Week 13

Question 1

gilberts:
causes ______ hyperbilirubinemia;
due to a deficiency in what?

Answer 1

indirect;

UDP-glucuronsyltransferase

Question 2

endometrial biopsy is indicated in women with abnormal uterine bleeding > ___ years

Answer 2

45

or less than 45 with hx of unopposed estrogen ie PCOS, obesity

Question 3

avoid sunscreen in kids < ____ months

Answer 3

6

Question 4

latent TB is treated with what?

Answer 4

9 months of INH (and pyridoxine)

or rifampin for 4 months

Question 5

psychogenic polydipsia:
serum osm are ____;
urine osm are _____
serum sodium is _____

Answer 5

low,
low,
low

Question 6

pelvic fractures cause what kind of urethral injury?

what test to assess with?

Answer 6

posterior urethral injury;

assess with retrograde urethrogram

Question 7

you treat syphillis with (oral or IV/IM) penicillin?

is that penicillin G or V?

Answer 7

IV, penicillin G

Question 8

Anemia chronic vs IDA:
low iron = _____;
high TIBC = _____

Answer 8

both;
Iron = high TIBC, low transferrin sat, low ferritin

ACD = low iron, low TIBC, nl to high ferritin

Question 9

erb-d vs klumpke:
which can cause horners?
which is associated with decreased moro and biceps reflex on affected side?
which has intact grasp reflex?

Answer 9

klumpke;
erb D;
erb D

Question 10

treatment of choice for pregnant people with lyme?

Answer 10

amoxicillin

Question 11

ARDS is characterized by ____ lung compliance and a ____/____ ratio < 300 mm

Answer 11

decreased;

PaO2/FiO2

Question 12

imaging of choice in a patient with low back pain and concern for malignancy?

Answer 12

X-ray apparently

Question 13

the most common congenital adrenal hyperplasia is due to a defeciency in what? what is classically increased?

Answer 13

21 hydroxylase;

17OH Progesterone is increased

(look for salt wasting, virilization, and hypoglycemia)

Question 14

in a cyanotic neonate, should indomethacin or PGE1 be given?

Answer 14

PGE1

Question 15

in a positively skewed distribution, median is ____ than mean. in a negatively skewed distribution, mode is _____ than mean.

Answer 15

less (ie for +, mean > median > mode);

greater (ie for -; mode > median > mean)

Question 16

HOCM:

valsava ____ the murmur. squatting ___ the murmur. hand grip ____ the murmur

Answer 16

valsalva increases, squatting and hand grip decrease

Question 17

a ____ test is used to compare proportions ie a 2x2 table

Answer 17

chi square

Question 18

what test is used to compare the means of >2 variables?

Answer 18

ANOVA

Question 19

what visual defect is associated with:
craniopharyngioma =
pinealoma =

Answer 19

cranio = bitemporal hemianopsia;
pineal = parinaud syndrome

Question 20

asherman syndrome:

do they have a positive or negative progesterone withdrawal test?

Answer 20

negetive (ie no bleeding)

Question 21

malabsorption:
patients with impaired D-xylose absorption have disease where?
patients with malabsorption due to ______ will have normal D-xylose absorption

Answer 21

small intestine (ie celiac);
enzyme defeciency