A christmas tree pattern should make you think of what diagnosis?
--- Pityriasis rosea
What is the age range for Duchenne's muscular dystrophy?
--- 3-5 years old
A question about Prinzmetal's angina will often contain what key thing in the patient's history?
--- Cocaine use
Will unconjugated bilirubin be high or low in a patient with sickle cell disease?
--- High
The heart rate is irregular, so you can't count boxes between QRS waves to determine heart rate. What is another
method you can use to determine rate on an EKG?
--- Count QRS waves in a six second strip and multiply by 10 to get beats per minute.
If you have a patient with positive blood cultures for candida what is the first line drug?
--- Amphotericin B
Would a B12 deficiency anemia most likely be microcytic, normocytic or macrocytic?
--- Macrocytic
What is the most serious complication of Kawasaki syndrome?
--- Aortic Aneurysm
Are one half of all adult hernias direct or indirect inguinal hernias?
--- Indirect inguinal hernias makeup 50% of all adult hernias.
Which way does a Colles fracture angulate: dorsal or volar? What about a Smith fracture?
--- Colles = Dorsal, Smith = Volar
A patient complains of seeing halos and rainbows around lights. She also complains of moderate photophobia?
What is the most likely diagnosis?
--- Glaucoma
What is the appropriate treatment for a patent ductus arteriosus.
--- Indomethacin
What is the term for difficulty swallowing?
--- Dysphagia
An RSR prime in leads V1 or V2 should make you think of what diagnosis?
--- Right bundle branch block
What is the age range for osteosarcoma? Where are they most typically found in the body?
--- "Osteosarcoma usually occur in 15-25 year old males and are most commonly found around the knee."
What medication is used to increase surfactant levels and help with lung maturity if you are worried about preterm
labor?
--- Betamethasone
What is the most specific diagnostic test for peptic ulcer disease?
--- Endoscopy
A patient complains of a rash on his palms and soles. He has a fever and chills. In conversation he mentions a
strange painless chancre he had a few weeks ago. What is the most likely diagnosis?
--- Secondary syphilis. This is the most contagious stage.
A patient presents with watery bilateral discharge from the eyes and nontender preauricular adenopathy. What is
the most likely diagnosis? What is the most common pathogen?
--- Viral conjunctivitis, adenovirus
What is the first line treatment for pertussis?
--- Erythromycin
A patient presents with a painful ipsilateral third nerve palsy. What is the most likely diagnosis?
--- Posterior communicating artery aneurysm (PComA)
Your attending asks you to come and see an excellent example of Hutchinson's sign. What diagnosis does the
patient have?
--- Herpes zoster ophthalmicus
After 7 days of sinusitis what antibiotic would you start?
--- Amoxicillin or Bactrim
Is anorexia egosyntonic or ego-dystonic? What about bulimia?
--- Anorexia is egosyntonic. Bulimia is ego-dystonic.
What is the most common cause of CHF?
--- Coronary artery disease
What antibiotic class is the class of choice for chlamydia?
--- Macrolides
A surge in what hormone leads to ovulation?
--- Luteinizing hormone
As part of the antepartum testing a baby has a positive stress test. What does that mean?
--- They have had two heart rate accelerations in a 20 minute period of 15 beats above baseline for at least 15
seconds. This is a good thing.
What organism is the most common cause of pneumonia in a patient with cystic fibrosis?
--- Pseudomonas
Propranolol belongs to what class of medication?
--- Beta blockers
Grape-like vesicles or a sack of grapes on ultrasound should make you think of what diagnosis?
--- Hydatidiform mole
List three positive symptoms of schizophrenia.
--- Hallucinations, delusions, movement disorders
What is pertussis more commonly referred to as?
--- Whooping cough
Name three medication "classes" which are indicated for reduction in LDL?
--- Statins, ezetimibe, niacin and nicotinic acid
How do you treat a stasis dermatitis?
--- Compression stockings
A 95 year old female presents to ER after a fall in her home. Her left leg is shortened and externally rotated. What
is the most likely diagnosis?
--- Hip fracture
What is the yellow, brown fleshy mass on the conjunctiva which usually does not interfere with vision?
--- Pinguecula
Is an upper respiratory infection which includes hoarseness most likely bacterial or viral?
--- Viral
Tenderness over the anatomical snuffbox is indicative of what fracture?
--- Scaphoid
If you have heartburn that does not improve with medication what is the most likely diagnosis?
--- Gastrinoma
Steatorrhea should make you think of what diagnosis?
--- Pancreatitis
Describe Barlow's test.
--- Adduct and internal rotation of the hips
What two viral hepatitis infections are self limiting?
--- Hepatitis A and hepatitis E
What is the most common organism that causes a bladder infection?
--- E. coli
Where are Heberden's nodes found?
--- Distal interphalangeal joint (DIP)
What is the leading cause of iron deficiency anemia?
--- E. coli
A 65 year old male presents with frequency. On digital rectal exam you feel an elastic moderately enlarged
prostate. What is the most likely diagnosis?
--- BPH
What is the most common fracture in a patient with osteoporosis?
--- A compression fracture of a vertebral body followed by hip fractures.
At approximately how many weeks pregnant is the uterus at the level of the umbilicus?
--- 20 weeks
Following a myocardial infarction, what medication should you be using to treat hypertension?
--- Beta blocker
