Solutions For Every Question
What allows for dx of ectopic pregnancy? Correct Answer -
HCG above 1500 with no intrauterine pregnancy on US
Number one cause of neonatal conjunctivitis? Tx? Correct Answer
- Chlamydia//
Oral erythro
2 main causes of neonatal conjunctivitis and timing each is seen?
Irritant that causes it? Timing of this? All causes treated with ___
regardless of etiology Correct Answer - Neis- 2-7 days//
Chlam- 7-14 days//
Silver nitrate//
24-48 hours//
artificial tears for irrigation
Pap = surveillance or diagnostic when? Correct Answer - If
initial Pap screening is abnormal
Signs of PBC? Correct Answer - Fatigue, pruritis, RUQ pain,
HSM, jaundice, xanthelasma, and Kayser-Fleischer rings
All patients that smoke should get what vaccine? Correct Answer -
Pneum
Signs of infectious colitis? Correct Answer - fever, N/V,
diarrhea
What signifies bowel ishemia on imaging? Correct Answer -
blunting and thickening of mucosal folds
,UC - Key symptoms? Key sign on imaging? Correct Answer -
chronic bloody diarrhea, mucous discharge from the rectum, and
tenesmus//
Lead pipe (loss of haustra)
Crohns - symptoms? Sign on imaging? Correct Answer -
chronic diarrhea, diffuse abd pain relieved by defecation, signs of
imflammation//
string sign at terminal ilem
Classic signs of juvenile myoclonic epilepsy? Tx? Correct Answer -
brief, arrhythmic, involuntary, bilateral UPPER EXTREMITY
myoclonic jerks WITHOUT loss of consciousness//
Valproic acid
Childhood epileptic encephalopathy aka_____ Presents when? Key
signs? Correct Answer - Lennox- Gastaut syndrome//
2 years old//
mental reterdation, along with multiplr types of seizures and
developmental regression
Petit mal epilepsy presents with what? Classic EEG finding? Tx?
Correct Answer - Absence seizures//
2 to 4 Hertz spike and wave slowing//
Ethosux
What are these? Present when? Tx? Correct Answer -
Mongolian blue spots//
at birth//
reassurance and observation
Who should take baby aspirin? Correct Answer - Men 50-59
whose risk of MI exceeds risk of GI bleed
,Suspect 2ndary HTN when? Correct Answer - HTN refractory
to at least 3 different meds
Key PE finding of renal artery stenosis? Correct Answer -
Lateralized abd bruit present during both systole and diastole
Age conduct d/o diagnosed? It's combo of what behaviors? At risk of
developing ___Age? Correct Answer - less than 10 with one
antisocial activity or greater that 10 with 3//
oppositional and antisocial (theft, hurting)//
Antisocial personality d/o//
at least 18 years old
Schizophrenia length of symptoms? Signs? Correct Answer - at
least 6 months//
delusions, hallucinations, disorganized speech, etc
Suicidal ideation who have ___ or ___ . Number one step? Correct
Answer - plan or intent//
hospitalization
CXR key finding of histo? Correct Answer - Hilar
lymphadenopathy
Key signs of fibrocystic breast dz? Timing? Correct Answer -
Bilateral breast pain and swelling with yellow discharge//
Begin 1 week prior to menstration and disappear after menstruation
Breast pain/swelling that begins 1 week prior to menstration and
disappear after menstruation? Correct Answer - Fibrocystic dz
Number one benign breast neoplasm in less than 30? Presents with
what? Correct Answer - Fibroadenoma//
, painless. well- circum smooth rubbery and mobile breast mass
(usually just one breast)
Months to years of daily cough with mucopurulent sputum - dx?
Classic CT finding? Correct Answer - Bronchiectasis//
Signet ring sign (dilated bronchus immediately adjacent to smaller
companion pulmonary artery
Screen who for chlamydia? Correct Answer - all sex active 24
and under and also over 24 if increased risk (history of it, no
condoms, multiple partners, spouse/partner infidelity
Number one cause of isolated persistent prooteinuria in kids?
Diagnosis made how? Correct Answer - Orthostatic
proteinuria (proteinuria while upright which resolves when
supine)//
first morning URINE PROTEIN-TO-CREATININE ratio after sleeping
supine position overnight
Cholesteatoma presents with what? In who? Key PE finding?
Correct Answer - new-onset unilateral conductive hearing loss//
child//
white mass behind an intact TM (also see granulation tissue)
Sign of glomus tumor? CLassic PE finding? Correct Answer -
pulsatile tinnitus and gradual, painless hearing loss//
pulsating reddish blue mass behind the TM
Treatment for febrile seizures? Common triggers? Correct Answer
- Acetaminophen and reassurance//
URI, DTP vacc, MMR vacc
Patient with hypoTH diagnosed with pregnancy - first step? Then do
what? Asesss TSH levels how often in HypooTH patient that's