complete solutions rated A+
indirect inguinal hernia//
Valsalva or cough - correct answer ✔✔What hernia increases in size with increased Abd
pressure? Done how?
12 or more weeks//
21 day course of Antibiotics (Augmentin or caph)//
less than 4 weeks - correct answer ✔✔Length of chronic sinusitis? Tx? Length of acute?
contact dermatitis//
poison ivy, oak, sumac//
type 4 - correct answer ✔✔Red vesicular rash after hiking = suspect ___ from what? What type
HS?
Chondrocyte - correct answer ✔✔What cell most important in the initiation of OA?
BUN:Cr ratio//
>20 prerenal
<15 intra
>15 postrenal - correct answer ✔✔Use what value to differentiate the 3 types of azotemia?
result for each?
external compression - correct answer ✔✔Tx of lymphoedema?
,cafe au lait macules, neurofibromas, iris hamartomas (Lisch nodules), optic gliomas//
Slit lamp exam//
to look for th eye stuff - correct answer ✔✔Key signs of NF type 1? Next step after PE in dx?
Why?
metabolic alkalosis - correct answer ✔✔Excessive vomitting causes what acid/base problem?
normal anion gap acidosis//
RTA also causes this disturbance - correct answer ✔✔Diarrhea causes what acid/base problem?
Other cause of this type of problem?
high flow 100% O2 - correct answer ✔✔Cluster HA tx>
hyperpigmentation (bronzing), DM, cirrhosis//
high levels of ferritin and increased transferrin saturation - correct answer ✔✔Classic triad of
Hemochromatosis? 1st step in workup? Find what?
surgical myotomy//
GERD - correct answer ✔✔Best tx of achlasis? Key bad effect of procedure?
SOB, hypotension, tachy, new murmur//
endocarditis and aortic dissection - correct answer ✔✔Acute aoritc regurgitation signs? 2 key
causes?
dependent areas (scrotum and periorbital)//
Proteinuria (<3g), dysmorphic RBC's, and RBC casts - correct answer ✔✔Nephritic syndrome =
have edema where? Key signs in urine?
,Granulomatosis with polyangitis//
hemoptysis and glomerulonephritis//
anti-proteinase 3 Ab's in the serum//
lack of IC's - correct answer ✔✔Wegener's aka___. 2 key signs? Have what sign in serum? Key
on kidney bx?
R heart cath//
Pulmonary artery pressure > 20mmHg//
loud P2 - correct answer ✔✔Pulmonary HTN= DX with what? Find what? Key PE finding?
Fluids and IV steroids (due to adrenal insufficiency) - correct answer ✔✔Sheehan's - 2 key
things given to tx?
CXR//
blunting of the costophrenic angles - correct answer ✔✔Key test for pleural effusion? Key
finding on it?
ACE//
>500 mg - correct answer ✔✔1st line for protein-uric CKD?
Drug eruption (EM = targetoid lesions) - correct answer ✔✔Give drug then have generalized
maculopapular rash- dx?
CT abd - correct answer ✔✔Dx Pheo with what imaging?
Acetaminophen + stop transfusion//
stop transfusion and give diphenhydramine//
, anaphylactic transfusion rxn//
1:1000 epinephrine and intubation - correct answer ✔✔Tx nonhemolytic febrile transfusion rxn
with what? Urticarial trnasfusion rxn treated how? Must make sure it's not what? If it's this,
treat with what?
cream filling , pasta salad and picnics//
Listeria - correct answer ✔✔What foods make you think Staph aureus for diarrhea? Deli meats
make you think what?
pulmonary function//
serial PFT's - correct answer ✔✔Important to assess what in GBS? Done how?
eyelid swelling and redness, pain with eye movement, proptosis, ophthalmoplegia, and visual
impairment//
CT scan//
inflammation of the extraocular muscles, inflammatory stranding of orbital fat, and anterior
displacement of the globe - correct answer ✔✔Signs of orbital cellulitis? Test done for it? See
what?
surgical removal and then RAI ablation and exogenous T4//
Follicular - correct answer ✔✔Papillary cancer of thyroid treated how? Which other cancer
treated same way?
Flow cytometry//
deficiency of CD55 and CD 59 - correct answer ✔✔Paroxysmal nocturnal hemoglobinuria - dx
with what? See what?
rapid onset tenderness in region of affected bowel and rectal bleeding//