Rosh

Question 1

tx for essential tremor

(worse w/ movement, better with ETOH)

Answer 1

propanolol

Question 2

People with travel to where have incr risk of histoplasmosis

Answer 2

Patient with a history of travel to Ohio/Mississippi river valleys and exposure to bird/bat droppings

Question 3

tx for histoplasmosis

Answer 3

itraconazole

or

amphotericin B

Question 4

which alzheimers drug is neuroprotective

Answer 4

memantine

Question 5

2 tx options for alzheimers

Answer 5

Donepezil (cholinesterase inhibitor)

Memantine (NMDA antagonist)

Question 6

microscopy of the brain showing:

amyloid plaques and neurofibrillary tangles

Answer 6

Alzheimers

Question 7

test for sjorgen syndrome

Answer 7

Schirmer test

Question 8

anti-Ro

anti-La

Answer 8

Sjorgen syndrome

Question 9

tx for sjorgens

Answer 9

pilocarpine

Cevimeline

Question 10

what med is used as the induction agent during intubation in patients with severe asthma?

Answer 10

ketamine

Question 11

African American Female

+

Bilateral hilar lymphadenopathy

+

Erythema nodosum

Answer 11

Sarcoidosis

Question 12

What is seen on labs w/ sarcoidosis

Answer 12

Elevated ACE

Elevated Calcium

Question 13

what is seen on bx with sarcoidosis

Answer 13

noncaseating granulomas

Question 14

what is seen on labs in reactive arthritis

Answer 14

HLA-B27

Question 15

Optic neuritis

lhermitte sign

fatigue

heat sensitivity

Answer 15

MS

Question 16

treatment for acute attacks in MS

Answer 16

glucocorticoids

Question 17

what will CSF show in MS

Answer 17

↑ IgG protein, WBC pleocytosis

Question 18

What are the 5 hallmarks of adrenal crisis

Answer 18

profound weakness

severe abdominal pain

peripheral vascular collapse

electrolyte abnormalities (hyponatremia, hyperkalemia)

shock.

Question 19

tx for myasthenia gravis

Answer 19

pyridostigmine

Question 20

what type of tumor is a/w myasthenia gravis

Answer 20

thymoma

Question 21

“honecombing” on CXR or CT

Answer 21

idiopathic pulmonary fibrosis

Question 22

which antihypertensive MCly causes pedal edema

Answer 22

amlodipine

Question 23

what virus is associated with several types of hodgkin lymphoma

Answer 23

Epstein-Barr Virus

Question 24

Reed-Sternberg Cells

Answer 24

Hodgkins lymphoma

Question 25

what patients are at risk of developing heart failure

Answer 25

h/o myopathy familial heart disease rheumatic heart disease **hyperthyroidism** pheochromocytoma dyslipidemia **diabetes mellitus** hypertension sleep apnea peripheral arterial disease substance abuse chemo/radiation to the chest.

Question 26

What is the gold standard in the diagnosis of acute angle closure glaucoma

Answer 26

Gonioscopy

Question 27

what is a possible SE of sildenafil

Answer 27

**_cyanopsia,_** or blue discoloration of vision

Question 28

what other rheum condition is a/w polymyalgia rheumatica

Answer 28

giant cell arteritis

Question 29

Mitral regurg vs mitral prolapse: * A) Murmur= turbulent blood flow across redundant mitral valve tissue * Late systolic murmur preceded by a click * B) EARLY systolic murmur * Holosystolic decrescendo murmur

Answer 29

* MV prolapse * Murmur= turbulent blood flow across redundant mitral valve tissue * Late systolic murmur preceded by a midsystolic click * Mitral regurg * EARLY systolic murmur * Holosystolic decrescendo murmur

Question 30

1st line therapy for trigeminal neuralgia

Answer 30

carbamazepine

Question 31

MCC death of patients with RMSF

Answer 31

myocarditis

Question 32

Tx for RMSF if PCN allergy

Answer 32

chloramphenicol (1st line, no PCN allergy= doxy)

Question 33

acute tx of mitral regurg

Answer 33

nitroprusside, dobutamine, intra-aortic balloon pump, emergency surgery

Question 34

chronic tx of mitral regurg

Answer 34

anticoagulation, CHF rx, valve replacement

Question 35

tx for peripheral vascular disease

Answer 35

Aspirin, cilostazol, rosuvastatin, smoking cessation, and structured exercise

Question 36

What lab findings are seen in RA

Answer 36

RF **anti-cyclic citrullinated peptide** antibodies (more specific)

Question 37

What bacteria MCly causes Erysipelas

Answer 37

strep pyogenes

Question 38

tx for Erysipelas

Answer 38

* systemic symptoms: IV **cefazolin, ceftriaxone or flucloxacillin** * Mild to moderate infections (without systemic symptoms): PO **amoxicillin or cephalexin**

Question 39

which cholesterol med can cause hyperuricemia

Answer 39

niacin

Question 40

what is the MC complication of ankylosing spondylitis

Answer 40

uveitis

Question 41

someone with perioral dermatitis will most likely have what in their history

Answer 41

topical steroid use

Question 42

tx for perioral dermatitis

Answer 42

Topical: metronidazole or erythromycin Oral: Tetracyclines NO TOPICAL CORTICOSTEROIDS