Valentine's Day

Question 1

Aphasia results from a lesion to which lobe of the brain?

Answer 1

dominant temporal lobe

Question 2

What is the mgmt of renal cell carcinoma stage I (confined to w/in renal capsule)?

Answer 2

partial nephrectomy

Question 3

What is the mgmt of renal cell carcinoma stage II (confined to w/in the renal fascia)?

Answer 3

radical nephrectomy

Question 4

What’s a good antibiotic regimen for pt’s w/ sepsis 2/2 CAP?

Answer 4

ceftriaxone + axithromycin (or clarithromycin)

Question 5

Why is levothyroxine contraindicated in pts w/ uncorrected hypoadrenalism (e.g. in pituitary disease)?

Answer 5

adrenal crisis

Question 6

Baby w/ intermittent, severe, crampy abdominal pain, a palpable cylindrical mass in right abdomen, and bloody stools.

Answer 6

intussusception

Question 7

What imaging test is used to identify a Meckel’s diverticulum?

Answer 7

technetium-99m scan

Question 8

What are the restrictions on future anticoagulation for pts who have had HIT?

Answer 8

no heparin products (unfractionated, LMWH) for life

Question 9

Best treatment for acute monoarticular gout in a pt w/ chronic renal failure.

Answer 9

intra-articular steroid injection

Question 10

Imaging shows thickened bone w/ inhomogenous density consistent w/ Paget’s disease of bone, what is the next screening test?

Answer 10

serum alk phos and Ca++

Question 11

What will be the alkaline phosphatase in Paget’s dz of bone?

Answer 11

elevated

Question 12

What will be the Ca++ in Paget’s dz of bone?

Answer 12

normal

Question 13

What is the standard Tx for Paget’s dz of the bone?

Answer 13

bisphosphonates

Question 14

What is the leading cause of dilated cardiomyopathy in Central and South America?

Answer 14

Chagas disease

Question 15

What is the pathognomonic structural change in Chagas cardiomyopathy?

Answer 15

LV apical aneurysm