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Flashcards in Exam Master Questions Deck (99)
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1

What is the treatment for chlamydial conjunctivitis?

Tetracycline (250 PO QID x 3 weeks)

2

What anemia has increased ferratin/serum iron without supplementation?

sideroblastic anemia

3

Large MCV anemia with neurologic changes

Megaloblastic anemia

4

What is the first step in breast lump identification?

Imaging then biopsy only if necessary

5

young patient with inflammation of tibial tuberosity, diagnosis? treatment?

Osgood-Schlatter disease - Rest, Ice, supportive, symptomatic

6

What is a common complication of chronic blood transfusion for an otherwise relatively healthy patient?

Iron overload

7

What is the most valuable diagnostic study for MS?

60-70% of patients will have findings during a Visual Evoked Potentials study

8

When should a UTI be tested for in women in general?

symptomatically or in pregnant women between 12-16 weeks gestation

9

When should a UTI be treated in women?

When it's symptomatic or in pregnant women between weeks 12-16 gestation

10

Pt p/w coin-like lesions with a distribution on the extensor surface of the extremities as well as posterior portion of the trunk, buttock, and legs some with purulent drainage. Diagnosis? Treatment?

Nummular eczema: Treatment includes topical steroids, systemic antibiotics, and antihistamines

11

What is the primary treatment of absence seizures?

Ethosuximide

12

What is the antidote to isoniazid toxicity?

Pyridoxine (vitamin B6)

13

What neurologic disorder is associated with thymus dysfunction?

Myesthenia gravis

14

What are treatment options for myesthenia gravis?

Medical treatment includes neostigmine therapy, plasmapheresis, or intravenous immunoglobulin therapy. Thymectomy may be considered in cases of thymoma.

15

What is a genetic disorder associated with deficiency of the structural protein dystrophin in muscles?

Duchenne muscular dystrophy

16

Patient has Negri bodies on brain biopsy, diagnosis?

Rabies

17

Target like lesions in HSV positive patient, diagnosis? treatment? prevention of future eruption?

Erythema multiforme, benadry, acyclovir - most common cause of EM

18

What is the easiest difference between a hordeolum and a chalazion?

Hordeolum is red and hot and painful and a chalazion isn't

19

What is the definitive diagnostic test for carcinoid?

5HIAA 24 hour urine test

20

What is Churg-Strauss syndrome?

1. Asthma
2. Eosinophilia of more than 10% in the peripheral blood
3. Pulmonary involvement such as infiltrates
4. Paranasal sinusitis
5. Mononeuritis multiplex or polyneuropathy
6. Histological proof of vasculitis with extravascular eosinophils

21

What is the normal fetal heart rate?

110-160 bpm

22

Young patient without risk factors with community acquired pneumonia, first line abx?

doxycycline

23

Young female patient presents with weakness/fatigue ?vague vision complaints, ?swallowing difficulty. Work up?

Myesthenia gravis work up: edrophonium challenge (short-acting anticholinesterase) results in returned strength short term, The acetylcholine receptor antibody test, CT scan of the thorax to detect a thymoma if present, Electromyogram (EMG)

24

What is the treatment algorithm for Myesthenia gravis?

1. Neostigmine and other anticholinesterase drugs, improving symptoms.
2. Avoidance of drugs such aminoglycosides.
3. Thymectomy(removal of the thymus), which produces an improvement in over 85% of the patients between puberty and 55 years of age. It is usually performed in cases of moderate-to-marked generalized myasthenia gravis, and in some, it can produce complete remission of the disease. A thymoma is an indication for surgery.
4. Steroids provide for symptom management as well; improvement is the most dramatic with high-dose corticosteroids.
5. Plasmapheresis and IV immunoglobulins.

25

A middle age p/w weakness of the proximal muscles of the lower and then upper limbs. A muscle biopsy made what diagnosis?

Inclusion body myositis

26

Which lung CA do non-smokers get?

Adenocarcinoma

27

FOOSH fracture with with a dinner fork deformity, what's the name of the fracture?

Colles' fracture

28

Fall on a bent wrist fracture with appropriate displacement in the other direction from the FOOSH fracture, name that fracture!

Smith fracture

29

What is the treatment for a bleeding hemaphiliac?

PCC

30

What is the diagnosis in a sick patient with perihilar infiltrates?

PCP, likely an HIV patient