MKSAP 5/20-

Question 1

Steroid sparing agent for GCA?

Answer 1

Toci

Question 2

Cyclophosphamide treats?

Answer 2

GPA

Question 3

necrotizing pancreatitis

Answer 3

dark areas on ct b/c loss of blood supply=loss of contrast

Question 4

O2 for air travel?

Answer 4

if <92%

Question 5

Low risk CAP treatment outpatient

Answer 5

amox alone

Question 6

Sinus Brady meds (other than beta blockers)

Answer 6

donepezil, neostigmine, pyridostigmine

Question 7

Mixed connective tissues disorder - Ab?

Answer 7

anti-U1 ribonucleoprotein antibodies - overlap syndrome with features of SLE, systemic sclerosis, inflammatory myositis

Question 8

At what % stenosis consider intervention on carotid artery?

Answer 8

> 70% consider, >80% do it

Question 9

Amiodarone associated thyroid disease - types and how to distinguish

Answer 9

TI: Grave’s associated, increased vascularity, treat with methimazole. TII: decreased vascularity, no underlying thyroid disease, sometimes treated with steroids - use US to distinguish

Question 10

Refractory gout rx?

Answer 10

If fail to achieve urate <6 w/febuxustat, allopurinol, try pegloticase

Question 11

Looking for hyperaldo if on an ARB

Answer 11

Expect renin to be suppressed. Also hypoK

Question 12

Rx refractory IBS-C

Answer 12

Linzess. Rx for IBC-D: eluxalodine

Question 13

Rx of GPA, also antibodies

Answer 13

Steroids+ritux - or cyclophosphamide (antiproteinase 3) - steroids+methotrexate are good for maintaining remission in non-severe dx

Question 14

Heartland virus vs. Eherlichia

Answer 14

Heartland does not respond to doxy, otherwise same presentation

Question 15

Best test for male hypogonadism

Answer 15

AM total testosterone

Question 16

Dolutegravir and bictegravir changes to labs

Answer 16

Increase creatinine by 0.2 to 0.3 and it’s ok

Question 17

B12 or folate deficiency on smear?

Answer 17

macrocytosis, macro-ovalocytes, hyperhsegmented NFs

Question 18

Sjogren’s increases risk of?

Answer 18

Lymphoma

Question 19

Rx tardive diskenesia

Answer 19

valbenazine (long term complication of D2 blocking meds like raglan) -

Question 20

stage I or II breast cancer without e/o mets imaging/

Answer 20

None needed

Question 21

Corticobasal degneration

Answer 21

parkinson plus syndrome - often asymmetric, apraxia, cognitive deficits

Question 22

What Maddrey score to give steroids?

Answer 22

32 or above

Question 23

max normal diameter of the aorta?

Answer 23

3 cm

Question 24

Indicators of complicated pleural effusion?

Answer 24

pH<7.2 or glucose <40