#How does Crohn's cause small bowel obstruction?
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small bowel fibrotic stricture
!How to manage second trimester pregnancy with elevated maternal serum alpha
fetoprotein?
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US (not triple screen or repeat or amniocentesis)
,#47 yo M at follow-up after being diagnosed with stage I HTN 5 months ago. Started on
hydrochlorothiazide. Over the last month, he has felt fatigued. Exam is normal. Which is
causing his symptoms?
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hypokalemia
67yo M with alcoholism. 15-year history of poorly controlled hypertension; takes
hydrochlorothiazide, not compliant. BP 170/102. Funduscopic examination shows
arteriovenous nicking and tortuosity of the arteries. Risk for?
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MI
- hypertensive retinopathy: AV nicking and tortuosity of the arteries
NOT subarachnoid hemorrhage
Pt has worsening pain and swelling of her right knee for the past 2 days. She must stand
often while working. Right knee is erythematous, swollen and tender; there is pain on
movement. X ray of the knee shows an effusion but no structural abnormalities
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, Arthrocentesis of the knee
(READ carefully)
40) A previously healthy 10 y/o girl is brough to the physician because of a 2 day history
of mildly itchy rash that has spread from her face to her chest, arms, and legs. One week
ago, she had a 2-day history of low grade fever, HA, and malaise. She has not had a sore
throat. She appears well. Her temp is 37.3 (99.1). A photograph (showing red cheeks) is
shown. The rash over the chest and upper and lower extremities is symmetric,
maculopapular, reticular, erythematous and nonconfluent. The remainder of the exam
shows no abnormalities. Which of the following is the most appropriate next step in
pharmacotherapy?
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None indicated (parvovirus)
# 20yo M routine health maintenance examination. 15-year hx of difficulty relaxing his
hands after tightly gripping objects or after shaking hands. Father has cataracts and
frontal baldness. Exam shows thin forearms. Moderate weakness of hands. Dx?
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, myotonic muscular dystrophy
- classic DM1 have muscle weakness and atrophy, myotonia, cataracts and
frequently have cardiac conduction abnormalities. Symptoms usually begin
between the ages of 20 and 40, but disease onset can sometimes occur in
childhood or after age 40. Distal muscle weakness leading to a gait
disturbance and facial muscle weakness are often the first symptom
Jackhammer operator with pain and swelling of right arm for 3D. Sx moderately
exacerbated by exertion. PE=right upper extremity shows erythema and moderate
edema.
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Axillary subclavian venous thrombosis
NOT thoracic outlet syndrome: compression of vessels in space between the
collarbone and first rib; pain in the shoulder and neck and numbness,
weakness and coldness of fingers
41) An 87-year-old man comes to the physician because of a 1-year history of difficulty
starting his urinary stream and occasional postvoid dribbling. He typically arises to void
two times nightly. He has a 30-year history of type 2 diabetes mellitus complicated by
orthostatic hypotension secondary to autonomic dysfunction.Current medications
include lisinopril and glyburide. His blood pressure is 140/80 mm Hg while supine and
100/60 mm Hg while standing. Examination shows an enlarged prostrate. Which of the
following is the most appropriate pharmacotherapy for this patient's urinary symptoms?
Give this one a try later!
Give this one a try later!
small bowel fibrotic stricture
!How to manage second trimester pregnancy with elevated maternal serum alpha
fetoprotein?
Give this one a try later!
US (not triple screen or repeat or amniocentesis)
,#47 yo M at follow-up after being diagnosed with stage I HTN 5 months ago. Started on
hydrochlorothiazide. Over the last month, he has felt fatigued. Exam is normal. Which is
causing his symptoms?
Give this one a try later!
hypokalemia
67yo M with alcoholism. 15-year history of poorly controlled hypertension; takes
hydrochlorothiazide, not compliant. BP 170/102. Funduscopic examination shows
arteriovenous nicking and tortuosity of the arteries. Risk for?
Give this one a try later!
MI
- hypertensive retinopathy: AV nicking and tortuosity of the arteries
NOT subarachnoid hemorrhage
Pt has worsening pain and swelling of her right knee for the past 2 days. She must stand
often while working. Right knee is erythematous, swollen and tender; there is pain on
movement. X ray of the knee shows an effusion but no structural abnormalities
Give this one a try later!
, Arthrocentesis of the knee
(READ carefully)
40) A previously healthy 10 y/o girl is brough to the physician because of a 2 day history
of mildly itchy rash that has spread from her face to her chest, arms, and legs. One week
ago, she had a 2-day history of low grade fever, HA, and malaise. She has not had a sore
throat. She appears well. Her temp is 37.3 (99.1). A photograph (showing red cheeks) is
shown. The rash over the chest and upper and lower extremities is symmetric,
maculopapular, reticular, erythematous and nonconfluent. The remainder of the exam
shows no abnormalities. Which of the following is the most appropriate next step in
pharmacotherapy?
Give this one a try later!
None indicated (parvovirus)
# 20yo M routine health maintenance examination. 15-year hx of difficulty relaxing his
hands after tightly gripping objects or after shaking hands. Father has cataracts and
frontal baldness. Exam shows thin forearms. Moderate weakness of hands. Dx?
Give this one a try later!
, myotonic muscular dystrophy
- classic DM1 have muscle weakness and atrophy, myotonia, cataracts and
frequently have cardiac conduction abnormalities. Symptoms usually begin
between the ages of 20 and 40, but disease onset can sometimes occur in
childhood or after age 40. Distal muscle weakness leading to a gait
disturbance and facial muscle weakness are often the first symptom
Jackhammer operator with pain and swelling of right arm for 3D. Sx moderately
exacerbated by exertion. PE=right upper extremity shows erythema and moderate
edema.
Give this one a try later!
Axillary subclavian venous thrombosis
NOT thoracic outlet syndrome: compression of vessels in space between the
collarbone and first rib; pain in the shoulder and neck and numbness,
weakness and coldness of fingers
41) An 87-year-old man comes to the physician because of a 1-year history of difficulty
starting his urinary stream and occasional postvoid dribbling. He typically arises to void
two times nightly. He has a 30-year history of type 2 diabetes mellitus complicated by
orthostatic hypotension secondary to autonomic dysfunction.Current medications
include lisinopril and glyburide. His blood pressure is 140/80 mm Hg while supine and
100/60 mm Hg while standing. Examination shows an enlarged prostrate. Which of the
following is the most appropriate pharmacotherapy for this patient's urinary symptoms?
Give this one a try later!
