Test 47 - Created Aug 12

Question 1

labs findings in pseudohypoparathyroidism

Answer 1

chronic hypoCa, hyperPhos, elevated PTH

Question 2

presentation of pseudohypoparathyroidism

Answer 2

seizures, muscle cramping, hyperreflexia, basal ganglia calcifications, cataracts

Question 3

tx fo pseudohypoparathyroidism

Answer 3

calcium and vitamin D

Question 4

location in pain with anserine burisitis

Answer 4

medial knee joint distal to joint line

Question 5

location in pain with Osgood-Schlatter syndrome

Answer 5

tenderness at tibial tubercle

Question 6

location in pain with Patellar tendonitis

Answer 6

tender at inferior margin of patella

Question 7

location in pain with prepatellar

Answer 7

pain and swelling anterior to patella

Question 8

location in pain with patellofemoral syndrome

Answer 8

pain with extension of knee with anterior pressure on patella

Question 9

what do nonoverlapping confidence intervals imply

Answer 9

statistically significant difference between groups; opposite may not be true

Question 10

risk with interpreting multiple outcome measures without adjusting significant level

Answer 10

invalid conclusions

Question 11

tx for protracted active phase of labor (dilation < 1 cm/2 hr)

Answer 11

oxytocin and amniotomy

Question 12

med that can be used for cervical ripening and labor induction

Answer 12

misoprostol

Question 13

active error

Answer 13

actions of frontline personnel; occurs at interface of provider with patient or system

Question 14

latent error

Answer 14

involves organizational vulnerabilities that influence actions of frontline personnel; occurs at level of system, process, and policy

Question 15

complication from licorice root

Answer 15

inhibits conversion of cortisol to cortisone -> HTN, hypoK, metabolic alkalosis

Question 16

what does strict blood glucose control do

Answer 16

1. decr. risk of developing neuropathy, nephropathy, retinopathy
2. slows progression of current neuropathy; does not reverse it

Question 17

tx of strep pharyngitis and why

Answer 17

10 days of PCN (or 5 days azithro) to decr. sxs severity, duration of illness, prevention of spread to others, and prevention of acute rheumatic fever; NO effect on PSGN

Question 18

when to suspect thyroid storm

Answer 18

fever, recent anorexia and loose stools, high-output heart failure (warm, elev pulse P, high EF, edema, S3, dilated ventricles, elevated cardiac index); get TSH level

Question 19

Eisenmenger syndrome; problem with it in a female

Answer 19

when VSD goes unrepaired -> pulm. HTN, R to L shunt, cyanosis, heart failure; high mom mortality - terminate pregnancy

Question 20

when is intubation recommended on the Glasgow Coma Scale?

Answer 20

score of 8 or less

Question 21

who needs antimicrobial prophylaxis following Neisseria meningitidis exposure

Answer 21

household, roommates or gf/bf, child care center workers, persons directly exposed to resp/oral secretions, person seated next to an affected person for 8/+ hrs

Question 22

chronic primary MR

Answer 22

mitral valve insuff. resulting from intrinsic defect of mitral valve apparatus (leaflet, chordae tendineae); have impaired systolic function if LVEF < 60%

Question 23

acute mitral regurg

Answer 23

comes from acute MI (or something that causes rupture of chordae or papillary muscle); no dilated LV or LA on echo

Question 24

chronic secondary MR

Answer 24

diseased LV -> bad M valve

Question 25

ruptured ectopic pregnancy

Answer 25

hemodynamically unstable, rigid abdomen w/ rebound and guarding, adnexal tenderness, (+)UPT -> take them to surgery

Question 26

presentation of polymyalgia rheumatica

Answer 26

age > 50, >1 mo. pain in shoulder and hip girdles, morning stiffness >1 hr, B sxs, elev ESR

Question 27

tx of polymyalgia rheumatica

Answer 27

low dose prednisone (give high-dose if giant cell arteritis also suspected)

Question 28

MC adverse rxn within 1-6h of transfusion, what it looks like, and how to prevent it

Answer 28

1. febrile nonhemolytic transfusion rxn
2. fever/chills, malaise
3. leukoreduction

Question 29

mgt of acute cervicitis

Answer 29

don’t remove IUD, get NAAT for chla/gono, empiric tx with CTX + doxy (don’t wait for results)

Question 30

how to evaluate skeletal system of patients with multiple myeloma

Answer 30

whole-body low-dose CT scan