Exam Questions and CORRECT Answers
tx of GI ulcer - CORRECT ANSWER - antibiotics and PPI
dif swallowing and regurgitating food - CORRECT ANSWER - zenkers (diag with contrast
esophagography_
tx of external painful hemorrhoid - CORRECT ANSWER - hemorrhoidectomy
low T3, normal T4, normal TSH - CORRECT ANSWER - euthyroid sick syndrome (dec
conversion of T4 to T3)
iodine def - CORRECT ANSWER - inc TSH, low T4
rapid onset hypoxemia with diffuse Bl alveolar opacities - CORRECT ANSWER - diffuse
alveolar hemorrhage (can be due to cocaine, ANCA vasculitis, SLE, mitral stenosis, viral
pneumonitis)
factorial design - CORRECT ANSWER - randomization fo dif interventions with additional
study of 2+ variables
cross over study - CORRECT ANSWER - groups randomized to one treatment then another
treatment, sitch treatmetn
HTN and hypoK - CORRECT ANSWER - suspect hyperaldo, get plasma renin and aldo
ceoncent
hypoV, hypotension, orthostasis, hyperpigmentation, eosinophilia, anemia - CORRECT
ANSWER - primary adrenal insuff (autoimmune response)
, mobitz type I - CORRECT ANSWER - progressive lengthing of PR with dropped QRS
mobitz type II - CORRECT ANSWER - randomly dropped QRS
SVR in septic shock - CORRECT ANSWER - dec
eval of clavicular fx - CORRECT ANSWER - observe for pulse, if pulse absent or bruit at
injury site then straight to OR, if stable pt and dec pulse then get CTA
abd pain, high pitched bowel sounds, small bowel dilation with air fluid levels - CORRECT
ANSWER - SBO (if a/w/ eosinophilia then thinkk ascariasis)
ant mediastinal mass with inc AFP and HCG - CORRECT ANSWER - nonseminomatous
GCT (yolk sac, choriocarcoinoma, mixed GCT)
abrupt onset of regular tachycardia that resolves with cold water immersion - CORRECT
ANSWER - AVNRT
intermenstrual bleeding with regular monthly menses - CORRECT ANSWER - endometrial
polyp
irreg anovulatory menses in obese women - CORRECT ANSWER - endometrial hyperplasia
heavy prolonged menses - CORRECT ANSWER - think leiomyoma vs adenomysosis
pure motor hemiparesis - CORRECT ANSWER - lacunar stroke due to lipohyalinosis of small
vessel