UGH

Question 1

what can high doeses of PCP cause?

Answer 1

Nystagmus
HTN
SZ
Life threatening hyperthermia

Question 2

Felty syndrome

Answer 2

Autoimmune. s/s: 
inflammatory arthritis 
splenomegaly 
neutropenia 
necrotizing skin lesions

Usually seen in RA

Question 3

When does a clavicular fx need surgery

Answer 3

distal 1/3

mostfx occur middle 2/3 tho

Question 4

Proper name for eczema

Answer 4

atopic dermatitis

Question 5

s/s of mag toxicity

Answer 5

somnolence
loss of deep tendon reflex
resp depression

Question 6

todd paralysis

Answer 6

transient unilateral weakness after sz

spontaneously resolves

Question 7

eclampsia is characterized by

Answer 7

htn
proteinuria
sz

rx: mag and anti-htn

Question 8

Homocystinuria

Answer 8

AR
cystathionine synthase deficiency 
marfanoid habitus
intellectual disability 
hyper-coagulable

Question 9

Erythroderma

Answer 9

exfoliative dermatitis
red/ scaling > 90 % of body
patches coalesce and peel

Question 10

PKU

Answer 10

deficiency of phenylalanine hydroxylase

intellectual disability, fair skin, musty odar

Question 11

Tay-Sachs

Answer 11

AR
deficiency of b-hexosaminidase

weakness, sz, cherry red spot, intellectual disability

Question 12

Fabry disease s/s

Answer 12

angiokeratomas, peripheral neuropathy , corneal dystrophy, thrombotic events

Question 13

DM drugs good for weight loss

Answer 13

GLP-1 agonist

ex: exenatide

Question 14

Acute digoxin toxicity s/s

Answer 14

GI
anorexia, NV, ab pain

chronic= neuro/ visual s/s

Question 15

Esophageal rupture appearance on CXR

Answer 15

pneumomediastinum

sub-q crepitus in chest

Question 16

Cough in asthma

Answer 16

worse at night

PFTs w/ bronchodilator response

Question 17

DM drug with concerns for heart failure and bone fractures

Answer 17

Pioglitazone

Question 18

serum sickness

Answer 18

b-lactams/ sulfa drugs

fever, urticarial rash, arthralgia, LAD 1-2 weeks after exposure

Question 19

edward syndrome

Answer 19

trisomy 18

micrognathia
rocker feat
overlapped fingers
VSDs

Question 20

Enterobius vermicularis infection

Answer 20

pinworm
itchy bottom
rx: albendazole or pyrantel pamoate for pt and all household members

Question 21

adenosine stress test and coronary blood vessels

Answer 21

adenosine–> ↑ blood flow

stenosed arteries have increased flow BUT lesser extent than healthy ones

shows diseased arteries

Question 22

Dobutamine stress test

Answer 22

pts who cant have vasodilator stress test (hypotension/ COPD)

↑ contractility–> ↑ O2 demand

Question 23

Most common inherited clotting disorder

Answer 23

factor 5 leiden

V does not respond to activated C

Question 24

crescendo decrescendo murmur in young person

Answer 24

suspect HCM

• murmur does not radiate

Question 25

Dobutamine stress test is bad in pts with?

Answer 25

tachyarrhythmia

dobutamine= B-1 agonist

Question 26

Exercise stress test is contraindicated in

Answer 26

LBBB
pacemaker
pts who cant reach target HR

Question 27

Antithrombin deficiency

Answer 27

usually acquired in DIC, cirrhosis, nephrotic syndrome

Question 28

Unilateral varicocele that does not empty when laying flat

Answer 28

suspicious for RCC

ddx by ab ct

Question 29

rx for primary biliary cholangitis

Answer 29

ursodeoxycholic

Question 30

Fibrinolytics may be given up to ____ hours after s/s of an MI

Answer 30

12

PCI is 90 min

Question 31

DDX of ards

Answer 31

resp distress
bilateral lung opacity
PaO2/ FiO2 < 300

Question 32

lithium and kidney trouble

Answer 32

Li –> nephrogenic diabetes insipidus

Question 33

Rheumatic heart disease prophylaxis

Answer 33

long term penicillin

prevent future infection and disease progression

Question 34

graft vs host disease

Answer 34

graft t cells attack skin, intestine, and liver

Question 35

when do you use winters formula

Answer 35

metabolic acidosis