DETAILED VERIFIED SOLUTIONS|GRADED A+|NEWEST 2026/2027
Gram positive cocci in pairs? - ANSWER Streptococcus pneumoniae
Hypotensive patient + warm + flushed skin + decreased SVR? - ANSWER Septic shock
MCC of CAP (bacterial)? - ANSWER Streptococcus pneumoniae
Lobar consolidation + sudden fever/chills + blood-tinged sputum? - ANSWER
Streptococcus pneumoniae
Mycoplasma pneumonaie is associated with what? - ANSWER 1. Blisters on the TM
(bullous myringitis)
2. Positive cold agglutinin autoimmune hemolytic anemia
What diuretic is known to cause gynecomastia? - ANSWER Spironolactone (d/t decreased
androgen activity)
Staph aureus is commonly associated with PNA s/p what? - ANSWER Viral infection
SE of mannitol? - ANSWER Pulm edema
Kimmelstiel-Wilson nodule? - ANSWER Pathognomic lesion seen in patients w/ diabetic
nephropathy
1
,Anemia + MCV > 100 + hypersegmented neutrophils + peripheral neuropathy? - ANSWER
B12 deficiency
MCC of B12 deficiency? - ANSWER Pernicious anemia (autoimmune)
Others: CD, malabsorption, alcoholism, meds (PPIs, metformin, H2 blockers), veganism,
bariatric surgery
Where is B12 absorbed? - ANSWER Terminal ileum (IF needs to be present)
Gram negative oxidase-positive comma (S-shaped) rods? - ANSWER Campylobacter jejuni
MCC of GBS? - ANSWER Campylobacter jejuni
Symmetrical ascending paralysis? - ANSWER GBS
Gram positive cocci in clusters? - ANSWER Staph aureus
Small, pruritic vesicles (blisters) with tapioca appearance on palms and between digits? -
ANSWER Dishydrotic eczema
Multiple, dome-shaped flesh-colored pearly white, waxy papules w/ central umbilication? -
ANSWER Molloscum contagiosum
What anti-depressant to NOT give for someone who has a history of OD? - ANSWER
Tricyclic antidepressants
No outer 1/3 of the eyebrows? - ANSWER Hypothyroidism is a possible cause
2
,MCC of pleural effusions? - ANSWER CHF
Lower abdominal or pelvic pain that occurs during ovulation? - ANSWER Mittelschermz
MCC of endogenous Cushing syndrome? - ANSWER ACTH-producing pituitary adenoma
Pituitary tumors can present as what vision defect? - ANSWER Bitemporal hemianopsia
(can't see peripherally)
Obstructive lung diseases will show what (in regards to PFTs)? - ANSWER Decreased
FEV1/FVC ratio (<0.7)
Increased RV (air-trapping) and TLC (hyperinflation)
List out SE of each TB medication. - ANSWER Rifampin: thrombocytopenia, orange-
colored secretions, hepatitis
INH: hepatitis, peripheral neuropathy (take w/ B6)
Pyrazinamide: hyperuricemia, hepatitis
Ethambutol: optic neuritis, peripheral neuropathy
Pericardial knock? - ANSWER Constrictive pericarditis (restrictive defect; diastolic
dysfunction)
Anterior or posterior fat pad on x-ray near elbow in kids? - ANSWER Supracondylar fx
MC complication of supracondylar fx in kids? - ANSWER Median n. or brachial a. damage
Can't abduct or oppose thumb? - ANSWER Median n. injury
3
, Lambert-Eaton Syndrome: does it improve w/ repeated use? - ANSWER Yeah (unlike MG)
Can't cross first two fingers? - ANSWER Ulnar n. injury
MG is associated w/ what structural abnormality? - ANSWER Thyoma
Sharply-defined, coin-shaped, pruritic lesions on dorsum of hand? - ANSWER Nummular
eczema
Atopic triad? - ANSWER 1. Eczema
2. Asthma
3. ASA allergy
Painful, erythematous inflammatory nodules on anterior shins? - ANSWER Erythema
nodosum (Associated w/ pregnancy, sarcoidosis, TB, and fungal dz)
Wickham striae? - ANSWER Reticular white lines on surface in lichen planus
5 P's of Lichen Planus? - ANSWER Purple
Polygonal (irregular shape)
Planar (plaques)
Pruritic
Papular
Tx of candidial esophagitis? - ANSWER Diflucan (fluconazole)
Budding yeast with hyphae? - ANSWER Candida
4
Gram positive cocci in pairs? - ANSWER Streptococcus pneumoniae
Hypotensive patient + warm + flushed skin + decreased SVR? - ANSWER Septic shock
MCC of CAP (bacterial)? - ANSWER Streptococcus pneumoniae
Lobar consolidation + sudden fever/chills + blood-tinged sputum? - ANSWER
Streptococcus pneumoniae
Mycoplasma pneumonaie is associated with what? - ANSWER 1. Blisters on the TM
(bullous myringitis)
2. Positive cold agglutinin autoimmune hemolytic anemia
What diuretic is known to cause gynecomastia? - ANSWER Spironolactone (d/t decreased
androgen activity)
Staph aureus is commonly associated with PNA s/p what? - ANSWER Viral infection
SE of mannitol? - ANSWER Pulm edema
Kimmelstiel-Wilson nodule? - ANSWER Pathognomic lesion seen in patients w/ diabetic
nephropathy
1
,Anemia + MCV > 100 + hypersegmented neutrophils + peripheral neuropathy? - ANSWER
B12 deficiency
MCC of B12 deficiency? - ANSWER Pernicious anemia (autoimmune)
Others: CD, malabsorption, alcoholism, meds (PPIs, metformin, H2 blockers), veganism,
bariatric surgery
Where is B12 absorbed? - ANSWER Terminal ileum (IF needs to be present)
Gram negative oxidase-positive comma (S-shaped) rods? - ANSWER Campylobacter jejuni
MCC of GBS? - ANSWER Campylobacter jejuni
Symmetrical ascending paralysis? - ANSWER GBS
Gram positive cocci in clusters? - ANSWER Staph aureus
Small, pruritic vesicles (blisters) with tapioca appearance on palms and between digits? -
ANSWER Dishydrotic eczema
Multiple, dome-shaped flesh-colored pearly white, waxy papules w/ central umbilication? -
ANSWER Molloscum contagiosum
What anti-depressant to NOT give for someone who has a history of OD? - ANSWER
Tricyclic antidepressants
No outer 1/3 of the eyebrows? - ANSWER Hypothyroidism is a possible cause
2
,MCC of pleural effusions? - ANSWER CHF
Lower abdominal or pelvic pain that occurs during ovulation? - ANSWER Mittelschermz
MCC of endogenous Cushing syndrome? - ANSWER ACTH-producing pituitary adenoma
Pituitary tumors can present as what vision defect? - ANSWER Bitemporal hemianopsia
(can't see peripherally)
Obstructive lung diseases will show what (in regards to PFTs)? - ANSWER Decreased
FEV1/FVC ratio (<0.7)
Increased RV (air-trapping) and TLC (hyperinflation)
List out SE of each TB medication. - ANSWER Rifampin: thrombocytopenia, orange-
colored secretions, hepatitis
INH: hepatitis, peripheral neuropathy (take w/ B6)
Pyrazinamide: hyperuricemia, hepatitis
Ethambutol: optic neuritis, peripheral neuropathy
Pericardial knock? - ANSWER Constrictive pericarditis (restrictive defect; diastolic
dysfunction)
Anterior or posterior fat pad on x-ray near elbow in kids? - ANSWER Supracondylar fx
MC complication of supracondylar fx in kids? - ANSWER Median n. or brachial a. damage
Can't abduct or oppose thumb? - ANSWER Median n. injury
3
, Lambert-Eaton Syndrome: does it improve w/ repeated use? - ANSWER Yeah (unlike MG)
Can't cross first two fingers? - ANSWER Ulnar n. injury
MG is associated w/ what structural abnormality? - ANSWER Thyoma
Sharply-defined, coin-shaped, pruritic lesions on dorsum of hand? - ANSWER Nummular
eczema
Atopic triad? - ANSWER 1. Eczema
2. Asthma
3. ASA allergy
Painful, erythematous inflammatory nodules on anterior shins? - ANSWER Erythema
nodosum (Associated w/ pregnancy, sarcoidosis, TB, and fungal dz)
Wickham striae? - ANSWER Reticular white lines on surface in lichen planus
5 P's of Lichen Planus? - ANSWER Purple
Polygonal (irregular shape)
Planar (plaques)
Pruritic
Papular
Tx of candidial esophagitis? - ANSWER Diflucan (fluconazole)
Budding yeast with hyphae? - ANSWER Candida
4
