1. 3 cm nontender fluctant mass in left Bartholin duct 10. acetylcholinesterase organophosphates/insecticides:
posterior vulva cyst poisoning SLUDGE: salivation, lacrimation, urination, defecation, GI motility, 2. 4 days post-op, serosanguineous fluid wound emesis and miosis; (treat with dehiscence atropine!) (evisceration would show 11. acne is from plugged pilosebaceous glands abd contents) 12. Acute CHF LMNOP: Lasix, Morphine, Nitrates, 3. A 4 year-old boy develops chickenpox 8 Nothing; moms management Oxygen, Position UP hours after visiting his newborn sister in were immune 13. acute gout attack first indomethacin (high dose NSAID); the nursery. Six other full-term newborns so the babies line steroids used when NSAIDS not were also exposed; all of the mothers have are safe for 6 effective a history of chickenpox prior to mos or so. pregnancy. Which of the following is the 14. Additional vac to give Pneumococcal, NOT HEP A! THAT'S most appropriate recommendation to AIDS person? FOR LIVER FAILURE PEOPLE prevent chickenpox in the newborns? 15. Adult with molluscum VIRAL CULTURE; may have std 4. 18yo with a 3cm lymph node in the neck Increased LDH; contagiosum, do what for 1 month and 3cm splenomegaly. what this is NHL next? would you find on labs? 16. After ORIF and Fat embolism! 5. A 19 year old African American man Decreased respiratory issues, comes to physician because of 9 month enzyme - think what? history of 6-12 hour episodes of probably 17. alcoholic with 106 heat stroke intermittent watery diarrhea associated lactose temp, high CK and with abodominal cramps and bloating. he intolerant high AST occasionally has had diarrhea after meals 18. alcoholic with neuro thiamine (B1) ataxic gait, bilateral since the age of 12 years, but it has been deficits after glucose rectus palsies, horizontal worse since he started college 1 year ago. infusion nystagmus examination shows no abnormalities. which of following is the most likely cause of this 19. ALS EMG signs? fibrillation potentials in multiple pateints diarrhea muscles of multiple extremities 6. 27 primigravid woman with late decels who obs 20. Anorexic person with OSTEOPOROSIS is dilating, 7cm at hour 5, do what? amenorrhea at what risk compared to 7. 27 year old with crohn's on azathioprine ACUTE PANC! people who and high amylase, what should you think? menstruate? 8. 28 week pregnant woman going into Betamethasone, 21. anticholinergic using meds (atropine, benadryl, labor, do what? NOT poisoning benztropine); hot, dry, blind, red, CERCLAGE mad (treat with physostigmine) 9. A 32 y/o women is brought to ER because Likely of a 2-day history of vomiting, diarrhea, appendicitis and right-sided pelvic pain. Her LMP was 3 weeks ago.. Her vitals are T 39' C, R 20/min, P 100/min, Bp 120/70 mm Hg, abdominal examination shows right lower quadrant tenderness with rehound. bowel sounds are decreased, Pelvic examination shows right adnexal tenderness. A serum pregnancy tes is negative. What is this? 22. ) a previously healthy 67 year old man Bronchogenic 33. central retinal sudden, painless vision loss, assoc with has had an ching burning snsation in the carcinoma vein occlusion HTN, swollen disk, venous stasis retinal distal lower extremities for 3 weeks, the hemorrhages, cotton-wool spots, edema symptoms are exacerbated by walking of macula and relieved by elevation of the feet. 34. central scotoma optic neuritis The cetatarsalphalangeal joints and and pupillary ankles are warm swolle, tender and defect erythematoud. There is clubbing of the fingers and toes. which of the following is 35. Cholangitis from ERCP (both diagnostic and therapeutic) the most likely diagnosis? CBD injury-- test to do 23. ARDS Acute onset; Radio of 36. cholecystitis vs. cholecystitis: pericholecystic fluid; PaO2/FiO2 cholangitis on cholangitis: dilated bile duct <200; Diffuse ultrasound infiltration 37. Chronic gastritis in fundus due to autoantibodies to bilateral with with B12 parietal cells, causes pernicious anemia cephalization of deficiency (assoc with other autoimmune disorders) pulmonary increased risk of gastric adenocarcinoma vasculature and 38. claudication femoropopliteal arteries perihilar arteries fullness, Swan- Ganz wedge < 39. complement Classic pathway activated by IgG and 18mmHg deficiency and B IgM made by B cells cell dysnfnx 24. ARDS treatment low tidal volume, use 40. cor pulmonale JVD, ascites, LEE PEEP to recruit 41. cryoglobulinemia INF-alpha alveoli with HepC 25. Ascites woman with mass in the culdesac, Ovarian cancer; 42. destruction and emphysema what is it and do what? need ex lap to dilation of distal stage it airways 26. ATN findings renal tubular 43. Diabetes Urine specific gravity <1.006; serum osm epithelial cells Inspidus >290; Hypernatremia; comatose after and pigmented meningioma surgery granular casts 44. Enlarged Finasteride, not doxasozin 27. back pain that increases with spondylothesis prostate in hyperextension geezer with 28. Bilateral nystagmus, not being PCP- may not obstructive sx? aggressive, stiff and not talkative- think always be 45. ERCP ductal problems (gallstones, strictures what? aggressive! [primary sclerosing cholangitis], leaks, 29. Can botulism have CN effects? How does Yes! It inhibits cancer) it work? ACh release at 46. ERCP vs MRCP MRCP is less invasive and allows for NMJ imaging around the surrounding 30. Can ibuprofen do pill induced yes! structures esophagitis? 47. Etiology of UTI urinary stasis from decreased ureteral 31. Can it have bilateral pulmonary YES! in pregnancy tone with increased urinary tract volume infiltrates? 48. factors renal failure (decreased exretion) 32. causes of watery infectious diarrhea ETEC, vibrio predisposing to hypokalemia (dig can bind at K site on cholerae, toxicity of Na/K/ATPase, quinidine (decreases dig Giardia, crypto, digoxin clearance) rota, noro 49. first test for stress test angina after EKG 50. Fussy newborn who is sedated and Give more analgesia; 65. Myasthenia gravis vs. MG: decreased receptors mechanically ventilated after kid can't talk botulism from Ab attack; Botulism: surgery, do what? decreased release 51. HIDA scan eval of gallbladder, 66. naloxone vs naltrexone naloxone: Emergency used for biliary naltrexone: withdrawal atresia (Hepatobiliary 67. newborn in respiratory Rh incopatability; they're not IminoDiacetic Acid) distress with necessarily stillborn! 52. High dilute urine output in comatose DIABETES INSIPIDUS hepatosplenomegaly high woman, after meningioma removal, indir bili and petechia after should make you think? term delivery and uneventful pregnancy, what 53. HSIL, next step colpscopy is it? 54. hypothyroid in elderly can mimick dementia 68. nystagmus drug of abuse PCP (forgetfulness, slow gait) 69. Ovarian mass removed Abdo U/S person w/renal failure, do 55. If person with PPD greater than 16 Tx for latent Tb (INH what first? mm shows up, and has no other for 9 mos) signs, do what? 70. Pelvic fracture guy with PRBC; pelvic fractures can negative fast, what does he bleed a lot retroperitoneally 56. IgA Deficiency blood transfusion anaphylactic need? and not show up on FAST rxn MOA transfusion reaction of IgE antibodies 71. Person with gerd sx and not gerd trial, if not >50, not >5 against anti-IgA cancery, do what? years, and no melena/anemia/wt 57. indications for C-section (maternal) prior CS, ACTIVE loss/melena/hematemesis herpes, cervical carcinoma, maternal 72. Post-CABG: pressures drop, tamponade - need to trauma, HIV infection UOP decreases, CO drops, surgical explore Pulmonary artery diastolic 58. Intermittent urine loss plus cystic Urethral diverticulum, pressure UP mass in midthird of vagina, what is not fistula this? 73. prevention of myoglobinuria NS IVF renal failure 59. Kid with cramping abdo pain and r. This is strangulation, sided scrotal pain with discolored so operation 74. proximal muscle weakness myositis (inflamm infiltrate hemiscrotum with swelling and with myopathic changes and tenderness superiorly; do what replacement by adipose and next? collagen) 60. Kid with low back pain, worse in JRA 75. rheumatic fever most 1. mitral (stenosis/regurg) 2. morning/inactivity, stooped common valves 1 and 2 aortic (stenosis/regurg) gait/limping? MARF 61. Kid with staph aureus issuess? NEUTROPHILS; the 76. Rh vs ABO Hemolytic Rh: stillborn, severe anemia chronic Disease of Newborn and mod/severe jaundice, granulomatous has strong positive Coombs, NO issue with schistocytes (RBC's NEUTROPHIL completely phagocytosed) oxidative burst 77. sarcoidosis SOB, painful bumps on legs 62. Lesion with HSIL in 27 year old, do colpo (erythema nodosum), what? bilateral hilar fullness, hypercalcemia/hypercalcuria 63. male infertility, ill-defined soft bilateral varicoceles masses high in scrotum 78. SBO no passage of stool (flatus yes if only partial) 64. mildly itchy rash from face to This is parvo B 19 extremities in a 10 year old, do (THAT WAS SLAPPED 79. short bowel syndrome, rash zinc deficiency what? CHEEK RASH), so do and hair loss on TPN nothing 80. Single greatest Hypertension 96. Which structure is Pilosebaceous follicle risk factor for involved with the stroke production of acne? 81. Slipped CFE, first x-ray, not MRI 97. Why does hypoMag Mag usually inhibits Ca release step? cause HypoCa? from sarcoplasmic reticulum; increases intracellular Ca levels 82. three of more ventricular tachycardia (amiodarone if which decreases PTH, consecutive PVC's, stable, cardiovert if unstable) decreasing Calcium wide QRS in regular rapid 98. Widened mediastinum Surg exploration of mediastinum rhythm after CABG, decreased UOP and BP, increased 83. tocolytics CCB (Nifedipine); B-mimetics pulm diastolic pressure, (terbutaline, ritodrine); Magnesium!; do what? 84. Torsion when to if high clinical suspicion go right to 99. Woman on oral morphine Administer it q3 orally, not subq get US vs Surgery surgery (negative Prehn's, pain remains with pain not controlled with elevation) Need to fix within 6hrs q4, do what? 85. Transhepatic visualizes anatomy of biliary tree; used 100. Zenker vs achalasia bad breath for Zenker cholangiography AFTER ERCP has been unsuccessful; mainly therapeutic as less invasive techniques for diagnosis exist (MRCP, CT, US) 86. Treatment of carotid endarectomy stroke if carotids over 70% stenosis 87. TTP pentad Thrombocytopenia, Schistocytes, Fever, Renal, Neuro 88. Tx impetigo? Topical mupirocin 89. Uneventful SVD UTERINE ATONY and heavy bleeding one hour later, what is it most likely? 90. upper anterior thymoma mediastinal mass 91. urinary urethral diverticulum incontinence with outpouching of urethra into anterior vaginal wall 92. urine sodium over SIADH 50; urine osm >50; serum osm <290 with LOW sodium 93. Wehre do ACE Cap receptor sites on macula densa of inhibitors work in the JGA kidney? 94. What else does Pancreatitis, liver tox, bone marrow azathioprine do? suppression 95. When to eval for 15-18 months child not walking