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 late - life - threatening complication of chronic myelogenous leukemia (CML).
Klebsiella
Fibrin split products and D- dimer are elevated; platelets - fibrinogen - and hematocrit are ?.
Blast crisis (fever - bone pain - splenomegaly - pancytopenia)
SIADH due to stress


2. Virchow's triad.
Neuroleptic malignant syndrome
Rubella
Pseudomonas
Stasis - hypercoagulability - endothelial damage


3. A patient has ? vaginal discharge and petechial patches in the upper vagina and cervix.
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin
Hashimoto's thyroiditis
Trichomonas vaginitis
Retinoic acid


4. Meningitis in neonates. Causes? Treatment?
Fat - female - fertile - forty - flatulent
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin
ST- segment elevation (depression means ischemia) - flattened T waves - and Q waves


5. Treatment for bacterial vaginosis.
Oral or topical metronidazole
Clomiphene citrate
Check for ? ICP; look for papilledema
Infection - febrile seizures - trauma - idiopathic


6. Breast malignancy presenting as itching - burning - and erosion of the nipple.

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7. Identify key organisms causing diarrhea:
Salmonella
Varicella zoster
CA-125 and transvaginal ultrasound
Stasis - hypercoagulability - endothelial damage


8. A nonsuppurative complication of streptococcal infection that is not altered by treatment of 1
A patient with chest trauma who was previously stable suddenly dies
Pseudogout
Postinfectious glomerulonephritis
Cerebral berry aneurysms (AD PCKD)


9. Difference between Mallory- Weiss and Boerhaave tears.
Never
Mallory- Weiss
Guillain - Barr
Obstructive pulmonary disease (e.g. - asthma)


10. A 40-year - old obese female with elevated alkaline phosphatase - elevated bilirubin - pruritus - dark urine - and clay- colored stools.
Bacterial meningitis
Parkland formula
Biliary tract obstruction
Identify cause; fluid and blood repletion


11. 'Stuck - on' appearance.
Kl
Seborrheic keratosis
Patient on dopamine antagonist
DM - SLE - and amyloidosis


12. What % lesion is an indication for carotid endarterectomy?
68% - 95.5% - 99.7%
CHF - shock - and altered mental status
Parvovirus B19
Seventy percent if the stenosis is symptomatic


13. Galactorrhea - impotence - menstrual dysfunction - and ? libido.
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
Antipsychotics (neuroleptic malignant syndrome)
Patient on dopamine antagonist
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed


14. A two - month - old presents with nonbilious projectile emesis. What are the appropriate steps in management?
Number of deaths from birth to 28 days per 1000 live births
Correct metabolic abnormalities. Then correct pyloric stenosis with pyloromyotomy
Lichen planus
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin


15. The most common cause of seizures in children (2-10 years).
ACEI
Legionella pneumonia
Factitious disorder (Munchausen syndrome)
Infection - febrile seizures - trauma - idiopathic


16. Treatment for postpartum hemorrhage.
Kegel exercises - estrogen - pessaries for stress incontinence
Bruton's X- linked agammaglobulinemia
Uterine massage; if that fails - give oxytocin
Ampulla of the oviduct


17. The most common pathogen causing croup.
Parainfluenza virus type 1
7-10 days
Conflict of interest
Fat - female - fertile - forty - flatulent


18. Treatment of supraventricular tachycardia (SVT).
Subdural hematoma
Rate control with carotid massasge or other vagal stimulation
Hyperkalemia
Sheehan's syndrome (postpartum pituitary necrosis)


19. The most common cause of bloody nipple discharge.
Intraductal papilloma
HIDA scan
Incidence and prevalence
Murphy's sign - seen in acute cholecystitis


20. Treatment for malignant hypertension.
Nitroprusside
Never
Pregnant women. Treat this group aggressively because of potential complications
All - compartment fasciotomy for suspected compartment syndrome


21. Acid - base disturbance commonly seen in pregnant women.
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
Type I (distal) RTA
Osmotic fragility test
Respiratory alkalosis


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

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23. Glomerulonephritis with deafness.

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24. Molar pregnancy containing fetal tissue.
Precocious puberty
Partial mole
High reliability - low validity
Type IV (distal) RTA


25. Risk factors for cholelithiasis.
Higher incidence
Arthralgias - migratory polyarthropathies - Bell's palsy - myocarditis
Fat - female - fertile - forty - flatulent
? serum FSH


26. AML subtype associated with DIC.
M3
IgA nephropathy (Berger's disease)
Continuous - painful vaginal bleeding
Duchenne muscular dystrophy


27. Attributable risk?
The incidence rate (IR) of a disease in exposed - the IR of a disease in unexposed
Haemophilus ducreyi
Uveitis - ankylosing spondylitis - pyoderma gangrenosum - erythema nodosum - 1
Broca's aphasia. Frontal lobe - left MCA distribution


28. Bone is fractured in fall on outstretched hand.

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29. Signs of active ischemia during stress testing.
Angina - ST- segment changes on ECG - or ? BP
Parkinson's disease
Cirrhosis - CHF - nephritic syndrome
Weight gain - type 2 DM - QT prolongation


30. Bilious emesis within hours after the first feeding.
Duodenal atresia
Think of leaky capillaries. Malignancy - TB - bacterial or viral infection - pulmonary embolism with infarct - and pancreatitis
Pregnant women. Treat this group aggressively because of potential complications
Radiation


31. Laparoscopic findings in endometriosis.

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32. Key side effects of atypical antipsychotics.
Weight gain - type 2 DM - QT prolongation
Nephrotic syndrome
Acute dystonia (oculogyric crisis). Treat with benztropine or diphenhydramine
Streptococcus pneumoniae


33. A 14-year - old girl presents with prolonged bleeding after dental surgery and with menses - normal PT - normal or ? PTT - and ? bleeding time. Diagnosis? Treatment?

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34. Infant mortality?
Likely BPH. Options include no treatment - terazosin - finasteride - or surgical intervention (TURP)
Fecal occult blood test and sigmoidoscopy; suspect colorectal cancer
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Number of deaths from birth to one year of age per 1000 live births (neonatal + postnatal mortality)


35. Vaccinations at a six- month well - child visit.
Dressler's syndrome: fever - pericarditis - ? ESR
HBV - DTaP - Hib - IPV - PCV
Bladder rupture or urethral injury
Rett's disorder


36. An agent that reverses the effects of heparin.
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Protamine
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate


37. The most common causes of hypercalcemia.
Legionella pneumonia
Malignancy and hyperparathyroidism
Restrictive pulmonary disease
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms


38. The most common form of glomerulonephritis.

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39. A neonate has meconium ileus.

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40. Cold agglutinins.
Graves' disease
Mycoplasma
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction
Anemia - thrombocytopenia - and acute renal failure


41. Defect in an X- linked syndrome with mental retardation -
Lesch - Nyhan syndrome (purine salvage problem with
Neither
CHF - shock - and altered mental status
? serum FSH


42. Sensitive tests have few false negatives and are used to rule _____ a disease.
Prerenal
Anemia of chronic disease
68% - 95.5% - 99.7%
Out


43. Acceptable urine output in a stable patient.
Septic or anaphylactic shock
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
30 cc/hour
Beta- hCG; the most common cause of amenorrhea is pregnancy


44. Dyspnea - lateral hilar lymphodenopathy on CXR - noncaseating granulomas - increased ACE - and hypercalcemia.
CHF - shock - and altered mental status
Sarcoidosis
They can mask symptoms of hypoglycemia
Legionella pneumonia


45. A crescent - shaped hyperdensity on CT that does not cross the midline.
MS
Subdural hematoma
A patient with chest trauma who was previously stable suddenly dies
Stasis - hypercoagulability - endothelial damage


46. CSF findings:
Treat immediately. Consent is implied in emergency situations
DM - SLE - and amyloidosis
Bacterial meningitis
Inevitable abortion


47. Which healthy population is susceptible to UTIs?
Pregnant women. Treat this group aggressively because of potential complications
Suspect retinoblastoma
Basal cell carcinoma
Dressler's syndrome: fever - pericarditis - ? ESR


48. Breast cancer type that ? the future risk of invasive carcinoma in both breasts.
Infection - cancer - and autoimmune disease
Fever - pharyngeal erythema - tonsillar exudate - lack of cough
Lobular carcinoma in situ
Metformin


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

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50. Epidemics such as influenza
Higher incidence
Parvovirus B19
Type I (distal) RTA
Precocious puberty