Test 17 - Created July 13

Question 1

diagnosis criteria for pancreatitis

Answer 1

2 of the following:

1. characteristic pain
2. amylase or lipase > 3x N
3. imaging findings

Question 2

treatment of infected pancreatic necrosis

Answer 2

meropenem OR FQN plus metronidazole

Question 3

iron deficiency ferritin levels

Answer 3

< 15: Fe def. guarenteed

15-30: Fe def. still possible

Question 4

dose-response relationship

Answer 4

increased level of exposure to a risk factor and increased probability of a disease

Question 5

skin biopsy results in bullous pemphigoid

Answer 5

subepidermal cleavage and deposition of IgG and/or C3 along basement membrane (seen with direct immunofluorescence)

Question 6

presentation of pseudoaneurysm after cardiac cath; dx; tx

Answer 6

tender, pulsatile mass with systolic bruit; dx confirmed by U/S; tx - U/S guided compression or thrombin injection

Question 7

presentation of femoral AV fistula after cardiac cath

Answer 7

localized pain, no mass, and continuous bruit

Question 8

treatment for alopecia areata

Answer 8

topical or intralesional corticosteroids

Question 9

anaphylaxis in hemodialysis patient

Answer 9

consider the diagnosis if dyspnea present and it started after IV meds began

Question 10

findings and presentation of Alzheimer’s disease

Answer 10

P: memory loss and functional decline across several cognitive domains
F: mild generalized cortical atrophy and slightly reduced hippocampal volume

Question 11

findings and presentation of vascular induced dementia

Answer 11

P: stepwise decline in cognition and focal neuro sxs in pt w/ h/o cardiac RFs
F: multiple small cortical and subcortical infarcts

Question 12

presentation of DeQuervain tenosynovitis

Answer 12

sharp pain at base of thumb; pain reproducible by ulnar deviation at wrist or when thumb held in opposition across palm