Week 2

Question 1

palpable thrill in inguinal region following cardiac cath

Answer 1

AV fistula

Question 2

medical therapy initially given for epidural spinal cord compression

Answer 2

IV glucocorticoids

Question 3

3 sources of acute arterial occlusion

Answer 3

• embolus from a cardiac or arterial source
• arterial thrombosis
• iatrogenic/direct blunt trauma

Question 4

symmetric descending motor paresis, progressive respiratory compromise, autonomic dysfxn in pt w/ cutaneous abscesses

Answer 4

botulism

Question 5

pt w/ smoking hx, subacute voiding symptoms, suprapubic pain + hematuria

Answer 5

bladder cancer

Question 6

hematemesis following cocaine use

Answer 6

acute erosive gastropathy - cocaine causes vasoconstrictuon

Question 7

liver mass in young women w/ oral contraceptive use; complications?

Answer 7

hepatic adenoma; malignant transformation or rupture + hemorrhagic shock

Question 8

medication for passage of stone in distal ureter

Answer 8

alpha-1 blocker (tamsulosin)

Question 9

majority of duodenal ulcers are caused by __ or __

Answer 9

H pylori, NSAIDs

Question 10

isoniazid causes liver injury similar to ___

Answer 10

viral hepatitis

Question 11

decreased breath sounds at lung bases, low pO2 following surgery

Answer 11

atelectasis

Question 12

acidic urine can pcpt what type of kidney stones?

Answer 12

uric acid stones

Question 13

best test to evaluate biliary colic

Answer 13

RUQ abd ultrasound

Question 14

neoplasm that can cause scrotal varicocele + paraneoplastic symptoms

Answer 14

RCC

Question 15

abd pain, hTN, dizziness after meals following gastrectomy

Answer 15

dumping syndrome

Question 16

pts w/ suspected urethral injury should undergo __ for diagnosis

Answer 16

retrograde urethrogram

Question 17

fever + chills immediately following surgery that req’d packed red cells

Answer 17

febrile nonhemolytic transfusion rxn

Question 18

pts w/ UC require screening for ___

Answer 18

colorectal cancer

Question 19

breast mass w/ calcifications - fat globules + foamy histiocytes on biopsy

Answer 19

fat necrosis

Question 20

abrupt onset scrotal/inguinal pain that doesn’t resolve w/ elevation of the testicle

Answer 20

testicular torsion

Question 21

patients w/ fascial dehiscence following surgery requires ___

Answer 21

emergency surgery

Question 22

thickened gastric folds, multiple peptic ulcers, ulcers distal to the duodenum

Answer 22

check serum gastrin level -> zollinger-ellison syndrome

Question 23

treatment for SIADH

Answer 23

• fluid restriction

- hypertonic saline for severe hyponatremia

Question 24

smooth, homogenous, non-septated renal mass w/ absence of contrast enhancement on CT/MRI

Answer 24

simple renal cyst

Question 25

hyperreflexia/tetany following high-volume transfusion

Answer 25

hypocalcemia