RoshR2

Question 1

What can cause increased optic sheath diameter?

Answer 1

Increased intracranial pressure
Optic neuritis
Trauma
Cavernous sinus mass
Anterior orbit mass

Question 2

Lab result for Guillain barre

Answer 2

Albuminocytologic dissociation (high protein, low WBC in CSF)

Question 3

Medication used to treat ACE inhibitor induced angioedema

Answer 3

C1 esterase inhibitor or icatibant

Question 4

When is treatment started in patients with ITP?

Answer 4

When platelets <30 or clinically significant bleeding

Question 5

Treatment for epididymitis in non sexually active?

Answer 5

Levofloxacin (coverage for ecoli and pseudomonas)

Question 6

Prehn sign

Answer 6

Pain relief with manual elevation of scrotum (suggest epididymitis over testicular torsion)

Question 7

Treatment for hereditary angioedema

Answer 7

C1 esterase inhibitor or FFP

Question 8

Treatments for achalasia

Answer 8

Nitroglycerin, Botox into sphincter muscle or surgical myotomy

Question 9

Fascia iliaca block is done between which 2 muscles?

Answer 9

Iliacus and sartorius

Question 10

What is the second line med for Lyme disease, and who cannot get doxycycline?

Answer 10

Amoxicillin
People with allergies
Doxy CAN be used in children if less than 21 day course

Question 11

What is the most common injury leading to compartment syndrome

Answer 11

Tibial fracture

Question 12

What organism is known for causing adult onset asthma

Answer 12

Chlamydia pneumoniae

Question 13

Congenital heart lesions that cause cyanosis

Answer 13

5 Ts:
Tetralogy
Transposition
Tricuspid atresia
Truncus arteriosus
Total anomalus pulmonary return

Question 14

What side affect should be monitored for during prostaglandin administration in infants?

Answer 14

Apnea

Question 15

EKG changes in L ventricular aneurysm

Answer 15

Persistent ST elevations (>2wks) in leads v2-v4 following acute MI with Q or QS waves

Question 16

Other than Mag and defibrillation, what is another treatment for torsades?

Answer 16

Increase HR (shortens ventricular response), known as overdrive pacing

Question 17

What kind of cardiomyopathy are a side effect of HIV antiretroviral therapy?

Answer 17

Dilated cardiomyopathy

Question 18

What is the minimum volume of blood required to diagnose hemothorax on cxr?

Answer 18

300mL

Question 19

EKG changes of acute lithium toxicity

Answer 19

QT prolongation

Question 20

Most common nerve injury associated with anterior shoulder reduction

Answer 20

Axillary nerve

Question 21

After post exposure HIV testing, when should a patient receive repeat HIV testing to ensure negative results?

Answer 21

6 weeks, 12 weeks, 6 months

Question 22

At what DOL does gonorrhea neonatal conjunctivitis typically present?

Answer 22

DOL 2-5

Question 23

Which commonly used steroid has the least mineralocorticoid activity?

Answer 23

Dexamethasone

Question 24

Monteggia fracture dislocation

Answer 24

Proximal ulna fracture and radial head dislocation