USMLE

Question 1

glucagonoma s/s

Answer 1

rash

hyperglycemia

Question 2

non-beta cell panc tumor

Answer 2

large mesenchymal
can produce IGF2 –>hypoglycemia
suppressed insulin/ c-peptide

Question 3

amniotic fluid embolism

Answer 3

rapid resp failure
hypotension
DIC

rx: suportive

Question 4

Fat embolism triad

Answer 4

resp distress
neuro dysfxn
petechial rash

Question 5

APGAR score components

Answer 5

Appearance / color
Pulse 
Grimace
Activity 
Resp Effort

perfect= 10
score under 7 = resuscitation

Question 6

rare s/e w/ nitroprusside (esp w/ renal failure)

Answer 6

cyanide toxicity

s/s ams, lactic acidosis, sz, coma

Question 7

baseline and periodic testing on hydroxychloroquine

Answer 7

optho

can cause retinal toxicity

Question 8

Post exposure prophylaxis in VZV

Answer 8

healthy peeps= vaccine (live)

compromised/ pregos= immunoglobulin

Question 9

Aflatoxin is asc w?

Answer 9

hepatocellular carcinoma

Question 10

Common variable immunodeficiency

Answer 10

b cells abnormal
↓ immunoglobulins
infections with encapsulated organisms and giardia

Question 11

name of pcp

Answer 11

phencyclidine

Question 12

hypocalcemia w/ hyperphosphatemia should make you think?

Answer 12

hypoparathyroidism

Question 13

Levonogestrel

Answer 13

plan b

delys ovulation

Question 14

Time frame for lap chole in acute cholecystitis

Answer 14

72 hours

Question 15

Normal fetal breathing movements on biophysical profile

Answer 15

> 1 breath for every 30 seconds

Question 16

How much adrenal is destroyed to have s/s from primary adrenal insufficiency?

Answer 16

90 %

Question 17

Basilar migraines

Answer 17

due to cerebral vasospasm of brainstem

aura= vertigo, diplopia, tinnitus

Question 18

Normal amniotic fluid index on biophysical profile

Answer 18

> 5

Question 19

Score that indicates fetal hypoxia on biophysical profile

Answer 19

4/10 or less

Question 20

Cavernous sinus thrombosis s/s

Answer 20

HA
fever
proptosis
ipsilateral CN defects

Question 21

most common cause of metabolic alkalosis

Answer 21

vomiting

others: volume contraction, hyperaldosteronism

Question 22

“stuck on” lesion is?

Answer 22

Seborrheic keratosis

Question 23

actinic keratosis

Answer 23

pre-malignant
dry, scaly, flat
red base

Question 24

hyposthenuria

Answer 24

kidney cant concentrate urine- blood sikels in inner medulla
seen in sickle cell

Question 25

acrochordon

Answer 25

skin tag

usually seen in areas w/ friction

Question 26

Basal cell description

Answer 26

pearly, rolled border, overlying telangiectasias