three more days...

Question 1

What does glycemic control prevent with diabetes?

Answer 1

Microvascular complications (retinopathy, nephropathy)

Question 2

What is called when a person has screwed up feet because of nerve damage?

Answer 2

Charcot joint

Question 3

What can be done at 10+ weeks gestation for mom’s concerned about aneuploidy?

Answer 3

Cell-Free Fetal DNA testing

Question 4

A patient has s/s of a pituitary tumor, but imaging shows calcification. What is this? What should be done?

Answer 4

Craniopharyngioma

Surgery

Question 5

An HIV patient has AMS and a brain MRI shows a solitary, irregular, weakly ring-enhancing mass in the periventricular area and PCR of CSF shows EBV DNA. What is likely going on?

Answer 5

Primary CNS lymphoma

Question 6

What are some possible complications of anorexia nervosa?

Answer 6

Dysfunction of hypothalamus-pituitary axis…downstream effects
Elevated cholesterol and carotene levels
Cardiac arrhythmias (prolonged QT)
Euthyroid sick syndrome
Increased risk of IUGR or premature pregnancies

Question 7

A patient has a penetrating wound to one eye…then later on the other eye starts having issues. What is going on?

Answer 7

Sympathetic ophthalmia…uncovering of “hidden” antigens

Question 8

A patient has s/s of parkinson’s disease + orthostatic hypotension, impotence, incontinence, and other autonomic symptoms. What should be considered?

Answer 8

Multiple System Atrophy

Question 9

A patient is immunocompromised and has s/s of meningitis. What should be give prophylactically?

Answer 9

Vancomycin + Ampicillin + Cefepime or ceftazidime

Question 10

Patient attempted suicide via caustic ingestion…what should be done?

Answer 10

IV fluids, serial x-rays

Get an EGD w/in 24hrs to assess damage to esophagus

Question 11

A person keeps pulling his or her hair out. What is this disorder called? Treatment?

Answer 11

Trichotillomania

Cognitive behavioral therapy

Question 12

What heart murmur is most commonly associated with infective endocarditis?

Answer 12

MVP…or mitral regurgitation

Question 13

Patient has orthostatic hypotension and increased urine sodium and potassium. What is going on?

Answer 13

Diuretic abuse

Question 14

Quad screen shows decreased AFP, increased beta-hCG, decreased estriol, and increased inhibin A. What is the likely diagnosis?

Answer 14

Down Syndrome

Question 15

A kid has a history of delayed umbilical cord separation and now has recurrent skin and mucosa infections. What is this?

Answer 15

Leukocyte adhesion deficiency

Question 16

Why is there an increased risk of infection via encapsulated bugs with asplenia?

Answer 16

Decreased opsonizing antibody

Question 17

How is OCD treated?

Answer 17

CBT + High-dose SSRI

…deep-brain stimulation if refractory

Question 18

A kid has s/s of meningococcemia + petechiae/purpura + becomes hypotensive non-responsive to fluids…and dies. What happened?

Answer 18

adrenal hemorrhage…Waterhouse-Friderichsen syndrome

Question 19

What is the most common inherited hyper coagulable state?

Answer 19

Factor V Leiden

Question 20

When do growing pains occur? Where?

Answer 20

At night in thighs and/or calves

Question 21

A patient has s/s of Marfan’s…but then it says something about ‘fair complexion’, ‘intellectual disability’, ‘thromboembolic events’. What is this? What else is a difference between this and Marfan’s?

Answer 21

Homocysteinuria (auto recessive deficiency of cystathionine synthase)

Lens displacement goes DOWN with homocysteinuria
Lens displacement goes UP with Marfan’s

Question 22

Cat bite. What is the bug? What is the treatment?

Answer 22

Pasteurella

Amox/clav

Question 23

A person with rheumatoid arthritis develops kidney problems. What should be considered?

Answer 23

AA amyloidosis

Congo staining…apple-red bifringence

Question 24

An SLE patient is started on hydroxychloroquine because of skin and joint issues. What is the concern?

Answer 24

Eye problems

Question 25

What is seen on bone marrow biopsy of multiple myeloma?

Answer 25

Plasma cell proliferation