UVA Quiz 2

Question 1

causes of hypercalcemia

Answer 1

CHIMPANZEES
Calcium oversupplementation
Hyperparathyroidism
Iatrogenic(thiazides), immobility
Milk alkali syndrome
Paget's disease
Acromegaly, Addison's
Neoplasms
Zollinger Ellison (MEN1)
Excess vit A
Excess vit D
Sarcoidosis

Question 2

early (before 20 wks) vs late pregnancy loss vs anytime

Answer 2

early: genetic
late: anatomic
anytime: immunologic (antiphospholipid antibodies)

Question 3

management of superficial thrombophlebitis

Answer 3

rest, elevation, NSAIDs, heat

Question 4

indication for IVC filter

Answer 4

DVT with abs CI to anticoag

• recent surgery
• head trauma
• active bleeding

Question 5

things to look for in patient with Celiac disease

Answer 5

T1DM
autoimmune hepatitis
thyroid disease
malabsorption of vit ADEK

Question 6

PSC… GI problem and Ab

Answer 6

UC

p-ANCA

Question 7

PBC… other problems

Answer 7

RA

Sjogren’s

Question 8

white pupillary reflex, next step

Answer 8

CT or MRI

Question 9

features of Osgood Schlatter

Answer 9

adolescent w/ growth spurt
worse w/ jumping
prominent tibial tuberosity

Question 10

sxs of Addison’s disease (primary adrenal insufficiency) & confirmatory tests

Answer 10

fatigue
wt loss
HoTN
HoNa
Hoglycemia

synthetic ACTH or cosyntropin and plasma cortisol

Question 11

acute abdomen, rebound tenderness and guarding, chronic steroid use, and neg ex lap
dx?

Answer 11

Addisonian crisis / adrenal insufficiency

Question 12

tx of aspirated foreign bodies

Answer 12

rigid bronchoscopy

Question 13

apnea in infant younger than 6 weeks old, especially in wintertime

Answer 13

RSV infection causing bronchiolitis

Question 14

RSV prophylaxis, tx, and tx of severe disease

Answer 14

proph: for premature infants or infants w/ chronic lung or heart disease, give pavilizumab
tx: oxygen, bronchodilators, corticosteroids
severe tx: ribavirin

Question 15

what casts are seen in normal urine

Answer 15

hyaline casts

Question 16

acute interstitial nephritis

• most common culprit
• find what in urine

Answer 16

methicillin

eosinophils

Question 17

how to diagnose carbohydrate malabsorption

Answer 17

D-xylose test

Question 18

Pasteurella vs Bartonella

Answer 18

Pasteurella: cellulitis occurs quickly
Bartonella: cellulitis delayed, unilateral lymphadenopathy, exposure to kittens

Question 19

CSF shows incr WBC, mostly lymphocytes, many RBCs, NL glucose

Answer 19

herpes encephalitis

Question 20

child with vesicoureteral reflux. next step?

Answer 20

tx with TMP/SMZ or nitrofurantoin until document that VUR disappeared

Question 21

SAAG interpretation for ascitic fluid

Answer 21

if greater than 1.1: portal HTN
- cirrhosis
- right CHF
- Budd chiari
if less than 1.1: not from portal HTN
- pancreatitis
- peritonitis
- peritoneal carcinomatosis

Question 22

differential for NON anion gap metabolic acidosis

Answer 22

RTAs

GI bicarb loss

Question 23

Type 1 RTA

Answer 23

can't secrete H into distal tubule and collecting duct
metabolic acidosis
alkaline urine causes kidney stones
low K
urine pH greater than 5.5

Question 24

sxs of AML & next step to dx

Answer 24

easy bruising
anemia
neutropenia

BM biopsy

Question 25

triad of Felty’s syndrome

Answer 25

rheumatoid arthritis
splenomegaly
granulocytopenia (low granulocytes)

Question 26

a few days of cough productive of yellow green sputum

• dx
• tx

Answer 26

acute bronchitis

pseudoephedrine and acetaminophen

Question 27

podophyllin resin is used for

Answer 27

warts

Question 28

tx of community acquired MRSA

Answer 28

clindamycin or TMP-SMX

Question 29

Tx IBS constipation predominant in females

Tx IBS diarrhea predominant in females

Answer 29

constipation: tegaserod
diarrhea: alosetron

Question 30

pap shows AGUS vs ASCUS, management?

Answer 30

AGUS: endometrial biopsy
ASCUS: colposcopy