June 8

Question 1

can you use glucocorticoids to treat cerebral edema in a patient with traumatic brain injury?

Answer 1

no - steroids increase death in patients wtih TBI

Question 2

treatment of severe digoxin toxicity?

Answer 2

digoxin antibodies

Question 3

treatment of mercury poisoning?

Answer 3

dimercaprol

Question 4

treatment of caustic ingestino?

Answer 4

copious irrigation, activated charcoal

DO NOT MAKE PATIENT VOMIT

Question 5

treatment of pusless electrical activity

Answer 5

CPR, epinperphine, consider vasopression

treat cause

Question 6

all penetrating abdominal trauma requires..

Answer 6

exploratory laparotomy

Question 7

autologous blood donation is..

Answer 7

blood taken from the patient, given to the patient

Question 8

what is posttransfusion purpura?

Answer 8

thrombocytopenia that develops 5-10 days after transfusion

Question 9

treatment of posttransfusion purpura?

Answer 9

IVIG, plasmapheresis

Question 10

what is phenylephrine?

Answer 10

agonist for alpha adreneric

Question 11

what can you give patients with renal insufficiency that have to receive contrast?

Answer 11

N-acetyl-cysteine

Question 12

a woudn healing by secondary intention is left open to heal by…

Answer 12

epithelialization

Question 13

when do you use delayed primary closure of a wound?

Answer 13

heavily contaminated wounds - leave open for a few days and clean before closure

Question 14

waxy tight skin, with purple rash, is seen in which condtion?

Answer 14

AL amyloidosis

Question 15

presentation of osteopetrosis?

Answer 15

fractures, impaired fracture healing, blind/deaf, variable neuro symptoms

Question 16

lab findings in osteopetrosis?

Answer 16

decreased Hb, decreased hematocrit, increased CK and acid phosphatase

Question 17

treatment of osteopetrosis?

Answer 17

bone marrow transfusion

Question 18

osteoporosis is less likely to occur in…

Answer 18

obese people (weight on bones helps prevent osteopenia)

Question 19

probenicid MOA

Answer 19

inhibits kidney uric acid resorption

Question 20

inflammatory cells are found ____ muscle fasciles in POLYMYOSITIS

Answer 20

WITHIN

Question 21

inflammatory cells are found ____ muscle fasciles in DERMATOMYOSITS

Answer 21

SURROUNDING

Question 22

pencil in cup deformity is seen in….

Answer 22

psoriatic arthritis

Question 23

path of aromatase deficiency

Answer 23

inability to convert DHEAS to estradiol

Question 24

what is elevated in aromatose deficiency (DHEAS or DHEA)?

Answer 24

DHEAS

Question 25

A patient has a glucagonoma. What medication can we give them to immediately improve symtoms?

Answer 25

ocreotide - suppresses secretion of glucagon

Question 26

treatment of primary CNS lymphoma?

Answer 26

methotrexate

brain radiation

Question 27

is unilateral lymphadenopahty more likely bacterial or viral?

Answer 27

bacterial

Question 28

what amniotic fluid index is considered polyhydramnios?

Answer 28

> 24

Question 29

which two genetic diseases have a cherry red spot?

Answer 29

tay sachs

neimen pick

Question 30

what is deficient in neiman pick disease?

Answer 30

sphingomyelinase

Question 31

what is deficient in tay sachs disease?

Answer 31

B-hexosaminidase

Question 32

when does depression screening start?

Answer 32

age 12

Question 33

when does autism screening occur?

Answer 33

18 months and 2 years

Question 34

when is vision evaluated in a child?

Answer 34

every well child visit

Question 35

waxy tight skin, with purple rash, is seen in which condtion?

Answer 35

AL amyloidosis

Question 36

what is the most common kidney problem caused by IV acyclovir?

Answer 36

crystal induced acute kidney injury