Test 10 - Created July 5

Question 1

exogenous thyrotoxicosis and effects on RAIU activity and serum TG levels

Answer 1

RAIU: decreased (due to suppressed cells)
TG: decreased (due to suppressed cells)

Question 2

when to suspect exogenous thyrotoxicosis

Answer 2

when pt taking OTC energy pills to help stamina and wt loss and sxs started shortly thereafter; pig/cow T4 easy to obtain

Question 3

presentation of juvenile myoclonic epilepsy

Answer 3

teen, absence seizures, morning myoclonus, generalized tonic-clonic

Question 4

EEG findings and mgt of juvenile myoclonic epilepsy

Answer 4

EEG: bilateral polyspike and slow wave
Mgt: valproic acid; avoid triggers

Question 5

side effects to monitor with valproic acid

Answer 5

platelet count, LFTs, lipase, teratogenicity

Question 6

way to diagnose cause for persistent or non-resolving pneumonia or pulmonary infiltrates

Answer 6

flexible bronchoscopy = best test (can visualize obstruction and get biopsy); next best step in mgt is likely CT scan

Question 7

when to do cardiac resynchronization therapy on heart failure pt

Answer 7

symptomatic heart failure, LVEF < 35%, LBBB with QRS > 150 msec

Question 8

important prophylaxis in stroke pt with dense hemiparesis

Answer 8

subcutaneous LMWH for DVT or PE

Question 9

BP cutoffs for ischemic stroke

Answer 9

220/120 with no thrombolytics; <185/105 with thrombolytics

Question 10

how long response takes to become apparent with warts and salicylic acid use

Answer 10

2-3 weeks; assess q2-3wks; continue tx for 1-2 weeks past resolution

Question 11

important thing about raloxifene and tamoxifen

Answer 11

carry a risk of venous themboembolism; stop 4wks prior to any risky surgery for thromboembolism