Test 36 - Created Aug 2

Question 1

damage to nondominant parietal lobe

Answer 1

construction apraxia, dressing apraxia, confusion

Question 2

damage to dominant parietal lobe

Answer 2

Gerstmann syndrome - acalculia, finger agnosia, agraphia, R/L confusion

Question 3

damage to nondominant temporal lobe

Answer 3

visual disorders and auditory agnosia

Question 4

damage to dominant temporal lobe

Answer 4

visual disorders; Wernicke’s aphasia - impaired comprehension of spoken or written language; difficulty with expressing their thoughts in a meaningful manner

Question 5

PE description of congenital clubfoot (talipes equinovarus)

Answer 5

plantar flexed, adducted, and inverted feet

Question 6

which bone is deformed in clubfoot

Answer 6

talus bone

Question 7

tx of clubfoot

Answer 7

stretches and serial casting first; then bracing for a few years; surgery is last resort

Question 8

tx of bipolar mania in pregnant patients

Answer 8

• haloperidol 1st line
• lithium
• 2nd gen antipsychotics
• ECT as last resort

Question 9

manifestations of superior pulmonary sulcus (Pancoast) tumor

Answer 9

shoulder pain, Horner syndrome, weakness/atrophy of intrinsic hand mm, pain/paresthesia of 4th/5th digits and medial arm/forearm, supraclavicular LAP, wt loss

Question 10

sign that Pancoast tumor has spread to spinal cord

Answer 10

asymmetric leg DTR’s in setting of back pain; need urgent intervention!!!

Question 11

why vitamin D needs to be checked in pt who is going to be put on bisphosphonate

Answer 11

vitamin D deficiency and bisphosphates can cause hypocalcemia

Question 12

tx of torsades

Answer 12

magnesium; 2nd line = temporary transvenous pacing

Question 13

RF in Mom of baby with suspected pyloric stenosis

Answer 13

maternal macrolide use

Question 14

antidote for ethylene glycol (antifreeze) or methanol ingestion

Answer 14

fomepizole

Question 15

MCC of sudden death after a steering wheel injury from a crash

Answer 15

aortic injury

Question 16

presentation of infective endocarditis in IV drug user

Answer 16

high fever, pleuritic CP, cough; xray w/ nodular opacities; cardiac murmur (tricuspid)

Question 17

presentation of chronic pancreatitis

Answer 17

wt loss, bulky/foul smelling stools, abdominal pain relieved by sitting up or leaning forward, pain made worse by meals

Question 18

how to confirm chronic pancreatitis

Answer 18

MRCP or abdominal CT scan

Question 19

presentation of PE after recent surgery

Answer 19

elder person w/ agitation, decreased breath sounds, and tachycardia

Question 20

what test to do to check for PE in pt w/ compromised renal function

Answer 20

ventilation/perfusion scan

Question 21

1st line choice for psoriatic arthritis

Answer 21

methotrexate

Question 22

what to monitor while a pt is on doxo- or daunorubicin

Answer 22

ejection fraction with radionuclide ventriculography