Part 2

Question 1

Etiologies of acute pancreatitis

Answer 1

BAD HITS

Biliary causes
Alcohol
Drugs
Hypertriglyceridemia/Hypercalcemia
Idiopathic
Trauma (eg ERCP)
Scorpion sting

Question 2

Renin-secreting cells

Answer 2

JG cells secrete renin (in response to decreased blood flow to kidneys)

Question 3

Manifestations of pancreatic insufficiency

Answer 3

Diarrhea
Steatorrhea
Def. of A, D, E, K vitamins
Malabsorption and weight loss

Question 4

Muscle rigidity
Hyperthermia
Cardiovascular collapse

Answer 4

Serotonin syndrome

Question 5

Artery prevents horseshoe kidney from ascending

Answer 5

Inferior mesenteric artery

Question 6

Symmetric ascending paralysis/weakness

Answer 6

Guillain-Barre

other features:
Facial paralysis
autonomic dysfunction
precedes Campylobacter or Herpes infection

Question 7

Risk factors for HCC?

Answer 7

Hep B and C
Hemochromatosis
a1-antitrypsin deficiency
hepatic adenoma
cirrhosis

Question 8

TCA overdose

Answer 8

convulsions
coma
cardiotoxicity (3 C’s)

hyperpyrexia
respiratory depression

Question 9

Describe what is seen in both eyes if RIGHT CN II is damaged prior to pretectal nucleus:

Answer 9

afferent pupil defect

Question 10

Major ECG changes in myocardial infarction

Answer 10

ST elevation >= 1 mm in 2 contiguous leads
T wave inversion
New LBBB
New Q waves >= 1 block wide, or 1/3 height of QRS

Question 11

Preferred anti-hypertensive in aortic dissection

Answer 11

Beta blockers

Question 12

Primary syphillis derma findings

Answer 12

painless chancre

Question 13

Secondary syphillis derma findings

Answer 13

maculopapular rash on palms and soles

condylomata lata

Question 14

Tertiary syphillis derma findings

Answer 14

gummas

Question 15

CXR finding in aortic dissection:

Answer 15

mediastinal widening

Question 16

G cells secrete:

Answer 16

gastrin

Question 17

I cells secrete

Answer 17

CCK

Question 18

S cells secrete

Answer 18

secretin

Question 19

D cells secrete

Answer 19

somatostatin

Question 20

Parietal cells secrete

Answer 20

gastric acid and IF

Question 21

Chief cells secrete

Answer 21

pepsinogen and chymosin

Question 22

Glaucoma pathogenesis

Answer 22

Obstruction that prevents reabsorption at canal of Schlemm

Increased IOP –> retinal/optic nerve damage

Question 23

Gram(-) rods in neonate with pneumonia

Answer 23

E. coli

Question 24

Gram(+) cocci in neonate with pneumonia

Answer 24

Group B strep

Question 25

Gram(+) cocci in pairs

Answer 25

Strep pneumo

Question 26

Gram(+) cocci in clusters

Answer 26

Staph aureus

Question 27

Tearing chest pain radiating to back

Answer 27

Aortic dissection

Question 28

antihypertensives in pregnancy

Answer 28

“Hypertensive Moms Love Nifedipine”

Hydralazine
Methyldopa
Labetalol
Nifedipine

Question 29

NMS symptoms

Answer 29

Delirium
Autonomic dysfunction (tachycardia)
Muscle rigidity
Myoglobinuria
Hyperpyrexia