RAPID FIRE AND COMSAE: QUESTIONS WITH SOLUTIONS
Unpasteurized goat cheese Correct Ans - Brucella
Laxative abuse Correct Ans - electrolyte imbalance
severe dehydration
dependency
stretched or "lazy" colon
balantidium coli Correct Ans - protozoa that causes GI infection, ingest cysts thru infected water or food
produces hyalonuridase and creates ulcers in mucosal walls
Isospora belli Correct Ans - diarrhea, steatorrhea, malabsorption, non-
bloody diarrhea
Ballottement test Correct Ans - palpating surface of an organ at the surface of the body
**i.e. during pregnancy, palpating the uterus
Tibial nerve Correct Ans - can be compressed in the tarsal tunnel, roof of
which is flexor retinaculum
Pentoxifylline Correct Ans - used for intermittent claudication and vascular dementia
it changes the shape of RBCs
Prevotella intermedia Correct Ans - acute necrotizing ulcerative gingivitis
periodontal infections
Prophyromonas gingivalis Correct Ans - gingivitis, periodontal disease
Actinobacillus actinomycetemcomitans Correct Ans - another periodontal bug enterovirus 17 Correct Ans - notable cause of hand, foot and mouth disease
Menkes syndrome Correct Ans - inborn error where body cannot absorb
copper
brittle hair, metaphyseal widening
Most common cause of neural tube defects Correct Ans - Folate deficiency
Most common preventable cause of congenital malformation in the US Correct Ans - Alcohol use in pregnancy
Hyperflexible joints, arachnodactyly, aortic dissection, lens dislocation Correct Ans - Marfan Syndrome (defective fibrillin)
Hereditary nephritis, cataracts, sensorineural hearing loss Correct Ans - Alport Syndrome (defective type 4 collagen)
"Worst headache of my life" Correct Ans - SAH
Lucid interval following head trauma Correct Ans - Epidural hematoma
Bloody CSF on LP Correct Ans - Ruptured bridging vein
Most Common Cause of epidural hematoma Correct Ans - Ruptured middle meningeal artery
Treatment for absence seizure Correct Ans - Ethosuximide
Amyloid deposits in gray matter of brain Correct Ans - Senile plaque (Alzheimer Disease)
Drooling farmer Correct Ans - Organophosphate poisoning
Medical treatment for pheochromocytoma Correct Ans - Alpha antagonist Selective alpha1 antagonist used to treat BPH Correct Ans - Tamsulosin (alpha 1 selective inhibitor that does not affect BP as much as the -zosins)
Continuous Machine like murmur Correct Ans - Persistent truncus arteriosus
Boot shaped heart Correct Ans - Tetralogy of Fallot
Rib Notching Correct Ans - Coarctation of the Aorta
Most common cardiac anomaly Correct Ans - Ventricular Septal Defect
Most common cause of congenital cyanosis Correct Ans - Tetralogy of Fallot
Drugs known to reduce mortality in CHF Correct Ans - ACE/ARB/ Aldosterone antagonists, select Beta blockers
Bounding pulses, head bobbing, diastolic murmur Correct Ans - Aortic regurgitation
Continuous, machine like murmur Correct Ans - PDA
Bone enlargement, bone pain, arthritis Correct Ans - Paget Disease of Bone (osteitis deformans)
Vertebral compression fracture Correct Ans - Osteoporosis
Swollen, hard, painful finger joints Correct Ans - osteoarthritis
Swollen Boggy, painful finger joints Correct Ans - Rheumatoid arthritis
Cartilage erosion with polished bone beneath Correct Ans - Osteoarthritis
Swollen, red, acutely painful great toe joint Correct Ans - Gout
Positively birefringent rhomboid-shaped crystals Correct Ans - Pseudogout (aka Calcium pyrophosphate deposition disease)
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