Instructions:

• Answer 50 questions in 15 minutes.
• If you are not ready to take this test, you can study here.
• Match each statement with the correct term.
• Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. A 10-year - old boy presents with fever - weight loss - and night sweats. Examination shows anterior mediastinal mass. Suspected diagnosis?

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


2. Antihypertensive for a diabetic patient with proteinuria.
Regression
ACEI
Actinomyces israelii
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)


3. Chromosomal pattern of a complete mole.
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
46 -XX
Treat existing heart failure and replace the tricuspid valve
Respiratory alkalosis


4. Mortality rate?
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)
Number of deaths per 1000 population
Depersonalization disorder
1


5. The most common cause of hypothyroidism.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


6. Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV- positive patient At what CD4 count? Mycobacterium avium - intracellulare (MAI) prophylaxis?
Benzodiazepines
Prerenal
Depersonalization disorder
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)


7. Proteinuria - hypoalbuminemia - hyperlipidemia - hyperlipiduria - edema.
50 cc/hour
A patient's family cannot require that a doctor withhold information from the patient
Nephrotic syndrome
Distal radius (Colles' fracture)


8. A young patient with a family history of sudden death collapses and dies while exercising.
Hypertrophic cardiomyopathy
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Polymyalgia rheumatica


9. RTA associated with abnormal HCO3 - and rickets.
Type II (proximal) RTA
HBV immunoglobulin
Widened mediastinum (> 8 cm) - loss of aortic knob - pleural cap - tracheal deviation to the right - depression of left main stem bronchus
Depersonalization disorder


10. Meningitis in infants. Causes? Treatment?
Sheehan's syndrome (postpartum pituitary necrosis)
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin
Oral or topical metronidazole
Lobular carcinoma in situ


11. An autosomal - recessive disorder with a defect in the GPIIbIIIa platelet receptor and ? platelet aggregation.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


12. Cause of neonatal RDS.
Surfactant deficiency
Identify cause; pressors (e.g. - dobutamine)
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
30 cc/hour


13. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
M3
Antipsychotics (neuroleptic malignant syndrome)
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Duchenne muscular dystrophy


14. The most common type of nephrolithiasis.
Identify cause; fluid and blood repletion
Mild illness and/or low - grade fever - current antibiotic therapy - and prematurity
Acute pancreatitis
Calcium oxalate


15. Identify key organisms causing diarrhea:
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Cluster headache
E. coli O157:H7
Never


16. An eight -year - old boy presents with hemarthrosis and ? PTT with normal PT and bleeding time. Diagnosis? Treatment?
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements
Hypotension and bradycardia
Identify cause; pressors (e.g. - dobutamine)
OCP and barrier contraception


17. A patient fails to lactate after an emergency C- section with marked blood loss.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


18. Odds ratio?
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Betamethasone or dexamethasone
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed
Asherman's syndrome


19. Treatment for acute coronary syndrome.
Duodenal atresia
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
Hodgkin's lymphoma
Vibrio - HAV


20. Treatment for SVC syndrome.
Osgood - Schlatter disease
Bacillus cereus
Non - Hodgkin's lymphoma
Radiation


21. The most common pathogen causing croup.
50 cc/hour
Parainfluenza virus type 1
Diverticulosis
Absence seizures


22. An antidiabetic agent associated with lactic acidosis.
Metformin
No. Parental consent is not necessary for the medical treatment of pregnant minors
105 bacteria/mL
Continuous - painful vaginal bleeding


23. Risk factors for cholelithiasis.
Guillain - Barr
Never
Fat - female - fertile - forty - flatulent
Acute mania. Start a mood stabilizer (e.g. - lithium)


24. Unopposed estrogen is contraindicated in which cancers?
Endometrial or estrogen receptor - breast cancer
Sheehan's syndrome (postpartum pituitary necrosis)
Number of live births per 1000 women 15-44 years of age
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin


25. A patient develops endocarditis three weeks after receiving a prosthetic heart valve. What organism is suspected?
S. aureus or S. epidermidis.
Intussusception
Herpes simplex
Type I (distal) RTA


26. CSF findings:
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Confirm the diagnosis of acute pancreatitis with elevated amylase and lipase. Make patient NPO and give IV fluids - O2 - analgesia - and 'tincture of time'
MS
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7


27. Uterine bleeding at 18 weeks' gestation; no products expelled; cervical os closed.
Fatigue and impending respiratory failure
Sensitivity
Depersonalization disorder
Threatened abortion


28. Treatment for neuroleptic malignant syndrome.
Dantrolene or bromocriptine
Beta- blockers - Ca2+ channel blockers - TCAs
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Surfactant deficiency


29. Treatment of supraventricular tachycardia (SVT).
Rate control with carotid massasge or other vagal stimulation
Panic disorder
Streptococcus pneumoniae
Fanconi's anemia


30. Classic ECG finding in atrial flutter.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


31. Lung cancer associated with SIADH.
Small cell lung cancer (SCLC)
Hypoparathyroidism
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
Osteoarthritis


32. Evaluation of a pulsatile abdominal mass and bruit.
Patient on dopamine antagonist
Osteogenesis imperfecta
Respiratory alkalosis
Abdominal ultrasound and CT


33. The most common organism in burn - related infections.
Pseudomonas
Low - voltage - diffuse ST- segment elevation
a - antagonists (phentolamine and phenoxybenzamine)
Self - limited - painless vaginal bleeding


34. Classic ECG findings in pericarditis.
Low - voltage - diffuse ST- segment elevation
Trauma; the second most common is berry aneurysm
Confounding variable
Nephrolithiasis


35. Identify key organisms causing diarrhea:
Febrile seizures (roseola infantum)
Salmonella
Placental abruption and placenta previa
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)


36. Treatment for DTs.
Benzodiazepines
Fat - female - fertile - forty - flatulent
Salmonella
Type I (distal) RTA


37. Treatment for mild and severe unconjugated hyperbilirubinemia.
Observational bias
Phototherapy (mild) or exchange transfusion (severe)
Avascular necrosis
A patient's family cannot require that a doctor withhold information from the patient


38. Conditions in which confidentiality must be overridden.
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Chronic lymphocytic leukemia (CLL)
HIDA scan
Chronic granulomatous disease


39. Identify key organisms causing diarrhea:
Vibrio - HAV
INH - penicillamine - hydralazine - procainamide
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)
Stasis - endothelial injury and hypercoagulability (Virchow's triad)


40. Sudden onset of mental status changes - emesis - and liver dysfunction after taking aspirin.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


41. Exophthalmos - pretibial myxedema - and ? TSH.

Warning: Invalid argument supplied for foreach() in /var/www/html/basicversity.com/show_quiz.php on line 183


42. T- wave flattening and U waves.
Incidence and prevalence
Hypokalemia
Osteoarthritis
Mallory- Weiss


43. Testicular cancer associated with Beta- hCG - AFP.
HBV immunoglobulin
Choriocarcinoma
High TSH - low T4 - antimicrosomal antibodies
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths


44. A 24-year - old male presents with soft white plaques on his tongue and the back of his throat. Diagnosis? Workup? Treatment?
S. aureus or S. epidermidis.
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Klebsiella
Coccidioidomycosis. Amphotericin B


45. Signs of ? ICP (Cushing's triad).
N- acetylcysteine
Hypernatremia
Febrile seizures (roseola infantum)
Hypertension - bradycardia - and abnormal respirations


46. 1
Placental abruption and placenta previa
Lesion of 1
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Impetigo


47. A patient with a history of lithium use presents with copious amounts of dilute urine.
Phencyclidine hydrochloride (PCP) intoxication
ARDS
Mallory- Weiss
Nephrogenic diabetes insipidus (DI)


48. The most common inherited hemolytic anemia.
Substance abuse
Hereditary spherocytosis
Prerenal
Lesion of 1


49. 'Doughy skin.'
Nephrogenic diabetes insipidus (DI)
Pharmacologic stress test (e.g. - dobutamine echo)
Clostridium difficile
Hypernatremia


50. ? CO - ? PCWP - ? PVR.
Never
Wegener's granulomatosis and Goodpasture's syndrome
Septic or anaphylactic shock
Exercise stress treadmill with ECG