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. When should a vaginal exam be performed with suspected placenta previa?
Salmonella
Never
Psoriasis
Fanconi's anemia


2. In which patients do you initiate colorectal cancer screening early?
The incidence rate (IR) of a disease in exposed - the IR of a disease in unexposed
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
Pseudogout
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms


3. Sensitive tests have few false negatives and are used to rule _____ a disease.
Lesch - Nyhan syndrome (purine salvage problem with
Out
Clostridium difficile
Partial mole


4. The diagnostic test for pulmonary embolism.
S. aureus or S. epidermidis.
Campylobacter
V/Q scan
Anion gap acidosis and 1


5. AML subtype associated with DIC.
M3
Diamond - Blackfan anemia
Acanthosis nigricans. Check fasting blood sugar to rule out diabetes
Low - voltage - diffuse ST- segment elevation


6. The number of bacterial culture on a clean - catch specimen to diagnose a UTI.
Pregnant women. Treat this group aggressively because of potential complications
Regression
105 bacteria/mL
Esophageal atresia with distal TEF (85%). Unable to pass NG tube


7. An infant has a high fever and onset of rash as fever breaks. What is he at risk for?
Neither
Febrile seizures (roseola infantum)
Suspect ankylosing spondylitis. Check HLA- B27
Seminoma


8. Diagnostic step required in a postmenopausal woman who presents with vaginal bleeding.
Lichen planus
Bullous pemphigoid
68% - 95.5% - 99.7%
Endometrial biopsy


9. Should a - or Beta- antagonists be used first in treating pheochromocytoma?
Free air under the diaphragm - extravasation of contrast - severe bowl distention - space - occupying lesion (CT) - mesenteric occlusion (angiography)
a - antagonists (phentolamine and phenoxybenzamine)
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)
Asherman's syndrome


10. Antidepressants associated with hypertensive crisis.
Intraductal papilloma
? serum FSH
MAOIs
Pheochromocytoma


11. The most common cause of bloody nipple discharge.
Suspect retinoblastoma
Intraductal papilloma
Think of leaky capillaries. Malignancy - TB - bacterial or viral infection - pulmonary embolism with infarct - and pancreatitis
Phencyclidine hydrochloride (PCP) intoxication


12. Indications for medical treatment of ectopic pregnancy.

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13. Treatment for opioid overdose.
B12 deficiency
Naloxone
Diverticulosis
Intraductal papilloma


14. A doctor refers a patient for an MRI at a facility he/she owns.
Conflict of interest
Seborrheic dermatitis. Treat with antifungals
S. aureus
Arthralgias - migratory polyarthropathies - Bell's palsy - myocarditis


15. Eight surgically correctable causes of hypertension.

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16. Albuminocytologic dissociation.
Guillain - Barr
SSRIs
Beta- blockers - Ca2+ channel blockers - TCAs
Neisseria meningitidis


17. Perinatal mortality?

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18. Describe a test that consistently gives identical results - but the results are wrong.
Non - Hodgkin's lymphoma
High reliability - low validity
105 bacteria/mL
Third - degree heart block


19. Treatment of hypovolemic shock.
Identify cause; fluid and blood repletion
Membranous glomerulonephritis
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
Trichomonas vaginitis


20. Indications for surgical repair of abdominal aortic aneurysm.
Fluids and antibiotics
Allergic interstitial nephritis
> 5.5 cm - rapidly enlarging - symptomatic - or ruptured
Number of deaths per 1000 population


21. Supportive treatment for ARDS.
IV penicillin or ampicillin
Campylobacter
Continuous positive airway pressure
Weight loss and OCPs


22. A crescent - shaped hyperdensity on CT that does not cross the midline.
50 cc/hour
Subdural hematoma
Duodenal atresia
Isospora - Cryptosporidium - Mycobacterium avium complex (MAC)


23. A patient presents with tachycardia - wild swings in BP - headache - diaphoresis - altered mental status - and a sense of panic.
Parainfluenza virus type 1
Anticoagulation - rate control - cardioversion
Pheochromocytoma
Elevated ICP - RBCs - xanthochromia


24. Difference between Mallory- Weiss and Boerhaave tears.
Substance abuse
Mallory- Weiss
Low - voltage - diffuse ST- segment elevation
INH - penicillamine - hydralazine - procainamide


25. The most common type of skin cancer; the lesion is a pearly- colored papule with a translucent surface and telangiectasias.
Sensitivity
Obstructive pulmonary disease (e.g. - asthma)
Basal cell carcinoma
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help


26. Honeycomb pattern on CXR. Diagnosis? Treatment?
MCP and PIP joints; DIP joints are spared
Malignancy and hyperparathyroidism
PT
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help


27. Bias introduced into a study when a clinician is aware of the patient's treatment type.
Administration of DDAVP ? serum osmolality and free water restriction
Hypovolemic shock
Observational bias
Number of deaths from birth to 28 days per 1000 live births


28. Ring - enhancing brain lesion on CT with seizures
Conversion disorder
Fluids and antibiotics
Nitroprusside
Taenia solium (cysticercosis)


29. Hernia with highest risk of incarceration
Femoral hernia
Displacement
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed
SCLC


30. The most common cause of hypertension in young women.
Treat because the disease represents an immediate threat to the child's life. Then seek a court order
OCPs
Uterine atony
Dantrolene or bromocriptine


31. Identify key organisms causing diarrhea:
Clostridium difficile
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)
Chronic lymphocytic leukemia (CLL)
Cerebral berry aneurysms (AD PCKD)


32. Cannon 'a' waves.
SIADH due to stress
Third - degree heart block
SCLC
Hypoxia and hypocarbia


33. ? risk of what infection with silicosis?
Mycobacterium tuberculosis
Number of deaths from 20 weeks' gestation to one month of life per 1000 total births
IV penicillin or ampicillin
AP chest - AP/lateral C- spine - AP pelvis


34. Term for heavy bleeding during and between menstrual periods.
S. aureus or S. epidermidis.
Menometrorrhagia
Legionella pneumonia
Pseudomonas


35. A 35-year - old male has recurrent episodes of palpitations - diaphoresis - and fear of going crazy.
DM - SLE - and amyloidosis
Immediate needle thoracostomy
Panic disorder
SIADH due to stress


36. Confusion - confabulation - ophthalmoplegia - ataxia.

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37. Unilateral - severe periorbital headache with tearing and conjunctival erythema.
Varicella zoster
Placental abruption and placenta previa
MS
Cluster headache


38. Natural history of a leiomyoma.
Regresses after menopause
Fanconi's anemia
Rate control with carotid massasge or other vagal stimulation
Intussusception


39. Heinz bodies?
Bullous pemphigoid
Pityriasis rosea
Colposcopy and endocervical curettage
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy


40. Annual screening for women with a strong family history of ovarian cancer.
Pseudogout
Chronic lymphocytic leukemia (CLL)
When treatment noncompliance represents a serious danger to public health (e.g. - active TB)
CA-125 and transvaginal ultrasound


41. Treatment for atrial fibrillation.
DM - SLE - and amyloidosis
Infection - febrile seizures - trauma - idiopathic
High - dose aspirin for inflammation and fever; IVIG to prevent coronary artery aneurysms
Anticoagulation - rate control - cardioversion


42. Case - control study
Squamous cell carcinoma
5- aminosalicylic acid +/- sulfasalazine and steroids during acute exacerbations
Beta- hCG; the most common cause of amenorrhea is pregnancy
Neither


43. The most common type of nephrolithiasis.
Inevitable abortion
N- acetylcysteine
Calcium oxalate
Kegel exercises - estrogen - pessaries for stress incontinence


44. Blood in the urethral meatus or high - riding prostate.
Bladder rupture or urethral injury
Metformin
? Ca2+ - ? K- - ? phosphate - ? uric acid
50 cc/hour


45. The most common 1
Fatigue and impending respiratory failure
Bladder rupture or urethral injury
Nitroprusside
Multiple myeloma


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

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47. A young child presents with proximal muscle weakness - waddling gait - and pronounced calf muscles.
Obstructive pulmonary disease (e.g. - asthma)
Nephrogenic diabetes insipidus (DI)
Uremic syndrome seen in patients with renal failure
Duchenne muscular dystrophy


48. Appropriate diagnostic test?
Abdominal ultrasound and CT
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Pharmacologic stress test (e.g. - dobutamine echo)
Crohn's disease


49. Treatment of SIADH?
Regresses after menopause
Fluid restriction - demeclocycline
Exercise stress treadmill with ECG
Signs and symptoms of hypercalcemia


50. A fall in systolic BP of > 10 mmHg with inspiration.
Renal artery stenosis - coarctation of the aorta - pheochromocytoma - Conn's syndrome - Cushing's syndrome - unilateral renal parenchymal disease - hyperthyroidism - hyperparathyroidism
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe
Displacement
Pulsus paradoxus (seen in cardiac tamponade)