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. Defect in an X- linked syndrome with mental retardation -
IV penicillin or ampicillin
Lesch - Nyhan syndrome (purine salvage problem with
Niacin
Osteogenesis imperfecta


2. Name the defense mechanism:
Non - Hodgkin's lymphoma
Endometrial biopsy
Reaction formation
They can mask symptoms of hypoglycemia


3. Evaluation of a pulsatile abdominal mass and bruit.
Isolation
False. Withdrawing and withholding life are the same from an ethical standpoint
Malingering
Abdominal ultrasound and CT


4. Antidepressants associated with hypertensive crisis.
Low - voltage - diffuse ST- segment elevation
MAOIs
Nitroprusside
Check for ? ICP; look for papilledema


5. A first - born female who was born in breech position is found to have asymmetric skin folds on her newborn exam. Diagnosis? Treatment?
Both have ? hematocrit and RBC mass - but polycythemia vera should have normal O2 saturation and low erythropoietin levels
Basal cell carcinoma
Type I (distal) RTA
Developmental dysplasia of the hip. If severe - consider a Pavlik harness to maintain abduction


6. Chronic diseases such as SLE
Basal cell carcinoma
Higher prevalence
Diffuse interstitial pulmonary fibrosis. Supportive care. Steroids may help
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)


7. Treatment for AML M3.
Third - degree heart block
OCPs - danazol - GnRH agonists
Legionella pneumonia
Retinoic acid


8. A 50-year - old male presents with early satiety - splenomegaly - and bleeding. Cytogenetics show t(9 -22). Diagnosis?
Nephrogenic diabetes insipidus (DI)
CML
Wegener's granulomatosis and Goodpasture's syndrome
Kl


9. Identify key organisms causing diarrhea:
Flumazenil
IgA nephropathy (Berger's disease)
Hypotension and bradycardia
Vibrio - HAV


10. Perinatal mortality?

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11. Infection of small airways with epidemics in winter and spring.
RSV bronchiolitis
HBV - DTaP - Hib - IPV - PCV
SIADH due to stress
Yersinia


12. Chromosomal pattern of a complete mole.
46 -XX
Anorexia
The likelihood of a disease among individuals exposed to a risk factor compared to those who have not been exposed
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


13. Fetal mortality?

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14. Caf
Aseptic (viral) meningitis
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements
Neurofibromatosis 1
CF or Hirschsprung's disease


15. ? CO - ? pulmonary capillary wedge pressure (PCWP) - ? peripheral vascular resistance (PVR).
Hypovolemic shock
E. coli O157:H7
Oral or topical metronidazole
Acute mania. Start a mood stabilizer (e.g. - lithium)


16. A 50-year - old man with a history of alcohol abuse presents with boring epigastric pain that radiates to the back and is relieved by sitting forward. Management?

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17. Maternal mortality?
Esophageal atresia with distal TEF (85%). Unable to pass NG tube
IV hydration and loop diuretics (furosemide)
Number of deaths during pregnancy to 90 days postpartum per 100 -000 live births
Sturge - Weber syndrome. Treat symptomatically. Possible focal cerebral resection of affected lobe


18. Heinz bodies?
Salmonella
Intracellular inclusions seen in thalassemia - G6PD deficiency - and postsplenectomy
Non - Hodgkin's lymphoma
Diphenhydramine or epinephrine 1:1000


19. A lesion characteristically occurring in a linear pattern in areas where skin comes into contact with clothing or jewelry.
Sporothrix schenckii
Fever - heart murmur - Osler's nodes - splinter hemorrhages - Janeway lesions - Roth's spots
TB medications (INH - rifampin - pyrazinamide) - acetaminophen - and tetracycline
Contact dermatitis


20. A four -year - old child presents with oliguria - petechiae - and jaundice following an illness with bloody diarrhea. Most likely diagnosis and cause?
Hemolytic - uremic syndrome (HUS) due to E. coli O157:H7
Reye's syndrome
Sporothrix schenckii
OCP and barrier contraception


21. Risk factors for pyelonephritis.
Cluster headache
Pregnancy - vesicoureteral reflux - anatomic anomalies - indwelling catheters - kidney stones
Pasteurella multocida
Angina is new - is worsening - or occurs at rest


22. Number needed to treat?
Guillain - Barr
Acute myelogenous leukemia (AML)
Bacterial meningitis
1


23. Glomerulonephritis with deafness.

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24. First - line treatment for otitis media.
Amoxicillin
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
Clomiphene citrate
IV benzodiazepine


25. Signs of air embolism.
Guillain - Barr
Threatened abortion
'Sawtooth' P waves
A patient with chest trauma who was previously stable suddenly dies


26. Treatment for benzodiazepine overdose.
High reliability - low validity
ARDS
Fatigue and impending respiratory failure
Flumazenil


27. A history significant for initial altered mental status with an intervening lucid interval. Diagnosis? Most likely etiology? Treatment?
Uveitis - ankylosing spondylitis - pyoderma gangrenosum - erythema nodosum - 1
Epidural hematoma. Middle meningeal artery. Neurosurgical evacuation
Hypoxia and hypocarbia
Toxoplasma gondii


28. A nonsuppurative complication of streptococcal infection that is not altered by treatment of 1
Slipped capital femoral epiphyses. AP and frog - leg lateral view
Postinfectious glomerulonephritis
Hyperkalemia
Malingering


29. 'Stones - bones - groans - psychiatric overtones.'
Diamond - Blackfan anemia
Hypotension - distant heart sounds - and JVD
Encapsulated organisms -- pneumococcus - meningococcus - Haemophilus influenzae - Klebsiella
Signs and symptoms of hypercalcemia


30. A patient develops endocarditis three weeks after receiving a prosthetic heart valve. What organism is suspected?
Haemophilus ducreyi
S. aureus or S. epidermidis.
Infection - cancer - and autoimmune disease
Type IV (distal) RTA


31. Treatment of supraventricular tachycardia (SVT).
Selective IgA deficiency
Hypoxia and hypocarbia
Glanzmann's thrombasthenia
Rate control with carotid massasge or other vagal stimulation


32. An elderly female presents with pain and stiffness of the shoulders and hips; she cannot lift her arms above her head. Labs show anemia and ? ESR.
Polymyalgia rheumatica
Seborrheic keratosis
Phototherapy (mild) or exchange transfusion (severe)
Parainfluenza virus type 1


33. A 13-year - old male has a history of theft - vandalism - and violence toward family pets.
Candidal thrush. Workup should include an HIV test. Treat with nystatin oral suspension
Conduct disorder
Erythema multiforme
Prolactinoma. Dopamine agonists (e.g. - bromocriptine)


34. Inspiratory arrest during palpation of the RUQ.

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35. Extraintestinal manifestations of IBD.
Intraductal papilloma
Uveitis - ankylosing spondylitis - pyoderma gangrenosum - erythema nodosum - 1
Inhaled Beta- agonists and inhaled corticosteroids
Hyperkalemia


36. Hematuria - flank pain - and palpable flank mass.
Neisseria meningitidis
Renal cell carcinoma (RCC)
Nitroprusside
Treat CO poisoning with 100% O2 or with hyperbaric O2 if severe poisoning or pregnant


37. A 21-year - old male has three months of social withdrawal - worsening grades - flattened affect - and concrete thinking.
Choriocarcinoma
Sporothrix schenckii
Schizophreniform disorder (diagnosis of schizophrenia requires = 6 months of symptoms)
50 cc/hour


38. Risk factors for DVT.

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39. Treatment for postpartum hemorrhage.
Conversion disorder
Cellulitis
Uterine massage; if that fails - give oxytocin
Usually resolves spontaneously; may require IVIG and/or corticosteroids


40. 'Cradle cap.'
Isolation
Menometrorrhagia
Identify cause; fluid and blood repletion
Seborrheic dermatitis. Treat with antifungals


41. Virchow's triad.
Regression
46 -XX
Stasis - hypercoagulability - endothelial damage
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


42. Presents with a herald patch - Christmas - tree pattern.
Fanconi's anemia
Pityriasis rosea
? Ca2+ - ? K- - ? phosphate - ? uric acid
= 200 for PCP (with TMP); = 50-100 for MAI (with clarithromycin/azithromycin)


43. Lung cancer highly related to cigarette exposure.
SCLC
Pheochromocytoma
Charcot's triad plus shock and mental status changes - with suppurative ascending cholangitis
Paget's disease


44. The most common 1
Seminoma
Acne vulgaris
Morphine - O2 - sublingual nitroglycerin - ASA - IV Beta- blockers - heparin
Multiple myeloma


45. A crescent - shaped hyperdensity on CT that does not cross the midline.
S. aureus
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
Subdural hematoma
Treat because the disease represents an immediate threat to the child's life. Then seek a court order


46. Shortest AP diameter of the pelvis.
TICS
Obstetric conjugate: between the sacral promontory and the midpoint of the symphysis pubis
Osteoarthritis
Fluids and antibiotics


47. The most common type of testicular cancer.
Flumazenil
OCPs
Lung - breast - skin (melanoma) - kidney - GI tract
Seminoma


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

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49. Test to rule out urethral injury.
Retrograde cystourethrogram
Graves' disease
Usually resolves spontaneously; may require IVIG and/or corticosteroids
Uterine atony


50. Medications and viruses that ? aplastic anemia.
TICS
Chloramphenicol - sulfonamides - radiation - HIV - chemotherapeutic agents - hepatitis - parvovirus B19 - EBV
Duodenal atresia
Pneumococcus - meningococcus - H. influenzae. Treat with cefotaxime and vancomycin