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. Definition of unstable angina.
Number of live births per 1000 population
Incidence and prevalence
RUQ pain - jaundice - and fever/chills in the setting of ascending cholangitis
Angina is new - is worsening - or occurs at rest


2. Identify key organisms causing diarrhea:
Yersinia
Spinal stenosis
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
ETEC


3. Tanner stage 3 in a six-year - old female.
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Hyperkalemia
Precocious puberty
Esophageal atresia with distal TEF (85%). Unable to pass NG tube


4. The most common cause of seizures in children (2-10 years).
Bruton's X- linked agammaglobulinemia
Infection - febrile seizures - trauma - idiopathic
Acute mania - immunosuppression - thin skin - osteoporosis - easy bruising - myopathies
Varicella zoster


5. Signs of active ischemia during stress testing.
Angina - ST- segment changes on ECG - or ? BP
Never
Stable - unruptured ectopic pregnancy of < 3.5 cm at < 6 weeks' gestation
SSRIs


6. Treatment of central DI.
Weight loss and OCPs
HBV - DTaP - Hib - IPV - PCV
Contact dermatitis
Administration of DDAVP ? serum osmolality and free water restriction


7. An antidiabetic agent associated with lactic acidosis.
ACEI
Uterine massage; if that fails - give oxytocin
Inhaled Beta- agonists and inhaled corticosteroids
Metformin


8. Classic ECG finding in atrial flutter.

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9. What is the immunodeficiency?
Patients with IBD; those with familial adenomatous polyposis (FAP)/hereditary nonpolyposis colorectal cancer (HNPCC); and those who have first - degree relatives with adenomatous polyps (< 60 years of age) or colorectal cancer
CML
Wiskott - Aldrich syndrome
Hypertrophic cardiomyopathy


10. When should a vaginal exam be performed with suspected placenta previa?
Usually resolves spontaneously; may require IVIG and/or corticosteroids
Never
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6
Impetigo


11. Identify key organisms causing diarrhea:
Spontaneous pneumothorax. Spontaneous regression. Supplemental O2 may be helpful
They can mask symptoms of hypoglycemia
S. aureus
Salmonella


12. PFT showing ? FEV1/FVC.
Beta- hCG; the most common cause of amenorrhea is pregnancy
Septic or anaphylactic shock
Regresses after menopause
Obstructive pulmonary disease (e.g. - asthma)


13. Associated with Propionibacterium acnes and changes in androgen levels.
AP chest - AP/lateral C- spine - AP pelvis
105 bacteria/mL
Acute pancreatitis
Acne vulgaris


14. The three most common causes of fever of unknown origin (FUO).
MAOIs
Infection - cancer - and autoimmune disease
Patent ductus arteriosus (PDA)
Dressler's syndrome: fever - pericarditis - ? ESR


15. The most common pathogen causing croup.
Multiple myeloma
Parainfluenza virus type 1
Weight gain - type 2 DM - QT prolongation
Age &gt; 45-50 years; lesions new or larger in comparison to old films; absence of calcification or irregular calcification; size &gt; 2 cm; irregular margins


16. Treatment of SIADH?
False. Withdrawing and withholding life are the same from an ethical standpoint
Anticholinergics (oxybutynin) or Beta- adrenergics (metaproterenol) for urge incontinence.
Fluid restriction - demeclocycline
Cellulitis


17. Uterine bleeding at 18 weeks' gestation; no products expelled; membranes ruptured; cervical os open.
Acute myelogenous leukemia (AML)
IV hydration and loop diuretics (furosemide)
Trauma - alcohol withdrawal - brain tumor
Inevitable abortion


18. Drugs that slow AV node transmission.
Beta- blockers - digoxin - calcium channel blockers
Colposcopy and endocervical curettage
46 -XX
HBV immunoglobulin


19. Case - control study
The IR of a disease in a population exposed to a particular factor
Administration of DDAVP ? serum osmolality and free water restriction
Neither
Group B strep - E. coli - Listeria. Treat with gentamicin and ampicillin


20. Four characteristics of a nevus suggestive of melanoma.
ETEC
Asymmetry - border irregularity - color variation - large diameter
DM - SLE - and amyloidosis
HBV immunoglobulin


21. Therapy for polycystic ovarian syndrome.
Parainfluenza virus type 1
Weight loss and OCPs
Beta- blockers - digoxin - calcium channel blockers
Acute mania. Start a mood stabilizer (e.g. - lithium)


22. A 25-year - old African - American male with sickle cell anemia has sudden onset of bone pain. Management of pain crisis?
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
Confounding variable
O2 - analgesia - hydration - and - if severe - transfusion
HGPRTase deficiency)


23. Describe a test that consistently gives identical results - but the results are wrong.
High reliability - low validity
Lung - breast - skin (melanoma) - kidney - GI tract
CHF - shock - and altered mental status
Suspect ankylosing spondylitis. Check HLA- B27


24. Nonpainful chancre.
Kl
1
Seborrheic keratosis
Angina - ST- segment changes on ECG - or ? BP


25. First step in the management of a patient with acute GI bleed.
Alzheimer's and multi - infarct
Establish the ABCs
S. aureus
MCP and PIP joints; DIP joints are spared


26. Fetal mortality?

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27. Test to rule out urethral injury.
Retrograde cystourethrogram
Isolation
Erythema multiforme
Regresses after menopause


28. 'Stones - bones - groans - psychiatric overtones.'
Type IV (distal) RTA
von Willebrand's disease; treat with desmopressin - FFP - or cryoprecipitate
Wegener's granulomatosis and Goodpasture's syndrome
Signs and symptoms of hypercalcemia


29. Neutropenic nadir postchemotherapy.
Prostate cancer is the most common cancer in men - but lung cancer causes more deaths
7-10 days
Mallory- Weiss
Cohort studies can be used to calculate relative risk (RR) - incidence - and/or odds ratio (OR). Case - control studies can be used to calculate an OR


30. Reynolds' pentad.

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31. 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)
Kl
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Legionella pneumonia


32. Confusion - confabulation - ophthalmoplegia - ataxia.

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33. Galactorrhea - impotence - menstrual dysfunction - and ? libido.
Femoral hernia
HGPRTase deficiency)
Nitroprusside
Patient on dopamine antagonist


34. Term for heavy bleeding during and between menstrual periods.
Menometrorrhagia
Slipped capital femoral epiphyses. AP and frog - leg lateral view
Pseudomonas
Higher prevalence


35. A 24-year - old male presents with soft white plaques on his tongue and the back of his throat. Diagnosis? Workup? Treatment?
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Femoral hernia
Acne vulgaris
Crohn's disease


36. The number of bacterial culture on a clean - catch specimen to diagnose a UTI.
High TSH - low T4 - antimicrosomal antibodies
HBV immunoglobulin
105 bacteria/mL
Patent ductus arteriosus (PDA)


37. Molar pregnancy containing fetal tissue.
Nephrotic syndrome
Amoxicillin
Partial mole
Identify cause; pressors (e.g. - dobutamine)


38. Treatment for mild and severe unconjugated hyperbilirubinemia.
Obstructive pulmonary disease (e.g. - asthma)
Phototherapy (mild) or exchange transfusion (severe)
INH - penicillamine - hydralazine - procainamide
Tardive dyskinesia. ? or discontinue haloperidol and consider another antipsychotic (e.g. - risperidone - clozapine)


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

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40. CSF findings:
Agranulocytosis
Lichen sclerosus
MS
Treat because the disease represents an immediate threat to the child's life. Then seek a court order


41. The most common cause of hypertension in young men.
Dissociative fugue
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6
Excessive EtOH
Stasis - endothelial injury and hypercoagulability (Virchow's triad)


42. Conditions in which confidentiality must be overridden.
CF or Hirschsprung's disease
Bacterial meningitis
Obstructive pulmonary disease (e.g. - asthma)
Real threat of harm to third parties; suicidal intentions; certain contagious diseases; elder and child abuse


43. Reed - Sternberg cells

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44. Treatment for benzodiazepine overdose.
MCP and PIP joints; DIP joints are spared
Flumazenil
Nephritic syndrome
Calcium oxalate


45. The most common organism in burn - related infections.
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
Trauma; the second most common is berry aneurysm
Pseudomonas
7-10 days


46. The percentage of cases within one SD of the mean? Two SDs? Three SDs?
Beta- blockers - digoxin - calcium channel blockers
Hypovolemic shock
CHF - shock - and altered mental status
68% - 95.5% - 99.7%


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

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48. Name the defense mechanism:
Isolation
Respiratory alkalosis
Immediate cardioversion
Type IV (distal) RTA


49. Flat - topped papules.
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Lichen planus
Rett's disorder
Low - voltage - diffuse ST- segment elevation


50. An active 13-year - old boy has anterior knee pain. Diagnosis?
Osgood - Schlatter disease
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
Anemia - thrombocytopenia - and acute renal failure
Protamine