Step3 9

Question 1

EKG findings on WPW

Answer 1

Short PR
Widened QRS >120ms
Delta wave

Question 2

Treatment of WPW

What exacerbates?

Answer 2

Procainamide, amiodarone, ibutilde

Ablation if symptomatic (tachyarrhythmia)

Supraventricular tachy most common
exacerbated by alcohol

Question 3

Treatment for Comedonal Acne

Answer 3

Topical retinoid

Salicylic, azelaic, glycolic acid

Question 4

Treatment for Inflammatory acne

Answer 4

Mild: Topical retinoid + benzoyl peroxide
Moderate: add topical antibiotic
Severe: add oral antibiotic

Question 5

Treatment for cystic acne

Answer 5

Moderate: Topical retinoid + benzoyl peroxide + topical antibiotic
Severe: add oral antibiotic
Severe unresponsive: oral isotretinoin

Question 6

Anabolic steroid abuse

Musculoskeletal

Answer 6

Increase muscle mass

Question 7

Anabolic steroid abuse

Hematologic

Answer 7

Erythrocytosis

Question 8

Anabolic steroid abuse

Endocrine

Answer 8

Increase LDL

Decreased HDL

Low LH, FSH

Question 9

Anabolic steroid abuse

Reproductive (5)

Answer 9

Low testosterone, FSH, LH
Testicular atrophy
Increased libido while using
Decreased libido during withdrawal
Decreased sperm count

Question 10

Anabolic steroid abuse

Psychologic

Answer 10

Affective symptoms

Aggression

Question 11

Anabolic steroid abuse

Dermatologic / Breast

Answer 11

Gynecomastia

Acne

Question 12

Erythrasma

Answer 12

Cause by corinebaterium minutisimun

Confluence of pruritic, reddish-brown, finely wrinkle papules

Question 13

Tretinoin cream function

Answer 13

Reduction of wrinkle, mottled hyperpigmentation, roughness of the facial skin.

Reduces actinic keratosis

Improve appearance of brown spots regardless of etiology

Question 14

Photoaging presentation

Answer 14

Deep wrinkles
Rough skin
Actinic keratosis
Brown "liver" spots
Telangiectasia