Symptoms Based

Question 0

Poison oak

Answer 0

• rash 10-14 d after initial exposure
• rash 1-2 d after repeat exposure

Systemic steroids for significant dz with long slow taper to prevent rebound

Question 1

Chronic illnesses associated with pruritis

Answer 1

CKD
Cholestatic dz
Malignancy esp lymphoma
Haematologic esp iron def anemia and polycythemia
Endocrine - eg hyper- or hypothyroid
Side effect of thiazides or loop acting diuretic

Question 2

Arterial gas embolism

Answer 2

X

Question 3

Decompression sickness

Answer 3

X

Question 4

Acute mountain sickness

Answer 4

X

Question 5

Hypoxic ventilatory response

Answer 5

Z

Question 6

Scromboid toxin

Answer 6

Bitter metallic or peppery taste

Heat stable histamine toxin

Tx with antihistamine eg Benadryl

Question 7

Profuse bloody diarrhea

Answer 7

Bacillary Dysentery
Shigella and salmonella

Self limited but Tx: quinolones to shorten course

Question 8

B cereus food poisoning

Answer 8

Reheated fried rice

Question 9

Staph food poisoning

Answer 9

Preformed toxin

Mayonnaise, eggs, ham

Violent vomiting, abdominal cramps, watery diarrhea

Question 10

Hemophilia A

Answer 10

Factor VIII

Tx with cryoprecipitate or Factor VIII:C concentrate

Question 11

Hemophilia B

Answer 11

Factor IX