Things -part 2

Question 1

Antisocial personality disorder may not be diagnosed until what age?

Answer 1

18 years old

Question 2

What is the first line treatment for papules and pustules associated with rosacea?

Answer 2

Metro

Question 3

Spaghetti and meatballs on KOH prep should make you think of what dx?

Answer 3

Tinea versicolor

Question 4

What is the initial treatment of calcium toxicity?

Answer 4

IV normal saline

Question 5

______ is CI in pts with a hx of anorexia

Answer 5

Bupropion

Question 6

Which nerve root is responsible for the knee jerk reflex?

Answer 6

L3-4
L4

Question 7

______ is the microscopic finding associated with CKD

Answer 7

Broad waxy casts

Question 8

What is the recommended approach to decompressing the cord in a patient with umbilical cord prolapse?

Answer 8

Administer tocolytics

Question 9

What drug class is the first line treatment for elevated triglycerides?

Answer 9

Fibric acid derivatives

Fenofibrate

Question 10

Familial hyper

Question 11

Familial hypercholesteremia caused in elevation in what lipid?

Answer 11

Elevated LDL

Question 12

What clotting factor is NOT vit K dependent?

Answer 12

Factor VIII (8)

Question 13

What is the tx for genital warts in a pregnant pt?

Answer 13

trichloroacetic acid

Question 14

What is the sx treatment for a rectocele?

Answer 14

posterior colporrhaphy

Colporrhaphy: also known as vaginal wall repair

Question 15

What part of the ear does BPPV affect the most?

Answer 15

Posterior semicircular canals

Question 16

What is the best initial treatment for a retropharyngeal abscess?

Answer 16

IV abx

3rd gen ceph PLUS amp/sulbactm or Clinda

Question 17

Herpes zoster ophthalmicus affects what nerve?

Answer 17

cranial nerve V1

Question 18

The scaphoid articulates with which of the following bones?

Answer 18

Radius and lunate bones

Question 19

What 3 components make up the radiocarpal joint?

Answer 19

Scaphoid
Lunate bones
Radius

Question 20

What should you do for a hemolytic transfusion reaction?

Answer 20

Stop transfusion immediate and notify blood bank

Aggressive IV fluids with diuretic therapy to maintain urine output at 1-2mL/kg/hr

Question 21

What is the most effective agent for preventing preeclampsia in moderate- to high-risk patients?

Answer 21

ASA 81mg should be started in the 12-13th week of pregnancy

Question 22

Describe the s/s pattern of botulism

Answer 22

botulism is characterized by descending weakness with early involvement of cranial nerves. Bulbar palsy and dysphagia are common early symptoms.

Question 23

Describe the s/s pattern of Guillain-Barré syndrome.

Answer 23

ascending weakness and lower extremity hyporeflexia are concerning for Guillain-Barré syndrome

Question 24

Describe the s/s pattern of tick paralysis

Answer 24

ower extremity hyporeflexia are concerning for tick paralysis

Question 25

What 2 conditions is pemphigus vulgaris associated with?

Answer 25

myasthenia gravis and thymoma

Question 26

gram negative intracelluar diplococci on a smear of the urethral swab is associated with what dx?

Answer 26

Neisseria gonorrhoeae

Question 27

Describe schizoid personality disorder

Answer 27

Schizoid personality disorder is a cluster A personality disorder that is marked by voluntary social withdrawal. Common features include quiet and unsociable behavior, frequently choosing solitary activities, having little or no interest in sexual experiences with another person, an absence of desire for close relationships, a restricted range of expression of emotions in interpersonal settings, experiencing pleasure with few (if any) activities, and a preference to be alone

Question 28

What is the prevention for tumor lysis syndrome?

Answer 28

allopurinol or Rasburicase

Question 29

What is the classic presentation of Ramsay Hunt Syndrome? What is the underlying cause?

Answer 29

ipsilateral facial paralysis and a vesicular eruption within the auricle varicella-zoster virus

Question 30

You are about to repair a laceration on your patient when she tells you she is allergic to lidocaine. Which of the following anesthetics is a suitable alternative?

Answer 30

procaine

Question 31

What is the classic presentation of a femoral neck fracture?

Answer 31

One of the lower extremities is shortened and externally rotated

Question 32

What are the 3 antihypertensive meds safe in pregnancy?

Answer 32

Latetalol, hydrazine and nifedipine

Question 33

The path report of hyperkeratosis, degeneration of the basal cell layer and colloid bodies is consistent with what dx?

Answer 33

Lichen planus

Question 34

What medication should be used in a pt with pre-eclampsia to prevent seizures?

Answer 34

magnesium sulfate

Question 35

What is Behcet syndrome?

Answer 35

Behçet syndrome included recurring genital and oral ulcerations and relapsing uveitis. The genital and oral ulcers are classically painful with a necrotic center and surrounding red rim.

Question 36

What 4 drugs have a strong association with drug induced lupus?

Answer 36

Procainamide hydralazine minocycline penicillamine

Question 37

What part of the kidney and what type of cells make up renal cell carcinoma?

Answer 37

epithelial cells of the proximal convoluted tubules

Question 38

progressive fatigue and weight loss is ____ sided colorectal cancer hematochezia and recent change in bowel habits is _____ sided colorectal cancer

Answer 38

ascending colon (right sided) rectosigmoid cancer and those with left sided colorectal tumors

Question 39

What are the 2 serious side effects of daptomycin?

Answer 39

Myopathy and rhabdomyolysis need to monitor for rhabdo

Question 40

What drug class is misoprostol?

Answer 40

prostaglandin

Question 41

dementia with visual hallucinations and extrapyramidal signs is highly characteristic of ________

Answer 41

dementia with Lewy bodies 2nd MC type of dementia after Alzheimer

Question 42

Anti-mitochondrial antibodies are seen in over 90% of cases of?

Answer 42

primary biliary cirrhosis

Question 43

Which thyroid cancer is the most aggressive?

Answer 43

anaplastic

Question 44

For patients with MS, what treatment has shown the greatest benefit with long-term use?

Answer 44

Interferon beta - 1a

Question 45

What part of the spinal cord is responsible for pain and temperature sensation?

Answer 45

lateral spinothalamic tract

Question 46

What is the tumor marker that is used to identify a relapse in testicular cancer?

Answer 46

alpha-fetoprotein

Question 47

A 32-year-old man who works as a carpenter presents with leg numbness. On physical exam, he has decreased light touch and pinprick sensation only in an area around his front pants pocket. What nerve?

Answer 47

lateral femoral cutaneous

Question 48

What are the risk factors for placenta previa?

Answer 48

multiparity, previous cesarean section, maternal smoking, prior placenta previa, and advanced maternal age.

Question 49

What is a Tdap specific absolute contraindication?

Answer 49

encephalopathy after prior Tdap vaccination not attributable to another identifiable cause within 7 days of the previous dose is an absolute contraindication. specific to the pertussis component

Question 50

What gestation age should pregnant women get Tdap vaccine?

Answer 50

between 27 and 36 weeks of gestation

Question 51

______ is diagnosed when three or more of the following occur: dysphoric mood, nausea or vomiting, myalgias, lacrimation, rhinorrhea, pupillary dilation, piloerection, sweating, diarrhea, yawning, fever, and insomnia.

Answer 51

Opioid withdrawal

Question 52

Epinephrine is a positive chronotrope and inotrope. Which receptor, when stimulated, is responsible for these properties?

Answer 52

beta 1 receptor

Question 53

What sedative agents would be relatively contraindicated in a hypertensive patient?

Answer 53

ketamine This sympathomimetic action leads to increases in heart rate and blood pressure, bronchodilation, and a theoretical risk of increasing intracranial pressure (ICP).

Question 54

How is PKU inherited?

Answer 54

autosomal recessive

Question 55

Which drug classification does ketamine pertain to? aka what schedule is it?

Answer 55

schedule 3

Question 56

Patients with which of the following conditions should avoid use of rituximab?

Answer 56

hep B