Conceptual Actual Emended Exam Questions With
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1. What class of medications should be avoided in Marfan and Ehlers-Danlos
syndrome?
- ANSWER A: Fluoroquinolones
2. What disease causes high fever, peeling skin, and strawberry tongue?
- ANSWER Kawasaki disease
(Usually self resolving but should be evaluated in hospital)
3. What disease causes encephalopathy and/or liver failure secondary to viral
infection and is worsened by aspirin?
- ANSWER Reye syndrome
4. What class of medications should be avoided in patient with Marfan
syndrome and Ehlers-Danlos syndrome?
- ANSWER Fluoroquinolones "floxacin"
5. What condition causes a collection of enlarged veins in the scrotum giving it
a "spaghetti-like" lump/feel?
- ANSWER Varicocele
(Fixed with surgery)
6. What condition causes a fluid filled scrotum (usually revolved by age 1)
- ANSWER Hydrocele
(Surgery may be requires if causing sx or does not resolve on its own)
7. What is the inability to retract the foreskin over the head of the penis on an
uncircumcised patient?
- ANSWER Phimosis
8. What is pain and inflammation around the head of the penis that can cause
think/lumpy discharge (most common in uncircumcised patients)?
- ANSWER Balanitis
, 9. What is it called in the intestine telescopes on itself blocking food and liquid
and causing obstruction (painful)?
- ANSWER Intussusception
10. Closed comedones are also called
- ANSWER whiteheads
11. Open comedones care also called
- ANSWER blackheads
12. Types of "Tinea"
- ANSWER Tinea Capitis - Head (aka Griseofulvin)
Tinea Corporis - Torso
Tinea Pedis - feet
Tinea Cruris - Groin
Tinea Versicolor - altered pigmentation
Tinea incognito - blunted appearance due to steroid use
13. What is the treament for all Tinea conditions?
- ANSWER Anti-fungals "azoles" or "afines"
14. Breast CA screening ages
- ANSWER 50-74
15. Cervical CA screenings ages
- ANSWER 21-65
-21-29 every 3 years with cervical cytology alone
- 30-65 every 3 years with cervical cytology alone, every 5 years with HPV testing
16. Colorectal CA screening ages
- ANSWER 45-75
17. Lung cancer screening
,- ANSWER adults 50-80 yrs who have a 20 pack year smoking history and
currently smoke or have quit in the last 15 years
-Annual screening with low-dose CT
18. Abdominal Aortic Aneurysm screening
- ANSWER men aged 65-75 who have ever smoked
-1 time screening with ultrasound
19. Conversion disorder
- ANSWER Physical manifestation of neurological stressors causing true
symptoms with no underlying pathology/cause
20. Malingering
- ANSWER Intentionally generating false or grossly exaggerated physical or
psychological problems
21. First line treatment for insomnia
- ANSWER sleep hygiene
22. Serotonin Syndrome Symptoms
- ANSWER Agitation, restlessness, confusion, tachycardia, HTN, dilated pupils,
loss of muscle coordination, twitching muscles, muscle rigidity, diaphoresis, and
diarrhea
23. Causes of serotonin syndrome
- ANSWER Typically SSRI, TCA, MAOI or many post-procedure medications in
addition to meds such as tramadol, triptans, St Johns Wart, etc.
24. Extra Pyramidal Symptoms (EPS)
- ANSWER Akathisia: motor restlessness
Acute Dystonia: involuntary muscle contrations
Parkinsonism: shuffling gait, increase salivation, facial masking, motor retardation,
, & rigid muscles
Tardive Dyskinesia: involuntary repetitive movements
25. Treatment of EPS
- ANSWER Symptoms management and switching or lower dose of causative
medication.
Cogentin, Clozapine, Benadryl, beta-blockers - help manage sx
If causative - switching from typical to atypical antipsychotic has a less risk of EPS
26. Effectiveness of Warfarin depends on:
- ANSWER the amount of protein is has to bind to
(Health pts with sufficient protein need less warfarin)
antidote to warfarin overdose
Vitamin K and FFP
Asthma management medications
-SABA (rescue inhaler - bronchoconstriction)
-ICS (inflammation)
-LABA (bronchoconstriction)
-Montelukast (Inflammation)
27. Which class of asthma medication should NEVER be taken alone (without an
ICS)?
- ANSWER LABA
*Black box warning for increased risk of death
28. Pulmonary function testing
- ANSWER Low FEV1 - obstruction (COPD)
Low FCV - restriction (asthma)
29. Lung anatomy