Random

Question 1

Multiple erythematous plaques and vesicles on calves b/l 2 days after a hiking trip…. diagnosis and treatment

Answer 1

Dx- Contact dermatitis

Tx- Calamine - a zinc-based compound used as an antipruritic in conditions like insect bites, dermatitis, and rashes

Question 2

The presence of abdominal pain, dark-colored stools, vomiting, leukocytosis, and anion gap metabolic acidosis in a child who possibly ingested an unknown medication indicates

Answer 2

Iron poisoning

Question 3

local anesthetic that provides the shortest duration of analgesia

Answer 3

Chloroprocaine is a short-acting, local anesthetic with an onset of 6–12 minutes and duration of action of < 60 minutes

Question 4

Vitamin C deficiency (scurvy) characteristic findings

Answer 4

Mucosal bleeding, coiled hairs (corkscrew hairs), perifollicular hemorrhages, anemia (fatigue, pallor), and easy bruising

Question 5

Botulism is caused by what mechanism

Answer 5

Botulinum toxin, which acts by irreversibly inhibiting ACh release from motor end plates in the neuromuscular junction

Question 6

What vaccine should all pregnant women receive and when?

Answer 6

All pregnant women should receive a single dose of Tdap between the 27th and 36th week of pregnancy.

Question 7

woman has a photosensitive blistering rash associated with chronic skin changes and brown discoloration of the urine.

Answer 7

porphyria cutanea tarda (PCT).

Question 8

A temperature above 40°C, an altered mental status, and rhabdomyolysis (greatly elevated creatine kinase with myoglobinuria and acute kidney injury) in a young, otherwise healthy individual who has been working in a boiler room

Answer 8

Heat stroke

Question 9

Next best course of action for heat stroke

Answer 9

Ice water immersion is the treatment of choice for heatstroke. Because high core body temperatures can result in permanent neurologic and organ damage, ice water immersion should be initiated as soon as possible with the goal of reducing core body temperature to below 40°C within 20–30 minutes

Question 10

First-line treatment for delirium in agitated patients.

Answer 10

Haloperidol

Question 11

Which cancer despite large volume of tumor spread still benfits from surgical removal of original tumor

Answer 11

Ovarian Cancer

Question 12

Treatment for Metastatic prostate cancer

Answer 12

Flutamide (testosterone receptor blocker)

Luprolide or goserline (GnRH agonist)

Question 13

Lung Cancer screening presents at what age

Answer 13

All smokers with more than 30 pack years between 55-75 annually

Question 14

Treatment of small cell Cancer

Answer 14

Radiation + Etoposide + Cisplatin

Question 15

The most common lung cancer

Answer 15

Squamous cell

Question 16

Difference between wet & dry beriberi

Answer 16

wet - high cardiac output failure

dry- peripheral neuropathy

Question 17

Selenium deficiency

Answer 17

cardiomyopathy and muscle pain

Question 18

Selenium toxicity

Answer 18

loss of hair and nails

Question 19

Zinc deficiency

Answer 19

Hypoguesia (decreased taste)
rash
slow wound healing

Question 20

Chromium deficiency

Answer 20

impaired glucose tolerance

Question 21

Prolonged therapy of abx can cause a deficiency in which vitamin

Answer 21

Vit K (due to elimination of gut flora which synthesize vit k)