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Old Wall Quizzes > Old Wall Quiz #11 > Flashcards

Old Wall Quiz #11 Flashcards

1
Q 
1. A 7 y/o child presents with nocturnal vulvar
and perianal itching. What is the most
appropriate treatment?
A. Benadryl
B. Corticosteroids
C. Metronidazole
D. Mebendazole
E. Tinidazole
A

d

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2
Q
  1. Which radiological study is the most harmful
    to the fetus?
    A. Double contrast barium enema
    B. Pulmonary digital subtraction angiography
    C. Intravenous pyelogram
    D. CT of pelvis
    E. Lumbar spine Radiograph
A

d

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3
Q
  1. Of the following, which action is not
    reportable to the National Practitioner Data
    Bank?
    A. Medical malpractice payments as a result of
    written judgement
    B. Negative actions reported by peer review
    C. Restriction of privileges greater than 30
    days
    D. Meeting with executive medical board due
    to patient complaint
A

d

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4
Q 
6. Whole-exome sequencing of fetal DNA can
be obtained by all the following EXCEPT:
A. Placental tissue
B. Amniocentesis
C. Chorionic villi
D. Umbilical cord blood
A

a

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5
Q
  1. The best first line treatment for suspected
    Carpel tunnel syndrome during pregnancy is?
    A. Injection of steroids
    B. Wrist splint
    C. NSAIDS
    D. Diuretics
    E. Surgery
A

b

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6
Q 
9. The most common cause of duodenal ulcer
in women over 30 years old is:
A. Stress
B. Alcohol abuse
C. Tobacco abuse
D. Infection
E. NSAID use
A

d

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7
Q 
10. Pneumococcal vaccine should be given to
all the following patients EXCEPT:
A. Pregnant at 30 weeks with pulmonary
disease
B. 64 y/o with type II Diabetes mellitus
C. 41 y/o with sickle cell disease
D. Patients over 60 y/o
E. Undergoing Chemotherapy treatment
A

d

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8
Q 
12. Which of the following is the most cost
effective laboratory test recommended for the
evaluation of Hyperandrogenism?
A. Total Testosterone
B. 17 Hydroxyprogesterone
C. Free androgen index
D. Non SHBG- bound testosterone
E. DHEA-S
A

a

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9
Q
  1. A pregnant patient presents to the Emergency
    Room in unresponsive with a known history of
    hypopituitarism. In addition to supplementation
    with glucocorticoids, what else should be replaced?
    A. Dextrose
    B. Hydrocortisone
    C. Prednisone
    D. Thyroxine
    E. Growth Hormone
A

d

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10
Q 
14. When is Intrauterine Cytomegalovirus
infection transmission the highest?
A. First trimester
B. Second trimester
C. Third trimester
D. After conception
E. During birth
A

c

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11
Q
  1. A 16 y/o presents with primary amenorrhea
    and abdominal pain and you suspect an outflow
    tract obstruction. What is the next best test
    prior to surgical intervention?
    A. Intravenous pyelogram
    B. MRI
    C. Laparoscopy
    D. Trans-perineal U/S
    E. CT scan abdomen
A

b

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12
Q 
16. Which antitumor metabolite must be
administered carefully by IV injection because of
extravasation leads to skin necrosis and
ulceration?
A. Actinomycin D
B. Bleomycin
C. Carboplatin
D. Doxorubicin
E. Etoposide
A

d

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13
Q 
18. What is the initial recommended first line
treatment for rhinosinusitis?
A. Tetracycline
B. Nasal oxymetazoline
C. Nasal saline flush
D. Erythromycin
E. Ampicillin
A

b

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14
Q 
18. What is the initial recommended first line
treatment for rhinosinusitis?
A. Tetracycline
B. Nasal oxymetazoline
C. Nasal saline flush
D. Erythromycin
E. Ampicillin
A

c, wall says b

Harvard says c. https://www.health.harvard.edu/diseases-and-conditions/what_to_do_about_sinusitis

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15
Q 
22. All of the following are second trimester
sonographic markers associated with Down
Syndrome fetuses EXCEPT:
A. Hyperechoic bowel
B. Shortened femur
C. Renal Pyelectasis
D. Duodenal atresia
E. IUGR
A

e

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16
Q 
23. What is the best clinical way to suspect a
diagnosis of osteoporosis?
A. Head of femur fracture
B. Radius fracture
C. Tooth loss
D. Loss of height
E. Bone turnover markers
A

d

17
Q 
24. What pupillary reaction do you see in
patients with barbiturate abuse?
A. Injected conjunctiva
B. Constricted pupils
C. Dilated pupils
D. Pupillary size not affected
E. Lateral nystagmus
A

d

18
Q 
25. All of the following fetal effects are most
likely seen with the use of an Angiotensin
receptor blocker (ARB) during pregnancy
EXCEPT:
A. Renal tubular dysplasia
B. Fetal limb contractures
C. Fetal skull ossification defects
D. Cardiac anomalies
E. Hypoplastic lung development
A

d

19
Q 
27. A patient who is 8 weeks pregnant and has a
IUD in place. What is the least likely outcome if
the IUD is not removed?
A. Spontaneous abortion
B. Septic Abortion
C. Fetal limb malformations
D. Preterm delivery
E. Sepsis
A

c

20
Q 
28. What is the not the best way to examine an
3 y/o patient?
A. Frog leg
B. Lateral Decubitus
C. Knee chest
D. Prone
E. Lithotomy on mothers Lap
A

b

21
Q
  1. A patient presents with complaints of
    vaginal itching and a white discharge. Vaginal
    pH-3.4 KOH prep and wet mount is negative.
    What is the next best step in evaluation?
    A. GC-DNA probe
    B. Chlamydia culture
    C. Culture for yeast
    D. PCR
    E. Terconazole cream
A

c

22
Q 
31. Most common cause of cancer death
among women is?
A. Breast
B. Colon
C. Lung
D. Cervix
E. Endometrial
A

c

23
Q 
39. All of the following are risk factors for
wound dehiscence EXCEPT
A. Malignancy
B. Sepsis
C. Chronic Lung disease
D. Previous wound infection
E. Advanced age
A

d

24
Q 
40. A 48 year old women presents with
symptoms and biopsy findings consistent with
invasive vulvar Paget's disease. What is the next
step in management?
A. Ultrapotent corticosteroid ointment
B. Radical partial vulvectomy
C. Total simple vulvectomy
D. Excisional biopsy
E. Topical steroid cream
A

b

25
Q 
41. Which of the following is not a
contraindication to robotic surgery?
A. Acute glaucoma
B. Retinal detachment
C. Chronic liver disease
D. Increased intracranial pressure
E. Ventriculoperitoneal shunts
A

c

26
Q
  1. An 80 y/o s/p hysterectomy presents for
    evaluation due to a grade 3 vaginal prolapse
    with a failed pessary trial. What is the most
    indicated procedure if she is not sexually active?
    A. Lefort procedure
    B. Trial of gelhorn pessary
    C. Sarcospinous fixation
    D. Abdominal hysterectomy
    E. Colpocleisis procedure
A

e

27
Q
  1. Acute respiratory distress syndrome is
    associated with all of the following EXCEPT
    A. PCWP < 12 mmHg
    B. PO2 < 50 mmHg
    C. Increased Lung compliance
    D. Increasing Capillary permeability
    E. Metabolic alkalosis
A

c

28
Q 
45. Which condition is least likely to be associated
with abnormal maternal serum Alpha-Fetoprotein
concentrations?
A. Trisomy 18
B. Trisomy 21
C. Sacrococcygeal teratoma
D. Congenital hypothyroidism
E. Gastroschisis
A

d

29
Q
  1. Which of the following histologic types of
    vulvar cancer has the most favorable
    prognosis?
    A. Squamous cell carcinoma arising from a
    Bartholin gland
    B. Basal cell carcinoma
    C. Merkel cell carcinoma
    D. Melanoma 4 mm in thickness
    E. Paget’s disease with underlying apocrine
    gland adenocarcinoma
A

b

Old Wall Quizzes (12 decks)

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