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. Drugs that slow AV node transmission.
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Beta- blockers - digoxin - calcium channel blockers
Infection - cancer - and autoimmune disease
ACEI


2. The most common cause of hypertension in young women.
INH - penicillamine - hydralazine - procainamide
OCPs
Clomiphene citrate
Cutaneous anthrax. Treat with penicillin G or ciprofloxacin


3. Life - threatening muscle rigidity - fever - and rhabdomyolysis.
Signs and symptoms of hypercalcemia
Nephrotic syndrome
Neuroleptic malignant syndrome
Uremic syndrome seen in patients with renal failure


4. A nurse presents with severe hypoglycemia; blood analysis reveals no elevation in C peptide.
IV benzodiazepine
Avascular necrosis
Niacin
Factitious disorder (Munchausen syndrome)


5. First - line treatment for moderate hypercalcemia.
Iron overload; use deferoxamine
Trauma - alcohol withdrawal - brain tumor
IV hydration and loop diuretics (furosemide)
Seventy percent if the stenosis is symptomatic


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

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7. Pinkish - scaling - flat lesions on the chest and back. KOH prep has a 'spaghetti - and - meatballs' appearance.
MAOIs
Menometrorrhagia
Pityriasis versicolor
Precocious puberty


8. Renal tubular acidosis (RTA) associated with abnormal H+ secretion and nephrolithiasis.
Sheehan's syndrome (postpartum pituitary necrosis)
Sporothrix schenckii
Type I (distal) RTA
ALS


9. A 55-year - old man is diagnosed with prostate cancer. Treatment options?
Weight loss and OCPs
46 -XX
Nephritic syndrome
Wait - surgical resection - radiation and/or androgen suppression


10. Indications for surgical repair of abdominal aortic aneurysm.
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
Depersonalization disorder
105 bacteria/mL


11. Signs suggesting radial nerve damage with humeral fracture.
Agranulocytosis
Wrist drop - loss of thumb abduction
Seventy percent if the stenosis is symptomatic
Wiskott - Aldrich syndrome


12. RTA associated with aldosterone defect.
Conversion disorder
Type IV (distal) RTA
Slipped capital femoral epiphyses. AP and frog - leg lateral view
Beta- blockers - digoxin - calcium channel blockers


13. The most common cause of female infertility.
Wegener's granulomatosis and Goodpasture's syndrome
Endometriosis
Confounding variable
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states


14. Sentinel loop on AXR.
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
Acute pancreatitis
M3
IgA nephropathy (Berger's disease)


15. A 17-year - old female has left arm paralysis after her boyfriend dies in a car crash. No medical cause is found.
Metformin
Neuroblastoma
ETEC
Conversion disorder


16. The 6 P's of ischemia due to peripheral vascular disease.
Nephritic syndrome
Pain - pallor - pulselessness - paralysis - paresthesia - poikilothermia
Febrile seizures (roseola infantum)
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)


17. Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV- positive patient At what CD4 count? Mycobacterium avium - intracellulare (MAI) prophylaxis?
Avascular necrosis
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Conversion disorder
Bladder rupture or urethral injury


18. Treatment for acute coronary syndrome.
Regresses after menopause
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
Diamond - Blackfan anemia
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin


19. A patient with a history of lithium use presents with copious amounts of dilute urine.
Continuous - painful vaginal bleeding
Nephrogenic diabetes insipidus (DI)
Pityriasis rosea
Hyperkalemia


20. Associated with Propionibacterium acnes and changes in androgen levels.
Kl
Graves' disease
Clomiphene citrate
Acne vulgaris


21. Neutropenic nadir postchemotherapy.
Angina is new - is worsening - or occurs at rest
7-10 days
Renal cell carcinoma (RCC)
Rate control - rhythm conversion - and anticoagulation


22. Rigidity and stiffness with resting tremor and masked facies.

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23. An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
Febrile seizures (roseola infantum)
Monoclonal gammopathy - Bence Jones proteinuria - 'punched - out' lesions on x- ray of the skull and long bones
Uterine massage; if that fails - give oxytocin
Regresses after menopause


24. What is the immunodeficiency?
Factitious disorder (Munchausen syndrome)
Benzodiazepines
Anemia of chronic disease
Wiskott - Aldrich syndrome


25. 'Cradle cap.'
Seborrheic dermatitis. Treat with antifungals
Reaction formation
Taenia solium (cysticercosis)
Hypernatremia


26. Glomerulonephritis with hemoptysis.

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

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28. A painful - recurrent vesicular eruption of mucocutaneous surfaces.
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
68% - 95.5% - 99.7%
Spinal stenosis
Herpes simplex


29. Lung cancer associated with SIADH.
MCP and PIP joints; DIP joints are spared
Placental abruption and placenta previa
Renal cell carcinoma (RCC)
Small cell lung cancer (SCLC)


30. Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding.
Bruton's X- linked agammaglobulinemia
Iron overload; use deferoxamine
Endometrial biopsy
Amoxicillin


31. Treatment for idiopathic thrombocytopenic purpura (ITP) in children.
Usually resolves spontaneously; may require IVIG and/or corticosteroids
Herpes simplex
Abdominal obesity - high triglycerides - low HDL - hypertension - insulin resistance - prothrombotic or proinflammatory states
Chronic lymphocytic leukemia (CLL)


32. The most common 1
Distal radius (Colles' fracture)
Lung - breast - skin (melanoma) - kidney - GI tract
Check for ? ICP; look for papilledema
Hypotension - distant heart sounds - and JVD


33. Hematuria - flank pain - and palpable flank mass.
Inhaled Beta- agonists and inhaled corticosteroids
Rate control - rhythm conversion - and anticoagulation
Renal cell carcinoma (RCC)
Lesion of 1


34. Defect in an X- linked syndrome with mental retardation -
Fatigue and impending respiratory failure
Lesch - Nyhan syndrome (purine salvage problem with
Tabes dorsalis - general paresis - gummas - Argyll Robertson pupil - aortitis - aortic root aneurysms
Hodgkin's lymphoma


35. First - line pharmacotherapy for depression.
SSRIs
Snowstorm on ultrasound. 'Cluster - of - grapes' appearance on gross examination
Clostridium difficile
Gout. Needle - shaped - negatively birefringent crystals are seen on joint fluid aspirate. Chronic treatment with allopurinol or probenecid


36. Bias introduced when screening detects a disease earlier and thus lengthens the time from diagnosis to death.
Parkinson's disease
Nephrogenic diabetes insipidus (DI)
Klebsiella
Lead - time bias


37. Complication of scaphoid fracture.
Wrist drop - loss of thumb abduction
Amoxicillin
Retrograde cystourethrogram
Avascular necrosis


38. Trauma series.
Alzheimer's and multi - infarct
Highly sensitive for TB
AP chest - AP/lateral C- spine - AP pelvis
Transitional cell carcinoma


39. Treatment of hypovolemic shock.
Surfactant deficiency
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Identify cause; fluid and blood repletion
Partial mole


40. CSF findings:
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
A patient with chest trauma who was previously stable suddenly dies
Prevalence
MS


41. Supportive treatment for ARDS.
Neuroleptics
Fluids - insulin - and aggressive replacement of electrolytes (e.g. - K+)
Continuous positive airway pressure
Anorexia


42. A young patient has angina at rest with ST- segment elevation. Cardiac enzymes are normal.

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43. The most common cancer in men and the most common cause of death from cancer in men.
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
Membranous glomerulonephritis
Consider Fitz - Hugh - Curtis syndrome
Headache


44. A 21-year - old male has three months of social withdrawal - worsening grades - flattened affect - and concrete thinking.
Schizophreniform disorder (diagnosis of schizophrenia requires = 6 months of symptoms)
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
Clomiphene citrate
All - compartment fasciotomy for suspected compartment syndrome


45. ? risk of what infection with silicosis?
Mycobacterium tuberculosis
Reactive (Reiter's) arthritis. Associated with Campylobacter - Shigella - Salmonella - Chlamydia - and Ureaplasma
Lichen sclerosus
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots


46. A patient presents with weakness - nausea - vomiting - weight loss - and new skin pigmentation. Labs show hyponatremia and hyperkalemia. Treatment?
Third - degree heart block
Identify cause; fluid and blood repletion
1
Right - to - left shunt - hypoventilation - low inspired O2 tension - diffusion defect - V/Q mismatch


47. Characteristics of 2

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48. Hernia with highest risk of incarceration
Continuous - painful vaginal bleeding
DI
Echocardiogram (showing thickened left ventricular wall and outflow obstruction)
Femoral hernia


49. Uterine bleeding at 18 weeks' gestation; no products expelled; membranes ruptured; cervical os open.
Inevitable abortion
Reye's syndrome
Haemophilus ducreyi
Agranulocytosis


50. Classic ECG findings in pericarditis.
Low - voltage - diffuse ST- segment elevation
Colposcopy and endocervical curettage
The patient is a danger to self - a danger to others - or gravely disabled (unable to provide for basic needs)
7-10 days