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Qbank High Yield
All the things you never knew
| Question | Answer |
|---|---|
| Case control Study | Affected vs Unaffected; odds ratio established |
| Cohort - Time frame? | Happens in the future |
| IV Contrast: What should be stopped? | Metformin, NSAIDs |
| Contraindications to Metformin | CHF, Renal failure, Liver failure, EtOH Abuse, Contrast |
| 2 stage oral glucose tolerance test (ogtt) | 50g glucose test: 1hr 140+ ---> You need a 3hr, 100g OGTT |
| 100g OGTT for Gestational DM: What are the cutoffs? (Need 2 pos) | Fasting>95, 1hr>180, 2hr>155, 3hr>140 |
| Gestational DM Cutoffs: Fasting and 2hr postprandial | fasting <95, 2hr postprandial <120 |
| Medicines associated with akathasia? | mood stabilizers |
| Treatment for akathasia | add a beta blocker |
| Crypto meningitis: Opening pressure? Cell Count? Protein? Glucose? | Opening pressure very high (x>200mmH20), Cell Count is Meh (Low, but all lymphocytes), protein is high, glucose is low |
| Viral Meningitis: how is it different from fungal? | Glucose is unchanged in viral |
| Next step in managing an elevated PSA (x>4) | Trans-Urethral biopsy |
| Positive predictive value of an elevated PSA? | 25% |
| diagnosis of ankylosing spondylitis? | XR of the sacroilliac joint |
| 2 tests that track the progress of ankylosing spondylitis | XR, and ESR |
| Cure for symptomatic ITP without hemorrhage | Steroids |
| Cure for symptomatic ITP with hemorrhage | Splenectomy |
| Consequence of untreated Varicocoele? | Impotence (pampiniform plexus does temp regulation) |
| When does varicocele require CT Abdomen? | Bilateral, Or Right Varicocele. |
| Pear-shaped motile organisms on a vag wet mount? | Trichomonas. |
| Breast mass in healthy female under 30. | Start with ultrasound. |
| What if ultrasound shows simple cystic mass in breast? | Reassure; Okay to aspirate if patient prefers |
| What if breast ultrasound shows complex cyst or mass | Core Biopsy. |
| Echo findings consistent with PE | "RV Strain"... Right ventricular dilation, tricuspid regurg, and decreased RV function. |
| Until what age can you do upside down back thrust in a choking infant? | Until 1yo. After that they get heimliched. |
| Sickle Cell Child comes into hospital in crisis. +Splenomegaly. How do you evaluate the splenomegaly? Why is this impt? | CBC will show if there is a squestration crisis. |
| Mononucleosis symptom triad? | Young, high fevers, fatigue, pharyngitis, splenomegaly |
| Thyroid Nodule: Pathway. | 1. Do a TSH: you need to know if it's a hyperactive nodule, or if it could be cancerous. 2. If normal TSH, get FNA. 3. If TSH is suppressed, radionucleide scan and if hot nodule, just observe. |
| Papillary Thyroid cancer. What do you do? | Near total thyroidectomy, then radionucleide scan for any metastatic areas. Then radiation. |
| Perimenopause presenting with a sudden heavy period? | Get a uterine lining ultrasound. |
| Henoch Schonlein: Describe case | Antecedent URI, abdominal pain, purpuric lesions climbing up legs. Can have kidney involvement |
| TTP: Constellation of 5 things | 1. Low plts, 2. RBC fragmentation 3. Neuro signs 4. AKI 5. Fever |
| Treatment for TTP | Urgent plasmapheresis |
| Psoriasis: the primary lesion | hyperplasia of epidermis |
| Psoriatic arthritis: treatment | MTX for joint involvement. UV therapy for skin |
| Hyperthyroid meds: what is preferred? What about preggers? | General: Methimazole. Preggers: PTU for first trimester (then methimazole) |
| Hyperthyroid with ESR | Subacute Thyroiditis |
| Subacute Thyroiditis: Characteristics | Inflammatory process causing release of thyroid hormones. Decreased thyroid uptake |
| Subacute thyroiditis: Tx | NSAIDs, Steroids if needed |
| First step to managing Lupus Nephritis | Need a renal Biopsy; 4 different types and all have diff treatment regimen |
| Sarcoid with Erythema Nodosum - Treatment | None; good prognosis alone |
| Safe to switch to ARB if an ACE caused angioedema? | Aww yeah. |
| Giardia Outbreak: Who needs Rx? | Only symptomatic carriers. |
| Bronchiolar Carcinoma causing recurrent PNA. Diagnostic test? | Flex Bronch. |
| Toxic Shock: Exotoxin or Endotoxin? | EXOtoxin. Endo is Gram-negative. |
| Window of time in which you can rapidly stop steroids? | 3 weeks (even high doses can be virtually stopped cold turkey) |
| Carpal Tunnel: Physical Exam tests | Tinel, Phalen (flexing wrists), or Hand Raising x1 minute |
| Rx for carpal tunnel (3 steps, from most conservative to most aggressive) | 1. Nighttime Wrist splints. 2. Steroid inject 3. Surgery |
| What rheum disorder is associated with temporal arteritis? | Polymyalgia Rheumatica |
| Differentiating symptoms of PMR vs Polymyositis? | PolyMYALGIA is always painful, Polymyositis usually presents with weakness but not pain |
| Multifocal Atrial Tach: Causes? | hypoxia; COPD; electrolytes (K, Mag) |
| LFT Profile in Primary Biliary Cirrhosis | HIGH AlkPhos. (Normal AST/ALT) |
| LFT Profile in Autoimmune Hepatitis | Mild AST, ALT, AlkPhos. [look for middle aged woman with autoimmune disease in question stem] |
| Wilson's Dz- Labs, physical exam | Low ceruloplasmin; hepatomegaly |
| Colloid Goiter: Who, how | Teenage girls, swelling with no lab abnormality |
| Thyroid Lymphoma: presentation | Rapid swelling and destruction of thyroid tissue; risk factor is hashimoto's |
| Scleroderma: Esophageal Manometry findings? LES sphincter tone? | Manometry shows no peristaltic waves. LES sphincter tone is LOW |
| Achalasia: Esophageal manometry? LES tone? | No Peristalsis. LES tone UP (birdbeak) |
| Cervical CA screening 21-29 | 21-29yrs: Q3yr screening. |
| Cervical CA screening 30-65 | q3yr or q5year if done with HPV screening |
| Cervical CA screening if 65+ or hysterectomy | No screening if not high risk |
| Bell's palsy: Causes | Lyme disease, tumor |
| Tx for bell's palsy | Corticosteroids |
| Acyclovir for bell's palsy? | Nope |
| Unstable Torsades | SHOCK THEM. Come on. |
| Stable Torsades: Tx? | Mag. Nificent. |
| Child Hep B vaccines: dates | Birth, 3 mo, 6mo. Check titers at 9mo |
| Lobular Carcinoma In Situ: What next | Nothing reall, LCIS is benign. Can excise |
| Treatments for Croup (2) | Racemic Epi. Or corticosteroids. It's just swelling |
| Diagnosing Shistosomiasis | Urine microscopy for ova & parasites |
| Reversing warfarin in case of bleeding | FFP |
| Reversing warfarin urgently (but no bleeding) | Vitamin K |
| Pear shaped fuckers on a wet mount | Trichomonas |
| Pramipexole: What is it | Dopamine agonist. Used in Parkinson's sometimes instead of Levodopa/Carbidopa. |
| PML on MRI | No Mass effect; no enhancement |
| What med to give in sulfonylurea OD? | Octreotide, prevents insulin release from hyperglycemia |
| Abx for the clap? | Ceftriaxone & Doxy (has to cover for possible c. trachomatis) |
| Indications for HRT | Preventing osteoporosis, hotflashes |
| Downsides of HRT (CV, Neuro) | Increases MI, increases VTE, increases dementia |
| Acute hemolytic reaction to blood transfusion: Timeline | Instant (like 1hr or less) |
| What transfusion reactions occur 1-6hr in? | Febrile Nonhemolytic or TRALI |
| How to prevent TRALI / febrile nonhemolytic | leukopoor blood |
| Who needs leukopoor? | Transplant patients, prior TRALIs, AIDS. |
| Anticoagulants contraindicated in HIT patients | Heparin, LMWH, UFH, AND WARFARIN |
| Technetium-99 | Meckel's. |
| Isotretinoin side effects | dead babies, high triglyceride levels |
| INR Goal for mechanical aortic valve | 2-3 *Unless* AFib -> 2.5-3.5 |
| Preggers woman with new TB. Tx? | R-I-E (Rifampin, INH, Ethambutol). Avoid pyrizanamide unless MDRTB because lack of knowledge on teratogenicity |
| Tx for Rosacea | Topical Metronidazole |
| Name 2 types of meningitis prophylaxis | Rifapmin, or Cipro. |
| How to treat ALS | Riluzole (glutamate inhibitor) |
| Side effect of Kava | Liver damage |
| Side effect of Ginseng | schizophrenia, bleeding |
| Side effect of ginko biloba | antiplatelet effect |
Created by:
fuboy1986
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