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
2
Q
- 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
3
Q
- 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
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
5
Q
- 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
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
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
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
9
Q
- 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
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
11
Q
- 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
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
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
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
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
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
- 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
- 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
- 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
- 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
