OME - Day 18

Question 1

40 year old woman with pruritus, dark urine, and an elevated direct bilirubin, without pain, diagnosis?

Answer 1

Primary Biliary Cirrhosis

Question 2

Clay colored stools, painless jaundice, diagnosis?

Answer 2

Cancer or Stricture, MRCP

Question 3

Painful right upper quadrant, tenderness, and jaundice, diagnosis?

Answer 3

Gallstones (choledocolithiasis)

Question 4

The question is about jaundice, there is a lot of T Bili but very little D. Bili - what’s the diagnosis?

Answer 4

Hemolysis or Hematoma

Question 5

Hep B C Ab means what?

Answer 5

Immune through exposure

Question 6

Hep B e Ag means what?

Answer 6

Infectious

Question 7

Hep B prophylaxis?

Answer 7

Hep B IVig

Question 8

Hep B s Ag means what?

Answer 8

Infected

Question 9

Hep Bs Ab means what?

Answer 9

Immune

Question 10

Hep C post-exposure prophylaxis?

Answer 10

Interferon

Question 11

What is the Hep C treatment?

Answer 11

Direct Acting agonist

Question 12

What’s the route for transmission of Hep A?

Answer 12

Fecal Oral

Question 13

What’s the route for transmission of Hep B?

Answer 13

Vertical (Asia), Sex (US)? Hep B

Question 14

What’s the route for transmission of Hep C?

Answer 14

Blood (IV drugs or Blood transfusions)

Question 15

> 50,000 white cells on arthrocentesis, diagnosis?

Answer 15

Septic Arthritis

Question 16

10,000 white cells on arthrocentesis, diagnosis?

Answer 16

Inflammatory Arthritis

Question 17

ANA positive, dx?

Answer 17

Lupus

Question 18

Anti-Centromere Antibodies?

Answer 18

Scleroderma / CREST

Question 19

Anti-Histone Antibodies?

Answer 19

Drug-Induced Lupus

Question 20

CCP positive, dx?

Answer 20

Rheumatoid Arthritis

Question 21

RF positive, dx?

Answer 21

Rheumatoid Arthritis

Question 22

Topoisomerase Antibodies positive, dx ?

Answer 22

Scleroderma (you won’t see it as Scl-70)

Question 23

Anti-histone antibodies?

Answer 23

Drug-induced lupus

Question 24

How do you diagnose Antiphospholipid Antibody Syndrome?

Answer 24

Russel Viper Venom

Question 25

How do you treat a lupus flare?

Answer 25

Prednisone

Question 26

How do you treat lupus nephritis?

Answer 26

Cyclophosphamide

Question 27

How do you treat lupus?

Answer 27

Hydroxychloroquine

Question 28

Lupus and renal failure, what do you do next?

Answer 28

Get a biopsy (lupus nephritis)

Question 29

Name drugs that can cause drug-induced lupus?

Answer 29

Procainamide, Hydralazine, Alpha-Methyl-Dopa

Question 30

Picture of a face with a rash that spares nasolabial folds, diagnosis?

Answer 30

Malar Rash, lupus

Question 31

Vegetation on BOTH sides of a valve, diagnosis?

Answer 31

Libman Sacks Endocarditis (LSE for SLE)