Misc 4

Question 1

susceptible populations and characteristics of B2 deficiency

Answer 1

undernourished country
lactose intolerant
anorexic
celiac

stomatitis (edematous, sore throat)
cheilitis (fissures at corner of lips)
glossitis (hyperemic tongue)
normocytic anemia
seborrheic dermatitis

Question 2

tx of ascites, step by step

Answer 2

Na and water restriction to less than 2 L/day
spironolactone
furosemide
tap ascitic fluid (abd paracentesis)

Question 3

patients in developed country prone to pellagra

Answer 3

alcoholics
Hartnup disease
carcinoid
prolonged isoniazid therapy

Question 4

sxs of acute intermittent porphyria

Answer 4

N/V/abd pain
agitated
confused
paresthesias

Question 5

unfavorable metabolic side effects of thiazides

Answer 5

hyperglycemia
incr LDL and TG
hyperuricemia

Question 6

first step in suspected lead toxicity

Answer 6

draw lead lvl

Question 7

lead levels and tx

Answer 7

5-44: no meds, repeat lead in less than 1 month
45-69: DMSA
70+: dimercaprol + EDTA

Question 8

med to avoid in glaucoma

Answer 8

atropine

Question 9

ADR of hydroxychloroquine

Answer 9

retinopathy

Question 10

K sparing diuretics

Answer 10

triamterene

amiloride

Question 11

dx of malignant hypertension

Answer 11

HTN (180/120) with retinal hemorrhages, papilledema, or exudates

Question 12

2 types of hypertensive emergency

Answer 12

malignant HTN

hypertensive encephalopathy

Question 13

TCA overdose tx and indication

Answer 13

sodium bicarb if QRS greater than 100 ms

Question 14

malignant otitis externa sxs, cause, tx

Answer 14

severe nocturnal ear pain
purulent drainage
sense of fullness
conductive hearing loss

pseudomonas

anti pseudomonal (cipro is DOC)

Question 15

retinal detachment sxs

Answer 15

floaters
flashes of lights
curtain

see grey elevated retina

Question 16

ophth exam of central retinal artery occlusion

Answer 16

pale optic disc

cherry red fovea

Question 17

management of hypovolemic hypernatremia

Answer 17

isotonic 0.9% saline

when volume deficit restored, switch to half NS

Question 18

tx for euvolemic and normovolemic hypernatremia

Answer 18

D5W

Question 19

features of hereditary telangiectasia (Osler Weber Rendu syndrome)

Answer 19

diffuse telangiectasias
epistaxis
AVMs (can cause polycythemia and hemoptysis)

Question 20

Behcet syndrome characteristics

Answer 20

oral and genital ulcers
eye lesions (uveitis)
skin lesions (erythema nodosum)
thrombosis

Question 21

features of leukocyte adhesion deficiency

Answer 21

skin infxns (cellulitis, abscess)
mucosal (periodontal) infxns
lack purulence
delayed umbilical cord separation (more than 3 wks)
neutrophilia

Question 22

diff between methanol and ethylene glycol

Answer 22

methanol damages eyes

ethylene glycol damages kidneys

Question 23

methotrexate ADRs

and what to give with MTX

Answer 23

stomatitis
hepatotoxicity
BM suppression
alopecia

folate

Question 24

PCP vs bath salts

Answer 24

bath salts last about a week

Question 25

features of cyanide toxicity

Answer 25

AMS
lactic acidosis
seizures
coma

Question 26

Hashimoto’s antibodies

Answer 26

anti TPO

anti Tg

Question 27

risk factors for brain abscess

Answer 27

otitis media
frontal or ethmoid sinusitis
dental infxn
cyanotic heart disease

Question 28

features of wernicke encephalopathy

Answer 28

encephalopathy
oculomotor dysfunction
gait ataxia