAS has…

Answer 22

sickle cell trait

Question 23

all children under 5 years old with sickle cell disease require…

Answer 23

penicillin prophylaxis

Question 24

progressive lengthening of the PR interval preceeding a dropped beat =

Answer 24

Mobitz Type I heart block

Question 25

Consistent PR interval before a dropped beat =

Answer 25

Mobitz Type II heart block

Question 26

ascites wiht neutrophil count over ___ is consistent with spontaneous bacterial peritonitis

Answer 26

250

Question 27

treatment of choice for spontaneous bacterial peritonitis?

Answer 27

third gen cephalosporin

Question 28

presentation of MSG symptom complex?

Answer 28

chest tightness, facial flushing, nausea, giddiness, sweating, urticaria

Question 29

treatment of catatonia?

Answer 29

benzos

Question 30

common complication of bacterial meningitis?

Answer 30

hearing loss

Question 31

bicarb levels in HHS?

Answer 31

normal or mild decrease

Question 32

spasticity of the lower extremities is seen in the advanced form of which neuro complication of toxo?

Answer 32

chronic hydrocephalus

Question 33

which antiseizure medication is associated with acute pancreatitis?

Answer 33

valproic acid

Question 34

does esophageal spasm cause ECG changes?

Answer 34

NOOOOOO

Question 35

most common cardiac defect in edwards syndrome?

Answer 35

VSD

Question 36

is CK elevated in polymyalgia rheumatica?

Answer 36

no

Question 37

is ESR elevated in polymyalgia rheumatica?

Answer 37

yes

Question 38

uncontrolled epilepsy is a contraindication for which vaccine?

Answer 38

TDAP