| Block1 |
Answer |
topic |
Note |
| 1 |
B |
borderline personality disorder |
|
| 2 |
A |
Libido |
androgen and libido |
| 3 |
F |
Myotonic muscular dystrophy |
wasting of the muscles (muscular dystrophy), cataracts, heart conduction defects, endocrine changes, and myotonia. CTG repeats. |
| 4 |
C |
primary prevention and incidence |
|
| 5 |
B |
increase meds compliance in adolescents |
Negotiate a contract |
| 6 |
G |
pupillary light reflex |
MS-optic neuritis-Marcus Gunn pupil |
| 7 |
A |
BZ withdrawal |
|
| 8 |
A |
contact dermatitis |
image: bullous. Tx: avoid wooded area |
| 9 |
E |
vit B1 deficiency |
|
| 10 |
E |
pulmonary contusion |
|
| 11 |
C |
peritonitis-in peritoneal dialysis |
paracentesis and gram stain |
| 12 |
F |
PDA |
|
| 13 |
E |
strawberry hemagioma |
|
| 14 |
C |
Dehydration- hyaline cast |
|
| 15 |
D |
insulin resistance in T2DM |
|
| 16 |
D |
temporal arteritis |
Rx: high dose GCs |
| 17 |
D |
PCOS |
|
| 18 |
D |
IBD |
|
| 19 |
E |
Postpartum thyroiditis |
hypothyroidism (associate with hyperlipidemia) Dx: TSH |
| 20 |
C |
intramural hematoma of small bowel after warfarin use |
| 21 |
B |
Sjögren’s Syndrome |
Vaginal dryness, dry eye |
| 22 |
A |
2mon old development milestone |
|
| 23 |
D |
18yo female screening |
STD: N gonorrhea, C. trachomatis |
| 24 |
A |
Nursemaid’s Elbow |
Tx: hypersupination of forearm |
| 25 |
A |
acute marijuana/cannabis intoxication |
Injected sclerae, increased appetite, dry mouth, euphoria and paranoia |
| 26 |
A |
travel to Egypt |
Mefloquine |
| 27 |
E |
hyperkalemia |
Rx: IV calcium gluconate |
| 28 |
C |
Athma attack |
inhaled short-acting β-agonists |
| 29 |
C |
viral myocarditis |
Echo: hypokinesia and dilation of ventricle |
| 30 |
L |
lateral medullary S-PICA |
|
| 31 |
A |
remove Foley catheter to avoid UTI |
|
| 32 |
C |
post-operative intra-abdominal hemorrhage |
| 33 |
B |
pica-IDA |
Dx:CBC first |
| 34 |
H |
CGD |
neutrophils filled with bacteria |
| 35 |
I |
pseudodementia |
|
| 36 |
H |
HD |
|
| 37 |
D |
tension pneumothorax |
tube thoracostomy |
| 38 |
C |
gallstone ileus |
air in the live |
| 39 |
A |
RAS |
57yo, smoking, atherosclerosis. |
| 40 |
B |
CF |
|
| 41 |
G |
primary lung TB |
travelled to Asia, fever, cough, right chest pain, CXR: right pleural effusion, hilar adenopathy |
| 42 |
B |
intussusception |
|
| 43 |
C |
IUFD |
recommend autopsy |
| 44 |
D |
MS |
|
| 45 |
B |
ankylosing spondylitis |
HLAB27 |
| 46 |
E |
MS |
PAH |
| Block2 |
|
|
|
| 1 |
A |
contraception in adolescents |
|
| 2 |
G |
IIH |
|
| 3 |
C |
crypotococcal meningitis |
|
| 4 |
E |
acne: comedoes, pustule no scarring |
Rx: topical retinoids |
| 5 |
C |
GCs and increased leukocytosis |
demargination |
| 6 |
E |
Reinsertion of Foley catherter |
|
| 7 |
D |
tricuspid regurgitation |
|
| 8 |
F |
AAA rupture |
acute onset back pain, tachycardia, AXR: calcification anterior to vertebral body |
| 9 |
B |
septic arthritis |
Dx: anthrocentesis |
| 10 |
B |
Glycogen storage disease (Pompe’s disease) |
prominent cardiomegaly, hypotonia, and death before 2 yr of age |
| 11 |
F |
social phobia |
|
| 12 |
B |
vomiting |
hypokalemia hypochloride metabolic alkalosis |
| 13 |
D |
URTI |
auscultation: normal heart sound |
| 14 |
E |
MVC hypotension |
Rx: NS |
| 15 |
D |
IgA deficiency |
transfusion related anaphylaxis |
| 16 |
C |
aspiration pneumonia |
AD decreased gag reflex |
| 17 |
D |
stress incontinence |
|
| 18 |
C |
overflow incontinence |
|
| 19 |
E |
Postpartum depression |
5w, suicide and infanticide thoughts-hospitalization |
| 20 |
C |
vascular ring |
relief of wheezing with extension of the neck |
| 21 |
G |
viral encephalitis |
fever, confusion, CSF(RBC increase) |
| 22 |
D |
Analgesic nephropathy |
|
| 23 |
B |
adjustment disorder with anxiety |
|
| 24 |
A |
Anovulation |
positive progesterone challenge test-any withdrawal bleeding is diagnostic of anovulation; |
| 25 |
D |
Heat stroke |
inadequate dissipation of heat |
| 26 |
E |
PUD perforation |
Tx: Laparotomy |
| 27 |
A |
T1DM-DKA |
|
| 28 |
C |
pyloric stenosis |
Nonbilious projectile vomiting |
| 29 |
A |
DVT |
hypercoagulability of pregnancy |
| 30 |
E |
HBV vaccine |
Vaccine non-responsive |
| 31 |
B |
Hemothorax |
|
| 32 |
N |
SIADH-Asx hyponatremia |
Tx: fluid restriction |
| 33 |
A |
constrictive pericarditis from radiation |
|
| 34 |
C |
Multiple myeloma |
|
| 35 |
B |
Nightmare disorder |
recall the dream, causing distress, occurs during REM sleep |
| 36 |
A |
post-C section pain |
reassurance |
| 37 |
E |
Fragile X S |
|
| 38 |
C |
confidentiality |
|
| 39 |
E |
spinal cord compression |
point tenderness, hyperreflex, muscle weakness, Tx: decompression, cervical stabilization |
| 40 |
B |
fast lipid profile if TC>200mg/dl |
|
| 41 |
D |
Latex allergy |
new job medical assisstant |
| 42 |
D |
IBS |
|
| 43 |
A |
Pap smear start from 21yo |
|
| 44 |
B |
fibromyalgia |
|
| 45 |
B |
TMP-SMX allergy |
rash |
| 46 |
B |
pharyngitis in kids |
Rapid GAS neg then throat culture, give antibiotics after culture results come back |
| Block3 |
|
|
|
| 1 |
D |
preterm delivery risk factor |
greatest: previous preterm delivery |
| 2 |
C |
depression |
ask about suicidal feeling |
| 3 |
B |
pleural effusion-transudate |
Protein<2.5g/dl, glucose>60mg/dl, WBC<10000, |
| 4 |
F |
addison’s disease |
Dx: ACTH stimulation test |
| 5 |
B |
AOM—Mastoiditis |
Dx: CT |
| 6 |
E |
HDN-Rh hemolysis |
mother Rh-, baby Rh+ |
| 7 |
C |
NST |
|
| 8 |
A |
PAD |
mild, ABI 0.6-exercise |
| 9 |
F |
Malingering |
to avoid hearing |
| 10 |
C |
lactose intolerance? |
malabsorption |
| 11 |
D |
normal aging-all but memory loss |
reduced or absent ankle reflex, outstretched hands tremor, vibratory sensation in toes |
| 12 |
A |
cardiac tamponade |
Dx:Echo. It can guide pericardiocentesis |
| 13 |
D |
disk herniation |
Tx: weight loss |
| 14 |
H |
abdominal stab injury |
Tx: laparotomy |
| 15 |
B |
Diverticulitis |
Dx: CT |
| 16 |
E |
MG-Thymoma |
CT: anterior mediastinum mass |
| 17 |
D |
bile duct dilation and jaundice |
ERCP |
| 18 |
B |
Myocardial contusion |
PCWP increase after hydration, low PO2 |
| 19 |
C |
stress test before exercise program |
|
| 20 |
C |
haloperidol decanoate in noncompliant pts |
|
| 21 |
E |
PCP intoxication |
|
| 22 |
A |
primary hyperaldosteronism |
|
| 23 |
B |
bacterial vaginosis |
clue cells, grey discharge, fishy odor,PH>4.5 |
| 24 |
G |
myelomeningocele |
chiari II -cerebellar tonsillar herniation with aqueduct stenosis and hydrocephaly. Presents with syringomyelia and myelomeningocele |
| 25 |
A |
carbamazepine-agranolocytosis |
|
| 26 |
C |
HIV pt vaccination |
pneumococcus, influenza |
| 27 |
C |
PE |
Tx: heparin |
| 28 |
E |
pleural effusion |
thoracentesis |
| 29 |
B |
crypotococcal meningitis |
Rx: amphotericin followed by fluconazole. Not itraconazole which is hardly to penetrate the BBB |
| 30 |
B |
PPV and prevalence |
|
| 31 |
B |
naproxen-ATN |
|
| 32 |
E |
PCA after surgery |
PCA morphine |
| 33 |
E |
Broton’s agammaglobulinemia |
|
| 34 |
G |
intraductal papilloma |
|
| 35 |
D |
hyponatremia |
SIADH by small cell ca |
| 36 |
A |
aortic incompetence |
by Marfan’s S |
| 37 |
A |
Atopic dermatitis is susceptable to eczema herpeticum |
| 38 |
C |
wernicke encephalopathy |
Alcoholism, nystagmus, ataxia, confusion |
| 39 |
B |
amaurosis fugax and stroke |
first do carotid artery duplex |
| 40 |
E |
Guillain-Barre syndrome |
Dx:EMG and NCV |
| 41 |
D |
food poisoning |
egg salad-S. aureus |
| 42 |
F |
CTS |
|
| 43 |
P |
ulnar n |
|
| 44 |
C |
vertebra metastatic prostate ca |
osteoblastic |
| 45 |
D |
PCP pneumonia after chemotherapy |
PCP CXR: bilateral alveolar and interstitial infiltrate |
| 46 |
D |
testis mass- germinal tumor in young adult |
VS hydrocele, spermatocele (tranilluminate+), varicocele(transilluminate-, valsava increase size |
| Block4 |
|
|
|
| 1 |
E |
sporotricosis |
|
| 2 |
B |
empyema |
High fever, history of pneumonia, and dullness to percussion indicated pleural effusion |
| 3 |
C |
emergency contraception 24h after intercourse |
Rx:levonogesterol |
| 4 |
E |
VitD deficiency due to malasorption |
hypocalcemia |
| 5 |
N |
wean respirator/extubation indication |
|
| 6 |
C |
Adrenoleukodystrophy |
disorder of peroxisomal fatty acid beta oxidation:CNS Degeneration and Adrenal Cortical Insufficiency |
| 7 |
A |
adnexal mass |
24yo, 5cm tender: repeat exam in 2w VS postmenopausal: USG |
| 8 |
A |
Anal fissure |
pain and bright red rectal bleed while defecation. Tx: anesthetics, stool softener |
| 9 |
A |
pheochromocytoma |
|
| 10 |
E |
hypertensive crisis |
Rx:nitroprusside |
| 11 |
B |
panic attack |
BZs |
| 12 |
E |
adolescent HTN |
first-line lifestyle |
| 13 |
D |
ACEI in preventing progress of diabetic nephropathy |
| 14 |
A |
NF1 |
may have pheochromacytoma |
| 15 |
D |
Sick cell D and folic acid demand |
|
| 16 |
E |
lithium |
check TSH for potential hypothyroidism |
| 17 |
E |
Acute pancreatitis |
due to cholelithiasis |
| 18 |
D |
overflow incontinence |
|
| 19 |
A |
PDA or ASD? |
no murmur at birth is because high pulmonary vascular resistance |
| 20 |
D |
Asymptomatic hypercalcemia |
the most common cause is primary hyperparathyroidism. Check PTH first |
| 21 |
D |
Factitious disorders |
|
| 22 |
D |
HCM |
|
| 23 |
G |
orthostatic hypotension |
|
| 24 |
A |
adnexal mass-teratoma |
|
| 25 |
C |
morning sickness |
anti-emetics |
| 26 |
A |
withhold information |
pts have right to withhold their own medical information |
| 27 |
E |
gastric bypass surger-bariatric surgery |
BMI75! |
| 28 |
A |
CVC infection |
|
| 29 |
F |
Digorge S |
|
| 30 |
C |
acute gout |
Rx: indomethacin |
| 31 |
B |
esophageal perforation |
crepitus in the neck |
| 32 |
A |
brain abscess |
due to ABE. Fever, headache, focal neurologic deficit, seizure |
| 33 |
C |
emphysema |
AAT1 deficiency–liver cirrhosis |
| 34 |
E |
TOF |
|
| 35 |
E |
Coarctation of the aorta |
surgery repair after stabilization |
| 36 |
A |
confunding factors |
|
| 37 |
C |
VitC deficiency |
|
| 38 |
B |
complex partial seizure |
VS absence: No aura; usually <30 seconds; no postictal period; hyperventilation triggers 3HZ spike-and-wave pattern on the normal background |
| 39 |
B |
choriocarcinoma |
Larger uterus than actual gestational age(24w-umbilicus)+Higher beta-HCG+ no fetal heart tone |
| 40 |
E |
BPH |
VS chronic protatitis |
| 41 |
B |
acute rejection 1 mon after renal transplantation |
Rx:high-dose GCs (need biopsy, DD CMV infection) |
| 42 |
A |
lead poisoning |
Abdominal pain+ headache/memory loss/ataxia(CNS)+decreased sensation(PNS)+ microcytic anemia |
| 43 |
B |
lichen sclerosus (LS&A) |
Itching, white , thin vulva. Parchment-like. Biopsy for SCC, Rx: topical high potency GCs |
| 44 |
E |
osteoporotic compression fracture |
prednisone hx, tenderness to percussion of lumbar spine |
| 45 |
D |
muscle strain |
Tenderness over lumbar paraspinal region bilaterally |
| 46 |
A |
Drowning 36h later—ARDS |
initially cyanotic, 5min resuscitation began to cough and breathe |
再中 