Rapid Review Preview #7

Question 1

Method used to calc fluid repletion in burn pts

Answer 1

Parkland formula: 4 mL per kg per % body surface area burned; Need maintenance fluids on top of this

Question 2

Salicylate ingestion results in what type acid-base disorder

Answer 2

Mixed disorder: Respiratory alkalosis + Metabolic acidosis with elevated anion gap

Question 3

Med used most commonly to induce ovulation

Answer 3

Clomiphene citrate; Can also use pulsatile Leuprolide

Question 4

Psychiatric condition in which person travels a long distance, takes a new name, & has no memory of prior life

Answer 4

Dissociative fugue

Question 5

Congenital infx may p/w blueberry muffin rash

Answer 5

Rubella

Question 6

Breast CA increases future risk of invasive carcinoma in both breasts

Answer 6

Lobular carcinoma in situ

Question 7

Classic sx of placenta previa

Answer 7

Painless vaginal bleeding, classically in 3rd trimester

Question 8

Active 4 yo boy has anterior knee pain - most likely Dx

Answer 8

Osgood-Schlatter disease

Question 9

Joint aspirate shows rhomboid shaped positively birefringent crystals

Answer 9

Pseudogout (calcium pyrophosphate crystals)

Question 10

Oral infx has branching rods when examined microscopically

Answer 10

Actinomyces israelii

Question 11

Next step in eval of pt w/ 2 consecutive pap smears w/ atypical squamous cells of undetermined significance (ASCUS)

Answer 11

Colposcopy w/ endocervical curettage

Question 12

45 yo obese F w/ pruritus, clay-colored stools, & dark urine has elevated Alk Phos & BUN - Dx

Answer 12

Biliary tract obstruction (many potential etiologies - e.g., gallstones)

Question 13

Diarrhea & pseudoappendicitis

Answer 13

Yersinia entercolytica

Question 14

More ethically unfavorable in DNR pt: withdrawing life-sustaining care or withholding it

Answer 14

Not matter; Both same thing from ethical standpoint

Question 15

Most likely cause of active lower GI bleed in pt > age 40

Answer 15

Diverticulosis

Question 16

Most common underlying cause of pathologic fractures in thin, elderly women

Answer 16

Osteoporosis

Question 17

Causative agent in pityriasis versicolor

Answer 17

Malassezia furfur

Question 18

Cause of CP in young pt w/ angina at rest, ST elevations but normal cardiac enzymes

Answer 18

Prinzmetal angina

Question 19

Hypercholesteromia tx that causes flushing & pruritis

Answer 19

Niacin

Question 20

Target lesions with a red center, pale zone, and darker outer ring appearing on palms and soles w/ prodrome of malaise & arthralgias? (he said malasias)

Answer 20

Erythema multiforme