UW Step 3

Question 1

Tinea capitis

Treatment

Answer 1

Oral griseofulvin or terbinafine

Question 2

Mentzer Index

Answer 2

MCV/RBC
If > 13 Iron Def anemia
If < 13 thalassemia

Question 3

OM in healthy children

Microorg and treatment

Answer 3

Staph aureus
Low likelihood of MRSA nafcillin/oxacillin
High likelihood of MRSA clinda or vanco

Question 4

OM in sickle children

Microorg and treatment

Answer 4

Salmonella, staph aureus

As above plus 3rd Gen cephalosporin (ceftria or cefotaxime)

Question 5

Single Item predictor of more severe disease in Acute Pancreatitis

Answer 5

Older age
Obesity
Hematocrit > 44% (hemoconcentration from third space losses) 
BUN >= 20 mg/dL
CRP > 150 mg/dL 

Has been shown to correlate with severe AP 24-48 h after admission