Week 12

Question 1

for gallstone pancreatitis, do you do a lap choley or an ERCP?

Answer 1

lap choly

Question 2

which is more accurate, 1st or 3rd trimester US for predicting gestational age?

Answer 2

1st

Question 3

hit me with 2 urease producing organisms

Answer 3

proteus, klebsiella

note: E. coli is NOT urease producing

Question 4

succession splash is classic for what?

Answer 4

gastric outlet obstruction

Question 5

hit me with 3 treatments for asymptomatic bacteriuria in pregnancy

Answer 5

cephalexin, amox-clav, nitrofurantoin, fosfomycin

Question 6

the most common site of ulnar nerve entrapment is where?

Answer 6

elbow bro

Question 7

TPN predisposes formation of gallstones due to what mechanism?

Answer 7

gall bladder stasis (and bile sludging)

Question 8

what treatment of hyperthyroidism can actually worsen graves opthalmopathy?

Answer 8

radioactive iodine (so give steroids, PTU before RAI)

Question 9

severe aortic stenosis is defined as valve area < _____ and symptomatic

Answer 9

1 cm2

Question 10

uric acid stones precipitate in what kind of urine?

Answer 10

acidic (eg from chronic diarrhea)

Question 11

what lung cancer classically causes a cavitary lesion? what about a central peripheral nodule?

Answer 11

squamous cell;

adeno

Question 12

thyroid binding globulin levels _____ during pregnancy

Answer 12

increase

Question 13

direct inguinal hernias are due to what?

they protrude through what?

Answer 13

weakness of transversalis fascia;

hasselbach triangle

Question 14

indirect inguinal hernias are due to what?

they protrude thru what?

Answer 14

patent processus vaginallis;

through deep inguinal ring

Question 15

emphysema has a _____ DLCO. Bronchitis has a _____ dlco

Answer 15

low;
normal

asthma = normal or increased

Question 16

other than dantrolene, what can be used to treat neuroleptic malignant syndrome/

Answer 16

bromocriptine

Question 17

hereditary spherocytosis has a ____ coombs test

Answer 17

negative

Question 18

next step in a patient with CIN3 on pap?

Answer 18

remove that shit

leep, conization, cryoablation

Question 19

what gangrenosum is associated with crohns?

Answer 19

pyoderma

ecthyma is caused by pseudomonas

Question 20

for kidney stones, do you want a CT with contrast or without?

Answer 20

without