Questions with Verified
Answers Graded A+
Treatment for Akathesia? - Answer: Feeling of restlessness
Beta Blockers
Treatment for acute dystonia? - Answer: Anti-histamines and Dopamine Agonists (benztropine
or trihexyphenidol)
Long term neurlogic sequelae associated with bacterial meningitis? - Answer: 1.) Hearing Loss
2.) Loss of cognitive functions ( neuronal loss of the dentate gyrus in the hippocampus)
3.) seizures
4.) mental retardation
5.) spacticity or paresis
Antibodies prevalent in Hashimoto's Thyroiditis? - Answer: Anti-thyroid Peroxidase (TPO) and
Anti-thyroglobulin antibodies.
Treatment for Cat Scratch Disease? - Answer: Usually self-resolves. But Azithromycin can speed
recovery.
What is reaction formation? - Answer: An neurotic defense mechanism in which a person does
exactly of what he/she feels to cover socially unacceptable thoughts.
,What is suppression? - Answer: A mature defense mechanism in which a person voluntary
suppresses unpleasant thoughts.
What is optic neuritis? - Answer: Central scotoma, afferent pupillary defect, changes in color
perception, and decreased visual acuity.
What is sympathetic opthalmia? - Answer: Damage of one eye after a penetrating injury to the
other eye it is 2/2 immunologic mechanism of uncovering of hidden antigens.
Risk factors for adenocarcinoma of esophagus? - Answer: Barrett's Esophagus, GERD, high fat
and calorie diet.
Risk factors for squamous cell ca of esophagus? - Answer: Smoking, alcohol, vitamin def, and
pickled foods.
Treatment for Immune thrombocytopenia? - Answer: Self-resolves--->observe.
If platelet count falls below 30,000 treat with Corticosteroids.
Side effect of Isoniazid? - Answer: 1.) Peripheral Neuropathy
2.) Hepatitis
What is Cauda equina Syndrome? - Answer: Saddle anesthesia, bowel and bladder dysfunction,
and low back pain.
Txt for Pneumonia in a CF patient? - Answer: Most likely Pseudomonas. txt with
Cephalosporin/Penicillin + aminoglycoside.
,Side effect of carbamezepine? - Answer: Aplastic Anemia
Describe an essential tremor? - Answer: Tremor that is suppressed at rest but exacerbated
toward the end of a goal directed activity.
Txt for Essential Tremor? - Answer: First line is Propranolol.
Can also try Primodine or Topirimate.
Normal light microscopic findings in a patient with Nephrotic syndrome suggest what? - Answer:
Minimal Change disease
Describe Diffuse Esophageal Spasm? - Answer: Spontaneous pain and discomfort with hot or
cold food. Best to proceed with Esophageal motlitiy study will reveal non-peristaltic, high
amplitude contractions.
S/S of Constrictive Pericarditis? - Answer: Elevated JVP, hepatomegaly, ascites.
2/2 Radiation, viral infection, or cardiac surgery.
Txt for Constrictive Pericarditis? - Answer: Diuretics or Pericardiectomy
Characteristics of Histoplasmosis? - Answer: Found in Ohio river valley. Palatal ulcers,
hepatosplenomegaly, and pancytopenia.
CXR will reveal interstitial pneumonitis.
Characteristics of Blastomycosis? - Answer: Found in soil or rotting wood. CXR will reveal
multiple nodules or dense consolidation. Can cause skin lesions, osteolytic bone lesion, and
prostate involvement. Not usually seen in immunocompromised hosts.
, What does elevated transaminase levels indicate? - Answer: Ongoing hepatocyte damage as
enzymes leak from cells.
Best test to asses damage of liver? - Answer: Elevated PT
Common findings seen in Paget's disease? - Answer: Due hyperfunctioning Osteoclasts. Elevated
Alk. Phosph., femoral bowing on x-ray, and loss of CN VII activity due to enlarging cranial bones.
Imaging study for child with developmental dysplasia of the hip? - Answer: If < 4 months -
Ultrasound
if > 4 months - X-ray
Which virus is nasopharyngeal cancer associated with? - Answer: High incidence with Epstein
Barr Virus
Lab findings associated with Anti-phospholipid Syndrome? - Answer: 1. Will have positive VDRL
but negative FTA-ABS
2. Prlonged PTT
3. Thrombocytopenia
Describe what imaging studies of invasive aspergilliosis would look like? - Answer: CXR: rapidly
progressive dense consolidation
CT: Pulmonary nodules with "Halo" signs or lesions with air crescent.
Next step when patient presents with Alkali ingestion? - Answer: Upper GI endoscopy
What is Enthesitis? - Answer: Inflammation and pain occur at site of insertion of tendons and
ligaments.