EOC End of Curriculum Exam Prep
constipation, what medication could safely be added - ✔️✔️Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Which medication causes a rapid eye movement sleep behavior disorder in patients
with Parkinson disease or Lewy body dementia? - ✔️✔️SSRI and antidepressants
(common)
--- rare--BB, cholinesterase inhibitors (donepezil, rivastigmine, mimentamine),
suvorexant (rare)
--- benzodiazepine withdrawal, barbiturate withdrawal.
--- use melatonin or low dose clonazepam
SEVERE HA, _ conjunctival inject + tearing, occuring one minute
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose - ✔️✔️Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
mechanical mitral valve replacement on warfarin presents to the office for routine
management of his anticoagulant medication. What is the target international
normalized ratio range for this patient? - ✔️✔️INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension - ✔️✔️Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal
canal
dx- MRI
Tx- PT and surgery
Decreased light touch and vibration sensation*** - ✔️✔️nerve compression
neuropathy
,IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms
and soles, new murmur on left sternal border - ✔️✔️infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
*Most often elevated lab marker- rheumatoid factor*
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior
cervical and posterior auricular lymphadenopathy - ✔️✔️Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and
extremities - ✔️✔️RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise,
koplik spots - ✔️✔️rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
--- Oxygen does NOT help! - ✔️✔️short lasting unilateral neuralgiform headache attack
Note
- no n/photophobia/ phonophobia
= no alcohol triggers
tx- Lidocaine
prophylaxis
, persisitent rhinorrhea, frequent sneezing, itching, watering eyes - ✔️✔️allergic rhinitis
wash bed lining weekly
tx- antihistamine
glucocrticoid nasal sprays
cromolyn sodium
montelukast
intense stabbing along the jaw. Aggrevated by chewing and brushing teeth.
-- - ✔️✔️trigeminal neuralgia through foramen ovale (facial nerve, V3 mandibular and
maxillary branch (V2)
-- presence of facial muscle spasm
tx- carbamazepine
gabapentin
lamotrigine, phenytoin
What is the most common dislocation in the body? - ✔️✔️shoulder _MC anterior /
ABDucted / externally rotated/ axillary nerve
Second MC is elbow
Knee dislocations are rare
complications: axillary nerve damage, bankar lesion/ hill sachs deformity.
MC symptom for eosinophilic esophagitis - ✔️✔️dysphagia to solid foods
c/o fatigue, slugginesh, numbness, glossitis, jaundiced, macrocytic anemia.
INstrinsic factor antibodies, what is the treatment? - ✔️✔️IM cynocobalamin (for
autoimmune intrinsic factor)
Methylmalonic acid is elevated.
note:
PO vit b12 good for diet def in vit b12
PO folate for high dose methotrexate therapy
s/p undercooked chicken has urinary f/u, and knee pain. What is the diagnosis? -
✔️✔️reactive arthritis
- MC with Shigella, salmonella, yersenia, campylobacter
Also Chlamydia.
HLA B27
constipation, what medication could safely be added - ✔️✔️Bulk forming laxatives
--note that osmotic stimulants and surfactants don't help.
Which medication causes a rapid eye movement sleep behavior disorder in patients
with Parkinson disease or Lewy body dementia? - ✔️✔️SSRI and antidepressants
(common)
--- rare--BB, cholinesterase inhibitors (donepezil, rivastigmine, mimentamine),
suvorexant (rare)
--- benzodiazepine withdrawal, barbiturate withdrawal.
--- use melatonin or low dose clonazepam
SEVERE HA, _ conjunctival inject + tearing, occuring one minute
abnormal laboratory tests with ______________ include
-- increased LFT, NH4+
-- decreased Glucose - ✔️✔️Reye syndrome
tx- Treatment is aimed at reducing intracranial pressure and supportive care.
SE- cerebral edema and fulminant heptitis
mechanical mitral valve replacement on warfarin presents to the office for routine
management of his anticoagulant medication. What is the target international
normalized ratio range for this patient? - ✔️✔️INR 2.5 to 3.5 (mechanical valve)
INR 2.0 to 3.0 (organic valve)
LBP worse with walking, radiating to both legs,
+ paresthesia, +weakness
+ worse pain with spine extension - ✔️✔️Spinal Stenosis
- LBP worse with extension better with forward flexion/bending
patho: degeneration of intervertebral disc, decrease in height with bulging into the spinal
canal
dx- MRI
Tx- PT and surgery
Decreased light touch and vibration sensation*** - ✔️✔️nerve compression
neuropathy
,IVDU (heroin use), conjunctival hemorrhages, small red macular lesions on B/L palms
and soles, new murmur on left sternal border - ✔️✔️infective endocarditis
dx based on:
-Two Major (+blood cx, +echo, +valve regurg)
-one major - three minor
- 5 minor (F, IVDU,
*Most often elevated lab marker- rheumatoid factor*
Rash starting at the face spreading to B/L knee and wrist rash. + fever, + posterior
cervical and posterior auricular lymphadenopathy - ✔️✔️Rubella
-- maculopapuar rash - pinpoint, pink
- posterior cervical/ auricular and suboccipital lymph nodes
- low grade fever
- JOINT pain
-
Complications: hearing loss (congenital)
Dx- IgM antibodies, enzyme immunoassay
Tx- supportive, vaccinations
SUPER HIGH fever (104F) -->
FEVER resolves-->
RASH (blanching, maculopapular rash) begins on chest then spread to face and
extremities - ✔️✔️RoSeola (Super High F, and sixth dz)
HHS 6
*roses that start in chest and bloom to face/ extremities*
LOW grade fever, coryza (aka runny nose/ congestion), cough, conjunctivitis, malaise,
koplik spots - ✔️✔️rubeola / measles
dx- mesles IgM serum antibody
recommendations- isolate
tx- supportive
--- Oxygen does NOT help! - ✔️✔️short lasting unilateral neuralgiform headache attack
Note
- no n/photophobia/ phonophobia
= no alcohol triggers
tx- Lidocaine
prophylaxis
, persisitent rhinorrhea, frequent sneezing, itching, watering eyes - ✔️✔️allergic rhinitis
wash bed lining weekly
tx- antihistamine
glucocrticoid nasal sprays
cromolyn sodium
montelukast
intense stabbing along the jaw. Aggrevated by chewing and brushing teeth.
-- - ✔️✔️trigeminal neuralgia through foramen ovale (facial nerve, V3 mandibular and
maxillary branch (V2)
-- presence of facial muscle spasm
tx- carbamazepine
gabapentin
lamotrigine, phenytoin
What is the most common dislocation in the body? - ✔️✔️shoulder _MC anterior /
ABDucted / externally rotated/ axillary nerve
Second MC is elbow
Knee dislocations are rare
complications: axillary nerve damage, bankar lesion/ hill sachs deformity.
MC symptom for eosinophilic esophagitis - ✔️✔️dysphagia to solid foods
c/o fatigue, slugginesh, numbness, glossitis, jaundiced, macrocytic anemia.
INstrinsic factor antibodies, what is the treatment? - ✔️✔️IM cynocobalamin (for
autoimmune intrinsic factor)
Methylmalonic acid is elevated.
note:
PO vit b12 good for diet def in vit b12
PO folate for high dose methotrexate therapy
s/p undercooked chicken has urinary f/u, and knee pain. What is the diagnosis? -
✔️✔️reactive arthritis
- MC with Shigella, salmonella, yersenia, campylobacter
Also Chlamydia.
HLA B27
