UWSA Block 4

Question 0

Can you have hemoptysis with a PE?

Answer 0

-yep!

Question 1

Elderly person with lymphadenopathy and lymphocytosis?

Answer 1

-think: CLL with smudge cells!

Question 2

What are pts with sphereocytosis at risk for?

Answer 2

-bilirubin gallstones bc of the hemolysis from the abnormal cells

Question 3

What HIV med is associated with bizare dreams as a sfx?

Answer 3

-efavirez!

Question 4

What type of vasculitis is HSP?

Answer 4

-leukocytoclastic

Question 5

New low back pain in pt with lots of risk factors for AAA?

Answer 5

-think: ruptured AAA

Question 6

Tx for barthonlin’s gland abscess?

Answer 6

-I&D

Question 7

Triptans and ergotamines?

Answer 7

• shouldnt be given together for migraine abortion bc together they can cause vasospasm due to overaction of 5-HT receptors
• so dont give triptans for at least 24hrs after ergotamine

Question 8

Tx for kawasaki dz?

Answer 8

-aspirin + IVIg

Question 9

Galactorrhea in a pt with hyperTH?

Answer 9

-TH elevation can cause an increase in prolactin

Question 10

Etiology of carpal tunnel syndrome in pregnancy?

Answer 10

• due to fluid accumulation in the tunnel

- it will resolve after delivery usually

Question 11

Tx of severe hypertriglyceridemia due to familial dysbetalipoproteinemia?

Answer 11

-fibric acid derivatives (ex fenofibrate)

Question 12

At what weeks should betamethasone injections be given if preterm labor is a concern?

Answer 12

-should be given btwn wks 24-34

Question 13

What is the most important thing to control to decrease proteinuria?

Answer 13

-HTN

Question 14

Tx for raynaud phenomenon?

Answer 14

-CCBs, such as nifedepine

Question 15

Vasovagal syncope v syncope due to an arrhythmia?

Answer 15

• vasovagal usually has a prodrome: nausea, flushing, dizziness, and warmth
• arrhythmia: no prodrome!

Question 16

Initial tx of torsades de pointes?

Answer 16

-magnesium sulfate