REVIEW QUIZZES

Question 1

Anti hypertensive CI in bilateral RAS

Answer 1

ACE - / ARBs

Question 2

Anti hypertensive CI in advanced RF

Answer 2

If hyperkalemic, ACE- and ARBs. Definitely not potassium sparing diuretics

Question 3

Anti hypertensive CI in gout patients

Answer 3

Thiazisdes

Question 4

Heart sounds considered benign when no evidence of disease?

Answer 4

Split S2 on inspiration
Early systolic, quiet
Split S1
S3 (if asymptomatic)

Question 5

What heart defect is associated with chromosome 22q11 deletions?

Answer 5

Truncus arteriosus, tetralogy of fallot

Question 6

What heart defect is associated with congenital rubella?

Answer 6

PDA, pulm artery stenosis

Question 7

Whath eart defect is associated with Turners syndrome

Answer 7

Coarctation

Question 8

What heart defect is associated with Marfans syndrome

Answer 8

Aortic regurg

Question 9

What medication combo is used in tx of TB meningitis

Answer 9

INH + ethambutol + pyrazinamide + rifampin

Question 10

Antidote to acetaminophen

Answer 10

N-acetylcysteine

Question 11

Antidote for lead

Answer 11

PEDS. Penicillamine, EDTA, Dimercaprol, Succinate

Question 12

Antidote to cyanide

Answer 12

Sodium thiosulfate, hydroxycobalamin, amyl/sodium nitrate

Question 13

B6 vitamin aids in formation of what NT?

Answer 13

GABA

Question 14

Antidote for methemoglobin

Answer 14

Vit C, methylene blue

Question 15

What bullous skin disease has a negative Nikolskys sign

Answer 15

Bullous pemphigoid

Question 16

What name is given to stress related hair loss and what is the tx

Answer 16

Telogen effluvium. Reassurance

Question 17

Two most common food borne bacterial GI tract infections in US

Answer 17

#1: salmonella
#2: campylobacter

Question 18

Findings seen in post-term pregnancy beyond 42 weeks gestation

Answer 18

Dry, peeling skin
Mature calcified placenta
Oligohydramnios
Passage of meconium in utero

Question 19

What annual screening is recommended for women wit strong family hx of ovarian CA

Answer 19

CA 125 and transvaginal US

Question 20

A one year old is able to cruise, use 2 finger pincer grasp, babble and imitate actions. what part of his development is delayed?

Answer 20

Language

Question 21

Which defense mechanism is a pedophile that enters a monastery using

Answer 21

Reaction formation

Question 22

Eye mx of corticosteroid use

Answer 22

Cataracts

Question 23

Acceptable urine output in a trauma patient?

Answer 23

50 cc/hr. In most normal patients its 30 cc/hr.

Question 24

Treatment of v fib

Answer 24

Defibrillate/CVN. If that does not work, give epi OR first dose vasopressin.

Question 25

What skin blistering disease has a positive Nikolskys sign

Answer 25

Pemphigus vulgaris

Question 26

MCC of bloody nipple discharge

Answer 26

Intraductal papilloma

Question 27

Which abx avoided during pregnancy?

Answer 27

DEF NOT fluoroquinolones or tetracyclines. Try to avoid ahminoglycosides, sulfonamides

Question 28

Tachy + wild fluctuations in BP + headache + diaphoresis + panic attacks

Answer 28

Pheochromocytoma

Question 29

Next step in dx of cholecystitis when U/S is equivocal?

Answer 29

HIDA

Question 30

MCC of fever of unknown origin

Answer 30

Infection Cancer Autoimmune

Question 31

Neonate has meconium ileus

Answer 31

CF or hirschsprungs

Question 32

Immunodeficiency with a positive nitroblue tetrazolium test

Answer 32

Chronic granulomatous disease

Question 33

Treatment for superior vena cava syndrome

Answer 33

Radiation! To reduce size of tumor. Also steroids.

Question 34

Common SE of ganciclovir

Answer 34

Pancytopenia

Question 35

Foscarnet

Answer 35

Protracted CMV, does NOT TREAT HERPES SIMPLEX. Common AE is nephrotox and electrolyte disturbances.

Question 36

18 yo pt comes in after removing a splinter yesterday and now has streaks of redness from heel up surface of lower leg. Most appropriate abx?

Answer 36

PCN. This is most likely an infection of the lymph (streaks) therefore strep is most likely organism.

Question 37

29 y.o. man undergoing chemo for AML now develops meningitis. What is your abx of choice?

Answer 37

Cefepime, 4th gen ceph. Great pseudomonal coverage and really good penetration of CNS/meninges.

Question 38

2 neurological sx NOT associated with carotid artery stenosis

Answer 38

Vertigo and syncope

Question 39

Ppx of PCP pneuma begins at what CD4?

Question 40

Ppx of PCP first line and second line

Answer 40

First line: tmp - smx | second line: dapsone OR dapsone + pyrimethamine

Question 41

Tx of PCP pneuma first and second line

Answer 41

First line: tmp - smx | second line: dapsone + tmp OR primaquine + clinda OR atovaquone alone

Question 42

Ppx of toxo begins at what CD4

Question 43

Ppx of toxo

Answer 43

TMP-SMX | Second line: atovaquone + pyrimethamine OR dapsone + pyrimethamine

Question 44

Tx of toxo first and second line

Answer 44

TMP-SMX or pyrimethamine + sulfadiazine | Second line: pyrimethamine + clindamycin

Question 45

Anti-HBs + anti HBc (IgG)

Answer 45

Recovery from a previous infection

Question 46

HBsAg + HBeAg + anti-HBc (igM)

Answer 46

Acute, active infection.

Question 47

When does anti - HBc become detected in the serum?

Answer 47

2-12 weeks after infection.

Question 48

HBsAg + anti - HBc (IgG)

Answer 48

Chronic HBV infection in the immune tolerant state. High circulating viral load with no evidence of liver inflammation.