Test 20 - Created July 16

Question 1

risk factor that is associated with highest increase in risk for PID occurrence

Answer 1

multiple sexual partners

Question 2

what tests to order if patient suspected to have pulmonary TB

Answer 2

sputum acid-fast bacillus smear, mycobacterial culture, and NAAT

Question 3

limitation to tuberculin skin test and IFN-g release assay

Answer 3

can’t differentiate between latent or active TB

Question 4

limitation to sputum acid-fast bacillus smear

Answer 4

low sensitivity and poor differentiation btwn TB and nonTB mycobacterium

Question 5

limitation to mycobacterial culture

Answer 5

gold standard but takes 2-6 wks

Question 6

tx of acute bronchitis in COPD patient

Answer 6

albuterol, steroids, and Abx (if incr. dyspnea, sputum volume, sputum purulence)

Question 7

paraneoplastic syndrome with squamous cell carcinoma

Answer 7

hypercalcemia of malignancy (PTHrP)

Question 8

paraneoplastic syndrome with small cell carcinoma

Answer 8

SIADH (ADH), Lambert-Eaton syndrome (vg Ca Ch. Ab’s), Cushing’s (ACTH)

Question 9

tx of SIADH

Answer 9

1. water restriction
2. salt intake w/ loop
3. demeclocycline or lithium

Question 10

what to do with patient who likely has clinically significant, stable coronary artery disease

Answer 10

Exercise ECG if they can walk and have no abnormalities on resting ECG (LBBB, ST depr.)