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. Treatment for idiopathic thrombocytopenic purpura (ITP) in children.
Usually resolves spontaneously; may require IVIG and/or corticosteroids
a - antagonists (phentolamine and phenoxybenzamine)
Diamond - Blackfan anemia
Mycobacterium tuberculosis


2. Treatment for AML M3.
MAOIs
Incidence and prevalence
Retinoic acid
Clomiphene citrate


3. Signs of ? ICP (Cushing's triad).
Fanconi's anemia
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
Hypertension - bradycardia - and abnormal respirations


4. Classic ECG finding in atrial flutter.

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5. A 21-year - old male has three months of social withdrawal - worsening grades - flattened affect - and concrete thinking.
Establish the ABCs
Giardia
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
Schizophreniform disorder (diagnosis of schizophrenia requires = 6 months of symptoms)


6. First - line treatment for moderate hypercalcemia.
IV hydration and loop diuretics (furosemide)
Sporothrix schenckii
Factitious disorder (Munchausen syndrome)
Anemia - thrombocytopenia - and acute renal failure


7. Bias introduced into a study when a clinician is aware of the patient's treatment type.
Postinfectious glomerulonephritis
Observational bias
Nephrotic syndrome
Acute mania. Start a mood stabilizer (e.g. - lithium)


8. The most common cause of hypertension in young men.
Excessive EtOH
SCLC
30 cc/hour
Cardiomegaly - prominent pulmonary vessels - Kerley B lines - 'bat's - wing' appearance of hilar shadows - and perivascular and peribronchial cuffing


9. A 16-year - old presents with an annular patch of alopecia with broken - off - stubby hairs.
Alopecia areata (autoimmune process)
Actinomyces israelii
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
Selective IgA deficiency


10. Hernia with highest risk of incarceration
Number of deaths from birth to one year of age per 1000 live births (neonatal + postnatal mortality)
Osmotic fragility test
Guillain - Barr
Femoral hernia


11. Microcytic anemia with ? serum iron - ? ferritin - and ? TIBC.
Stasis - hypercoagulability - endothelial damage
Iron deficiency anemia
Pentad of TTP
Neisseria meningitidis


12. Meningitis in neonates. Causes? Treatment?
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
Exercise stress treadmill with ECG
1
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy


13. Identify key organisms causing diarrhea:
A patient's family cannot require that a doctor withhold information from the patient
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Fanconi's anemia
Giardia


14. Confusion - confabulation - ophthalmoplegia - ataxia.

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15. Peaked T waves and widened QRS.
Septic or anaphylactic shock
Hyperkalemia
? Ca2+ - ? K- - ? phosphate - ? uric acid
Suspect ankylosing spondylitis. Check HLA- B27


16. Evaluation of a pulsatile abdominal mass and bruit.
Abdominal ultrasound and CT
Seborrheic keratosis
Prevalence
Obstructive pulmonary disease (e.g. - asthma)


17. Treatment for TTP.
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant
Emergent large - volume plasmapheresis - corticosteroids - antiplatelet drugs
Seborrheic keratosis
Parvovirus B19


18. The first test to perform when a woman presents with amenorrhea.
HIDA scan
HGPRTase deficiency)
Beta- hCG; the most common cause of amenorrhea is pregnancy
Bacillus cereus


19. Definition of hypertension.
A patient with chest trauma who was previously stable suddenly dies
BP > 140/90 on three separate occasions two weeks apart
Pregnant women. Treat this group aggressively because of potential complications
Retrograde cystourethrogram


20. Key side effects of atypical antipsychotics.
S. aureus
No. Parental consent is not necessary for the medical treatment of pregnant minors
Alport's syndrome
Weight gain - type 2 DM - QT prolongation


21. Aplastic crisis in sickle cell disease.
Parvovirus B19
BP > 140/90 on three separate occasions two weeks apart
Immediate needle thoracostomy
Campylobacter


22. PFT showing ? FEV1/FVC.
Mycobacterium tuberculosis
Streptococcus pneumoniae
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Obstructive pulmonary disease (e.g. - asthma)


23. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
Confounding variable
Rett's disorder
Retrograde cystourethrogram
Duchenne muscular dystrophy


24. A child has loss of red light reflex. Diagnosis?
Suspect retinoblastoma
Depersonalization disorder
Oral surgery
Colposcopy and endocervical curettage


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

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26. After a minor fender bender - a man wears a neck brace and requests permanent disability.
Malingering
Herpes simplex
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin
Cardiogenic shock


27. Name the organism:
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Hereditary spherocytosis
Actinomyces israelii
Oral or topical metronidazole


28. ? CO - ? pulmonary capillary wedge pressure (PCWP) - ? peripheral vascular resistance (PVR).
Weight loss and OCPs
Choriocarcinoma
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
Hypovolemic shock


29. Treatment of anaphylactic shock.
Postinfectious glomerulonephritis
Diphenhydramine or epinephrine 1:1000
Broca's aphasia. Frontal lobe - left MCA distribution
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements


30. Treatment for acetaminophen overdose.
ETEC
Seminoma
N- acetylcysteine
Type II (proximal) RTA


31. Inflammation and epithelial thinning of the anogenital area - predominantly in postmenopausal women.
Lichen sclerosus
Obstructive pulmonary disease (e.g. - asthma)
V/Q scan
Anticoagulation - rate control - cardioversion


32. Odds ratio?
SCLC
Ampulla of the oviduct
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer


33. Electrolyte changes in tumor lysis syndrome.
Lichen planus
? Ca2+ - ? K- - ? phosphate - ? uric acid
Salmonella
Conduct disorder


34. A 10-year - old child presents in status epilepticus - but her parents refuse treatment on religious grounds.

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35. Auer rods on blood smear.
Acute myelogenous leukemia (AML)
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse
Squamous cell carcinoma
Surfactant deficiency


36. Identify key organisms causing diarrhea:
M3
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Lesions of 1
Vibrio - HAV


37. Rigidity and stiffness that progress to choreiform movements - accompanied by moodiness and altered behavior.

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38. Birth rate?
Type I (distal) RTA
Reaction formation
Neither
Number of live births per 1000 population


39. Treatment for atrial fibrillation.
Septic or anaphylactic shock
Iatrogenic steroid administration. The second most common cause is Cushing's disease
Anticoagulation - rate control - cardioversion
OCPs


40. A patient from California or Arizona presents with fever - malaise - cough - and night sweats. Diagnosis? Treatment?
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid
Benzodiazepines
Coccidioidomycosis. Amphotericin B
Absence seizures


41. A 17-year - old female has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.
Aseptic (viral) meningitis
False. Patients may change their minds at any time. Exceptions to the requirement of informed consent include emergency situations and patients without decision - making capacity
Coccidioidomycosis. Amphotericin B
Conversion disorder


42. The most common causes of dementia.

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43. Salicylate ingestion ? In What type of acid - base disorder?
Number of live births per 1000 population
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
Anion gap acidosis and 1
Slipped capital femoral epiphyses. AP and frog - leg lateral view


44. A patient presents with pain on passive movement - pallor - poikilothermia - paresthesias - paralysis - and pulselessness. Treatment?
Bruton's X- linked agammaglobulinemia
All - compartment fasciotomy for suspected compartment syndrome
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Salmonella


45. Honeycomb pattern on CXR. Diagnosis? Treatment?
Glomerulonephritis/nephritic syndrome
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Contact dermatitis
Bacterial meningitis


46. Tests to rule out shaken baby syndrome.
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
50 cc/hour
Number of live births per 1000 population
Ophthalmologic exam - CT - and MRI


47. What is the immunodeficiency?
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
Parvovirus B19
Chronic granulomatous disease
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV


48. A 25-year - old Jewish male presents with pain and watery diarrhea after meals. Exam shows fistulas between the bowel and skin and nodular lesions on his tibias.

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49. Joint pain and stiffness that worsen over the course of the day and are relieved by rest.
Weight gain - type 2 DM - QT prolongation
Osteoarthritis
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Prevalence


50. Hematuria - flank pain - and palpable flank mass.
Never
Renal cell carcinoma (RCC)
Nephritic syndrome
Psoriasis