Qbank Review

Question 1

Unexplained HTN in a young person?

Answer 1

Screen for coarctation of aorta

Question 2

RA can effect what joints?

Answer 2

MCP and PIP fingers

Cervical spine - spinal subluxation/compression

Question 3

Erythema Nodosum occurs with what diseases?

Answer 3

Sarcoidosis, TB, Histo, recent strep infection, IBD,

Question 4

L sided murmurs increase with _________.

Answer 4

Expiration

Question 5

Dystonia v. Myoclonus

Answer 5

Sustained contraction v. Clonic jerking

Question 6

Parkinson’s Tremor

Answer 6

Present at rest, 4-6 Hz, disappears with movement + rigidity

Treat with Trihexyphenidyl (antichol)

Question 7

HCV has a strong association with what 2 diseases?

Answer 7

Porphyria cutanea tarda - blistering lesions w/ sun exposure

Essential mixed cryoglobulinemia

Question 8

Essential mixed cryoglobulinemia

Answer 8

Palpable purpura, arthralgias, renal comp (membranoprolif glomerulonephritis) HCV

Question 9

Brainstem lesions

Answer 9

Alternate syndromes: Ipsi CN and Contra hemiplegia

Question 10

Mallory Weiss tears damage which vessels?

Answer 10

Submucosal gastric and esophageal arteries

Question 11

What masses are found in the anterior, middle and posterior mediastinum?

Answer 11

Anterior: Thymoma, retrosternal thyroid, teratoma, lymphoma - CT
Middle: Bronchogenic cyst - CT
Posterior: Neurogenic tumors, esophageal tumors, hernias, - MRI

Question 12

Red flags for back pain - what does this merit?

Answer 12

Age > 50
Previous hx of cancer
Lasts > 1 month
Failed prior therapy
Nighttime pain
Constitutional symptoms
**Back x-ray and ESR**

Question 13

Signs of cord compression merit what?

Answer 13

MRI

Question 14

What are the 3 anti-pseudomonal agents?

Answer 14

Cefepime
Meropenem
Pip/Tazo

Question 15

How do you treat febrile neutropenia?

Answer 15

Broad spec or single agent anti-pseudomonal

Question 16

Who gets osteomyelitis?

Answer 16

Sickle Cell
IV drug users
Immunosuppressed

Question 17

What gives you spherocytes?

Answer 17

Hereditary spherocytosis
Autoimmune HA (Warm agglutinin) + Coombs test

Question 18

Parvovirus B19 can mimic what?

Answer 18

RA: symmetric arthritis of hands, knees, and ankles

Question 19

Chikungunya fever

Answer 19

Carribbean: fever, peripheral edema, rash, LAD, polyarthralgias
+Lymphopenia and thrombocytopenia
-Viral mosquito-borne

Question 20

Cirrhosis + Ascites + fever or Δmental status = ??

Answer 20

Paracentesis - SBP?

> 250 PMN or >500 bacteria

Question 21

What are indicators of an inflammatory cause of back pain?

Answer 21

Better w/ activity, no improvement with rest
Gradual onset
Onset

Question 22

Pulsus Paradoxus (>10 drop in SBP with inspiration)

Answer 22

Tamponade
Asthma
COPD

Question 23

How do you treat trigeminal neuralgia?

Answer 23

Carbamazepine