Test 38 - Created Aug 4

Question 1

tx of sulfonylurea poisoning

Answer 1

dextrose -> octreotide

Question 2

what causes oral hairy leukoplakia

Answer 2

EBV (looks similar to Candida)

Question 3

presentation of eczema herpeticum and tx

Answer 3

painful vesicular rash, punched out erosions and hemorrhagic crusting; acyclovir

Question 4

description of NF-2

Answer 4

hypopigmented spots and bilateral deafness

Question 5

description of NF-1

Answer 5

cutaneous neurofibromas, axillary freckling, unilateral acoustic neuroma

Question 6

Osler-Rendu-Weber syndrome

Answer 6

multiple telangiectasias and vascular lesions of the CNS

Question 7

birth control in woman with intellectual disability

Answer 7

involuntary sterilization is unethical; discuss long-acting contraceptive methods; legal guardian can chose from those options

Question 8

what to do in baby w/ open ant. fontanelle, macrocephaly, and head recently grew quickly

Answer 8

head ultrasound

Question 9

measure of association btwn exposure and disease in case-control studies

Answer 9

odds ratio

Question 10

null hypothesis in case-control study

Answer 10

OR = 1

Question 11

measure of association btwn exposure and disease in cohort studies

Answer 11

relative risk

Question 12

tx of postpartum endometritis

Answer 12

clindamycin and gentamicin

Question 13

what to do in pt with new dyspepsia

Answer 13

upper GI endoscopy if pt > 60 or < 60 with alarm sxs; otherwise, test for H. pylori in < 60 group

Question 14

presentation of anomalous aortic origin of a coronary artery

Answer 14

exertional angina, lightheadedness, or syncope

Question 15

how anomalous aortic origin of a coronary artery is diagnosed

Answer 15

TTE (can miss it) or coronary angiography

Question 16

what to do with young pt who comes to ER with new onset psychosis

Answer 16

urine toxicology to rule out substance use (can frequently mimic schizophrenia)

Question 17

when hospitalization indicated for anorexia nervosa patient

Answer 17

when hemodynamic instability present (syncope, orthostatic htn, low pulse, hypothermia), BMI < 15, food refusal, S.I., e-lytes abnormal, severe bradycardia, arrhythmia

Question 18

meds that can cause digoxin toxicity

Answer 18

verapamil, quinidine, amiodarone, and spironolactone

Question 19

rabies prophylaxis guidelines (pre, post/unvaccinated prior, post/vaccinated prior)

Answer 19

Pre: 4 doses
Post/Un: 4 doses + Ig
Post/Vacc: 2 doses

Question 20

tx of TB in pregnant woman

Answer 20

2 months of RIE, then 7 months of RI; vit.B6 the whole time

Question 21

attributable risk percentage

Answer 21

[(Risk exposed - risk nonexposed) / Risk exposed] x 100