FM COMAT COMQUEST AND COMBANK
QUESTIONS WITH ACCURATE ANSWERS.
HCG above 1500 with no intrauterine pregnancy on US ANS - What allows for dx of ectopic pregnancy?
Chlamydia//
Oral erythro ANS - Number one cause of neonatal conjunctivitis? Tx?
Neis- 2-7 days//
Chlam- 7-14 days//
Silver nitrate//
24-48 hours//
artificial tears for irrigation ANS - 2 main causes of neonatal conjunctivitis and timing each is seen?
Irritant that causes it? Timing of this? All causes treated with ___ regardless of etiology
If initial Pap screening is abnormal ANS - Pap = surveillance or diagnostic when?
Fatigue, pruritis, RUQ pain, HSM, jaundice, xanthelasma, and Kayser-Fleischer rings ANS - Signs of PBC?
Pneum ANS - All patients that smoke should get what vaccine?
fever, N/V, diarrhea ANS - Signs of infectious colitis?
blunting and thickening of mucosal folds ANS - What signifies bowel ishemia on imaging?
chronic bloody diarrhea, mucous discharge from the rectum, and tenesmus//
Lead pipe (loss of haustra) ANS - UC - Key symptoms? Key sign on imaging?
chronic diarrhea, diffuse abd pain relieved by defecation, signs of imflammation//
,string sign at terminal ilem ANS - Crohns - symptoms? Sign on imaging?
brief, arrhythmic, involuntary, bilateral UPPER EXTREMITY myoclonic jerks WITHOUT loss of
consciousness//
Valproic acid ANS - Classic signs of juvenile myoclonic epilepsy? Tx?
Lennox- Gastaut syndrome//
2 years old//
mental reterdation, along with multiplr types of seizures and developmental regression ANS -
Childhood epileptic encephalopathy aka_____ Presents when? Key signs?
Absence seizures//
2 to 4 Hertz spike and wave slowing//
Ethosux ANS - Petit mal epilepsy presents with what? Classic EEG finding? Tx?
Mongolian blue spots//
at birth//
reassurance and observation ANS - What are these? Present when? Tx?
Men 50-59 whose risk of MI exceeds risk of GI bleed ANS - Who should take baby aspirin?
HTN refractory to at least 3 different meds ANS - Suspect 2ndary HTN when?
Lateralized abd bruit present during both systole and diastole ANS - Key PE finding of renal artery
stenosis?
less than 10 with one antisocial activity or greater that 10 with 3//
oppositional and antisocial (theft, hurting)//
Antisocial personality d/o//
,at least 18 years old ANS - Age conduct d/o diagnosed? It's combo of what behaviors? At risk of
developing ___Age?
at least 6 months//
delusions, hallucinations, disorganized speech, etc ANS - Schizophrenia length of symptoms? Signs?
plan or intent//
hospitalization ANS - Suicidal ideation who have ___ or ___ . Number one step?
Hilar lymphadenopathy ANS - CXR key finding of histo?
Bilateral breast pain and swelling with yellow discharge//
Begin 1 week prior to menstration and disappear after menstruation ANS - Key signs of fibrocystic
breast dz? Timing?
Fibrocystic dz ANS - Breast pain/swelling that begins 1 week prior to menstration and disappear after
menstruation?
Fibroadenoma//
painless. well- circum smooth rubbery and mobile breast mass (usually just one breast) ANS - Number
one benign breast neoplasm in less than 30? Presents with what?
Bronchiectasis//
Signet ring sign (dilated bronchus immediately adjacent to smaller companion pulmonary artery ANS -
Months to years of daily cough with mucopurulent sputum - dx? Classic CT finding?
all sex active 24 and under and also over 24 if increased risk (history of it, no condoms, multiple
partners, spouse/partner infidelity ANS - Screen who for chlamydia?
Orthostatic proteinuria (proteinuria while upright which resolves when supine)//
, first morning URINE PROTEIN-TO-CREATININE ratio after sleeping supine position overnight ANS -
Number one cause of isolated persistent prooteinuria in kids? Diagnosis made how?
new-onset unilateral conductive hearing loss//
child//
white mass behind an intact TM (also see granulation tissue) ANS - Cholesteatoma presents with what?
In who? Key PE finding?
pulsatile tinnitus and gradual, painless hearing loss//
pulsating reddish blue mass behind the TM ANS - Sign of glomus tumor? CLassic PE finding?
Acetaminophen and reassurance//
URI, DTP vacc, MMR vacc ANS - Treatment for febrile seizures? Common triggers?
Immediately increase thyroid meds//
Get a TSH in 5 weeks//
every 6-8 weeks ANS - Patient with hypoTH diagnosed with pregnancy - first step? Then do what?
Asesss TSH levels how often in HypooTH patient that's pregnant?
abd distension, bloody stool, pneumatosis intestinalis //
abd XR/
train track lucency in bowel wall (pneumatosis intestinalis) ANS - Key signs of necrotizing enterocolitis?
Best Test? Finding?
Epi and vasopressin//
symptomatic brady, hypotension, PEA, VFib, Pulseless VT//
Amiodarone//
VF or Pulseless VT ANS - Only meds (2) used in asystole? Other time this is used? ____ is second med
used if Epi doesn't convert ___ or ___
QUESTIONS WITH ACCURATE ANSWERS.
HCG above 1500 with no intrauterine pregnancy on US ANS - What allows for dx of ectopic pregnancy?
Chlamydia//
Oral erythro ANS - Number one cause of neonatal conjunctivitis? Tx?
Neis- 2-7 days//
Chlam- 7-14 days//
Silver nitrate//
24-48 hours//
artificial tears for irrigation ANS - 2 main causes of neonatal conjunctivitis and timing each is seen?
Irritant that causes it? Timing of this? All causes treated with ___ regardless of etiology
If initial Pap screening is abnormal ANS - Pap = surveillance or diagnostic when?
Fatigue, pruritis, RUQ pain, HSM, jaundice, xanthelasma, and Kayser-Fleischer rings ANS - Signs of PBC?
Pneum ANS - All patients that smoke should get what vaccine?
fever, N/V, diarrhea ANS - Signs of infectious colitis?
blunting and thickening of mucosal folds ANS - What signifies bowel ishemia on imaging?
chronic bloody diarrhea, mucous discharge from the rectum, and tenesmus//
Lead pipe (loss of haustra) ANS - UC - Key symptoms? Key sign on imaging?
chronic diarrhea, diffuse abd pain relieved by defecation, signs of imflammation//
,string sign at terminal ilem ANS - Crohns - symptoms? Sign on imaging?
brief, arrhythmic, involuntary, bilateral UPPER EXTREMITY myoclonic jerks WITHOUT loss of
consciousness//
Valproic acid ANS - Classic signs of juvenile myoclonic epilepsy? Tx?
Lennox- Gastaut syndrome//
2 years old//
mental reterdation, along with multiplr types of seizures and developmental regression ANS -
Childhood epileptic encephalopathy aka_____ Presents when? Key signs?
Absence seizures//
2 to 4 Hertz spike and wave slowing//
Ethosux ANS - Petit mal epilepsy presents with what? Classic EEG finding? Tx?
Mongolian blue spots//
at birth//
reassurance and observation ANS - What are these? Present when? Tx?
Men 50-59 whose risk of MI exceeds risk of GI bleed ANS - Who should take baby aspirin?
HTN refractory to at least 3 different meds ANS - Suspect 2ndary HTN when?
Lateralized abd bruit present during both systole and diastole ANS - Key PE finding of renal artery
stenosis?
less than 10 with one antisocial activity or greater that 10 with 3//
oppositional and antisocial (theft, hurting)//
Antisocial personality d/o//
,at least 18 years old ANS - Age conduct d/o diagnosed? It's combo of what behaviors? At risk of
developing ___Age?
at least 6 months//
delusions, hallucinations, disorganized speech, etc ANS - Schizophrenia length of symptoms? Signs?
plan or intent//
hospitalization ANS - Suicidal ideation who have ___ or ___ . Number one step?
Hilar lymphadenopathy ANS - CXR key finding of histo?
Bilateral breast pain and swelling with yellow discharge//
Begin 1 week prior to menstration and disappear after menstruation ANS - Key signs of fibrocystic
breast dz? Timing?
Fibrocystic dz ANS - Breast pain/swelling that begins 1 week prior to menstration and disappear after
menstruation?
Fibroadenoma//
painless. well- circum smooth rubbery and mobile breast mass (usually just one breast) ANS - Number
one benign breast neoplasm in less than 30? Presents with what?
Bronchiectasis//
Signet ring sign (dilated bronchus immediately adjacent to smaller companion pulmonary artery ANS -
Months to years of daily cough with mucopurulent sputum - dx? Classic CT finding?
all sex active 24 and under and also over 24 if increased risk (history of it, no condoms, multiple
partners, spouse/partner infidelity ANS - Screen who for chlamydia?
Orthostatic proteinuria (proteinuria while upright which resolves when supine)//
, first morning URINE PROTEIN-TO-CREATININE ratio after sleeping supine position overnight ANS -
Number one cause of isolated persistent prooteinuria in kids? Diagnosis made how?
new-onset unilateral conductive hearing loss//
child//
white mass behind an intact TM (also see granulation tissue) ANS - Cholesteatoma presents with what?
In who? Key PE finding?
pulsatile tinnitus and gradual, painless hearing loss//
pulsating reddish blue mass behind the TM ANS - Sign of glomus tumor? CLassic PE finding?
Acetaminophen and reassurance//
URI, DTP vacc, MMR vacc ANS - Treatment for febrile seizures? Common triggers?
Immediately increase thyroid meds//
Get a TSH in 5 weeks//
every 6-8 weeks ANS - Patient with hypoTH diagnosed with pregnancy - first step? Then do what?
Asesss TSH levels how often in HypooTH patient that's pregnant?
abd distension, bloody stool, pneumatosis intestinalis //
abd XR/
train track lucency in bowel wall (pneumatosis intestinalis) ANS - Key signs of necrotizing enterocolitis?
Best Test? Finding?
Epi and vasopressin//
symptomatic brady, hypotension, PEA, VFib, Pulseless VT//
Amiodarone//
VF or Pulseless VT ANS - Only meds (2) used in asystole? Other time this is used? ____ is second med
used if Epi doesn't convert ___ or ___
