SQLite format 3@ * ,{tablestatsstatsCREATE TABLE stats ( id INTEGER NOT NULL, type INTEGER NOT NULL, day DATE NOT NULL, reps INTEGER NOT NULL, "averageTime" FLOAT NOT NULL, "reviewTime" FLOAT NOT NULL, "distractedTime" FLOAT NOT NULL, "distractedReps" INTEGER NOT NULL, "newEase0" INTEGER NOT NULL, "newEase1" INTEGER NOT NULL, "newEase2" INTEGER NOT NULL, "newEase3" INTEGER NOT NULL, "newEase4" INTEGER NOT NULL, "youngEase0" INTEGER NOT NULL, "youngEase1" INTEGER NOT NULL, "youngEase2" INTEGER NOT NULL, "youngEase3" INTEGER NOT NULL, "youngEase4" INTEGER NOT NULL, "matureEase0" INTEGER NOT NULL, "matureEase1" INTEGER NOT NULL, "matureEase2" INTEGER NOT NULL, "matureEase3" INTEGER NOT NULL, "mature!!  1Sw>r:6 ! 2009-02-188@"q@Hz 7 !  2009-02-17@$1G@p%G" !2009-02-165 ! 2009-02-15*@!Hmr@v6g6 ! 2009-02-13&@)t1gM@~I^* 7  ! 2009-02-12!@ BRt'z@pen6  !  2009-02-11@#uJ@pk>%4  ! 2009-02-10@ 5k>@co5  !2009-02-09@@`5  !  2009-02-08@.Z@nZ 7 !2009-02-06@ZY@gp5 !2009-02-05 @!X-@Ojw84 !  2009-02-03@!e@mwK336 !2009-02-02@ ]F@d 5 !2009-02-01@# UUU@i|@ 4 !2009-01-31@&+@Kƀ" !2009-01-29<!2009-01-29@"y@Ce T  ""3{tablestatsstatsCREATE TABLE stats ( id INTEGER NOT NULL, type INTEGER NOT NULL, day DATE NOT NULL, reps INTEGER NOT NULL, "averageTime" FLOAT NOT NULL, "reviewTime" FLOAT NOT NULL, "distractedTime" FLOAT NOT NULL, "distractedReps" INTEGER NOT NULL, "newEase0" INTEGER NOT NULL, "newEase1" INTEGER NOT NULL, "newEase2" INTEGER NOT NULL, "newEase3" INTEGER NOT NULL, "newEase4" INTEGER NOT NULL, "youngEase0" INTEGER NOT NULL, "youngEase1" INTEGER NOT NULL, "youngEase2" INTEGER NOT NULL, "youngEase3" INTEGER NOT NULL, "youngEase4" INTEGER NOT NULL, "matureEase0" INTEGER NOT NULL, "matureEase1" INTEGER NOT NULL, "matureEase2" INTEGER NOT NULL, "matureEase3" INTEGER NOT NULL, "matureEase4" INTEGER NOT NULL, PRIMARY KEY (id) )JktablesourcessourcesCREATE TABLE sources ( id INTEGER NOT NULL, name TEXT NOT NULL, created FLOAT NOT NULL, "lastSync" FLOAT NOT NULL, "syncPeriod" INTEGER NOT NULL, PRIMARY KEY (id) )  wwZ#!tablemodelsmodelsCREATE TABLE models ( id INTEGER NOT NULL, "deckId" INTEGER, created FLOAT NOT NULL, modified FLOAT NOT NULL, tags TEXT NOT NULL, name TEXT NOT NULL, description TE`tablemediamediaCREATE TABLE media ( id INTEGER NOT NULL, filename TEXT NOT NULL, size INTEGER NOT NULL, created FLOAT NOT NULL, "originalPath" TEXT NOT NULL, description TEXT NOT NULL, PRIMARY KEY (id) )#!tablemodelsmodelsCREATE TABLE models ( id INTEGER NOT NULL, "deckId" INTEGER, created FLOAT NOT NULL, modified FLOAT NOT NULL, tags TEXT NOT NULL, name TEXT NOT NULL, description TEXT NOT NULL, features TEXT NOT NULL, spacing FLOAT NOT NULL, "initialSpacing" FLOAT NOT NULL, source INTEGER NOT NULL, PRIMARY KEY (id), CONSTRAINT "deckIdfk" FOREIGN KEY("deckId") REFERENCES decks (id) ) 0O  A`DY#lA`DY#BasicBasic?X0  A`D埝A`D埝BasicBasic?X DD"e˽P   ! 5OReverse%(Back)s%(Front)sArial#000000Arial#000000Arial#000000eO  ! 5OForward%(Front)s%(Back)sArial#000000Arial#000000Arial#000000eƮ  %w 4Forward%(Front)s%(Back)sArial#000000Arial#000000Arial#000000e   %w 4Reverse%(Back)s%(Front)sArial#000000Arial#000000Arial#000000 LLH1!!-tablecardModelscardModelsCREATE TABLE "cardModels" ( id INTEGER NOT NULL, ordinal INTEGER NOT NULL, "modelId" INTEGER NOT NULL, name TEXT NOT NULL, description TEXT NOT NULL, active BOOLEAN NOT NULL, qformat TEXT NOT NULL, aformat TEXT NOT NULL, lformat TEXT, qedformat TEXT, aedformat TEXT, "questionInAnswer" BOOLEAN NOT NULL, "questionFontFamily" TEXT, "questionFontSize" INTEGER, "questionFontColour" VARCHAR(7), "questionAlign" INTEGER, "answerFontFamily" TEXT, "answerFontSize" INTEGER, "answerFontColour" VARCHAR(7), "answerAlign" INTEGER, "lastFontFamily" TEXT, "lastFontSize" INTEGER, "lastFontColour" VARCHAR(7), "editQuestionFontFamily" TEXT, "editQuestionFontSize" INTEGER, "editAnswerFontFamily" TEXT, "editAnswerFontSize" INTEGER, "allowEmptyAnswer" BOOLEAN NOT NULL, "typeAnswer" TEXT NOT NULL, PRIMARY KEY (id), FOREIGN KEY("modelId") REFERENCES models (id) )`6Xe ; Ө] %w 4Aa@uAa@u Ө %w 4AaɵpAaɵp ʼ󦽠o %w 4Aa{Aa{ ӗ %w 4AaDəAaDə Ӈ %w 4Aa!Aa! ׻\ %w 4Aai_;dAai_;d 2 %w 4AaظbAaظb ű %w 4AanbAanb ύ %w 4AaeOAaeO ő %w 4AaoB/lAaoB/l  %w 4Aao"Aao" Ɛ. %w 4Aa-@Aa-@ 쉹 %w 4Aa*^bNAa*^bN  %w 4Aa)x1'Aa)x1' ݼF %w 4Aa(uAa(u ʧ  %w 4Aa'P"Aa'P" 7 %w 4Aa'Aa'  %w 4Aa&ĸĜAa&ĸĜ  %w 4Aa%:HAa%:H  %w 4Aa#Aa# ڱ %w 4A`Eb =A{52Ȝڑ $K߁JЌ )vKtablefactsfacts CREATE TABLE facts ( id INTEGER NOT NULL, "modelId" INTEGER NOT NULL, created FLOAT NOT NULL, modified FLOAT NOT NULL, tags TEXT NOT NULL, "spaceUntil" FLOAT NOT NULL, "lastCardId" INTEGER, PRIMARY KEY (id), FOREIGN KEY("modelId") REFERENCES models (id), CONSTRAINT "lastCardIdfk" FOREIGN KEY("lastCardId") REFERENCES cards (id) )/%%!tablefactsDeletedfactsDeleted CREATE TABLE "factsDeleted" ( "factId" INTEGER NOT NULL, "deletedTime" FLOAT NOT NULL, FOREIGN KEY("factId") REFERENCES facts (id) )tablecardscards CREATE TABLE cards ( id INTEGER NOT NULL, "factId" INTEGER NOT NULL, "cardModelId" INTEGER NOT NULL, created FLOAT NOT NULL, modified FLOAT NOT NULL, tags TEXT NOT NULL, ordinal INTEGER NOT NULL, question TEXT NOT NULL, answer TEXT NOT NULL, pr ~qdWJ=0# zm`SF9,vi\OB5(\ךCճؾ|義ozڕ ԥ}ڳi󐗿T̑ύ>IJޑ㌻ 쐑Ʈ?đ1H޹`VӇ>L্;¦:Ï`誶Σӗ υ>yGʕ؆Ƕ7˒恜wӨߋӨ݇<uܸ_ۊ-]ޑSۃБ褑幐QȜ던[ՙDF䀉ᚄַޥı ĖkAÏϑΖ\́H˱]Ǭ4x1Û&Өiority INTEGER NOT NULL, interval FLOAT NOT NULL, "lastInterval" FLOAT NOT NULL, due FLOAT NOT NULL, "lastDue" FLOAT NOT NULL, factor FLOAT NOT NULL, "lastFactor" FLOAT NOT NULL, "firstAnswered" FLOAT NOT NULL, reps INTEGER NOT NULL, successive INTEGER NOT NULL, "averageTime" FLOAT NOT NULL, "reviewTime" FLOAT NOT NULL, "youngEase0" INTEGER NOT NULL, "youngEase1" INTEGER NOT NULL, "youngEase2" INTEGER NOT NULL, "youngEase3" INTEGER NOT NULL, "youngEase4" INTEGER NOT NULL, "matureEase0" INTEGER NOT NULL, "matureEase1" INTEGER NOT NULL, "matureEase2" INTEGER NOT NULL, "matureEase3" INTEGER NOT NULL, "matureEase4" INTEGER NOT NULL, "yesCount" INTEGER NOT NULL, "noCount" INTEGER NOT NULL, "spaceUntil" FLOAT NOT NULL, "relativeDelay" FLOAT NOT NULL, "isDue" BOOLEAN NOT NULL, type INTEGER NOT NULL, "combinedDue" INTEGER NOT NULL, PRIMARY KEY (id), FOREIGN KEY("factId") REFERENCES facts (id), FOREIGN KEY("cardModelId") REFERENCES "cardModels" (id) )>Uztnhb\VPJD>82,& . xAaA&`Ĝ?QA?*٨7@@@VQ \h= 4?AaA$?x|@e| ?>%+@@@ $0G   `Χ.CSAaA"ȴ?+i?Ӗ5@@@'`Q S 7AaA?,H?5J=?b@@@!49XG  uQ/.@}AaA^5?!dB?ӷj1N@@@QQk <)AaA "?ښcaB?a|}u?@@@0)`G  dG-AaA?8dT?}M@@@3DGTYRNLBK6J*GB$ym a U J ?4)zncWK?у4ڃ(كӃ҃ЂzɂnǂbWK?3({peYMA5)fedbzan`bYVXJW?I3B&=< Nm ''tablereviewHistoryreviewHistoryCREATE TABLE "reviewHistory" ( id INTEGER NOT NULL, "cardId" INTEGER, time FLOAT NOT NULL, "lastInterval" FLOAT NOT NULL, "nextInterval" FLOAT NOT NULL, ease INTEGER NOT NULL, delay FLOAT NOT NULL, "lastFactor" FLOAT NOT NULL, "nextFactor" FLOAT NOT NULL, reps FLOAT NOT NULL, "thinkingTime" FLOAT NOT NULL, "yesCount" FLOAT NOT NULL, "noCount" FLOAT NOT NULL, PRIMARY KEY (id), FOREIGN KEY("cardId") REFERENCES cards (id) )1 %%%tablemediaDeletedmediaDeletedCREATE TABLE "mediaDeleted" ( "mediaId" INTEGER NOT NULL, "deletedTime" FLOAT NOT NULL, FOREIGN KEY("mediaId") REFERENCES cards (id) )/ %%!tablecardsDeletedcardsDeletedCREATE TABLE "cardsDeleted" ( "cardId" INTEGER NOT NULL, "deletedTime" FLOAT NOT NULL, FOREIGN KEY("cardId") REFERENCES cards (id) )   __%  -%#A`DAkВ+%w 4step3Ak D?O;dZ? XXVeryHighPriorityHighPriorityLowPrioritySuspendedX~NULL, "hardIntervalMin" FLOAT NOT NULL, "hardIntervalMax" FLOAT NOT NULL, "midIntervalMin" FLOAT NOT NULL, "midIntervalMax" FLOAT NOT NULL, "easyIntervalMin" FLOAT NOT NULL, "easyIntervalMax" FLOAT NOT NULL, delay0 INTEGER NOT NULL, delay1 INTEGER NOT NULL, delay2 FLOAT NOT NULL, "collapseTime" INTEGER NOT NULL, "highPriority" TEXT NOT NULL, "medPriority" TEXT NOT NULL, "lowPriority" TEXT NOT NULL, suspended TEXT NOT NULL, "newCardOrder" INTEGER NOT NULL, "newCardSpacing" INTEGER NOT NULL, "failedCardMax" INTEGER NOT NULL, "newCardsPerDay" INTEGER NOT NULL, "sessionRepLimit" INTEGER NOT NULL, "sessionTimeLimit" INTEGER NOT NULL, "utcOffset" FLOAT NOT NULL, "cardCount" INTEGER NOT NULL, "factCount" INTEGER NOT NULL, "failedNowCount" INTEGER NOT NULL, "failedSoonCount" INTEGER NOT NULL, "revCount" INTEGER NOT NULL, "newCount" INTEGER NOT NULL, "revCardOrder" INTEGER NOT NULL, PRIMARY KEY (id), FOREIGN KEY("currentModelId") REFERENCES models (id) ) JJGFr CtabledecksdecksCREATE TABLE decks ( id INTEGER NOT NULL, created FLOAT NOT NULL, modified FLOAT NOT NULL, description TEXT NOT NULL, version INTEGER NOT NULL, "currentModelId" INTEGER, "syncName" TEXT, "lastSync" FLOAT NOT 5 '')tablemodelsDeletedmodelsDeletedCREATE TABLE "modelsDeleted" ( "modelId" INTEGER NOT NULL, "deletedTime" FLOAT NOT NULL, FOREIGN KEY("modelId") REFERENCES models (id) )~##CtablefieldModelsfieldModelsCREATE TABLE "fieldModels" ( id INTEGER NOT NULL, ordinal INTEGER NOT NULL, "modelId" INTEGER NOT NULL, name TEXT NOT NULL, description TEXT NOT NULL, features TEXT NOT NULL, required BOOLEAN NOT NULL, "unique" BOOLEAN NOT NULL, numeric BOOLEAN NOT NULL, "quizFontFamily" TEXT, "quizFontSize" INTEGER, "quizFontColour" VARCHAR(7), "editFontFamily" TEXT, "editFontSize" INTEGER, PRIMARY KEY (id), FOREIGN KEY("modelId") REFERENCES models (id) )  ffO  ! 5OBackO ! 5OFront̑  %w 4Back %w 4Front)S09dzJ~q F=`W,m#he treatment of choice for non-metastatic squamous cell carcinoma?%ұ +?-Aqba 4Factor V LeidenÖ́?-AW 4What is the most common cause of inherited thrombophilia?! #'K-qba 45000/microLO儽'K-W 4How much would 1 unit of platelets raise the serum level?0ė ?J <(qba 4Increased serum viscosity 2/2*9Ŝr.vʯӨp~h@ˮ$Ƒ6ߖ쉹U󐗃2‡P$cƂD˟幐kD[ˑU;őPҜqОw͂񷭑F<օ/ۿ*jӱӨ]˃3̑N9Ա/(YMލܾn+ ..kPu*:OtablefieldsfieldsCREATE TABLE fields ( id INTEGER NOT NULL, "factId" INTEGER NOT NULL, "fieldModelId" INTEGER NOT NULL, ordinal INTEGER NOT NULL, value TEXT NOT NULL, PRIMARY KEY (id), FOREIGN KEY("factId") REFERENCES facts (id), FOREIGN KEY("fieldModelId") REFERENCES "fieldModels" (id) )R}tableundoLogundoLogCREATE TABLE undoLog (seq integer primary key, sql text)##gviewfailedCardsfailedCardsCREATE VIEW failedCards as select * from cards where type = 0 and isDue = 1 order by type, isDue, combinedDue##oviewrevCardsOldrevCardsOldCREATE VIEW revCardsOld as select * from cards where type = 1 and isDue = 1 order by priority desc, interval desc ##eviewrevCardsNewrevCardsNewCREATE VIEW revCardsNew as select * from cards where type = 1 and isDue = 1 order by priority desc, interval##[viewrevCardsDuerevCardsDueCREATE VIEW revCardsDue as select * from cards where type = 1 and isDue = 1 order by priority desc, due  Y~7;indexix_cards_intervalDes))yviewrevCardsRandomrevCardsRandomCREATE VIEW revCardsRandom as select * from cards where type = 1 and isDue = 1 order b))yviewrevCardsRandomrevCardsRandomCREATE VIEW revCardsRandom as select * from cards where type = 1 and isDue = 1 order by priority desc, factId, ordinal))yviewacqCardsRandomacqCardsRandomCREATE VIEW acqCardsRandom as select * from cards where type = 2 and isDue = 1 order by priority desc, factId, ordinal++cviewacqCardsOrderedacqCardsOrderedCREATE VIEW acqCardsOrdered as select * from cards where type = 2 and isDue = 1 order by priority desc, dueu5+indexix_cards_duePrioritycardsCREATE INDEX ix_cards_duePriority on cards (type, isDue, combinedDue, priority)~7;indexix_cards_intervalDesccardsCREATE INDEX ix_cards_intervalDesc on cards (type, isDue, priority desc, interval desc)w5/indexix_cards_intervalAsccardsCREATE INDEX ix_cards_intervalAsc on cards (type, isDue, priority desc, interval)!X@(hP8 x`H0oV Adg{dZ+8q` Adgsyp*`r AgM. x Af9I9m AfyPA4.cj Afb+S 7 AfZr@uIk <) Af/VJ9x Aeѻg\h= 4? AexNO> Ae6> N.6  Ae%uQ/.@} Ae[qdG- Aeo6w 347 Aekp5@*.)a AejKM[o91 Aej>&G4  Aei|.#T4 AeeR3:#4 Aecy`Χ.CS Ae^=*wh-  AeST4pD AeS  4 AeRNjN4-A AeP>9^K9qq AePc Q4P AeLڋcqza3ƃ AeG:!9\ Add[M Adݫ Ifj AdJ 0m9 Adg,#h|9u> AdTW2jjC AdP߁[4d A AsEK9qq AoT Wrc|l AmӍ}oEk Alb[%@x `0HX(@pPhw8f +8q` @a[M @л? I-υ p*`r @ =%Q#4 @ [o91 @ Kލ%K9qq @ .qٗ 347 @ dJqza3ƃ @ uG4  @ (T4 @sP!uQ/.@} @B迄`Χ.CS @ 4xGwh-  @wekN4-A @)*.)a @YobN.6  @hfdG- @ V=gM. x @1ߛn\h= 4? @F Ifj @w%:tI0k @vz r I.8 @rUCy>^: @#@O> @Hȉh|9u> @WH*(0m9 @܌c9x @ kDU0!9\ @ Kkz 4 @ D?uQ4P @ (߁[4d @ σT4pD @ ĴߜX2gC\  @"oK\4aUn @-و>Fm @3 ]l*.)a3X@(hP8 x`H0fw +8q` p*`r @ V=gM. x @ SuI9m @ );S4.cj @Z$ ZS 7 @k <) @܌c9x @)*.)a @B迄`Χ.CS @ 4xGwh-  @wekN4-A @#@O> @1ߛn\h= 4? @YobN.6  @sP!uQ/.@} @hfdG- @ .qٗ 347 @ [o91 @ uG4  @ (T4 @ =%Q#4 @ σT4pD @ Kkz 4 @ L2{&W2jjC @ Kލ%K9qq @ D?uQ4P @ dJqza3ƃ @ (߁[4d @ kDU0!9\ @ ĴߜX2gC\ @WH*(0m9 @Hȉh|9u> @rUCy>^:  @958emV @1U8jtp @(l|$ A%Oo @zL" }oIo8pW>% v]D+|c ~/ 4\h= 4? i47] 347 Vs4G4  H>]ߪy>^: ?]4\ 4 >;929x ;B 7ϩS 7 64#4 / %I0/I0k .29\k!9\ 'K-wh-  &.@7uQ/.@} &I-I? I-υ &MJ[M #.c.4.cj  9mI9m  M2gC X2gC\  +-dG- 4PoQ4P 42߁[4d R+4pT4pD J <(ɞk <) M4T4 X9uh|9u> ?-AN4-A җ9[o91 =9qqK9qq ï3Ƃqza3ƃ x>O> %. FM. x MI.8 r I.8  .29\k!9\g 8   g`xM`< M88bh  \"X@(hP8 x`H0oV Adg{dZ+8q` Adgsyp*`r AgM. x Af9I9m AfyPA4.cj Afb+S 7 AfZr@uIk <) Af/VJ9x Aeѻg\h= 4? AexNO> Ae6> N.6  Ae%uQ/.@} Ae[qdG- Aeo6w 347 Aekp5@*.)a AejKM[o91 Aej>&G4  Aei|.#T4 AeeR3:#4 Aecy`Χ.CS Ae^=*wh-  AeST4pD AeS 4 AeRNjN4-A AeP>9^K9qq AePc Q4P AeLڋcqza3ƃ AeG:!9\ Add[M Adݫ Ifj AdJ 0m9 Adg,#h|9u> AdTW2jjC AdP߁[4d  AsEK9qq AoT Wrc|r AmӍ}oEq Alb[%@ (($E@*k%9%indexix_cardsDeleted_cardIdcardsDeleted*CREATE INDEX ix_cardsDeleted_cardId on cardsDeleted (cardId)z55indexix_cards_priorityDuecards CREATE INDEX ix_cards_priorityDue on cards (type, isDue, priority desc, combinedDue)z=-indexix_card~5=indexix_cards_randomOrdercardsCREATE INDEX ix_cards_randomOrder on cards (type, isDue, priority desc, factId, ordinal)z55indexix_cards_priorityDuecards CREATE INDEX ix_cards_priorityDue on cards (type, isDue, priority desc, combinedDue)z=-indexix_cards_priorityDueRealcards"CREATE INDEX ix_cards_priorityDueReal on cards (type, isDue, priority desc, due)N+iindexix_cards_factIdcards#CREATE INDEX ix_cards_factId on cards (factId)S-qindexix_stats_typeDaystats$CREATE INDEX ix_stats_typeDay on stats (type, day)R -mindexix_fields_factIdfields%CREATE INDEX ix_fields_factId on fields (factId)e!9indexix_fields_fieldModelIdfields&CREATE INDEX ix_fields_fieldModelId on fields (fieldModelId)#X@(hP8 x`H0oV Adg{dZ+8q` Adgsyp*`r AgM. x Af9I9m AfyPA4.cj Afb+S 7 AfZr@uIk <) Af/VJ9x Aeѻg\h= 4? AexNO> Ae6> N.6  Ae%uQ/.@} Ae[qdG- Aeo6w 347 Aekp5@*.)a AejKM[o91 Aej>&G4  Aei|.#T4 AeeR3:#4 Aecy`Χ.CS Ae^=*wh-  AeST4pD AeS 4 AeRNjN4-A AeP>9^K9qq AePc Q4P AeLڋcqza3ƃ AeG:!9\ Add[M Adݫ Ifj AdJ 0m9 Adg,#h|9u> AdTW2jjC AdP߁[4d  AsEK9qq AoT Wrc|t AmӍ}oEs Alb[%@'XLh\ lt DHp|4҅aҰ|9aҰfaama2t}a3q}aag`xM`<o`isu`j0ɹ`n. `Ȫ'm`+8q`Ǩ`rp*`r&MJ[M!Ifj Ifj/ %I0/I0kMI.8 r I.8&I-I? I-υx>O>H>]ߪy>^:=90m9>;929xҗ9[o91X9uh|9u>=9qqK9qq 9mI9m.29\k!9\i47] 34764#44PoQ4PVs4G4 M4T4?]4\ 442߁[4dR+4pT4pDï3Ƃqza3ƃEg2jjW2jjC M2gC X2gC\#.c.4.cjE.6 N.6 .)a*.)a%. FM. x.C `Χ.CS&.@7uQ/.@} +-dG-7Rԋ3ԌO^gb#G#`1b#t΢ut5J9R.5J qaQA1!qaQA1! !2009-03-05  !2009-03-04 !2009-03-03 !2009-03-02 !2009-03-01 !2009-02-28 !2009-02-26 !2009-02-25 !2009-02-24 !2009-02-23 !2009-02-22 !2009-02-21 !2009-02-20 !2009-02-19 !2009-02-18 !2009-02-17 !2009-02-16 !2009-02-15 !2009-02-13 !2009-02-12  !2009-02-11  !2009-02-10  !2009-02-09  !2009-02-08  !2009-02-06 !2009-02-05 !2009-02-03 !2009-02-02 !2009-02-01 !2009-01-31 !2009-01-29! 2009-01-29@@XpL8Xl$ 4 t`D0h|i47]f47]i47]PM47]64K){464>44Po4Po4Po4PoVs4Ğq4Vs4F];4M44M4;4?]4\34\?]4\'fS4\42424242R+4pj4pR+4p4pï3Ƃ 3Ƃï3ƂrP3ƂEg2jjhe2jjEg2jjm2jj M2gC 2gC* M2gC \ 2gC #.c.s.c.#.c.?.c.E.6 8x.6 E.6 %.6 .)aQ.)a.)af=5.)a%. Fi. F%. FL1. F.C .C .C *.C &.@7K%.@7&.@7zO.@7 +-- +-d=-?|?-A“-A=R+4pj4p.29\k,9\k%% U%i47]f47]P{Oe{OMuTfgTL3zWQzXXp\lD| $pX`8h 0Hqba 4f47]W 4PM47]qba 4K){4W 4>4qba 44PoW 44Poqba 4ޞq4W 4F];4qba 44W 4;4qba 434\W 4'fS4\qba 4޷42W 442qba 4j4pW 4ނ4pqba 4 3ƂW 4rP3Ƃqba 4he2jjW 4m2jjqba 4޶2gC*W 4\ 2gC qba 4s.c.W 4?.c.qba 48x.6 W 4%.6 qba 4އQ.)aW 4f=5.)aqba 4i. FW 4L1. Fqba 4.C W 4*.C qba 4ރK%.@7W 4zO.@7qba 4-W 4d=-qba 4“-AW 4}W 4Te"#t8W 4seqba 4^qba 4ީ4`iqba 4=+%lOW 4 aDNW 4޽BK8rGJIZWhat should you consider in otherwise healthy individuals who develop flash pulmonary edema with acute mitral regurgitation?b9RlMWhat is the treatment of choice for macrocytic anemia caused by MTX, phenytoin, or trimethoprim?L1. F=qesophageal dysmotility associated with sclerodermaM9uEW#What is hyperviscosity syndrome and what diseases is it most often seen in?, <(x[+What anatomical finding is present in 40-100% of pts with a Mallory-Weiss tear?\ 2gC ?%?Increased serum viscosity 2/2 high protein content, causing brain microvascular impairment (HA,dizziness, vertigo). Seen in Waldenstrum's syndrome and MM_ <(6/Hiatal hernia: well-known; duringPWhat should you tell a pt with MS on interferon regarding pregnancy?<`aSarcoid production of 1-alpha-hydroxylase, which converts 25-OH VitD to 1,25-OH Vit D, causing increase GI absorption of Ca.'e.     _3K)%%[tablesqlite_stat1sqlite_stat1/CREATE TABLE sqlite_stat1(tbl,idx,stat)l(9%indexix_mediaDeleted_factIdmediaDeleted.CREATE INDEX ix_mediaDeleted_factId on mediaDeleted (mediaId)k'9%indexix_factsDeleted_factIdfactsDeleted-CREATE INDEX ix_factsDeleted_factId on factsDeleted (factId)O"+iindexix_fields_valuefields'CREATE INDEX ix_fields_value on fields (value)[#/indexix_media_filenamemedia(CREATE UNIQUE INDEX ix_media_filename on media (filename)a$7indexix_media_originalPathmedia)CREATE INDEX ix_media_originalPath on media (originalPath)k%9%indexix_cardsDeleted_cardIdcardsDeleted*CREATE INDEX ix_cardsDeleted_cardId on cardsDeleted (cardId)r&=' indexix_modelsDeleted_modelIdmodelsDeleted+CREATE INDEX ix_modelsDeleted_modelId on modelsDeleted (modelId)    \<8) = ֵaAoq 4Adxx1'AhYHa&What is the treatment for flash pulmonary edema?1) oxygen, morphine, IV Lasix@0W@{FAmܚAhAߨ@F B@F BAdz/ =@@:|Amܚdy) # '9PGoq 4Ag IAjl;What is Pick's dz?slowly progressive frontal lobe dementia (speech abnormalities, impaired executive function...etc).@/Ӹ0@M©NfAo/}Ai@ɗ²l@ɗ²lAg |@)bP@Bۅ Ao/}*דF)   f~0oq 4Ag OAi*What can be used to treat ALS?riluzole - glutamate inhibitor@1 U@pu;Ao+#Ai`n@d9@ɗ²lAg /w@@2 Ao+# pKÍ) s! ȃoq 4Ak {gAkQS?KWhat drug should be used to treat pharyngeal gonorrhea in Pen allergic pts?ofloxacin or cipro (use quinolone)@A5n?tg% Ak.Ak5e@*@*AkSoAk.ˌ) uq O_bPoq 4AdȴAiWhat is the mode of treatment for torsade de pointes while the pt is stable?IV Mag. If that doesn't break, then temporary transvenous overdrive pacing@2r{`@uǧAośAim@F B@F BAdr@z@: xAoś bbQOEϓkȓ%OW 4What is neE o+ɽqbaEϓkȓ%OW 4What is needed for confirmation of sarcoidosis?>‘ ]]6  qba 4IV alpha adrenergic drug (phenylephrine)N}aW 4Lyme dz prophylaxis in pregnant women involves what abx?T ̸Tqba 4Anti-Mitochondrial ab.
Use ursodeoxycholic acid (slows progression of dz) Liver transplant is other option (steroids don't help) o+ɽqba 4ecthyma gangrenosum - has black necrotic center. This isn't pathognomonic, but its pressence suggests pseudomonasM{R+4pW 4How do you characterize a febrile transfusion reaction?c7 %&.@7qba 4IV desmopressin; it increases factor VIII and vWF multimers from endotheliumm  9g`qba 41) topical vasoconstrictor, followed by localization of the bleed
2) electrocautery0‡P A%gPqba 41) lithium
2) verapamil 5+Զ$ر6êӚ K/Sqba 4Motor neuron weakness (asymmetric weakness), followed by weakness of bulbar muscles (chewing and swallowingQV9W 4When is Plavix recommended over ASA for stroke prevention?6êӚ K/Sqba 4Motor neuron weakness (asymmetric weakness), followed by weakness of bulbar muscles (chewing and swallowing). Ocular, bowel and bladder functions are PRESERVED$ر )ùqba 4amphotericin B+Զ 5.)aqba 41) Leupron (LHRH) -> causes initial surge in LH and FSH, resulting in transient surge of testosterone, and subsequent significant decrease in levels.
2) Give flutamide (antiandrogen) concurrently, to diminish side effects of Leupron]~b*[W 4How long should people with uncomplicated MI resume sexual activities?Z̑x>W 4People with celiac sprue have an increased risk of developing what?   pðb) /   M8oq 4Ak*AkXWhat is the medication of choice for PMS?1) SSRI: fluoxetine (20mg). A higher dose doesn't work
2) Use alprazolam as 2nd line
@f9p1?pAlXMzAkV[@;L"R#@;L"R#Ak@)@RAlXMzqÛ&) Oo i&^oq 4AgďAjl=qWhat are examples of a cortical and subcortical dementia?cortical: Alzheimer's
subcortical: Parkinson's (has extrapyramidal sx)
@.ZC/@|Aol{Ai5-@ɗ²l@ɗ²lAg C@% @C\*Aol{ Gf=rLP1) periodic vertigo
2) unilateral hearing lo`5<5% adults get chronic hepatitis B<`5<5% adults get chronic hepatitis B
Over 90% of infants get chronic hepatitis B4PoQ1) 1-3 yrs
2) 6mos - yearly
3) 3mos or esophageal resection|>]31) HCTZ
2) lasix34\iG1) IVF, bowel rest, IV steroids
2) Those refractory for 72 to medical tx require surgery4綂 51) Leupron (LHRH) -> causes initial surge in LH and FSH, resulting in transient surge of testost84_1) MTX
2) Trimethoprim
3) phenytoin.C 51) SCT
2) Gleevec8x.6 e?1) SSRI: fluoxetine (20mg). A higher dose doesn't work
2) Use alprazolam as 2nd lineFo8S1) Surgery
2) If no surgery, then radiation therapy is second choice-F1) active infxn
2) cleared infxn
3) false-positive+9lM1) ear pain
2) vesicles in the external auditory canal
3) ipsilateral facial paralysisQIfj KtihypeV!An aortic valve area s,77c1+1) hearing loss8`fA1) hypotension
2) muffle+1) hearing loss8`fA1) hypotension
2) muffled heart sounds
3) JVD
Seen in acute pericardial tamponadea7c1) in the presence of antithyroid antibodies
2) if an abnormal lipid profile is present
3) symptomatic hypothyroidism
4) ovulatory and menstrual dysfunctionYlU%A1) lithium
2) verapamilP+K1) low plasma ACTH in adrenal Cushing's (syndrome); high in Cushing's dz
2) in Cushing's syndrome, high dose dexamethasone doesn't suppress serum cortisoly|(G1) oxygen, morphine, IV LasixRf]aAP1) periodic vertigo
2) unilateral hearing loss
3) tinnitus[e`rƁu1) significant decrease of absence of peristaltic waves in the lower 2/3rds of esophagus.
2) increased LES tonezԍ9qqb91) topical vasoconstrictor, followed by localization of the bleed
2) electrocautery`   ) ;! ȓ%Ooq 4Afy Ai,MWhat is needed for confirmation of sarcoidosis?biopsy, of parotid gland, lung, lacrimal gland, or subcutaneous nodule that's NOT erythema nodosum@(l|$@|Wۉ.AmmnAiu˕@YB@YBAg %@3t@@AmmnJ˒恜) 1A %3Voq 4Ah$N{Ajl>{Klinefelter's sn is linked to what cancer?breast cancer. (no increase in testicular ca risk)@+wC9@GQAnAi4H@º@ºAhY@:^@@$:^@Anerone, and subsequent significant decrease in levels.
2) Give flutamide (antiandrogen) concurrently, to diminish side effects of LeupronQ.)a RR : Gb˃b ŏۃDŌI g&I-Iqba 4pain (otalgia), purulent drainage (otorrhea), granulation tissue at floor of bone-cartilage junction in ext aud canal (pathognomonic)
Tympanic membrane is usually intact. ŏۃwFW 4How should a tissue sample be obtained in a pt w0ė ?J <(qba 4Increased serum viscosity 2/2 high protein content, causing brain microvascular impairment (HA,dizziness, vertigo). Seen in Waldenstrum's syndrome and MM#w 'wzwqba 4hepatic cystsDŌI g&I-Iqba 4pain (otalgia), purulent drainage (otorrhea), granulation tissue at floor of bone-cartilage junction in ext aud canal (pathognomonic)
Tympanic membrane is usually intact. ŏۃwFW 4How should a tissue sample be obtained in a pt with a solitary peripheral lung nodule suspicious for malignancy? Why?VŜr SrW 4What are some medication induced causes of pseudotumor cerebri? hh!⣑) YE =9qqoq 4Aae =AjkHWhat does treatment of acute Hepatitis B entail?SUPPORTIVE measures@;?Y)@&bRhAsU[Aj $K@@Aaޔk33@wp@A۬AsU[P誶) o  *poq 4AfT#AkIWhere would the lesion in the brain be if you had a construction apraxia?nondominant parietal lobe@"ӋnyE@>CWhat should be done before instituting tx for Lyme dz that presents with neurological sx (nerve palsies...etc)?LP, see if there is CSF involvement@z?K$BBAl-8xAktXo@Ị=@Ị=AkS!%@What esophageal manometry findings would you see in achalasia?1) significant decrease of absence of peristaltic waves in the lower 2/3rds of esophagus.
2) increased LES tone
@:*@$&VGZAsEAjP@@Aa䓅@Sـ@HWGlAsE -n%J[v-G   *.)aAaA)%??-"@@@%G   M. xAaA&`Ĝ?QA?*٨7@@@VQ \h= 4?AaA$?x|@e| ?>%+@@@ $0G   `Χ.CSAaA"ȴ?+i?Ӗ5@@@'`Q S 7AaA?,H?5J=?b@@@!49XG  uQ/.@}AaA^5?!dB?ӷj1N@@@QQk <)AaA "?ښcaB?a|}u?@@@0)`G  dG-AaA?8dT?}M@@@3DG  N4-AAa3 =?cjL?RZC@@@7&G  wh- Aa.x?>1?i@@@01htG  k <)Aa*mO?ښcaB@, @@@g*$G  S 7AaD?,H@/2_u@@@#+G  \h= 4?Aa!?x|@3e@[@@@"b :nu"|):G  X2gC\Aazh?}Y??.tg(@@@Qwh- Aai?>1@4xdc?Ia@@@ QM. xAai`B?QA@TO9?On]L@@@cTQ*.)aAai??w]? Q/hL@@@$ěQN4-AAai/?cjL?+s?D@@@Q4.cjAaiAhs?ڬ]/@.].wE?+ʆB@@@QuQ/.@}Aaiߍh?!dB?Fn?F4>3@@@"Q`Χ.CSAai]O?+i?p~@C?]@@@4GQdG-Aai ?8dT?ȏ뼧?nPH@@@#|QN.6 Aait?C2K?g 8?w14W@@@PG  4.cjAaA,c?ڬ]/?8@@@~G  N.6 AaA*?C2K?J?@@@F   h6( O{ ?-Aoq 4Aa%>{Ah wWhat is the most common cause of inherited thrombophilia?Factor V Leiden@2d05@An!>JAgBT@̂h֑x)  %. Foq 4Aa(VAjk`What is the treatment of choice for macrocytic anemia caused by MTX, phenytoin, or trimethoprim?folinic acid (Leucovorin)@8_ X4@#F3cAr^AjD/|@@AaA&`Ĝ@(u@COa Ar^Ƃb)   E.6 oq 4Aa*^݁Ajl What are the two treatments of choice for CML (Philadelphia chromosome, decreased LAP activity)?1) SCT
2) Gleevec
@1zB,Y@Lb1Ap.‘Ai@@AaA*+@*Ě@VAp.‘ (vK|8GbqWDumping:k1)3 monthsEo#5000/microL-6 wksgb*[L synchronized2nd trimester: paromomycin] L3 monthsEo#5000/microL-M6 months. After that, it's unlikely they'll descend by themselvesM46 wksgb*[L synchronized cardioversion$aҰvaA nonresponsive person (r/o coma) responds to cold calorics with proper nystagmus. What does this suggest?[Y0WA/w TB. Pt should receive PPD yearly.#ThEACEI's. This presents as hypertension that results from angiotensin-induced vasoconstrictionVRACEIs, b/c it lowers intraglomerulua pressure, and reduced proteinuriaMrASA;em$+Abdominal X-ray42V!An aortic valve area smalled than what size is considered severe stenosis?*a$FAngiodysplasia is associated with other medical condition?rP3Ƃ GGGHs/ja҅?“ˉʮ 3me.qba 4Sarcoyϓ Qȓ%Oqba 4biopsy, of ˉʮ 3me.qba 4Sarcoid production of 1-alpha-hydroxylase, which converts 25-OH VitD to 1,25-OH Vit D, causing increase GI absorption of Ca.F˫Đmҗ9W 4sױV E0aVqba 4ACEI's. This presents as hypertension that results from angiotensin-induced vasoconstrictionyϓ Qȓ%Oqba 4biopsy, of parotid gland, lung, lacrimal gland, or subcutaneous nodule that's NOT erythema nodosumYa 1+ĥaqba 4dopamine receptor blockers (fluphenazine, pimozide, tetrabenazine)ˉʮ 3me.qba 4Sarcoid production of 1-alpha-hydroxylase, which converts 25-OH VitD to 1,25-OH Vit D, causing increase GI absorption of Ca.F˫Đmҗ9W 4What would you see on biopsy of a crohn's dz pt?^ˮaW 4What part of the heart does the left circumflex coronary artery supply? "^Ï( 5e Ss=jǢoq 4Ae VAi_VWhat class of drugs can cause photosensitivity? And what anti-hypertensive medicine in this class does that?HCTZ@1@XN@qjF|AoմblAiKB͈@F B@F BAe|/@#,@P2AoմblSϚ) s J <(oq 4A`EbAf"EWhat is hyperviscosity syndrome and what diseases is it most often seen in?Increased serum viscosity 2/2 high protein content, causing brain microvascular impairment (HA,dizziness, vertigo). Seen in Waldenstrum's syndrome and MM@5~hU@AmL1AfZr@uI@@Aa*mO@.S@RDAmL1 GnHm$GG&  #4Aa?P?ߑΧ?&⠋B@@@&H% ߁[4dAaa^?.ͻ,?J-RL@@@IH$ T4pDAa'?'-M?P @@@0G#  Q4PAa t?u0uj?x@@@g-G"  G4 Aaޔk33?B<8{?loeC!@@@ =`G!  T4AaޓvV?| ?Q@@@;`G    4Aaޒm?t/?t @@@>   ߁[4dAaސ?b #@@@%nQX2gC\Aaގn?}Y?@E ?%@@@>   T4pDAaތC?{]L;@@@z =QW2jjCAa"Ÿ?sm@AT?KT2@@@G  qza3ƃAa!? LH?̼gc@@@dZ G  W2jjCAazu?sm?M^o@@@(t9X ?) E ħhoq 4AjB}hAjBz^5What is the treatment oK՞:)  g  H>]oq 4Ab6Ai_Q7How often should Barrett's esophagus be followed with surveillance endoscopy?
1) no dysplasia?
2) low-grade dysplasia?
3) high grade dysplasia?
1) 1-3 yrs
2) 6mos - yearly
3) 3mos or esophageal resection
@?֐f+@!rnmAsݩ#>AiբE@%X@X%AbMT@@9HAsݩ#>gճ) ) Jb=qoq 4Ad-Ai$zMWhat is the mode of treatment for torsade de pointes with hemodynamic instability?immediate unsynchronized cardioversion@2I@(zAoy@Ai%@F B@F BAdh@ ;@B8Aoy@ 55+d MwaÖ́?-AW 4What is the most common cause of inherited thrombophilia?U͡ =9qqW 4What esophageal manometry findings would you see in achalasia?/͢=H>]W 4How often should Barrett's esophagus be followed with surveillance endoscopy?
1) no dysplasia?
2) low-grade dysplasia?
3) high grade dysplasia?zŔG S'9PGqba 4slowly progressive frontal lobe dementia (speech abnormalities, impaired executive function...etc).VՑޓ | ޓW 4How should you treat psoriatic arthritis with nail bed pitting?1Ά2 C>;92qba 4Usually no changes in diet.Φabb9W 4What should you consider in otherwise healthy individuals who develop flash pulmonary edema with acute mitral regurgitation?Hq~/ 4W 4What is typically the first-line treatment of ITP?@˟幐ka.29\kW 4What is one of the side effects of gingko? KKUmsHow dot]As soon asziBoth interferon and copaxone are teratogenic. Should stop medications several months before becoming pregnant.]Ma'ECD4 count and HIV viral load0 7t]CDC guidelines recommend CD4 and viral load testing every 3-4 months, whether or not someone is on HAART6cAugmentin. If Pen allergic, use doxycyclineѴ#Ѯt]As soon as possible. They will not resolve with age, and have high risk of complications (incarceration)"#t]/Both adenosine and dipyridamole stress tests are contraindicated in what setting?9hhVziBoth interferon and copaxone are teratogenic. Should stop medications several months before becoming pregnant.]Ma'ECD4 count and HIV viral load0 7t]CDC guidelines recommend CD4 and viral load testing every 3-4 months, whether or not someone is on HAART>,OCOPD - it can induce bronchospasm#hVAyCT of abd and pelvis with stone protocol (no contrast)@?)#=Churg-Strauss vasculitisȅS3 *ʮ) [U 3me.oq 4Af\}/Aj9$jWhat is the mechanism of cause of hypercalcemia in sarcoidosis?Sarcoid production of 1-alpha-hydroxylase, which converts 25-OH VitD to 1,25-OH Vit D, causing increase GI absorption of Ca.@.C9@BӝAoqW Aj ĉ@0yU@0yUAf:@"ÍQ@KAoqW Zޥı ) II   aoq 4AdxdM-AhyWhat is one complication of cocaine-induced vasospasm?coronary thrombus - treatment is immediate angioplasty@3i/j@c#s4AobAhh@@F BAdz{@@w@؆Ƕ( mo  ^gb#Goq 4Ad}*hAk{What is the treatment of choice for TCA-induced ventricular arrhythmias?lidocaine@&0E@"PAogu'AkPv,!@@F BAd@̣Ҁ@@,Aogu'm) oI ;)oq 4AhXEAjlT;tWhat is the imaging test of choice for a pt with suspected kidney stones?CT of abd and pelvis with stone protocol (no contrast)@"ME@ gAm h-Aj T@pE@pEAhp@;`@.;`Am h-  ޝ) e9  uaoq 4Ag 4Ahf~What should you tell a pt with MS on interferon regarding pregnancy?Both interferon and copaxone are teratogenic. Should stop medications several months before becoming pregnant.@%I;@J|Al,x\Ah{с@YB@YBAgeR@#S@4Al,x\q޹`) ]c  Ra9$oq 4AdynvAhj@|What portion of the heart does the right coronary artery supply?right ventricle and the inferoposterior walls of the left ventricle@6 @Ao OAhc{c@@F AAd|@5~@PZ~Ao O +v->c~+Q3M. xAb3Aa?KlU-A?8%@@@ fG-  K9qqAa9X?ߩ A?HM@@@1Q,k <)AaM?a|}u@iP^X?x= l@@@*G+  I9mAaĜ?cş?xb:g@@@#hxQ*S 7AaxĜ?5J=@E.Q&?z^ #@@@.lG)  !9\Aa֖{?׫?6_?i@@@?}H( 347AaՍ`B?ݛ3c?X|@@@l>'   347Aa =?&ge*@@@%P ::d 6`2\.X 쉹 %w 4Aa*^bNAa*^bN  %w 4Adg{dZAdg{dZ § %w 4Ak\Ak\ Ž %w 4Af"pAf"p ݪ %w 4AjR"AjR"  %w 4Ak`=qAk`=q ő %w 4AaoB/lAaoB/l Ɲ %w 4Ak#tAk#t u %w 4Af)NKtAf)NKt NJܯ %w 4Ad[mAd[m njɰ %w 4Ak$>Ak$> Ә %w 4Ad1Ad1 ޷ %w 4AjAj ׇ %w 4Ak!QAk!Q ʑۃ %w 4Ag;o;Ag;o; ʧ  %w 4Aa'P"Aa'P" ˈ %w 4AbլjAbլj ˮ %w 4Ak"3P1'Ak"3P1' ˰ %w 4Ah`o~{Ah`o~{ ̌رu %w 4Ak-Ak- q %w 4Ah`^ᙚAh`^ᙚ  %w 4Aa)x1'Aa)x1' Ќ %w 4AhAh :: 6`d2\.X 븑ݸ %w 4AkKAkK ׌D %w 4Akp-uAkp-u ӭ %w 4AdDAdD Ѫ, %w 4AkVZAkVZ ҌV %w 4AhAh Ҝ %w 4Ae^#f$Ae^#f$ Ӥ %w 4Ak {c"Ak {c"  %w 4Aa$3mAa$3m ԓ %w 4Ak"Ak" ՉV %w 4Ah$HAh$H DZ %w 4AhXAhX ֎ %w 4Ak#[Ak#[ @ %w 4Af]Af] T %w 4AkOkƨAkOkƨ  %w 4AhfAhf ܸ %w 4Ab<7LAb<7L ۺڲ %w 4Adu33Adu33 㳑 %w 4AkqEAkqFff ݼF %w 4Aa(uAa(u ާ9 %w 4AfCAfC $ %w 4AdNAdN  %w 4AdwAdz ߁ %w 4Ak"AAk"A -||0DXl  4H\p$8L`t3 p1E.6 %.6 E.6 8x.6 o`i4`io`il`iù6ùùйùY[YYTSYuSdiطdiuSdi1di3 H3 p1Eg2jjhe2jjEg2jjm2jjwEwJg|EfuZm+|Efug|Eful}|Efu)hPܯmhPܯ)hPܯmhPܯ0II0I3ILbo|gbo|Lbo|}bo|yLyD{׹5(׹bYF>Fiʗ.C *.C .C .C !IfjQIfj!Ifj}Ifja߫aaaԧ2uY'u2uNauqqeqqu Kq.)aQ.)a.)af=5.)a3zXz -||0DXl  4H\p$8L`tѮ|ѮMihV#hVMihV9hhVѮѴ#ѮѮ|ѮR,%=R,R,}UR,0aVV0aVVsoEosoloȃٿcȃȃlȃ=9+9=9~a9LaLaT8%3V"ֿ3V%3VP3V;)ƪ);)@?)8 ٧ 8 j 3θD:gθD3θDI9θDo@5@o@Z @̸T-̸T̸T_̸T1)11q1MI.8ծI.8MI.8曫I.8ma2Ba2ma2c- a2>؊>>>%. Fi. F%. FL1. F5J9*5J95J9l)5J9em$\9em$em$;em$҅aҰ$aҰ҅aҰB/aҰuTT ,0DXl  4H\p$8L`tW 4ހ=%OW 4ށ߫aW 4ހ=%OW 4ށ߫aW 4ނ4pW 4ޅ>W 4އ]b*[W 4އ>W 4ފ>W 4ފprW 4ދbxW 4ލ*5J9W 4ޖ9W 4ޖwaW 4ޗI9uW 4ޘ4W 4ޙ{OW 4ޚ-AW 4ޚ39qqW 4ޚ5>]W 4ޛ©ޓW 4ޜb9W 4ޝ= 4W 4ޝ,9\kW 4ޝEW 4ޝsY{W 4ޝW 4ޞOI-IW 4ޞVW 4ޡAAaW 4ޡCFW 4ޥfW 4ަsW 4ަԧW 4ި`W 4ު)W 4ެVZW 4ޮ[i/SW 4޲.W 4޲RG4W 4XzW 4ŋTW 4-W 4LW 4;4W 4,AΔNuW 4?.c.W 4ז] 7W 4, <(W 4[ *pW 4tW 4>W 4^W 4٧ W 4SE EDW 4曫I.8W 4rLW 41diW 4{aW 44PoW 4\9em$W 4%.6 W 4йùW 4d/ EW 4T5aW 4*a$W 4mhPܯW 4TW 4cĥaW 4W 4 U%W 45@W 4.)HW 4\ė W 4%kbPW 4 MrW 4 Eԋ 77dWL縙`ջHIѿswW 4If PML in AIDS is not treated, what is the outcome?e)={W 4What is the treatment of choice for chronic Hep C with mixed cryoglobulinemia?a!y4W 4What is the primary mode of treatment for HIV-associated thrombocytopenia?)χӗ 3Vs4qba 4SUPPORTIVE measuresKϓIw&I-IW 4What can you usually see in malignant otitis externa?aϳV!0aVW 4What is the drug of choice for treating sclerodermal-related renal crisis?tЛ9 G5J9qba 4hypokalemia, within the first 48hrs. Newly forming red cells will suck up the K in the blood.mШ9aW 4What study should be obtained in all pts with flash pulmonary edema of unknown origin?d'TOFW 4What is the recommended mode of treatment for primary pulmonary hypertension?<Ҝq Yqqba 4immunologically mediated skin disorder }22) '  ,cNoq 4AhpxrAjlP7LWhat is a common complication of gastrectomy, how does it present, and how should you treat it?Dumping syndrome. Sx: abd pain, diarrhea,n/v;
Tx: high protein diet, smaller, more frequent meals
@(3'J@!S'Ani:hAj D @º@ºAhjK1'@'gl@CAni:hx) =  xJ{poq 4Af d(Ai(ffIn pts with thyroid ca in remission, how much should you adjust synthroid to suppress TSH?Keep TSH below nl, usu. between 0.1 and 0.3uL/mL@1{5NJ@M"Ao~Ai]@F!@0yUAf\ J@0@5LAo~ LL Kf?y:kWhat is needed for confirmation of RWhat are two viable options for chronic therapy for cluster headaches? P@wWhat can be seen as a sequelae of acute otitis media?P2I0/)IWhat can be used to treat ALS?M݁0@wWhat can you usually see in malignant otitis externa?OI-I?uWhat class of drugs can be used to treat Tourette's?cĥaxeWhat class of drugs can cause photosensitivity? And what anti-hypertensive medicine in this class does that?"jǢa7What demographic groups should be treated by salmonella poisoning, and with what abx?3I9iWhat disease is associated with lichen planus?ԧRWhat do you have to cover for when treating malignant external otitis?DMJK What does Beck's Triad consist of, and what do you see this in?bLaAyWhat does the presence of Anti-HCV antibodies suggest?~a9B{What does the triad of Ramsay Hunt syndrome consist of?}Ifj;mWhat does treatment of acute Hepatitis B entail?F];4 q) -  SͭZoq 4Af[!AjlHow should you manage intraoperative hypotension for removal of tumor for pheochromocytoma?IV saline bolus, followed by NS infusion@9N>ML@(Ar_Ai@F!@0yUAfKl@n@6dAr_zۃ) G   Foq 4Ag;vEAi/=qHow should a tissue sample be obtained in a pt with a solitary peripheral lung nodule suspicious for malignancy? Why?VATS. It's relatively safe, and offers a definitive dx. FNA and percutaneous needle aspiration is less sensitive and only good if results are positive.@&'/z@@`'AmW Aiu@˹ԏ@˹ԏAgJ@@6AmW Y8ّQ( ig ~b*[oq 4Ad}C"AkqM How long should people with uncomplicated MI resume sexual activities?6 wks@@˳:8'/@+8AvVAkq'5z@F B@F BAd-@K@.bMAvV7̑ύ( Q{ ï3Ƃoq 4AanVAhӮ{Angiodysplasia is associated with other medical condition?aortic stenosis@4 X@ _BAnAJAh՜@@Aa!S@\2@? \AnAJZ) -e  Ǩ`roq 4AdgsAjk|(How does Meniere's dz typically present?1) periodic vertigo
2) unilateral hearing loss
3) tinnitus
@ kW?q@ Am~AjV\@[@Adz0@)x@UzAm~ ((dM S? y2߱6Eu%7X6W 4What is transverse myelitis?b#ȃW 4What drug should be used to treat pharyngeal gonorrhea in Pen allergic pts?sϳWE,[W۸WW 4What is the single most important risk factor in the development of postpartum endometritis?a҅Z !O_bPqba 4IV Mag. If that doesn't break, then temporary transvenous overdrive pacingIӱ s.C W 4What three medications can cause macrocytic anemia?>Ө]64W 4What side effect is Kava known to cause?e▒)3zW 4What is the screening test of choice for family members of someone with APCKD?sE:OCTW 4Silicosis is associated with what dz, and what should be done about a person with silicosis?6󐗃 KD|qba 41) low plasma ACTH in adrenal Cushing's (syndrome); high in Cushing's dz
2) in Cushing's syndrome, high dose dexamethasone doesn't suppress serum cortisol EEo) Ew aHoq 4AkAkQƨWhat is the standard protocol for post-exposure HIV?Start zidovudine and lamivudine with 72hrs of exposure, and treat for 4 weeks? P?6( O{ ?-Aoq 4Aa%>{Ah wWhat is the most common cause of inherited thrombophilia?Factor V Leiden@2d05@An!>JAgBT@@Aa3ff@ Ӊ@2An!>Jւo) Ew aHoq 4AkAkQƨWhat is the standard protocol for post-exposure HIV?Start zidovudine and lamivudine with 72hrs of exposure, and treat for 4 weeks? P?5?BAkO3zAkAu@*@*Aks33@N@NAkO3z %Zaho%H?  ߁[4dAb5S\)?.ͻ,?:@@ffffff@>zQ>G4 Ab5Kz?B<8{@}?AZb:@@@v?|Q=#4Ab4 ?ߑΧ@ub? lc]@@@&Q<K9qqAb4 =?ߩ A@H:?ۈ@@@VQ;*.)aAb4)?w]@ΑcV?vMY@@@2EQ:N.6 Ab4?g 8@FJ;xg?#d@@@bMQ9dG-Ab4dZ?ȏ뼧@:"?Ƨ@@@!`Q8`Χ.CSAb4ߞy?p~@C@\J?C@@@(Q7N4-AAb3?+s@5?ܬ7@@@ pQ6uQ/.@}Ab3["?Fn@#% *??#-L;*@@@O=pQ5wh- Ab3Bܼj@4xdc@E9A?}X&@@@2EQ44.cjAb3>" J@.].wE@%(?I@)@@@ɺ` oZahoQJ[o91Ab5x\)?ɍfe@6{?f+|@@@QIQ4PAb5w j?u0uj@ts檳?v @@@QHI9mAb5u?cş@wfFV?BZS@@@!`@QGqza3ƃAb5sNy? LH@__?卼a@@@ pQF!9\Ab5r[S?׫?6_@Kx=?w+@@@QE T4pDAb5q:M?'-M@eek?% @@@H@QDh|9u>Ab5oO\)?KlU-A?MK5?*6g@@@-CpQCT4Ab5k?| @%{!/?J}@@@1`DQB 4Ab5ZDj?t/@`ڙ?f}/@@@|QA9xAb5Y" J?zT(@  o?CUUU@@@nQ@ 347Ab5T>V?ݛ3c@W).R?)@@@n Acj!{'A>V   IfjAc$$?*ו @@X%@PQUh|9u>Ab߮0?MK5@U?ZD@@@"wQT9xAb߫`B@  o@=*&?Az@@@  RS߁[4dAbA?$9C.@UYAe?l/@ffffff@ffffff@TQR0m9AbX1?@ZrpI?%(WS@@@$EQQW2jjCAb+@AT@)3?% d@@@%^PGP  y>^:AbMT?v9?AB@@X%@X,QOX2gC\AbӴO@E @tQf?;(3@@@ps$QNS 7AbrL@E.Q&@0?gP@@@!gQMk <)Abp@iP^X@ 18$?qd@@@ GL  O>Abo{?ޟH? @@X%@bMRK߁[4dAb5z3S?.ͻ,?$9C.u9@ffffff@ffffff@D FFPw'r[W#What is .SWhat is X%What drugs are indicated first line treatment of metastatic prostate cancer?f=5.)ae?What drugs are recommended for treatment of giardiasis in pregnancy, and in what periods?rLJ What esophageal manometry findings would you see in achalasia?39qq&CWhat is Kava used to treat?PM47]%AWhat is Nelson's syndrome?Zm+|Efu1What is Pick's dz?JPGkKWhat is a common complication of gastrectomy, how does it present, and how should you treat it?zNJ What is a good viable option to manage post-stroke spasticity?seDWhat is another name for MUGA scan? And how does it work?}bo|K What is erysipelas and what bug is the typical causative agent?NauW#What is hyperviscosity syndrome and what diseases is it most often seen in?, <(:kWhat is needed for confirmation of sarcoidosis?=%OiGWhat is one complication of an acute MI, when can it happen, and what are its signs/symptoms?c- a2 **b}3*k@ˈmW 9,[W۸Wqba 4route of delivery: it occurs in 3% of all vaginal births, but 15-30% of all C-sectionsO儽'K-W 4How much would 1 unit of platelets raise the serum level?^ӏyW 4What is the gold standard Abx regimen to treat postpartum endometritis?8ۜ Qȃqba 4ofloxacin or cipro (use quinolone)j݂ 3-,vqba 4assessment of gait before and after removal of 30mL of CSF. This is to test for NPH[ӇM4W 4What is the initial treatment step for fulminant ulcerative colitis?縙 _ 9mqba 41) fecal antigen testing
2) urea breath test
Both are conducted 4-12wks after completion of therapy! #'K-qba 45000/microLBˑU ca!lUqba 41) in the presence of antithyroid antibodies
2) if an abnormal lipid profile is present
3) symptomatic hypothyroidism
4) ovulatory and menstrual dysfunction 992/ך) E    ħhoq 4AjB}hAjlSWhat is the treatment of a manic pt who is pregnant?electroconvulsive therapy?9g AjIyޠAjBM) q uSdioq 4AjR7AkPbPregnant women with subchorionic hematomas are at increased risk for what?spontaneous abortions@z?c AlygnAk/@*@*Aka#@%6@56Alygnd֟( +}  ǣhVYoq 4Af\OAi)33What should be suspected in a pt with h/o Hashimoto's, who has a rapidly enlarging, firm, thyroid mass?thyroid lymphoma@2)Rn@ _FAooAi>@F!@0yUAf0c@nx@:2nAoo m1C) ' Eg2jjoq 4AaoB2Aj%jMPts admitted for variceal bleeding 2/2 cirrhosis are at greatest risk of what during hospitalization?infection: SBP, UTI, resp, bacteremia; Thus they should be started on Abx, a fluoroquinolone.@=1O[@&tAt,Aj=@@Aazu@%iƧ@QAt,ޑ) [ faoq 4Adw^Ah6~What does Beck's Triad consist of, and what do you see this in?1) hypotension
2) muffled heart sounds
3) JVD
Seen in acute pericardial tamponade
@*br.zE@v]roAlkPAg@F A@F AAd|^$@ bJ@AHAlkP :K BrDWhat is the most common sequelaDWhat i.SWhat is the prognosis of Erb palsy?^<ΑFL What is one complication of long-term primary biliary cirrhosis?u̹hd=What is one laboratory difference and test difference between Cushing's syndrome and dz?QJ|RWhat is one medication that is useful for treatment opioid withdrawal?m>FWhat is one of the earliest signs of compartment syndrome?o) C}What is one of the earliest signs of phenytoin toxicity?5@2[What is one of the side effects of INH?T5aWhat is one of the side effects of gingko?,9\k  What is one of the things you must think of when you see a pt suddenly become glucose intolerant (hyperglycemic) while on TPN? U%4_What is one side effect of carbamazepine?f/UWhat is one side effect of rifampin?I%?uWhat is one side-effect of calcium channel blockers?mhPܯMWhat is one symptom seen in Meniere's dz that's not seen in BPPV?-` ssc) [G   Sroq 4AgAjlA˶FWhat are some medication induced causes of pseudotumor cerebri?isotretinoin, minocycline. Also seen in endocrine d/o@'^<1)@GAnRPҝAi/h@:w-c@:w-cAg c) [G   Sroq 4AgAjlA˶FWhat are some medication induced causes of pseudotumor cerebri?isotretinoin, minocycline. Also seen in endocrine d/o@'^<1)@GAnRPҝAi/h@:w-c@:w-cAg UU@ 㕂@8|AnRPҝ( +u    Laoq 4Ak"pAkQ)?;What side effect does didanosine cause?pancreatitis@ S Al\Ak"@Ị=@AkQ)?;@*(@*(Al\ &Zary&QbI9mAc$-{-@wfFV@\?a6@@@QauQ/.@}Ac$ %@#% *?@ BM_?rCnc@@@cT@Q``Χ.CSAc$nfX@\J@B迄?*#8w@@@B%Q_wh- Ac$m;c@E9A@ 4xG?Kn]L@@@f@Q^N4-AAc$lE5@5@wek?ل&>@@@aG]   r I.8Ac$k.ǰ?߮iR?WNOA@@X%@QQ\*.)aAc$i螈@ΑcV@)?3Gm@F@@@+ Q[N.6 Ac$f6@FJ;xg@ :?vq,@@@gQZdG-Ac$8U @:"@Էa?)1@@@PQYM. xAc$'U@}~3@ a?Β=F)@@@pQX4.cjAc$&í@%(@ ۙU?$؎@@@&QW\h= 4?Ac$$@b%`m@ wk9?=vʆB@@@  9mt!{29QnK9qqAc$6@H:@bO/]?ߜNs@@@RPQm 347Ac$݆Tq@W).R@iږck?|xZ@@@C0Ql T4pDAc$@eek@je*?6»v@@@ $[ Gk  I0kAc$ߡU?Fo#?pp@@X%@"QjQ4PAc$̭@ts檳@J `?@fO@@@ 8Qi#4Ac$ײWm@ub@ r?$ޅ'q@@@9Qh!9\Ac$5])@Kx=@tjܼS?sf씫m@@@+PQgqza3ƃAc$zo@__@\ ?.? [f@@@#JQf 4Ac$6@`ڙ@ u? @@@ `QeG4 Ac$&@}@>?Y r@@@ >d   ? I-υAc$fj?~ZNVٲ@@X%@UQcT4Ac$V@%{!/@h!s?+@@@` D* 7Zs*07Qz9xAc]`B@=*&@܌c??%@@@ (Qyk <)Ac⠎@ 18$@?J.io@@@;!$QxS 7Ac♶{@0@Z$ Z?bs@@@Rw߁[4dAcĜ@UYAe@ (?=>@ffffff@ffffff@V QvX2gC\Ac˶F@tQf@ Ĵ?@Ř@@@J' >QuW2jjCAcn@)3@ L2{&?*F@@@+Gt  [MAc|Ix?򛤬C?XH,@@X%@7" HHs ? I-υAc$M?O $(v6͎@X%@X%@bHr IfjAc$&9?&\?aCz1@X%@X%@+) Qqy>^:Ac$ %>?v9@)YY?;|e@X%@X%@CpQpO>Ac$?ޟH@co?(d@X%@X%@!хQo[o91Ac$HK@6{@ sh=?W@@@A ##~"4S_< WLbo|qba 4radionuclide ventriculography; labelling a patient's red cells with a radioactive tracer and measuring the radioactivity over the anterior chest with a gamma camera. ñӞoq4PoW 4What percentage of adults who get acute Hepatitis B infxn go on to have chronic infxn? What percentage of infants?ׇ$em$W 4What is the recommended choice of anticoagulation in lone a-fib in <60y/o without structural or functional heart abnormalities?Xőۊ 9 qba 4pain out of proportion to exam. Pain with passive motion of limb.> ]SͭZqba 4IV saline bolus, followed by NS infusion^  +-qba 41) Surgery
2) If no surgery, then radiation therapy is second choicelJ 7&MJqba 4anti-pseudomonal coverage. Use fluoroquinolones, or PCN that covers it (pip or ticar)LƂ y aqba 4coronary thrombus - treatment is immediate angioplasty qZanqQ4.cjAd;g@ ۙU@ );S?Nܻ@@@l@QN.6 Ad;fdZ@ :@Yob?g {@@@$R IfjAc†ff?&\? {4OC-@X%Y@X%Y@ ÕQ ? I-υAc\?O $(@л?15@X%@X%@&PQI0kAc⽓m?Fo#@w%:t?k~ܻ@X%@X%@pH   IfjAc?&\?Egƻ@X%@X%Y@-nQ r I.8Ac>ȴ?߮iR@vz?*L;*@X%@X%@rQ~y>^:Ac #@)YY@rUC? H @X%@X%@ Q}O>Ac3dZ@co@#@?0@X%@X%@ z@Q|h|9u>AcA&@U@Hȉ?"i@@@"Q{0m9Acߝ@ZrpI@WH*(?A}@@@P{  dX\` dQqza3ƃAd;x9@\ ?.@ dJ?>|P@@@ =`Q T4pDAd;wC@je*@ σ?B@@@ĠQ[o91Ad;uj@ sh=@ ?/5@@@ €Q #4Ad;uu@ r@ =%Q?tgKx@@@QQ T4Ad;s5@h!s@ (?@@@@!vȰQ  347Ad;q@iږck@ .qٗ?Gy@@@ Q G4 Ad;p%@>@ u?m`U@@@pQ I9mAd;n1@\@ Su?g}(@@@ `QdG-Ad;lm@Էa@hf?IA@@@nQuQ/.@}Ad;k65?@ BM_@sP!?s'>@@@ QM. xAd;i;d@ a@ V=g?y$@@@t AX\iAG  . `ȪAdz;?ފ@?#@@F B@ =pG  p*`rAdz1x?ٲ :? ٖ@@F B@7?|G  |9aҰAdzg =?ߥmu <?@y@@F B@QG  t}a3AdzD/? 3;?`Dj@@F B@1TG  su`j0Adzz?`Nn)?̶uf@@F B@Q\h= 4?Adg@ wk9@1ߛn?*@@@/R IfjAd;\)? @F?%J7$@X%Y@X%Y@;pQ[MAd;H?򛤬C@a?=$ZC@X%@X%@" AQK9qqAd;}I@bO/]@ Kލ%?m)J@@@;d`Q!9\Ad;{x@tjܼS@ kDU0?>@@@Q 4Ad;z@ u@ Kkz?Ċȷ@@@hpQQ4PAd;y@J `@ D?u?}.@@@ 7@ !+D]v %>Wp8Qj { fxߢ E.6 N.6  o`isu`j0 3  ^+ g|EfuBr|Eg E.6 N.6  o`isu`j0 ù7ù Y5ZH uSdi2di Eg2jjW2jjC w# 3zqz )hPܯThP 0IOI Lbo|{ԙbo} yjW ׹LD. FG .C `Χ.CS !Ifj Ifj aa # & 2u*yû qSʭ .)a*.)a Ѯ7Ѯ1 MihV/#hVѮ7Ѯ1 R,sRi 0aVL so}oE ȃن7'ȃ =90m9 La3 %3V!,3 ;)"* +D]v %>Wp8Qj MI.8 r I.8 ma2t}a3 >>  %. FM. x 5J9R.5J 3θDA]θv o@}c| ̸T u̸ 1wC1 MI.8 r I.8 ma2t}a3 >>  %. FM. x 5J9R.5J em$emV ҅aҰ|9aҰ uT>aU uaV[#ޝ wzw7;z +̹h=̹ | ޓ  !>!K? x>O> ï3Ƃqza3ƃ -,v8g,v> 5I EzK  X%lSs% Ǩ`rp*`r 1+ĥarsĥ޼ ȓ%O A%O ɹ`n. `Ȫ =9qqK9qq XCΑ#jΑ$ ͚ΔNuϿΔN #"^i;" җ9[o91 ǣhVYohV D( yq   3zoq 4Ah!AkЏrWhat is the screening test of choice for family members of someone with APCKD?ultrasound@!3@@܄ 3An@Ak@^@OùAi_L;o@z@+zAn@˃f󐗿)   D|oq 4Af1HAj5DWhat is one laboratory difference and test difference between Cushing's syndrome and dz?1) low plasma ACTH in adrenal Cushing's (syndrome); high in Cushing's dz
2) in Cushing's syndrome, high dose dexamethasone doesn't suppress serum cortisol
@-2T2@Z|AoT WAjW@0yU@0yUAfDyx@;@\AoT W #KzfJau1+H qaqba 4amoxicillin (doxy is contraindicated in pregnancy)Fp mxJ{pqba 4Keep TSH below nl, usu. between 0.1 and 0Fp mxJ{pqba 4Keep TSH below nl, usu. between 0.1 and 0.3uL/mL soqba 43 monthsH qaqba 4amoxicillin (doxy is contraindicated in pregnancy)w쉹ME.6 W 4What are the two treatments of choice for CML (Philadelphia chromosome, decreased LAP activity)?RùW 4What antifungal is indicated for treatment of mucormycosis?_E5I EW 4How does HIV lipodystrophy present? What is the cause, and how to treat?(ڢh 1Qhqba 4small cell lung caaq}aW 4What is the typical treatment of squamous cell ca of the glottis that is T1a (confined to the vocal cord)?U q}aqba 4radiation therapy, laser excision, or partial vocal cordectomy %0H`x 8Ph(@XpppAkEyVxߢ AlL6ĺ#jΑ$ AkO3zNF H AkGFRI۸ Ak!q=@Y Ak/Dl|4k7Xh AkoReʡ AknSs% Ak9[@ɽ Ak.7'ȃ AkEjW Al'>  Alӛt7ù Alygn2di Al '\ Al aX  Al @*yû AlOx6:[ė] AlWu] AlU,rsĥ޼ Al=QK Al  - Al" 8X2gC\ Al,x\V[#ޝ Al0@Fh9x AlD^tϿΔN AlET=A]θv AlHa!% ^+ AlHJzK  AlISSE=̹ AlKRO5  AlL6ĺ#jΑ$ AlO"|L AlRvգ>aU AlUd3Ԍ AlV@   AlWQ u̸ AlXMz8b Al\[ sRi 'XX0Hp`x 8Ph(@Xp Alp4^7Ѯ1 Alu`isħ AlkPa Al|DڤRĤ Aly5ZH Alq_q Alg0m9 Al6Lt}a3 Alk # Al-^: @?Wh|9u> @?X|1\h= 4? @=1O[W2jjC @MLBZ @958emV @8ub9 @8v4.cj @8N[ɢ59. `Ȫ @8"eZP[M @8|Sb#NL @8_ X4M. x @7☲0Ճ` @7rHI9m @7z ឿ/#hV @7,tXl%-jhR @6 Xa9` @5ƆM {a` @5~hUk <) @4EBQ4P @40EQ @4 Xqza3ƃ #0H`x 8Ph(@Xp @2d05N4-A @2:|[o91 @22>L9x @2 B o"# @3J]l @3zI'|9aҰ @3rMr{ԙbo} @3i/j#a  @3Z ib< @3)xM`< @2Ib= @22b`Χ.CS @2r{`]bˌ @2d05N4-A @2:|[o91 @22>L9x @2 B o"# @2)RnohV @1U8jt @1DWqfbx @1Hʵ+8q` @1 U\0F @1{5NJɨ{ @1q0m9 @1zB,YN.6  @1MLdכO> @1@XN {jǢ @08ʕy7aT @0OS @0WKaB8 @0w2resE @/Ŗ 4 @/X!K? @/Ӹ0WPy @/jѴh#bV @/I^,$i!9\ @.C9﷜e. @.ZC/m_& @.>moR.5J 'XXp0H`x 8Ph(@Xp ?iS7Ѯ1 ? PNF H ? ϿΔN ?&QOA]θv ?r`*g4k7Xh ?{-W=@Y ?FRI۸ ?z4%qQK ?kReʡ ?ς ^+ ?uzK  ?yɽ ?ܦĽ=̹ @""_J*Ss% @;!RO5  @?>˧#jΑ$ @A5n7'ȃ @K5gjW @TM?< - @[wnв>  @|L @\7ù @q >aU @Vju\ @z٫2di @ ̷4 *yû @;|c   @H,DC u̸ @f9p18b @} X  @GwsRi @fH͕:[ė] @bԶ [%@ @ϔrsĥ޼ @tN.] @kuRĤ @ia;Z7ĕA @Risħ @n'2 M# &pp0H`x 8Ph(@Xp @!3@qz @E6ra @)jOI @ S 3 @馦LD. @4 [ut @.Q{k| @17wp3Ԍ @?M5炪6 @uͻ}c| @̷L @@G,"  @?n(K_q @rxKSo @A ҂^i;" @Ha7;z @c 347 @ YAUC`/S @ kW?qp*`r @!jP&Foz @!3@qz @!++  @%I;V[#ޝ @%ⴚ} Ifj @%77Q5ZH @&'/z@G @&1œ /1T] @&0E#`1b# @'DW73- @'^<1)o @'ȵCvTk5{O @'G։Sʭ @(3'JɓN2 %0H`x 8Ph(@XpppAkEyVxߢ AlL6ĺ#jΑ$ AkO3zNF H AkGFRI۸ Ak!q=@Y Ak/Dl|4k7Xh AkoReʡ AknSs% Ak9[@ɽ Ak.7'ȃ AkEjW Al'>  Alӛt7ù Alygn2di Al '\ Al aX  Al @*yû AlOx6:[ė] AlWu] AlU,rsĥ޼ Al=QK Al - Al" 8X2gC\ Al,x\V[#ޝ Al0@Fh9x AlD^tϿΔN AlET=A]θv AlHa!% ^+ AlHJzK  AlISSE=̹ AlKRO5  AlL6ĺ#jΑ$ AlO"|L AlRvգ>aU AlUd3Ԍ AlV@   AlWQ u̸ AlXMz8b Al\[ sRi 'XX0Hp`x 8Ph(@Xp Alp4^7Ѯ1 Alu`isħ AlkPa Al|DڤRĤ Aly5ZH Alq_q Alg0m9 Al6Lt}a3 Alk # Al-  Alӛt7ù Alygn2di Al '\ Al aX  Al @*yû AlOx6:[ė] AlWu] AlU,rsĥ޼ Al=QK Al - Al" 8X2gC\ Al,x\V[#ޝ Al0@Fh9x AlD^tϿΔN AlET=A]θv AlHa!% ^+ AlHJzK  AlISSE=̹ AlKRO5  AlL6ĺ#jΑ$ AlO"|L AlRvգ>aU AlUd3Ԍ AlV@   AlWQ u̸ AlXMz8b Al\[ sRi 'XX0Hp`x 8Ph(@Xp Alp4^7Ѯ1 Alu`isħ AlkPa Al|DڤRĤ Aly5ZH Alq_q Alg0m9 Al6Lt}a3 Alk # Al-What is a good viable option to manage post-stroke spasticity?
dantrolene@tN.?H#NAlWuAk.bkA@d9@d9Ag , @>t@` iۊ-) Q_  9 oq 4Agu;dAi.SFWhat is one of the earliest signs of compartment syndrome?pain out of proportion to exam. Pain with passive motion of limb.@'DW7@5]}ֱAmmAi})E@˹ԏ@˹ԏAgK{F@fl@*zAmmς7( Yq  4Woq 4Ag |AkQ%What is a good viable option to manage post-stroke spasticity?dantrolene@tN.?H#NAlWuAk.bkA@d9@d9Ag , @>t@` AlWu >>B[Ty=[uTW 4What is one of the side effects of INH?tӇ GM4qba 41) IVF, bowel rest, IV steroids
2) Those refractory for 72 to medical tx require surgeryJܯu)hPܯW 4What is one side-effect of calcium channel blockers?J` i&^qba 4cortical: Alzheimer's
subcortical: Parkinson's (has extrapyramidal sx)a$!@ͧa$W 4An aortic valve area smalled than what size is considered severe stenosis?%ґ +'ĕqba 4iron deficiencytӇ GM4qba 41) IVF, bowel rest, IV steroids
2) Those refractory for 72 to medical tx require surgeryJܯu)hPܯW 4What is one side-effect of calcium channel blockers?=[uTW 4What is one of the side effects of INH?Jau1+ĥaW 4What class of drugs can be used to treat Tourette's?Goy_W 4How does androgen insensitivity syndrome present? mRŀ( -o    -# EDoq 4AkuuAk+What is the medication typically used in infants who are undergoing opioid withdrawal right after birth?paragoric? f3'Ak̫Akuu+@, Q@Ak+@ {p@ {pAk̫݂Hܸ) g  MI.8oq 4Ab<VAhgPIn what type of patients do you usually see malignant otitis externa?elderly, diabetic pts@;ϒ/VS@!O0 Ar'?5CAh @%X@X%Ac$k.,@@6PQTAr'?5C5) E  ?]4\oq 4AaicFAhsXQWhat antihypertensives can cause acute pancreatitis?1) HCTZ
2) lasix
@/Ŗ@SVwAmG̖RHow long should people with uncomplicated MI resume sexual activities?]b*[b9How long should you anticoagulate for DVT in the presence of a reversible risk factor?loDHow much would 1 unit of platelets raise the serum level?- bbG˰R( {s  -Ejhoq 4Ae הzAjkdWhat is the single-most effective non-pharmacological approach to decrease HTN?weight-loss@7,tXl@:ԴAޑ$) #= XCΑoq 4AkmAkxWhat is the prognosis of Erb palsy?generally good, with 80% chance of full recovery@?>˧?.ǞAlL6ĺAkKJm@, Q@, QAktQ@@$AlL6ĺG˰R( {s  -Ejhoq 4Ae הzAjkdWhat is the single-most effective non-pharmacological approach to decrease HTN?weight-loss@7,tXl@:ԴArC<[AjVf@@F BAe⶗@n@<PArC<[ 1ڕ ( Os  'K-oq 4Aa#Akش9How much would 1 unit of platelets raise the serum level?5000/microL@)<@$/lndAoӄAk F@fffffg@Aa.x@H@@LJTAoӄu) Uq   abb9oq 4Ad~Ak`BWhat should you consider in otherwise healthy individuals who develop flash pulmonary edema with acute mitral regurgitation?rupture of chordae tendinae: causes include infective endocarditis, papillary muscle rupture 2/2 ischemia, mitral valve rupture 2/2 trauma@8@#rQAs *Ak3 @F B@F BAd!bN@0 @@WXAs *  6`2\.X ֈ %w 4Akm9Akm9 h %w 4AkOwCSAkOwCS ݶa %w 4Ag 1Ag 1 w %w 4Ah/Ah/ h %w 4AkOwCSAkOwCS េޓ %w 4Ah_ji7Ah_ji7 „ %w 4Af|Af| ސ̑ %w 4Ab;˶FAb;˶F ύ %w 4AaeOAaeO  %w 4Ag jAg j ͩE %w 4Ak#T^Ak#T^ 㖂l %w 4AkCAkC  %w 4AdgsZAdgsZ 䌥a %w 4Aj ?}Aj ?} ϓ %w 4Afy{Afۄ| n %w 4Adg$Adg$ 氇 %w 4Aaez\Aaez\ ֈ %w 4Akm9Akm9 u %w 4AkmwAkmw Ě %w 4Ah"_Ah"_ Đ %w 4AaAa Y %w 4Af\1'Af\1'  %w 4Ak&VAk&V +0DXl  4H\p$8L`t5I E EX%lO%lX%l=+%lua]Maua<`awzwzwwzws@zw+̹h̹h+̹hu̹h| ޓ©ޓ| ޓ4(ޓ!>Q>!>m>x>>x>99>ï3ƂrP3Ƃï3Ƃ 3Ƃ-,vt,v-,v],v5I Ed/ E5I E EX%lO%lX%l=+%lǨ`r[e`rǨ`r4`r1+ĥa/ĥa1+ĥacĥaȓ%O=%Oȓ%O"%Oɹ`nq`nɹ`n4m`n=9qq39qq=9qqzԍ9qqXCΑEgΑXCΑ^<Α͚ΔNu,AΔNu͚ΔNu4*ΔNu#"b,m"#"kT"җ9ז9җ91<59ǣhVYLhVcǣhVY{GhVY c .?-A-A )0DXl  4H\p$8L`tW 4%S3W 4'fS4\W 4*jtW 4-/ʠW 4-p%KW 4|ѮW 4u̹hW 4)1W 46QhW 4+y=@W 49mW 4q`nW 4#a9$W 4DMJW 4Se.W 4 ĕW 442W 4"Eb=qW 4"ֿ3VW 4"jǢW 4%=R,W 4%S3W 4'fS4\W 4*jtW 4-/ʠW 4-p%KW 4-5bVW 43IW 44`rW 46ħhW 49hhVW 4:gθDW 4<`aW 4B/aҰW 4D992W 4F#ɽW 4F];4W 4I%W 4JPGW 4LlUW 4MY W 4M݁0W 4NauW 4P2I0/W 4PM47]W 4QJ| ???!y]zǶG ^gb#Gqba  o`+ė W 4What medication can be used to treat restless leg syndrome (in the absence of iron deficiency)? How does it work?cɭP%O_bPW 4What is the mode of treatment for torsade de pointes while the pt is stable?\ !>qba 4clonidine. It can be given orally or transdermally, and will lower bprӿCaFrW 4What antihypertensive is integral for treating HTN in pts with chronic renal insufficiency?N}7RԋW 4What are some medications that can exacerbate psoriasis?^ݠD *aDW 4What part of the heart does the left anterior descending artery supply?4α I'qba 4indinavir (protease inhibitor)4 If~0qba 4riluzole - glutamate inhibitor8 Qaqba 4lateral wall of the left ventricleWh +̹hW 4What is one complication of long-term primary biliary cirrhosis? *0DXl  4H\p$8L`tE.6 N.6 o`isu`j0ù7ùY5ZHѮ7Ѯ1E.6 N.6 o`isu`j0ù7ùY5ZHuSdi2di3  ^+Eg2jjW2jjCw#g|EfuBr|Eg)hPܯThP0IOILbo|{ԙbo}yjW׹LD.FG.C `Χ.CS!Ifj Ifjaa# &2u*yûqSʭ.)a*.)a3zqzMihV/#hVR,sRi0aVLso}oEȃن7'ȃ=90m9La3%3V!,3;)"*8  3θDA]θvo@}c|̸T u̸1wC1MI.8 r I.8ma2t}a3>> %. FM. x )0DXl  4H\p$8L`t| ޓ !>!K?x>O>ï3Ƃqza3ƃ-,v8g,v>Yc4RO5 em$emV҅aҰ|9aҰuT>aUuaV[#ޝwzw7;z+̹h=̹| ޓ !>!K?x>O>ï3Ƃqza3ƃ-,v8g,v>5I EzK X%lSs%Ǩ`rp*`r1+ĥarsĥ޼ȓ%O A%Oɹ`n. `Ȫ=9qqK9qqXCΑ#jΑ$͚ΔNuϿΔN#"^i;"җ9[o91ǣhVYohV \?-AN4-A\S"#tB o"#' -X9uh|9u>M4T4aHNF H*pK*J <(ɞk <)ֵaAKaB8UOS3xKSo+ɽɽ9bib<R+4pT4pDħhisħeqQKay7aT $$f22) '  ,cNoq 4AhpxrAjlP7LWhat is one side effect of rifampin?orange discoloration of bodily fluids?z4%q?cW|Al=Ako_@Ị=@Ị=AkR @@Al=菪) i aFroq 4Ahs睲AjB7LWhat antihypertensive is integral for treating HTN in pts with chronic renal insufficiency?ACEIs, b/c it lowers intraglomerulua pressure, and reduced proteinuria@#Ө@DAm|Aj޶@M@MAi_S@$0@$0Am| }#|b9Wha{kWhat should be done before instituting tx for Lyme dz that presents with neurological sx (nerve palsies...etc)?-p%KL What ]/What is the treatment regimen for neonatal polycythemia, and how does it present?p1lMWhat is the treatment of choice for macrocytic anemia caused by MTX, phenytoin, or trimethoprim?L1. FW#What is the treatment of choice for non-metastatic squamous cell carcinoma?d=-MWhat is the treatment of choice for unstable atrial fibrillation?B/aҰvaWhat is the typical treatment of squamous cell ca of the glottis that is T1a (confined to the vocal cord)?T5a'EWhat is transverse myelitis?ĵ7X6=qWhat is typically the first-line treatment of ITP?= 4uWhat is typically the next step in management of an anterior nasal bleed that doesn't resolve after direct pressure?`}oWhat medication can be used to treat restless leg syndrome (in the absence of iron deficiency)? How does it work?\ė @"ᚄַ) y'   QbVoq 4Ad|_SAi_k =What is one complication of long-term primary biliary cirrhosis?
osteomalacia and osteoporosis?ܦ?ݗ[AlISSEAky-| @Ị=@Ị=AkR*"H@(”@8”AlISSE5ߣӞЫ) A 4Pooq 4Aa{Ah'wWhat percentage of adults who get acute Hepatitis B infxn go on to have chronic infxn? What percentage of infants?<5% adults get chronic hepatitis B
Over 90% of infants get chronic hepatitis B
@4EB@ Qee(AoƩAh-( @@Aa t@ @@RAoƩ Z"K pH%$ +@ͧa$qba 4less than 1cm^2Kϵ,wR,W 4What is the next logical approach to worku$ em$qba 4ASA% +~/ 4qba 4ckӞo 54Poqba 4<5% adults get chronic hepatitis B
Over 90% of infants get chronic hepatitis BW޹$ Ra9$W 4What portion of the heart does the right coronary artery supply?]J&MJW 4What do you have to cover for when treating malignant external otitis?ǶG ^gb#Gqba 4lidocaineVʮ 3me.W 4What is the mechanism of cause of hypercalcemia in sarcoidosis?V 'ĕW 4Restless leg syndrome may be a symptom of what medical problem?[ Ǩ`rqba 41) periodic vertigo
2) unilateral hearing loss
3) tinnitusc2%42W 4What is the initial diagnostic test of choice for a perforated peptic ulcer?$ em$qba 4ASA __sޑ㌻) E  x]sqoq 4Ahr=qAjlYWhat is the fluid of choice for pts who are oliguric, acidotic, and hyperkalemic?slow infusion with D5W and bicarb (will correct CO2)@?n(K@How does epididymitis usually present, and what is the most common cause of it?mild-to-moderate scrotal pain with swelling and tenderness. No voiding sx, UA nl. Usual cause is chlamydia trachomatis. Cremasteric reflex is present, and Prehn's sign positive (decrease in pain on elevation of scrotum)@A ҂@n2Alq Aj2r@º@ºAh_fO@$"@B=Alq V( Ku P{Ooq 4Ahj2.Ahj2,Hyperreflexia is a sign seen in hypo or hyper calcemia?hypocalcemiaAhj2,@@Ahj2,푂2( E} )hPܯoq 4Ad[wAhz\Hyperreflexia is a sign seen in hypo or hyper calcemia?hypocalcemia@'ȵCv@ZnAnWJ,Aj%v9@º@ºAhj[33@ 3P@%Z AnWJ,2( E} )hPܯoq 4Ad[wAhz\What is one side-effect of calcium channel blockers?peripheral edema@-%@ЭfAlr{qAhu @F B@F BAe\*H@A@8r-Alr{q >l"Df>G)  aAd|+?Nmuʔ?9R ]R@@F A@#޸PG(  xM`F@?'w @@F B@ IG  y7aTAdz6ȴ?՟ɧ?7@R@@F B@ G  KaB8Adz/ =?6%?T@@F B@Đ sKdIeօ)QbVW 4What type of medica|ѱ W,cNqba 4Dumping syndrome. Sx: abd pain, diarrhea,n/v;
Tx: high protein diet, smaller, more frequent meals`ME y5I Eqba 4hypertriglyceridemia, with increased VLDL. Caused by HAART treatment. Give gemfibrozil, will decrease VLDL levels, and have less side effects than others. statin will NOT likely work% +~/ 4qba 4corticosteroidsiq1Jb=qW 4What is the mode of treatment for torsade de pointes with hemodynamic instability?@Va%3VW 4Klinefelter's sn is linked to what cancer?ڑeSs=jǢW 4What class of drugs can cause photosensitivity? And what anti-hypertensive medicine in this class does that?;糱 W:OCTqba 4A/w TB. Pt should receive PPD yearly.7 OMihVqba 4COPD - it can induce bronchospasm%$ +@ͧa$qba 4less than 1cm^2 ) O5  1oq 4Ahj~AjlL1What is the most common sequelae of untreated varicocele?testicular atrophy; impaired venous drainage will cause temperature of scrotum to rise, resulting in atrophy@)P/@ݫsAn,|Aj8n@º@ºAhYG7w@9\D@I\DAn,|Io) c   UOS3oq 4Ag2g;Akȋ The use of leukotriene inhibitors has been associated with what dz?Churg-Strauss vasculitis@r@u#QAmL=Z9Ajֆo@˹ԏ@˹ԏAgpr@@-MAmL=Z9 JJ}U9R;mWhat would you see o2[What side effect does didanosine cause?3]What side effect is Kava known to cause?>4MWhat sort of changes in diet do post-cholecystectomy pts require?D992UWhat sort of imaging is recommended to diagnose coarctation of the aorta?*jtb9What study should be obtained in all pts with flash pulmonary edema of unknown origin?AAa>sWhat three medications can cause macrocytic anemia?*.C AyWhat three medicines can precipitate digoxin toxicity?xnes Z)What type of medications should be discontinued in the context of an acute MI?-5bV;mWhat would you see on biopsy of a crohn's dz pt?9FWhen is Plavix recommended over ASA for stroke prevention?>:kWhen is treatment for hypothyroidism warranted?LlU\-When pt has PUD or ASA intolerance. Also consider if pt stroked out while on ASA ;PWhen should inguinal hernias in the pediatric age group be repaired?Te"#tBuRu(uENDeath in usually 3-6 months. If treated, then may prolong to 2 yrsJ5u_1) fecal antigen testing
2) urea breath test
Both are conducted 4-12wks after completion of therapy9mb91) topi?Anti-Mitochondrial ab.
Use ursodeoxycholic acid (slows progression of dz) Liver transplant is other option (steroids don't help)-̸T6:k1) verapamil
2) quinidine
3) amiodarone: es P/Hiatal hernia: well-known; during wretching, pressure within the hernia is much greater than the rest of the stomach, so it's more likely to tear2gC*x$=How often should Barrett's esophagus be followed with surveillance endoscopy?
1) no dysplasia?
2) low-grade dysplasia?
3) high grade dysplasia?5>]>sIf PML in AIDS is not treated, what is the outcome?EC}Lyme dz prophylaxis in pregnant women involves what abx?߫a %?%YV!What is the primary mode of treatment for HIV-associated thrombocytopenia?t]What is the medication typically used in infants who are undergoing opioid withdrawal right after birth?SE EDZAyWhat is one complication of cocaine-induced vasospasm?{aGWhat antifungal is indicated for treatment of mucormycosis?йùZ)What are two of the most common techniques to confirm eradication of H pylori?9mp*;mWhat does treatment of acute HepatRW#What drug should be used to treat pharyngeal gonorrhea in Pen allergic pts?cȃL.SWhat is the cause of lichen planus?u KqIDWhat is the most ^+MWhat is the Miller-Fischer test?],vShEWhat is the single most important risk factor in the development of postpartum endometritis?=۸WPWhat is the treatment of choice for inoperable head and neck cancer??.c.MWhat must be monitored in the treatment of severe B12 deficiency?*5J9 ]]VLxX2>;92W 4What sort of# 'aʠqba 4betamethasone2 E;B 7qba 4CD4 count and HIV viral loadDφĐ iҗ9qba 4villous blunting with lymphocytic infiltrationȣ {y4qba 4zidovudine (AZT). It increases platelet count, and reduces the occurence of opportunistic infxns & Kaposi's sarcoma)粑\ 3?]4\qba 41) HCTZ
2) lasixlɰ70IW 4What demographic groups should be treated by salmonella poisoning, and with what abx?>]Ǩ`rW 4How does Meniere's dz typically present?ޓ | ޓqba 4MTX%ґu +͚ΔNuqba 4cystic fibrosisRn ɹ`nqba 4It's generally okay to let it pass, and have outpt followup"ʂׇ %׹qba 4aortic valveJhuħhW 4What is the treatment of a manic pt who is pregnant?*쉹 5E.6 qba 41) SCT
2) Gleevec l) mI   5I Eoq 4Ak#ThAkhHow does HIV lipodystrophy present? What is the cause, and how to treat?hypertriglyceridemia, with increased VLDL. Caused by HAART treatment. Give gemfibrozil, will decrease VLDL levels, and have less side effects than others. statin will NOT likely work?u?Ƣz?AlHJAkydQCh@Ị=@Ị=AkRr#"@'d(@'d(AlHJXT) k! aoq 4Ady]OAhj8F5?What part of the heart does the left circumflex coronary artery supply?lateral wall of the left ventricle@08ʕ@/LAnV>Ahfg9b@F B@F BAdz6$@%j|@DAnV> Z)   8 oq 4Ak#`bAkԷ+What is the treatment of choice for PML seen in HIV/AIDS pts? And how does it present?rapidly progressive focal neurological deficits without increased ICP. There is no specific treatment but data shows improvement if HAART is initiated@;|c?3"}'AlV@Akvԉu@Ị=@Ị=AkQ @Q@QAlV@[˰) { 'oq 4Ak"GAkt-crystal-induced nephropathy is a well-known side effect of what HIV medication?indinavir (protease inhibitor)@TM?>sHow should priapism caused by trazodone be treated?MY AyHow should you manage a button battery in the stomach?q`nSHow should you manage a button battery that is lodged in the esophagus?l`igCHow should you manage intraoperative hypotension for removal of tumor for pheochromocytoma?VZ[+How should you manage symptomatic bradycardiac after an acute inferior wall MI?)%bK How should you treat psoriatic arthritis with nail bed pitting?©ޓB{Hyperreflexia is a sign seen in hypo or hyper calcemia?{OV!IV Mag. If that doesn't break, then temporary transvenous overdrive pacingH-bZ3]IV alpha adrenergic drug (phenylephrine) X%IV desmopressin; it increases factor VIII and vWF multimers from endotheliumK%.@73]IV saline bolus, followed by NS infusionZ bb) ; Qhoq 4AgafTAgafSWhich type of lung ca is SIADH associated with?small cell lung caAgafS@@AgafS]Ï( 5e /Ѽ) ;  Qhoq 4AgafTAkOb~Which type of lung ca is SIADH associated with?small cell lung ca@40@ ?OAqYTGAkMϰ @[@[AgbN@ @*BhAqYTGY) {  ;B 7oq 4A`ELAfrHWhat is the best prognostic factor in survival in primary CNS lymphoma in AIDS?CD4 count and HIV viral load@vG?  qVb*[QAd@~r@v?u w`@@F B@$0Q>p*`rAd?ٲ :@%|6ǥ?q& @F B@F B@2Q=t}a3Ad ? 3;?Ϋ:?WeC!@F B@F B@8P><   fbxAd{D?∕rDDD@@F B@2EQ;aAdwI#?>F@?mbR?wѺ@F B@F B@mSM:#a I?~5b?xPp>?ᢼ@F B@F B@pG9  Sb#NLAd9?,p!&?Q9~@@F B@ Q8xM`6   ub9Ad!bN?b@@F B@R{m 'Ȇ) c x>oq 4Ab;AhaPeople with celiac sprue have an increased risk of developing what?intestinal lymphoma@1MLd@SxkAn^;Ahg@@%X@%XAbo p@+@8An^;ۃNΖ\) {   M2gC oq 4AaoAgڌ;dWhat anatomical finding is present in 40-100% of pts with a Mallory-Weiss tear?Hiatal hernia: well-known; during wretching, pressure within the hernia is much greater than the rest of the stomach, so it's more likely to tear@)qm/p@/OPAl" 8Agק@@Aazh@%-@RKAl" 8 >a o1>RM IfjAeJ@F@ ?؎@X%Y@X%Y@'t9XQL[MAeWw@a@iP?W@@X%@X%@h/GK  emVAeA7?ހ?K @@F B@"-QJh|9u>Aeȴ@Hȉ@=ؖ?t$@@@\9QI0m9Aed@WH*(@ xC?<r@@@V>H   /#hVAeb?50@@F B@'vRG߁[4dAe_9@ (@m ?/6@ffffff@ffffff@&pQFW2jjCAe^@ L2{&@E?wI@@@"VGE  ThPAe\+?עp?@@F B@QDX2gC\Adn@ Ĵ@ $?)?d@@@.ěQCy>^:Ad@rUC@ [^?5ޠ @X%@X%@e;dHB fbxAdn?۬$K?;MӸ@F B@F B@{ I //Ȝ) 9cI) C- ]6  oq 4Ah՚(AjlRĜHow should priapism caused by trazodone be treated?IV alpha adrenergic drug (phenylephrine)@$8>@$CwrAmVAj:c @pE@pEAh@@'AmVrV( ac  em$oq 4AdN\)AjlpWhat is the recommended choice of anticoagulation in lone a-fib in <60y/o without structural or functional heart abnormalities?ASA@958@yͶZAraAiI@@F BAe@`@ش3@@(rAra NNzHJcf + Ƒ" %Laqba 4pancreatitis[ģt\S"#tW 4When should inguinal hernias in the pediatric age group be repaired?_ǶG^gb#GW 4What is the treatment of choice for TCA-induced ventricular arrhythmias?b҃#reoyW 4How do you treat sulfonyurea-induced hypoglycemia that's refractory to D50? Ծ !3zqba 4ultrasoundb#+W 4What are the usual symptoms of urethral diverticula, and how does it occus?0uAg|EfuW 4What is Nelson's syndrome?@ go@qba 4nystagmus on far lateral gaze. Other si/sx include blurred vision, diplopia, ataxia, slurred speech, lethargyFmֵaAW 4What is the treatment for flash pulmonary edema?Ƒ6 u%7X6qba 4rapidly progressive weakness of LE following upper respiratory infection, accompanied by sensory loss and urinary retention ; 6`;e2\.X  %w 4AkZAkZ ӡ %w 4Ak* JAk* J ʼ󦽠o %w 4Aa{Aa{ Ӛ %w 4Ag DKAg DK  %w 4AdyWV+AdyWV+  %w 4Aa&ĸĜAa&ĸĜ  %w 4AdxdI7LAdxdI7L  %w 4Aao"Aao" r %w 4Ag OAg O ¥ %w 4AgAGAgAG  %w 4Aj  Aj   %w 4Aa+`BAa+`B ӑݠD %w 4AdyġGAdyġG Ɛ. %w 4Aa-@Aa-@ P %w 4Ag[Ag[ ̱ %w 4Ae 4;dAe 4;d J %w 4Ac.GSAc.GS I %w 4Ab6;33Ab6;33 7 %w 4Aa'Aa' νG %w 4Ag EAg E  %w 4Aa#Aa#  %w 4Adg{Adg{ Ȝ %w 4AjAj %_v)   3θDoq 4Akp-zAkט`Which are the most common viruses causing meningitis/encephalitis in the peds populationarbovirus and enterovirus?&QO?ڠAlET=Ak=t@, Q@, QAktkS@-@=AlET=Pυ) G7    &I-Ioq 4Ab6@AjqbNWhat can you usually see in malignant otitis externa?pain (otalgia), purulent drainage (otorrhea), granulation tissue at floor of bone-cartilage junction in ext aud canal (pathognomonic)
Tympanic membrane is usually intact.
@* rPt@uo\mAovAjȗ'bn@X%@X%Ac$f@'J@EǧAov Tby%3THY /#hVAe ?|Ņ7?@'w$i@F B@F B@EGX  h#bVAe"?Ljl?k6@F A@M(Pq@) 7PGW   {jǢAe}?ێJS?c333@@F B@@q8QV#`1b#Ae@A?؝Rj@N?[~@F B@F B@ QU fbxAesƨ?۬$K@ƬT?@?@F B@F B@%GT  %-jhRAe;d?YF%J?y@@F B@ @QS]bˌAeY?ܰT?Ԉt@b!h?˶ @F B@F B@ =pQR{ԙbo}Aeߘ?݀km@:?Me8@F B@F B@ 7P>Q   resEAeM?ޠ @@F B@`GQPSb#NLAe33?,p!&@ч?d֓6@F B@F B@GQO ub9Ae =?،=@6磂{?䄫.@F B@F B@(A0GN  jtAe^5?ނAv2?L2@@F B@' cc 枆) i &MJoq 4Ac.GrAj;A( [{ 'ĕoq 4Aj !AkА>ȴRestless leg syndrome may be a symptom of what medical problem?iron deficiency@ia;@SAl35AkPE@կ@կAjn@@(ڟAl35Lđ1) =9  җ9oq 4Aa"^5AhhsWhat would you see on biopsy of a crohn's dz pt?villous blunting with lymphocytic infiltration@2:|@ qAnر2kAhǥV@@AaK@@@I@\zAnر2k #X\im#Ge  ]lAe:7K?M :?ȣb@@lʰ@hb\QdThPAe:Yn?עp?ƣH?@F B@F B@'CQc h#bVAe:Vs?ι(0@i%M?|X^@M(Pq@M(Pq@Qb {jǢAe:Tw?ێJS@,C@W?"+e@F B@F B@Qa h#bVAeM?Ljl?ι(0v@ @M(Pq@M(Pq@\ H` resEAeG?MU`s7/@F B@F B@KQ_y7aTAe X?՟ɧ@.,?ގN@t@F B@F B@#rQ^M {a`Ae g?և-@#chq?{vJax@F B@F B@ G Q]Xa9`Ae r?^@B}? yt@F A@F A@" AQ\su`j0Ae:n?`Nn)@V8?r'&N!@F B@F B@EQ[b=Ae\?u`@ciJ?mDU+|@F B@F B@ @QZ+8q`Ae?ܘ J@W?L= @F B@F B@ *Xl  4H\p$8L`tD0* Ĥ-Ĥ* ĤmĤ+V+XYE-# ED@ ED-# EDSE EDQ=@=@Q=@+y=@M8Fo8M8BK8,[W۸W۸W,[W۸W=۸W'ĕĕ'ĕ ĕ 9m9m 9m9m *aD aD *aD`+aD#.c.?.c.#.c.s.c.%gPP%gP P%cjt*jt%cjtHͥjt&MJMJ&MJDMJ&I-I2I-I&I-IOI-I&.@7K%.@7&.@7zO.@7'9PGPG'9PGJPG'K--'K--'m`엵-`'m`8`* Ĥ-Ĥ* ĤmĤ+V+XYE,O+es : es ,O+es xnes ,cN(zN,cNzN-Ejh5jh-EjhqGjh .h0DXlh  4H\p|$8L`tqba 4Ѵ#Ѯqba 4̹hqba 4ޯIqba 4'qba 4ޫ"Mt΢qba 4ޭcqba 4޶-Ĥqba 4޶2gC*qba 4޷ Kqba 4޷42qba 4޸aqba 4H-bZqba 4y|qba 4۸Wqba 4lȃqba 4t,vqba 49mqba 4-qba 4YlUqba 4ѰbVqba 4.C qba 4M9uqba 4ծI.8qba 4“-Aqba 4qGjhqba 4طdiqba 4޽;qba 4TSYqba 499>qba 4i. Fqba 4QIfjqba 4Ήqba 4ub#Nqba 4 aqba 4f47]qba 4gbo|qba 4j) qba 4Zqba 4-qba 4MJqba 4aqba 43{pqba 4Eoqba 4aqba 4iQhqba 4]a 0Oo8_Y'Start z5aKlinefelter's sn isC}Lyme dz prophylaxis in pregnant women involves what abx?߫a5aKli#In pts with clinical presentation suspicious of primary HIV infxn with known exposure, and negative ELISA, what other tests can be ordered?+y=@fAIn pts with thyroid ca in remission, how much should you adjust synthroid to suppress TSH?7k{pQIn what type of patients do you usually see malignant otitis externa?曫I.8%?Increased serum viscosity 2/2 high protein content, causing brain microvascular impairment (HA,dizziness, vertigo). Seen in Waldenstrum's syndrome and MM_ <(vaInfection of which valve in endocarditis will most likely cause EKG changes (electroconductivity defects)?bYGIt's generally okay to let it pass, and have outpt followup4m`n;mKeep TSH below nl, usu. between 0.1 and 0.3uL/mL3{p5aKlinefelter's sn is linked to what cancer?"ֿ3VLEEPc.SLP, see if there is CSF involvement K yyTؑE) I;   ,O+es oq 4Ad1'AjkjWhat three medicines can precipitate digoxin toxicity?1) verapamil
2) quinidine
3) amiodarone
@0w2@'AoلiAj57V5@F B@F BAeM@!@@`Aoلiڳ)   ma2oq 4AduAid9XWhat is one complication of an acute MI, when can it happen, and what are its signs/symptoms?acute pericarditis; occurs 1-4 days after acute transmural MI, characterized by chest pain, worse on positional changes and inspiration; sign includes friction rub. EKG can show ST elevations with PR depression@!+QfN4-AAe^O<@wek@?Htr@@@ dX\` dQ{ resEAe_?MU`@OBo?6 @F B@F B@" Qz%-jhRAe_.E?YF%J@h4?I]` @F B@F B@$QyemVAe_O?ހ@vK?h䢝j@F B@F B@hpQxjtAe_hbN?ނAv2@6<?>h@F B@F B@ nQw#a Ae_r?xPp>@f`?XĈ@F B@F B@Qv. `ȪAe_#F?TW$@>5%-?wL[@F B@@+QuKaB8Ae_l?eз@-s"_?mlGL@F B@F B@ɺ`QtibHow do you characterize a febrile transfusion reaction?Fever, chills, responds to NSAIDs. This is usually a rxn of Ab's to donor leukocytes.@C"/ˌ$@&F6=AwZNHAj@@AaތC@'H*@UqAwZNH9މ<) E  g`oq 4Adh2 JAi'VWhat is typically the next step in management of an anterior nasal bleed that doesn't resolve after direct pressure?1) topical vasoconstrictor, followed by localization of the bleed
2) electrocautery
@3)@lD !AoUf:Ai#I.@F A@F AAd|&5?@&A@R <AoUf: $Xpt x$Q[o91Ae5-@ @˻?مq @@@IQ 347Ae@ .qٗ@ϫX?Ʌ+e@@@ zQdG-Ae*!@hf@\,?3[6;@@@5^QuQ/.@}Ae@sP!@jm?;0@@@hpQ*.)aAe`B@)@! f?ؠ@@@00QMaAefEdZ@ϥ@b/C?ؿ%@F B@F B@?Q#4AefD@ =%Q@5{g &?n@@@FQ`Χ.CSAefC J@B迄@ :;̢?%R @@@&}G  FozAe_Q7?ƵH?+@@lʰ@^ G~  }oEAe_P?g?}.Es@@lʰ@ 1 Q}]lAe_}-?M :?I?$@lʰ@lʰ@!wKQ| /#hVAe_I?|Ņ7@[#R`0?d@F B@F B@n dX\` dQI0kAfr@t\=@"i?]\?-' @X%@X%@a~Q[MAfO`B@iP@u:?ú*Ȋ @X%@X%@`Qy>^:AfM@ [^@!rnm??R(7@X%@X%@ fxQX2gC\AfK@ $@/OP??rZo@@@ QN.6 AfJ@Yob@ }?#@@@A\(Q \h= 4?AfAC@1ߛn@'@2 ?L@@@ z`Q O>AfA@#@@Sxk?EZ@X%@%X@?|Q FozAe?ƵH?ONǶ??tn@lʰ@lʰ@(A(Q }oEAe~R?g??n?k@lʰ@lʰ@ Q T4AegP@ (@YMX?F @@@JQG4 AeQ@ u@' ?ْ)@@@-q& cX[_ cQ ub9Af=@6磂{@QFT?[C@F B@F B@k7tQ fbxAfʏ\@ƬT@e3S?C8@F B@F B@Y^5Q{ԙbo}AfCo@:@znYnb?u0@F B@F B@QaAf]T@C#@.9?@F A@F A@ ÕQ+8q`Af@@W@+Y?_Y@F B@F B@pQXa9`Afx@B}@?HF@F A@F A@+30QM {a`Af@#chq@??貤޸Q@F B@F B@ =pQy7aTAfH@.,@/L?屼[@F B@F B@*5@R IfjAf@ @2uѡB?5W=j1@X%Y@X%Y@;IQ ? I-υAf|@NDQ@ h6?g]@X%@X%@b' Q r I.8Afs@SJja@!O0 ?U+<@X%@X%@5? dX\` dQ(emVAf =q@vK@\;L ?ЭhŘ@F B@F B@oQ' {jǢAf@,C@W@n.?2J@F B@F B@&_;`Q& /#hVAf@[#R`0@NJ[ܧ?3H@F B@F B@?pQ%]bˌAfj!@b!h@?5!/h@F B@F B@ Q$b=Afh@ciJ@k9?aUU@F B@F B@#Q#jtAf @6<@!t?ċa@F B@F B@GQ"#`1b#AfFE@N@=.? =q@F B@F B@Q!%-jhRAf,I@h4@ySE5?6Dƻ[@F B@F B@wQ  resEAf @OBo@Q܄GO?ºUn@F B@F B@z@QSb#NLAf ;33@ч@?Z @F B@F B@lQ h#bVAf )x@i%M@a?Yա@M(Pq@M(Pq@I dX\` dQ3}oEAf1O(??n@عNͩ?ܢR@lʰ@lʰ@ Q2|9aҰAf1N4@$@ڠ?BJ/@F B@F B@\0Q1t}a3Af1Lfy@ºղP@̮i?[0@F B@F B@$ @Q0p*`rAf1IߍP@po@;3? @y@F B@F B@">Q/ibL?0r@y]@@@0Q*]lAf??I@E]?J!| #@lʰ@lʰ@(oQ)ThPAf-/?ƣH@Эf?^A c@F B@F B@/  PQSS\ !>qba 1 CQ=@qba 44α I ]wbxqba 4hypoxia, COPD, hypomagnesemia, hypokalemia, heart dz, the ]wbxqba 4hypoxia, COPD, hypomagnesemia, hypokalemia, heart dz, theophylline or isoproterenal or aminophylline useOʰ1W 4What is the most common sequelae of untreated varicocele?JݸuѮW 4What is the medication of choice to treat cat bites?J㌉ ux]sqqba 4slow infusion with D5W and bicarb (will correct CO2)/p ?*pqba 4nondominant parietal lobeEhkQhW 4Which type of lung ca is SIADH associated with?p ?M8qba 41) SSRI: fluoxetine (20mg). A higher dose doesn't work
2) Use alprazolam as 2nd line"#Q=@W 4In pts with clinical presentation suspicious of primary HIV infxn with known exposure, and negative ELISA, what other tests can be ordered? 5x0 ~b*[qba 46 wkstf + M2gC W 4What anatomical finding is present in 40-100% of pts with a Mallory-Weiss tear?A  c`+ė qba 4pramipexole (dopamine agonst) or ropiniroleR̶f + M2gC W 4What anatomical finding is present in 40-100% of pts with a Mallory-Weiss tear?A  c`+ė qba 4pramipexole (dopamine agonst) or ropiniroleR̶ Y Lqba 41st and 3rd trimester: Flagyl
2nd trimester: paromomycin9SXCΑW 4What is the prognosis of Erb palsy?kơT5̸TW 4What are the tx options for primary biliary cirrhosis? What labs do you order to dx?9ݠD S *aDqba 4anterior wall of the left ventriclefĚ+#"W 4How does epididymitis usually present, and what is the most common cause of it?V faW 4What does Beck's Triad consist of, and what do you see this in? ))@(µ ) _ Yc4oq 4AkrAk$How long do you wait for undescended testes to descend before considering surgery?6 months. After that, it's unlikely they'll descend by themselves@;!?cHAlKAk _9@, Q@, QAktĜ@p@pAlK@( iw aʠoq 4Aj݁AkRWhich steroid is used for antenatal steroid therapy for preterm labor?betamethasone?k?YcAkoAk(Ns@*@*Ak4@(@(Ako Jbp&}<JG?  ohVAf0d?בk?@@0yU@"%`@Q>K9qqAf.A@i֋=@$&VGZ?צ @@@)Q=W2jjCAf,/;@E@&t?@@@p><   !K?Af*;?`^i@@0yU@%ٙR;߁[4dAf'P@m @&}9,?־G@ffffff@ffffff@vQ:qVb*[QAf&m@~r@v@+8?@F B@F B@hG9  }c|Af%dj@ ȇq?aH@@0yU@&}Q8k <)Af"y@@5~hU?g77l@@@(XQ7S 7Afs@Z$ Z@Wp+8Qj8Qj   +ɽɽ 9bib< Yc4RO5  R+4pT4pD ħhisħ eqQK ay7aT t΢ut ħhisħ ?-AN4-A \S"#tB o"# ' - X9uh|9u> M4T4 aHNF H *pK* J <(ɞk <) ֵaAKaB8 UOS3xKSo +ɽɽ 9bib< Yc4RO5  R+4pT4pD 'ĕZ7ĕA eqQK ay7aT t΢ut 42߁[4d 4PoQ4P /SC`/S aa  +-dG-  a#a   M2gC X2gC\ Sro %M!& Q=@=@Y ,G)k,8N<a+cystic fibrosis4*ΔNuclindamycin and gentamicin, to cover both aerobes and anaerobes from genital tract; also covers beta-lactamase producing anaerobesD{Qclonidine. It can be given orally or transdermally, and will lower bpQ>Aycoronary thrombus - treatment is immediate angioplastyaUcortical: Alzheimer's
subcortical: Parkinson's (has extrapyramidal sx)^+corticosteroids  4[+crystal-induced nephropathy is a well-known side effect of what HIV medication?s!dantroleneΉNdopamine receptor blockers (fluphenazine, pimozide, tetrabenazine)/ĥa}oecthyma gangrenosum - has black necrotic center. This isn't pathognomonic, but its pressence suggests pseudomonasr_ɽ 7elderly, diabetic ptsծI.8$?electroconvulsive therapy ħh=qesophageal dysmotility associated with sclerodermaM9u$?folinic acid (Leucovorin)i. F;mgenerally good, with 80% chance of full recoveryEgΑ xOSyya!y4W 4What is the primary mode of treatmenfӅ+'W 4crystal-induced nephropathy is a well?“f_{ fW 4What is one side effect of carbamazepine?fӅ+'W 4crystal-induced nephropathy is a well-known side effect of what HIV medication?DӵiW 4What disease is associated with lichen planus?Ӹۑģt ]\S"#tqba 4As soon as possible. They will not resolve with age, and have high risk of complications (incarceration)dӸ 'aHqba 4Start zidovudine and lamivudine with 72hrs of exposure, and treat for 4 weeks ԯug`W 4What is typically the next step in management of an anterior nasal bleed that doesn't resolve after direct pressure?˱¥ %qba 4sepsis}͂ Yo`iqba 4immediate endoscopic removal, because it will lead to corrosion, electrical d/c, and release of toxins YY̑( +u    uToq 4Ak"3αi( G{ R,oq 4AkV^AkFyWhat is the next logical approach to workup of ASCUS?HPV DNA testing@Gw?KYAl\[ AkzXW@;L"R#@;L"R#Akn5?@-*Z@U32Al\[ ̑( +u uToq 4Ak"Ak=qWhat is one of the side effects of INH?hepatoxicity@q ?'gAlRvգAkx t@Ị=@Ị=AkQc@ @AlRvգ3던[) ;  qWhat is the most frequent complication of TURP?retrograde ejaculation@"oK\@ Wʫ5`RAl-y7aT AnuC`/S An!>JN4-A An?8J`Χ.CS An@S+8q` AnRPҝo AnWJ,Tk5{O AnXH)Sʭ An^;O> Ani:hɓN2 An@h#bV An,|wC1 An@qz An%K* AnAJqza3ƃ AngVFM!& Anر2k[o91 An6J Ifj Ani+_# & An!,3 AoƩQ4P Ao|*.)a Aoմbl {jǢ Aov? I-υ AoR5Br|Eg Ao1'v. AoT -8g,v> Aob#a  Aogu'#`1b# Aol{m_& Ao~ɨ{ Ao+#\0F #0H`x 8Ph(@Xp An@qz AoR5Br|Eg AmG̖< 4 AmV+  AmܚKaB8 Am|=Ur AmL1k <) AnV>y7aT AnuC`/S An!>JN4-A An?8J`Χ.CS An@S+8q` AnRPҝo AnWJ,Tk5{O AnXH)Sʭ An^;ۛO> Ani:hɓN2 An@h#bV An,|wC1 An@qz An%K* AnAJqza3ƃ AngVFM!& Anر2k[o91 An6J Ifj Ani+_# & An!,3 AoƩQ4P Ao|*.)a Aoմbl {jǢ Aov? I-υ AoR5Br|Eg Ao1'v. AoT -8g,v> Aob#a  Aogu'#`1b# Aol{m_& Ao~ɨ{ Ao+#\0F #0H`x 8Ph(@Xp An@qz AoR5Br|Eg AmG̖< 4 AmV+  AmܚKaB8 Am|=Ur AmL1k <) AnV>y7aT AnuC`/S An!>JN4-A An?8J`Χ.CS An@S+8q` AnRPҝo AnWJ,Tk5{O AnXH)Sʭ An^;ۛO> Ani:hɓN2 An@h#bV An,|wC1 An@qz An%K* AnAJqza3ƃ AngVFM!& Anر2k[o91 An6J Ifj Ani+_# & An!,3 AoƩQ4P Ao|*.)a Aoմbl {jǢ Aov? I-υ AoR5Br|Eg Ao1'v. AoT -8g,v> Aob#a  Aogu'#`1b# Aol{m_& Ao~ɨ{ Ao+#\0F O|H_ޓ | ޓF mXCΑqba 4generally good, with 80% chancD -# EDqba 4paragoric% +'m`qba 41) hearing losshڝ/MihVW 4Both adenosine and dipyridamole stress tests are contraindicated in what setting?E  k,O+es qba 41) verapamil
2) quinidine
3) amiodaroneoD=3θDW 4Which are the most common viruses causing meningitis/encephalitis in the peds population[auaW 4What should you tell a pt with MS on interferon regarding pregnancy?wl MX%lqba 4Use IV Abx:
1) IV ceftriaxone and IV doxycycline OR
2) IV cefoxitin and IV doxycyclineA붑 c={qba 4anti-viral agents: interferon and ribavirinL y;)qba 4CT of abd and pelvis with stone protocol (no contrast)X҅aҰW 4What is the treatment of choice for unstable atrial fibrillation? QQ!3Goq=lұ 7R+4pqba 4Fever, chills, responds to NSAIDs. This is usually a rxn of Ab's to donor leukocytes.rՂĚ C#"qba 4mild-to-moderate scrotal pain with swelling and tenderness. No voiding sx, UA nl. Usual cause is chlamydia trachomatis. Cremasteric reflex is present, and Prehn's sign positive (decrease in pain on elevation of scrotum):幐k U.29\kqba 4bleeding (has antiplatelet activity)=u Yg|Efuqba 4pituitary enlargement and hyperpigmentation following bilateral adrenalectomy for Cushing's dz. Pituitary gets larger b/c loss of feedback by adrenal glucocorticoids.Goq=b#NW 4What is the treatment of choice for TCA toxicity?^o`iW 4How should you manage a button battery that is lodged in the esophagus?m9soW 4How long should you anticoagulate for DVT in the presence of a reversible risk factor? gg7ʭ) #)  qoq 4Ah`^pAjlN"What is the cause of lichen planus?immunologically mediated skin disorder@'G։@N̆How long should you anticoagulate for DVT in the presence of a reversible risk factor?3 months@-Q@dKtAmӍAhن"@lʰ@lʰAe_O;@%‰@;(rAmӍ !0H`x 8Ph(@Xpp @)uQ/.@} @)P/wC1 @(GT4 @(l|$ A%O @(3'JɓN2 @'G։Sʭ @#f)Br|Eg @"ӋnyEK* @&0E#`1b# @-ʼnv8g,v> @-Q}oE @-2T2rc| @-%ThP @+wC9!,3 @+Ch8O# & @*M. @*Z= 7M!& @*{Ɋa @*br.zEa @* rPt? I-υ @)qm/pX2gC\ @)uQ/.@} @)P/wC1 @(GT4 @(l|$ A%O @(3'JɓN2 @'G։Sʭ @'ȵCvTk5{O @'^<1)o @'DW73- @&1œ /1T] @&'/z@G @%77Q5ZH @%ⴚ} Ifj @%I;V[#ޝ @$8>+  @) @-و>F @.>moR.5J @.ZC/m_& @.C9﷜e. @/I^,$i!9\ @/jѴh#bV @/Ӹ0WPy @/X!K? @/Ŗ 4 @0w2resE @0WKaB8 @0OS @08ʕy7aT @1@XN {jǢ @1MLdכO> @1zB,YN.6  @1q0m9 @1{5NJɨ{ @1 U\0F @1Hʵ+8q` @1DWqfbx 9û) [u 2uoq 4Ak垧AkX What is erysipelas and what bug is the typical causative agent?cellulitis, with sharp demarcation of affected area, abrupt onset with the presence of systemic sx. Group A Strep is typical causative agent@ ̷4 ?֮>b@Al @Ak<3@*@*Ak^@%t@5tAl @ւ>Ύ( _{ 'm`oq 4Adg{Ahj3^What is one symptom seen in Meniere's dz that's not seen in BPPV?1) hearing loss@1Hʵ@+YAn@SAhhN#@F B@F BAdzw|@]@6ETAn@S *#Y]]/αD ?3θDqba 4arbovirus and enterovirusY wqba 4Death T 9bqba 4this is usually transient, but you can treat with IV atropineQ+ɽW 4What is the name of the skin lesion caused by pseudomonas?FӗmVs4W 4What does treatment of acute Hepatitis B entail?& -%cjtqba 4MRI of the chest 3 qba 4apnea, hypoglycemia, hyperbilirubinemia, cardiac and respiratory compromise. Tx with Hydration and partial exchange transfusion:ɺUeqW 4What is one side effect of rifampin?/αD ?3θDqba 4arbovirus and enterovirusY wqba 4Death in usually 3-6 months. If treated, then may prolong to 2 yrs(G1'9PGW 4What is Pick's dz?>ʯӨ ]64qba 4hepatitis, cirrhosis, and liver failure.  R ;ך) E ħhoq 4AjB}hAkБWhat is the treatment of a manic pt who is pregnant?electroconvulsive therapy@R@\^Alu`Ak)@կ@կAjlS@o@*<Alu`#֒ ) ? y_oq 4AkAkR`BHow does androgen insensitivity syndrome present?Female; nl breast development; no pubic or axillary hair; no Mullerian structures present (uterus, fallopian tube). The vagina ends in a blind pouch@} ?5PpBAl aAk)WH@*@*AkX"Al a )0DXl  4H\p$8L`tqba 4ށ-̸TW 4u KqW 4xnes W 4zO.@7W 4zNW 4{GhVYW 4}IfjW 4}bo|W 4~a9W 4)%bW 4L1. FW 4],vqba 4ހ qba 4ނr_ɽqba 4ރK%.@7qba 4ރ` qba 4ބPqba 4ކ%/Sqba 4އ6ùqba 4އQ.)aqba 4ވ_ <(qba 4މzwqba 4ފ2I-Iqba 4ފ>qba 4ތ ;qba 4ލqba 4ޏVqba 4ޑ"%Oqba 4ޓ/ĥaqba 4ޖ'e.qba 4ޗ$aҰqba 4ޗVqba 4ޙ'etqba 4ޛPGqba 4ޜ-92qba 4ޞq4qba 4ޠl)5J9qba 4ޤqeqqba 4ަ"#tqba 4ަHqba 4ީ[% cϑ) s1  reoyoq 4Ae^MtAj!How do you treat sulfonyurea-induced hypoglycemia that's refractory to D50?SC octreotide (inhibits insulin secretion)@!jP&@| ᛖAmcc6TAj0kG@9}@lʰAe_P`@C@ExAmcc6T 8Xft*8GK  BZAfKl?&CxY?,1@@0yU@FQJBr|EgAfJW?Hhh@ ?Lf@0yU@0yU@0$QIMaAfF/;@b/C@!ixo?fi7@F B@F B@GH  rc|AfDz?@aƣ@@0yU@:/QGaAf=@@  @M.I@F B@F B@PQF0m9Af<z@ xC@1q?mY@@@xGE  e.Af: ?Hh?~t>3@@0yU@-/ QD!9\Af6R@LU@wۺ?E8(3@@YB@nHN !K?Af]+?޻A夊vrC@0yU@0yU@ `GM  ɨ{Af\ J?)'@3G@@0yU@&;hGL  Ճ`AfY9X?1?Ú[@@0yU@K TTd|[2\~+iron deficiencyĕ@w3in3]hepatitis, cirrhosis, and liver failure.K){4%hepatoxicityfgTǁByhypertriglyceridemia, with increased VLDL. Caused by HAART treatment. Give gemfibrozil, will decrease VLDL levels, and have less side effects than others. statin will NOT likely work E%hypocalcemiae{OiGhypokalemia, within the first 48hrs. Newly forming red cells will suck up the K in the blood.l)5J9t]hypoxia, COPD, hypomagnesemia, hypokalemia, heart dz, theophylline or isoproterenal or aminophylline use[bxrYimmediate endoscopic removal, because it will lead to corrosion, electrical d/c, and release of toxins4`i1Yimmediate unsynchronized cardioversionb=q1Yimmunologically mediated skin disorderqeq)Iindinavir (protease inhibitor) &siGinfection: SBP, UTI, resp, bacteremia; Thus they should be started on Abx, a fluoroquinolone.he2jj3intestinal lymphoma99>+iron deficiencyĕ  6`2\.X ڑ %w 4Ahs"Ahs" t %w 4AhGS AhGS ӑ %w 4Ah,dZAh,dZ ıD %w 4AkuuAkuu  %w 4Ah"Ah"  %w 4AdFAdF W %w 4Aj⟾Aj⟾  %w 4AhpsAhps  %w 4Ae אAe א 幐k %w 4AadAad ¤/ %w 4AbjAbj ʮ %w 4Af\}bNAf\}bN  %w 4Ag  Ag  Ө %w 4AaɵpAaɵp  %w 4Ah_^Ah_^ ǹۊ %w 4AguxAgux  %w 4AgoAgo  %w 4A`EJ!A`EJ! t %w 4AhGS AhGS ӑ %w 4Ah,dZAh,dZ 2 %w 4Aa;ƨAb5XdZ ׻\ %w 4Aai_;dAai_;d $ %w 4AdzڟAdz &0DXl  4H\p$8L`tBD9K KBD9K-p%Kaʠ0ʠaʠ-/ʠ`+ė ]ė `+ė \ė aFrMraFr Mr.29\kk9\k/ %I0/P2I0// %I0/Q7I0/3me.'e.3me.Se.4WΉ4Wse64>464K){47Rԋ Eԋ7Rԋ,ԋ9 j) 9 o) :OCTŋT:OCT#T;B 7ז] 7;B 70 7=t'et=tt={sY{={?{>;92-92>;92D992?]4\'fS4\?]4\34\@ͧa$*a$@ͧa$$a$BD9K KBD9K-p%KD|y|D|QJ|H>]ߚ5>]H>]|>]Jb=qb=qJb=q"Eb=qO_bPH-bZO_bP%kbPP{O™{O ) sk   +-oq 4Aa&ĿAk DWhat is the treatment of choice for non-metastatic squamous cell carcinoma?1) Surgery
2) If no surgery, then radiation therapy is second choice
@C-5-@'g/AwYWhat three medications can cause macrocytic anemia?1) MTX
2) Trimethoprim
3) phenytoin
@22b@ :;̢An?8JAh 1e@@AaA"$@'=(@O8An?8J hy#Gh|6$+זӚ7/SW 4How does ALS preseɰ 0Iqba 4Younger than 1y/o and >50 y/o, those with CAD who are most susceptible for bacteremia and endovascular infxn. Use Bactrim or Cipro`ջ;)W 4What is the imaging test of choice for a pt with suspected kidney stones?$΢ )t΢qba 4MR angiographyr֕ڱCSͭZW 4How should you manage intraoperative hypotension for removal of tumor for pheochromocytoma?  qba 4LEEP+זӚ7/SW 4How does ALS present?/ًձ= W 4What is the treatment of choice for high-grade squamous intraepithelial lesions? (CIN II, CIN III, moderate and severe dysplasia, and carcinoma in situ)EٔkqWhat do you have to cover for when treating malignant external otitis?anti-pseudomonal coverage. Use fluoroquinolones, or PCN that covers it (pip or ticar)@8"eZP@"(cAryK9AjpX8^@X%@X%Ac|Ix@@InVAryK9/?( A{ ~/ 4oq 4A`D뜼jAjkepWhat is typically the first-line treatment of ITP?corticosteroids@?X|1@'@2 AtwAi:}t@@Aa J@ @BlAtw nXfjnQb[o91Ag )@˻@ q?C7~@@@2tQaɨ{Ag S?)'@3ղ?"@0yU@0yU@Q` !K?Agp1'?޻A夊v?E)-?#=@0yU@0yU@#hrQ_FozAgn@uż@m\@?cLX@lʰ@lʰ@Q^]lAgl)x@E]@Ǥ?EzAktWhat demographic groups should be treated by salmonella poisoning, and with what abx?Younger than 1y/o and >50 y/o, those with CAD who are most susceptible for bacteremia and endovascular infxn. Use Bactrim or Cipro@)j?MoAlqnAkq/$@Ị=@Ị=AkP/#@4@4Alqnaұ) w' TOFoq 4Ag[H#33Aj@ JWhat is the recommended mode of treatment for primary pulmonary hypertension?anticoagulation and oral vasodilators@-و>@ X:AoAMAjV9@˹ԏ@˹ԏAgb@4R$@NrAoAM $Xfjn$Gn  oAg UU?٪I,?/y~K@@YB@znQmohVAg ?בk?TNS?;ߟH@0yU@0yU@MQlrc|Ag dZ??N"c7?@\ "@0yU@0yU@\xuQkՃ`Ag ˎV?1@E<>~?ͣ#@0yU@0yU@ 7PQj5ZHAg G?|]DJL?"v&k?;})V@0yU@0yU@#DQiK*Ag |9X?۪?M V?Zxi@0yU@0yU@QQhBZAg źH?&CxY@]9 *?<&@0yU@0yU@ưGg   A%OAg ?*T ?P~@@YB@ 9XQfe.Ag ?Hh?}&?K@0yU@0yU@*Qe#`1b#Ag G@=.@ ͏?~x[Z@F B@F B@ z@Qd ub9Ag @QFT@ vI?‰@F B@F B@GzQcuQ/.@}Ag %@jm@-NVR?E-@@@% @ NNE) oI G˰R( {s  -Ejhoq 4Ae הzAjkdWhat is the single-most effective non-pharmacological approach to decrease HTN?What is the most common long-term complication of a TURP?retrograde ejaculation@*M@A>Ao1'vAju"@Où@MAi_i@/@'/Ao1'v‚`)     MihVoq 4Ad%Ai_h$1Both adenosine and dipyridamole stress tests are contraindicated in what setting?COPD - it can induce bronchospasm@7z ឿ@7T:&AqAz$AiFx @@F BAeb@7@@{ƦAqAz$  S ;ޒߢ) /'     { foq 4AggAkWhat is one side effect of carbamazepine?neutropenia (bone marrow suppression)?4, o@k#AkEyVAkU(1'@/)]@/)]Ag Vȴ@L(@>ChAkEyV"ᚄַ) y'   QbVoq 4Ad|_SAi_k =What type of medications should be discontinued in the context of an acute MI?calcium channel blockers; they can be harmful in the setting of MI; continue b-blocker, ACEI, statins@/jѴ@n]An@Ai ʕ@M(Pq@M(PqAd|\)@@FPAn@ k;i~postvoid D|mpostvoid Dribbling, Dysuria, and Dyspareu@wisotretinoin, minocycline. Also seen in paragoric@ ED-Qlateral wall of the left ventricleka+less than 1cm^2$a$lidocaineb#GgCmild-to-moderate scrotal pain with swelling and tenderness. No voiding sx, UA nl. Usual cause is ch0Wneutropenia (bone marrow suppression)d]f$?nondominant parietal lobe*pygnystagmus on far lateral gaze. Other si/sx include blurred vision, diplopia, ataxia, slurred speech, lethargyZ @-Qofloxacin or cipro (use quinolone)lȃ0Worange discoloration of bodily fluids'(Gosteomalacia and osteoporosis̹h9gpain (otalgia), purulent drainage (otorrhea), granulation tissue at floor of bone-cartilage junction in ext aud canal (pathognomonic)
Tympanic membrane is usually intact.2I-IMpain out of proportion to exam. Pain with passive motion of limb.j) %pancreatitisT8-peripheral edemamhPܯ #DXl  4H\p$8L`tD$8L`t 9mI9m *aDMa#.c.4.cj%gPS%cjtjt&MJ[M&I-I? I-υ&.@7uQ/.@}'9PGWPy'K-wh- 'm`+8q`-# ED  E42߁[4d4PoQ4P/SC`/Saa +-dG- a#a  M2gC X2gC\Sro%M!&Q=@=@Y'ĕZ7ĕAM88b 9mI9m *aDMa#.c.4.cj%gPS%cjtjt&MJ[M&I-I? I-υ&.@7uQ/.@}'9PGWPy'K-wh- 'm`+8q`* ĤRĤ+6,O+es resE,[W۸WFRI۸,cNɓN2-Ejh%-jhR.29\k!9\/ %I0/I0k3me.e.4W]64#4 \.) )  g|Efuoq 4Af)NWAkЎ`BWhat is Nelson's syndrome?pituitary enlargement and hyperpigmentation following bilateral adrenalectomy for Cushing's dz. Pituitary gets larger b/c loss of feedback by adrenal glucocorticoids.@#f)@!IAoR5Ak̚,#@F!@0yUAf1v^@8>@U@_AoR5ģ) e-  \S"#toq 4Ah$Ajm`When should inguinal hernias in the pediatric age group be repaired?As soon as possible. They will not resolve with age, and have high risk of complications (incarceration)@2 @OcFAp_Ajq=)i@¿@¿AhjF@'@('Ap_ Gv+.d=What is onL What is one complication of long-term primary biliary cirrhosis?u̹hd?uWhat is the medication of choice to treat cat bites?|Ѯ[+What is the best prognostic factor in survival in primary CNS lymphoma in AIDS?ז] 7.SWhat is the cause of lichen planus?u KqV!What is the drug of choice for treating sclerodermal-related renal crisis?V]/What is the fluid of choice for pts who are oliguric, acidotic, and hyperkalemic?q#qSWhat is the gold standard Abx regimen to treat postpartum endometritis?LUWhat is the imaging test of choice for a pt with suspected kidney stones?)X%What is the initial diagnostic test of choice for a perforated peptic ulcer?42PWhat is the initial treatment step for fulminant ulcerative colitis?;4K What is the mechanism of cause of hypercalcemia in sarcoidosis?Se.4_What is the medication of choice for PMS?BK8 `l"D\`Qzb=Ag-w@k9@(z?E_r@F B@F B@Qyt}a3Ag-hĜ@̮i@hY~5?U=@F B@F B@1QxdG-Ag-@\,@'g/?!\)@@@qQwSb#NLAg 1#@@")2?!O"w`U@F B@@GGv  xߢAg Vȴ?,XM. ?>GL@@ɗ²l@#r Gu  m_&Ag m?,Ԝn+? `@@ɗ²l@%xQGt  \0FAg 0bN?@6.?g22@@ɗ²l@Gs  ]Ag -p?AVb?k@@ɗ²l@PWKGr  WPyAg |?+oW?^\(@@ɗ²l@ /Gq  SAg zu?ɬl?@@ɗ²l@330Gp  C`/SAg xt?؅d?ch@@ɗ²l@GcGo  8g,v>Ag m>v?c?p6@@ɗ²l@N 8l"048Q4]lAh=|I@Ǥ@o? @lʰ@lʰ@!ݲ(Q3}c|Ah;<@ ȇq@7?ݲ @0yU@0yU@11Q2aAh6~@v]ro@*br.zE?=@F A@F A@)Q1 resEAh5@Q܄GO@'?°7i7@F B@F B@bOQ0%-jhRAhS@ySE5@:Դ?u!'@F B@F B@lQ/jtAh0@!t@J_?w@F B@F B@01htQ.N4-AAh bN@@2d05?A'Ř@@@Q-`Χ.CSAh T@ :;̢@22b?N @@@)y G,  M!&Ah 1'?C?DDD@@ƴϊ@pG+  /1T]AgL=T?;桱P?{@@˹ԏ@EG*  3-AgK{F?HA?Fc@@˹ԏ@ G)  GAgJ?}n?k@@˹ԏ@"ؓp dX\` dQR.5JAg-G?ӿc-?Xa(+?€?/@YB@YB@+QxߢAg-Լj?,XM. ?yYA?b7pW;@ɗ²l@ɗ²l@ ;d@Q\0FAg-?@6.@@Q|?S>ʆB@ɗ²l@ɗ²l@ɺPQ]Ag-O?AVb??R-rb@ɗ²l@ɗ²l@RQV[#ޝAg-ݑh? *vp@J|?ͦr@YB@YB@ >vQ|9aҰAg-@ڠ@?PUz@F B@F B@#r Q]bˌAg-M@@uǧ?cr@F B@F B@Q~ib_y?ѧSβ@@F B@F B@EQ{xM`Agڄ J@=ؖ@$+v~;?y #@@@ vG  EQAgbN? (?oG}@@˹ԏ@G  FAgbv?5(?LX@@˹ԏ@#SQ[MAgb,/@u:@"(c?^KQn@X%@X%@Q C`/SAgW?؅d@~? c <@ɗ²l@ɗ²l@0bMQ oAgWb?٪I,@=۬d?ߠH]@YB@YB@rLQ 8g,v>AgW?c@Uw?:@ɗ²l@ɗ²l@>Q SAgWش9?ɬl@vSH=?_Aɮ{@ɗ²l@ɗ²l@S' =Q WPyAgWy/?+oW@bG*?$?/@ɗ²l@ɗ²l@1XQQm_&AgWuQ?,Ԝn+@OgG?ߢCvI@ɗ²l@ɗ²l@=pQ ? I-υAgWs@ h6@3}6i?uSu@X%@X%@/-Q A%OAg-?*T @X?@W]R@YB@YB@!9( 77o7Z#|D x?!2009-01-29@# @>  X6 ! 2009-02-188@"q@Hz 7 !  2009-02-17@$1G@p%G" !2009-02-165 ! 2009-02-15*@!Hmr@v6g6 ! 2009-02-13&@)t1gM@~I^* 7  ! 2009-02-12!@ BRt'z@pen6  !  2009-02-11@#uJ@pk>%4  ! 2009-02-10@ 5k>@co5  !2009-02-09@@`5  !  2009-02-08@.Z@nZ 7 !2009-02-06@ZY@gp5 !2009-02-05 @!X-@Ojw84 !  2009-02-03@!e@mwK336 !2009-02-02@ ]F@d 5 !2009-02-01@# UUU@i|@ 4 !2009-01-31@&+@Kƀ" !2009-01-29 Z u>[$"  !2009-03-055 !  2009-03-04@ N4,@m' : !2009-03-03=@-@6u56 !  2009-03-02"@+hYe#7a@}uj 6 ! 2009-03-01@# 40 @hV 5 ! 2009-02-28"@ N @qR5 ! 2009-02-26@ (@Z/M8 ! 2009-02-25@#Nb„@e/UV7 !  2009-02-24@%Xr@h6 !  2009-02-23@#V.@kV 8 !  2009-02-22@ ":@k95 !  2009-02-21@#{.@oh 6 !  2009-02-20@'Dq@t65 ! 2009-02-19 @*RR@`³33 LL ˱]) ?3    `+ė oq 4Aj:GAkcFWhat medication can be used toKx) _ >;92oq 4Aa@`Af0|What sort of changes in diet do post-cholecystectomy pts require?Usually no changes in diet.@22>L@܌cAl0@FhAf/VJ@@Aa @cƫ@3Al0@FhSƈ&) 9K oq 4Ah`oAjl=wPWhat disease is associated with lichen planus?advanced liver dz with hepatitis C. Should do a RNA PCR@+Ch8O@<  Ani+_Aj }e@º@ºAhj5@@@-@Ani+_ qq)n=xH.SWhat is the cause of lichen planus?u KqV!What is the drug of choice for treating sclerodermal-related renal crisis?V]/What is the fluid of choice for pts who are oliguric, acidotic, and hyperkalemic?q#qX%What is the mode of treatment for torsade de pointes while the pt is stable?%kbP^1What is the mode of treatment for torsade de pointes with hemodynamic instability?"Eb=qDWhat is the most common cause of inherited thrombophilia?-ADWhat is the most common extrarenal manifestation of APKD?s@zwDWhat is the most common long-term complication of a TURP?tDWhat is the most common sequelae of untreated varicocele?)1:kWhat is the most frequent complication of TURP?RGWhat is one of the earliest signs of phenytoin toxicity?nystagmus on far lateral gaze. Other si/sx include blurred vision, diplopia, ataxia, slurred speech, lethargy@uͻ@Yo4gAlPv3Aj~{@0yU@0yUAf%cƨ@#`@@@AlPv3 dX\` dQohVAgڤkt?TNS@ _F? D-!@0yU@0yU@Qɨ{Agڣ M@3ղ@M"?Tm5@0yU@0yU@1&Q\0FAgڡy@@Q|@pu;?Hsd8!`@ɗ²l@ɗ²l@Q A%OAgڠff@X@|Wۉ.?|Kl`T>@YB@YB@#QBZAgڝ@]9 *@(?Vio@0yU@0yU@ PQՃ`Agڜp1'@E<>~@gO?U G@0yU@0yU@QBr|EgAgښff@ @ ??m='qf@0yU@0yU@LDQX2gC\Agڌ;@/OP@)qm/p?Hax:@@@QemVAgڋ9@\;L @yͶZ?/`b@F B@F B@QN.6 Agڊ97@ }@Lb1?3m&Z@@@1|j|Q. `ȪAgڅO@>5%-@8N[ɢ59?ܩ-@@[@bM #X\iw#Q( ]Ag(bN??Ai{b Z@/)]@/)]@1&G'  xKSoAgq^?{>S?}Ǵ@@˹ԏ@OQ&FAg?5(@?t ax@˹ԏ@˹ԏ@Q%EQAg ? (@1(?B>vT@˹ԏ@˹ԏ@\)H$  ]AgĜ??%@ɗ²l@/)]@*7Q# !K?AgȪ?E)-@Z?:zkO@0yU@0yU@hpQ"K*Agǃm?M V@r?枡[g@0yU@0yU@&6EQ!R.5JAgĶ{?Xa(+@J g?K$i@YB@YB@MiQ 5ZHAgڵH?"v&k@YF?59@0yU@0yU@1tzQrc|Agڱ?N"c7@Gr?ߟw=@0yU@0yU@AkQxߢAgڨ?yYA@yB&?^8.E@ɗ²l@ɗ²l@DQe.AgڧI?}&@߅?A^[f@0yU@0yU@)" ,0DXl  4H\p$8L`tqba 4ަHqba 4lȃqba 44*ΔNuqba 4 Eqba 4ĕqba 44qba 4b=qqba 4]Maqba 4Q>qba 4 &sqba 4 jo0qba 4kaqba 4[bxqba 4qqba 4*pqba 4Fo8qba 4Y'uqba 4ȅS3qba 4s.c.qba 4=@qba 4ērqba 4q1qba 44Poqba 4b#Gqba 4[e`rqba 4;em$qba 4  4qba 4#Tqba 4#hVqba 4$a$qba 4(zNqba 4+9qba 4,ԋqba 4-K#oyqba 4-pqa9$qba 40ʠqba 40 7qba 41<59qba 43!qba 434\qba 44(ޓqba 44m`nqba 45(qba 48x.6 qba 48`qba 4: es Xi+tHބlqX%lW 4What are the recommeHބlqX%lW 4What are the recommended Abx for treatment of PID?fޥ=ۿ[LaW 4What side effect does didanosine cause?9K SBD9Kqba 4LP, see if there is CSF involvement%2 +42qba 4Abdominal X-rayqܫ Afaqba 41) hypotension
2) muffled heart sounds
3) JVD
Seen in acute pericardial tamponade]݅P%gPW 4What are two viable options for chronic therapy for cluster headaches?HބlqX%lW 4What are the recommended Abx for treatment of PID?fޥ+-EjhW 4What is the single-most effective non-pharmacological approach to decrease HTN??ɱ_M8W 4What is the medication of choice for PMS?ߖaYW 4A nonresponsive person (r/o coma) responds to cold calorics with proper nystagmus. What does this suggest? @@z{<)/( [c  | ޓoq 4Ah_jnAkx1'How should you treat psoriatic arthritis with nail bed pitting?MTX@@G,"@c#yAmSvAk @º@ºAhjAP@@/MAmSv{<) {W 9boq 4Ad|How should you manage symptomatic bradycardiac after an acute inferior wall MI?this is usually transient, but you can treat with IV atropine@3Z @lw67ApAi@F A@F AAd|qX@sp@J9VAp 8p ?M8qba 41) SSRI: fluoxetine (20mg). A higher dose doesn't work
2) Use alprazolam as 2nd line.3 =UOS3qba 4Churg-Strauss vasculitis'αƐ. /#.c.qba#֤u %2uqba 4cellulitis, with sharp demarcation of affected area, abrupt onset with the presence of systemic sx. Group A Strep is typical causative agent.3 =UOS3qba 4Churg-Strauss vasculitis'αƐ. /#.c.qba 4chemoradiotherapye) 9mW 4What are two of the most common techniques to confirm eradication of H pylori?1 CQ=@qba 4RNA PCR or p24 antigen testKr wSrqba 4isotretinoin, minocycline. Also seen in endocrine d/oܼ e1qba 4testicular atrophy; impaired venous drainage will cause temperature of scrotum to rise, resulting in atrophyLܾnyɹ`nW 4How should you manage a button battery in the stomach? Ӟ) q    z) ig   !>oq 4Af񜛦Aj.@bWhat is one medication that is useful for treatment opioid withdrawal?clonidine. It can be given orally or transdermally, and will lower bp@/X@9!L2Ao!-Ajh@0yU@0yUAf*;@ |@J;Ao!-`Ȫ) IS ɹ`noq 4Adg(AgڅԬHow should you manage a button battery in the stomach?It's generally okay to let it pass, and have outpt followup@8N[ɢ59@>5%-AoYU@Ag>w@[@Adz;@@0AoYU@   fOڱ) i %gPoq 4Ag[AkL^What are two viable options for chronic therapy for cluster headaches?1) lithium
2) verapamil
@0O@owAp@%Ak?$@ɗ²l@ɗ²lAg z@!_@@~VAp@%Ӈ) e  M4oq 4Aa+AhcWhat is the initial treatment step for fulminant ulcerative colitis?1) IVF, bowel rest, IV steroids
2) Those refractory for 72 to medical tx require surgery
@(G@5TAlsAhZ@@Aaޓu-@,@YoAls mX\imQ?/1T]Ah3?;桱P@Ew?ŶFN @˹ԏ@˹ԏ@|Q>xKSoAh3C?{>S?ƙ[U?~5@˹ԏ@˹ԏ@ɺ`Q= ]Ah7?Ai@1Unj?8@/)]@/)]@J"Q<GAhr?}n@`'?hiU@F@˹ԏ@˹ԏ@>vQ;SAhp@vSH=@\?ce8@ɗ²l@ɗ²l@$}pH:  oAhn %@=۬d?(eAhV+@Uw@Lc?25@ɗ²l@ɗ²l@0Q7C`/SAhU@~@Uu=?5@ɗ²l@ɗ²l@T Q6m_&AhAq@OgG@|?'(@ɗ²l@ɗ²l@ Q5FozAh?@m\@@| ᛖ?5̅@lʰ@lʰ@!g .X\j .QK+8q`Ahj3^5@+Y@1Hʵ?80N@F B@F B@0 GJ  ^i;"Ah_fPQ?a~?ޠ @@º@w1(QIKaB8AhYHa@{F@0W?| @F B@F B@MGH  wC1AhYG8bN?9_N?t\wh@@º@eQGwh- AhYo@ %m@$/lnd?ܺ@@@"|GF  !,3AhY@GQ? [Ӡ@@º@;pQEaAh-@  @#p 搒?qՕ @F B@F B@@QDThPAh{33@Эf@-%?SXQ)@F B@F B@QCqza3ƃAhӮR@ _B@4 X?%*6@@@QBQ4PAh(bN@ Qee(@4EB?I@@@QA oAh#@=۬d?ZR0w w`U@:w-c@:w-c@"9(Q@3-Ah?HA@5]}ֱ?dB@˹ԏ@˹ԏ@Ơ 4J?V΢ t΢W 4What is the screening test of choice for renal artery stenosis?U 4WW 4What is%, +R,qba 4HPV DNA testing/Ôh ?ħhqba 4electroconvulsive therapy\ H>]qba 41) 1-3 yrs
2) 6mos - yearly
3) 3mos or esophageal resectionM{!IfjW 4What does the triad of Ramsay Hunt syndrome consist of?OLbo|W 4What is another name for MUGA scan? And how does it work?Ly=9W 4What does the presence of Anti-HCV antibodies suggest?%óύ +ï3Ƃqba 4aortic stenosisfʤ+9bW 4How should you manage symptomatic bradycardiac after an acute inferior wall MI?wӆFM%. FW 4What is the treatment of choice for macrocytic anemia caused by MTX, phenytoin, or trimethoprim?6M-,vW 4What is the Miller-Fischer test? MM;׈.( 1u ׹oq 4Ak!Ak!(Infection of which valve in endocarditis will most likely cause EKG changes (electroconductivity defects)?aortic valveAk!(@@Ak!(W׈.( 1u    ׹oq 4Ak!AkP٦ffInfection of which valve in endocarditis will most likely cause EKG changes (electroconductivity defects)?aortic valve@馦Al\UAk!(@Ị=@AkP٦ff@5)7L@5)7LAl\UׂFÏ`( q{  @ͧa$oq 4AdzAhrAn aortic valve area smalled than what size is considered severe stenosis?less than 1cm^2@5Ɔ@?Ao@@Ahru@@F BAd{7;d@*=t@*338Ao@@ U-mZ*'EWhat is transverse myelitis?ĵ7X6?uWhat is the treatment of a manic pt who is pregnant?6ħh<oWhat is the treatment of choice for TCA toxicity?l{b#NTWhat is the treatment of choicb9What is the treatment of choice for PML seen in HIV/AIDS pts? And how does it present?٧ [+What is the single-most effective non-pharmacological approach to decrease HTN?5jh?uWhat is the standard protocol for post-exposure HIV?.)H;mWhat is the treatment for flash pulmonary edema?ZaA?uWhat is the treatment of a manic pt who is pregnant?6ħh<oWhat is the treatment of choice for TCA toxicity?l{b#NTWhat is the treatment of choice for TCA-induced ventricular arrhythmias?V+b#GZ)What is the treatment of choice for chronic Hep C with mixed cryoglobulinemia?sY{$=What is the treatment of choice for high-grade squamous intraepithelial lesions? (CIN II, CIN III, moderate and severe dysplasia, and carcinoma in situ).   hL ~b*[qba 46 wkstOОwwzwW 4What is the most common extrarenal manifestation DȜi* ĤW 4Taking MAOI's with SSRI's will result in what?&⣑ܯ -)hPܯqba 4peripheral edema]!>W 4What is one medication that is useful for treatment opioid withdrawal?|WEg2jjW 4Pts admitted for variceal bleeding 2/2 cirrhosis are at greatest risk of what during hospitalization?Qۊ9 W 4What is one of the earliest signs of compartment syndrome?h/3 W 4What is the treatment regimen for neonatal polycythemia, and how does it present?hƄ/x]sqW 4What is the fluid of choice for pts who are oliguric, acidotic, and hyperkalemic?Qύï3ƂW 4Angiodysplasia is associated with other medical condition?OОwwzwW 4What is the most common extrarenal manifestation of APKD? M) O' Lbo|oq 4Ad"Ai%r^5What is another name for MUGA scan? And how does it work?radionuclide ventriculography; labelling a patient's red cells with a radioactive tracer and measuring the radioactivity over the anterior chest with a gamma camera.@3rMr@F>_yApCTAiz@F B@F BAd5?@d@A:ApCTp) _] ҅aҰoq 4AdwnAi"4What is the treatment of choice for unstable atrial fibrillation?synchronized cardioversion@3zI'@Apx5'Ai5ɝ@F B@F BAdzfff@fR@E|Apx5' .Ȝ) 9c * Ĥoq 4Aj Ak+Taking MAOI's with SSRI's will result in what?serotonin syndrome, potentially lethal condition characterized by fever, diaphoresis, tachycardia, agitation, and muscular rigidity@ku?=ɿAl|DڤAkk:@կ@կAjt?}@!K@1KAl|DڤG) g ̸Toq 4AkOkAAkɍWhat are the tx options for primary biliary cirrhosis? What labs do you order to dx?Anti-Mitochondrial ab.
Use ursodeoxycholic acid (slows progression of dz) Liver transplant is other option (steroids don't help)
@H,DC?ޕ!:AlWQAkz+N @Ị=@Ị=AkQ@2@2AlWQ d 6`2\d.X 6 %w 4Ak\(Ak\( ͖ %w 4Ak_nRAk_nR  %w 4Akw;dAkw;d  %w 4Aj%Aj%  %w 4Ad~Ad~ U %w 4Ae*ܲAe*ܲ ڱ %w 4Ag OAg O  %w 4Adw?}Adw?}  %w 4Adh2 hAdh2 h ӑ %w 4AgċƨAgċƨ Ө] %w 4Aa@uAa@u Ň %w 4Ad}#uAd}#u  %w 4Ah$9Ah$9  %w 4Ae^Mq&Ae^Mq& ǂ %w 4AdΧAdΧ p %w 4Af ^Af ^  %w 4AhnffAhnff f %w 4AgdAgd  %w 4A`DEA`DE ձ %w 4Ad}>Ad}> ܯ %w 4Adj~Adj~ h %w 4AgafĜAgafĜ &0DXl  4H\p$8L`tY L] LQbVѰbVQbV-5bVRa9$#a9$Ra9$-pqa9$Ss=jǢ"jǢSs=jǢQ8jǢSͭZƬVZSͭZZTOF¡CFTOFE FVs4Ğq4Vs4F];4V9>V9 ;Y LrL]6  ۀ ]6  MY ^gb#Gb#G^gb#GV+b#G`+ė \ė `+ė ]ė aFr MraFrMrabb9՜b9abb9Tb9aʠ-/ʠaʠ0ʠa!lUYlUa!lULlUf~0 jo0f~0M݁0fa񜸯afabLag`` g``i&^^i&^^lamydia trachomatis. Cremasteric reflex is present, and Prehn's sign positive (decrease in pain on elevation of scrotum)kT" 8P*d{sepsis[%serotonin syndrome, potentially lethal condition characterized by fever, diaphoresis, tachycardia, agitation, and muscular rigidity!9retrograde ejaculatione\#Wp8|Qj 8    Y L|L BD9KL" } aʠReʡ `+ė :[ė] / %I0/I0k 3me.e. 4W] 64#4 7Rԋ3Ԍ 9 3- :OCT/1T] ;B 7ϩS 7 =t. ={k| >;929x ?]4\ 4 @ͧa$M {a` D|rc| H>]ߪy>^: Jb=qb= O_bP]bˌ P{OTk5{O QbVh#bV Ra9$Xa9` Ss=jǢ {jǢ SͭZBZ TOF‡F Vs4G4  V9Ճ` ]6  +  abb9ub9 aFr=Ur ^gb#G#`1b# a!lU]l f~0\0F faa L͍h) S   u%7X6oq 4Ak`AkRXϝWhat is transverse myelitis?rapidly progressive weakness of LE following upper respiratory infection, accompanied by sensory loss and urinary retention?r`*g?v0;Ak/Dl|Ak@WI@*@*Akt@!e`@@1e`@Ak/Dl|)) s=  +oq 4Ah`AkPjWhat are the usual symptoms of urethral diverticula, and how does it occus?postvoid Dribbling, Dysuria, and Dyspareunia. Usually occurs from birth trauma or instrumentation of the urethra@?M5炪@2-Am;Ak1Z@M@MAi_g @#5@@35@Am; Ubz&>UQW ub9Ahj0@ vI@#rQ?Kx@F B@F B@!jx>V   3ԌAhjK?8$|e@@º@iZQUaAhjN h@ fe@*{Ɋ?),%@F A@@# HGT  ɓN2AhjK? 5 ?Yβ@@º@.H8QS#`1b#AhjGʟ@ ͏@"P? H@F B@F B@/GR  B o"#AhjF@OcF?t@@¿@RQQp*`rAhjD`B@;3@ ?J6@F B@@&EGP   AhjA1'?q0.r?r@@º@QOXa9`Ahj@|@@6 ?#]@F A@@= GN  SʭAhj9~?U <?&a@@º@NQMy7aTAhj8F@/L@08ʕ?()+<@F B@F B@#ěGL  # &Ahj5@<  ?އ1@@º@ffp /@) qK   y4oq 4Ak_r\Ak̦$What is the primary mode of treatment for HIV-associated thrombocytopenia?zidovudine (AZT). It increases platelet count, and reduces the occurence of opportunistic infxns & Kaposi's sarcoma@bԶ ?ݽ|AlbAky[@;L"R#@;L"R#Aku@0@InAlbW) MA  aoq 4Ak"3T1AkqQ-Lyme dz prophylaxis in pregnant women involves what abx?amoxicillin (doxy is contraindicated in pregnancy)@E6r?|߹1AlS:jAkpip@Ị=@Ị=AkQ @)P@)PAlS:j U"؂)   /Soq 4Ag DƨAkPwHow does ALS present?Motor neuron weakness (asymmetric weakness), followed by weakness of bulbar muscles (chewing and swallowing). Ocular, bowel and bladder functions are PRESERVED@ YAU@ƐuaAnuAk1M@d9@ɗ²lAg xt@; @U?|Anu ɑ)   ,[W۸Woq 4AjAkQCWhat is the single most important risk factor in the development of postpartum endometritis?route of delivery: it occurs in 3% of all vaginal births, but 15-30% of all C-sections??JyVAkGAk0 x@*@*AkJ\@/p@?pAkG ,by%|(,Qc!9\Ahe@wۺ@BU?Au0@@@1 QbT4Ahc@5T@(G?t5@@@ QaO>Aha@Sxk@1MLd?nn@%X@%X@`Q` 4AhsX@SVw@/Ŗ?aAS@@@ Q_M {a`Ahr@?@5Ɔ?mϼ#@F B@@R^ IfjAhqmɺ^@2uѡB@!}Vim?3{]@X%Y@%X&@0d0Q]*.)aAho 9@! f@3 ]l?WNF@@@ÕH\ 3ԌAhj9X?Y@zl5@º@º@>vQ[M!&Ahj ?C@72?β@@ƴϊ@ƴϊ@tGZ  4s   LAhί?\@@pE@6Rr3ԌAhv?Y@?Fr\F@)!=C\X@)!=C\X@Hq  3ԌAh1'?Y@?}6;@º@)!=C\X@5.|Qp^i;"Ahx1'?a~@tFG?ޚH@º@º@1Qo Ah+?q0.r?뺄΅A?J4@º@º@  VV>) [A  X9uoq 4Aa⫛dZAkL\&yThe absence of peristaltic waves on the lower 2/3 of esophagus with significant decrease in LES tone is characteristic of what?esophageal dysmotility associated with scleroderma@?W@$+v~;AuuAk-ngO@@Aa5?@'&@P|Auu Tk_hESilicosis is associated with what dz, and what should be done about a person with silicosis?ŋTY'Start zidovudine and lamivudine with 72hrs of exposure, and treat for 4 weeksH9iTaking MAOI's with SSRI's will result in what?mĤ  The absence of peristaltic waves on the lower 2/3 of esophagus with significant decrease in LES tone is characteristic of what?I9uOThe use of leukotriene inhibitors has been associated with what dz?%S3lMUse IV Abx:
1) IV ceftriaxone and IV doxycycline OR
2) IV cefoxitin and IV doxycycline=+%l&CUsually no changes in diet.-92#;VATS. It's relatively safe, and offers a definitive dx. FNA and percutaneous needle aspiration is less sensitive and only good if results are positive.iʗ[+What anatomical finding is present in 40-100% of pts with a Mallory-Weiss tear?\ 2gC EE_`4_smW 9,[W۸Wqb|잱օ WQbVqba 4calcium channel blockers; they can be harmful in the setting of MI; continue b-blocker, ACEI, statinsA턱ݸ cѮqba 4Augmentin. If Pen allergic, use doxycycline?  _.C qba 41) MTX
2) Trimethoprim
3) phenytoinH걩 qX9uqba 4esophageal dysmotility associated with scleroderma@ˈua͚ΔNuW 4Meconium ileus is associated with that dz?[Ɛ.#.c.W 4What is the treatment of choice for inoperable head and neck cancer?+ܸ 7MI.8qba 4elderly, diabetic pts%ұ +?-Aqba 4Factor V Leidenf+;B 7W 4What is the best prognostic factor in survival in primary CNS lymphoma in AIDS?!율 #-Ejhqba 4weight-loss+ 7uSdiqba 4spontaneous abortionsb˃#J <(W 4What is hyperviscosity syndrome and what diseases is it most often seen in?i>H!rupture of chordae tendinae: causes include infective endocarditis, papillary muscle rupture 2/2 ischemia, mitral valve rupture 2/2 traumaTb92Ypituitary enlargement and hyperpigmentation following bilateral adrenalectomy for Cushi6canti-viral agents: interferon and ribavirin?{UWhere would the lesion in the brain be if you had a construction apraxia?[ *p-/chemoradiotherapys.c.$?folinic acid (@wisotretinoin, minocycline. Also seen in endocrine d/oēr'hepatic cystszẃ2Ypituitary enlargement and hyperpigmentation following bilateral adrenalectomy for Cushing's dz. Pituitary gets larger b/c loss of feedback by adrenal glucocorticoids.l}|Efu+iron deficiencyĕ0!9retrograde ejaculation'et1small cell lung caiQh ,Xfj x,I 3ԌAhۘ?F?Zt@)!=C\X@¾@HQxKSoAhώ?ƙ[U@u#Q?O$LA@˹ԏ@˹ԏ@Q ]AhͶy@1Unj@H!@?ɿM^p@/)]@/)]@&nG  + Ahh@$Cwr?ݹa@@pE@FQK*Ahd1@r@>C<?1d9@0yU@0yU@\ QxߢAhǥO@yB&@k#?Z@ɗ²l@ɗ²l@@QSAhƲn@\@ow?)mS@ɗ²l@ɗ²l@rQC`/SAhn$@Uu=@Ɛua?a Mu1@ɗ²l@ɗ²l@8N|Q~5ZHAh6R@YF@%77Q?M@0yU@F!@$ G}  "*Ah{@ g?www@@pE@e`@Q|Br|EgAhC@ ?@!I?{)V@0yU@0yU@'pQ{#a Ahy@c#s4@3i/j?WJrK@F B@@ 33@ RR6( Sy ùoq 4Ak`uAkS<What antifungal is indicated for treatment of mucormycosis?amphotericin B@\?F| s/AlӛtAk=4@*@*Ak)@%X@"%XAlӛtb>)  -,voq 4Ag 7LAjljWhat is the Miller-Fischer test?assessment of gait before and after removal of 30mL of CSF. This is to test for NPH@-ʼnv@LcAoT -AiE@ɗ²l@ɗ²lAg m=@31&@PՑhAoT - ''X&α( 1{ ͚ΔNuoq 4Akm9XAkVȴMeconium ileus is associated with that dz?cystic fibrosis? ?%AlD^tAk@, Q@, QAktP@@AlD^tׂG) Ca    woq 4Ak#KAkO/If PML in AIDS is not treated, what is the outcome?Death in usually 3-6 months. If treated, then may prolong to 2 yrs@n'2 MAlk Ak#@Ị=@AkO/Alk K૱d( u{ 42oq 4AaؼDAj&ZWhat is the initial diagnostic test of choice for a perforated peptic ulcer?Abdominal X-ray@;ŧ@&}9,AsAjܟ@ffffff@ffffffAaސ @ n@Q'As Kay%=KQ h#bVAi_kQ@n]@/jѴ?(ò@M(Pq@M(Pq@YG  .Ai_i͡@A>?kj@@M@=pQ /#hVAi_h%O@7T:&@7z ឿ?۲@F B@@pG  6Ai_g?ׇ@u?SRU@@M@*Q {jǢAi_W@qjF|@1@XN?uЗ@F B@F B@MG   utAi_U-V?!P?"]*@@M@/{pQ y>^:Ai_Q7@!rnm@?֐f+?Տ\)@X%@%X@CG   7;zAi_P@ /nqb?؏@@M@$nxQ I0kAi_M@"i?]\@@yx̌+?>o@X%@%X@G   qzAi_L;F@܄ 3?:@@Où@ xR3ԌAh㨓u?F?۹*2zX^i@¾@¾@/G  _qAh;d?]?QOD@@pE@;\( %0H`x 8Ph(@Xp  AqYTGEQ Ap@%S Aoӄwh-  Aow!gfbx AooohV Ao@@M {a` Ao/}WPy AoAMF Ao OXa9` AoCj6R.5J Aoś]bˌ AoqW e. AoلiresE AoYU@. `Ȫ Ao[!9\ Aoy@b= Ao!-!K? AoUf:xM`< Apib< ApCT{ԙbo} Apx5'|9aҰ Ap.‘N.6  ApH:fS 7 ApXjt Ap_B o"# Ap@%S AqAz$/#hV Aq/Sy@]l AqYTGEQ ArC<[%-jhR Ar'?5C r I.8 ArKTQKՃ` ArP&I9m Ar^M. x Ar_)nSb#NL AryK9[M Ar|,m4.cj AraemV Ar_BZ  B@uph*](?ڬ!7Ѯ1 ?uzK  ?iS7Ѯ1 ?ܦĽ=̹ @;!RO5  ? ϿΔN ?z4%qQK  ?kReʡ @|L ?&QOA]θv @TM?< - ?yɽ?e ?ς ^+   ? f3'  E @܄ 3qz ?4, oxߢH@\^isħ@!IBr|Eg?ڬ!7Ѯ1 @?>˧#jΑ$ @K5gjW @\7ù ?r`*g4k7Xh0?ݗ[=̹?ݽ|[%@ ?{-W=@YX?'g>aU ? PNF H @[wnв> ?3"}'   @A5n7'ȃ ?FRI۸?%ϿΔN @""_J*Ss%0?=ɿRĤ@\^isħ 0H`x 8Ph(@XppX @@MzDŽa @40EQ @?Wh|9u> @2Ib= @3)xM`< @3Z ib< @3i/j#a  @3rMr{ԙbo} @8ub9 @2)RnohV @2 B o"# @22>L9x @2:|[o91 @2d05N4-A @2r{`]bˌ @22b`Χ.CS @2Ib= @3)xM`< @3Z ib< @3i/j#a  @3rMr{ԙbo} @3zI'|9aҰ @3J]l @3 ]l*.)a @4 Xqza3ƃ @40EQ @4EBQ4P @5~hUk <) @5ƆM {a` @6 Xa9` @7,tXl%-jhR @7z ឿ/#hV @7rHI9m @7☲0Ճ` @8_ X4M. x @8|Sb#NL @8"eZP[M @8N[ɢ59. `Ȫ @8v4.cj %0H`x 8Ph(@Xp  AqYTGEQ Ap@%S Aoӄwh-  Aow!gfbx AooohV Ao@@M {a` Ao/}WPy AoAMF Ao OXa9` AoCj6R.5J Aoś]bˌ AoqW e. AoلiresE AoYU@. `Ȫ Ao[!9\ Aoy@ʪb= Ao!-!K? AoUf:xM`< Apib< ApCT{ԙbo} Apx5'|9aҰ Ap.‘N.6  ApH:fS 7 ApXخjt Ap_B o"# Ap@%S AqAz$/#hV Aq/Sy@]l AqYTGEQ ArC<[%-jhR Ar'?5C r I.8 ArKTQKՃ` ArP&I9m Ar^M. x Ar_)nSb#NL AryK9[M Ar|,m4.cj AraemV Ar_BZ %0H`x 8Ph(@Xp  AqYTGEQ Ap@%S Aoӄwh-  Aow!gfbx AooohV Ao@@M {a` Ao/}WPy AoAMF Ao OXa9` AoCj6R.5J Aoś]bˌ AoqW e. AoلiresE AoYU@. `Ȫ Ao[!9\ Aoy@ʪb= Ao!-!K? AoUf:xM`< Apib< ApCT{ԙbo} Apx5'|9aҰ Ap.‘N.6  ApH:fS 7 ApXخjt Ap_B o"# Ap@%S AqAz$/#hV Aq/Sy@]l AqYTGEQ ArC<[%-jhR Ar'?5C r I.8 ArKTQKՃ` ArP&I9m Ar^M. x Ar_)nSb#NL AryK9[M Ar|,m4.cj AraemV Ar_BZ WWWP`p*pW 4Where would the lesion in the brain be if you had a construction apraxia?Ot=tW 4What is the most common long-term complication of a TURP?+ﯧ 5y_qba 4Female; nl breast development; no pubic or axillary hair; no Mullerian structures present (uterus, fallopian tube). The vagina ends in a blind pouch}𕊱 YYqba 4psychogenic coma. Infratentorial lesions and metabolic disturbances usually disrupt brainstem reflexes)Χ̑ 3x>qba 4intestinal lymphomac%>W 4How frequently should HIV pts be monitored? And what is tested for followup?Oi&^W 4What are examples of a cortical and subcortical dementia?m98 W 4What is the treatment of choice for PML seen in HIV/AIDS pts? And how does it present?/񷭑F ?%. Fqba 4folinic acid (Leucovorin) ||yԥ}) [u  &.@7oq 4Aa'=qAh#CHow do you treat increased bleeding time? And how does it work?IV desmopressin; it increases factor VIII and vWF multimers from endothelium@)@-NVRAm4qAhp@@AaAbN@# @ElAm4q >+m;`5What are the tx options for primary biliary cirrhosis? What labs do you order to dx?_̸TgCWhat antihypertensive is integral for treating HTN in pts with chronic renal insufficiency? Mr?uWhat antihypertensives can cause acute pancreatitis?'fS4\DWhat are examples of a cortical and subcortical dementia?^AyWhat are some causes of multifocal atrial tachycardia?bxK What are some medication induced causes of pseudotumor cerebri?prC}What are some medications that can exacerbate psoriasis? Eԋ=qWhat are the recommended Abx for treatment of PID?O%llMWhat are the two treatments of choice for CML (Philadelphia chromosome, decreased LAP activity)?%.6 W#What are the usual symptoms of urethral diverticula, and how does it occus?XYE h0) k)   o`ioq 4Adg;AkHow should you manage a button battery that is lodged in the esophagus?immediate endoscopic removal, because it will lead to corrosion, electrical d/c, and release of toxins@G]@+GP9}A{5DAk#M@@F BAdz @T@7)xA{5D Б) I-   wbxoq 4AdjAi! What are some causes of multifocal atrial tachycardia?hypoxia, COPD, hypomagnesemia, hypokalemia, heart dz, theophylline or isoproterenal or aminophylline use@1DWq@ sAow!gAif;@F B@F BAd{D@* I@L5@Aow!g #bpsw#Q|9aҰAi"5@@3zI'?͡-:@F B@F B@MQ fbxAi!@ s@1DWq?J@F B@F B@%JQt}a3Aid/@hY~5@!+@º@º@=pQ^i;"Ai_@tFG@n2?fQ@º@º@+fhG  =UrAi_@D?:% #@@M@b$ěQ}c|Ai_n:@7@Yo4g?K^И@0yU@0yU@1 G  k|Ai_l ?ix:?q@@M@G dX\` dQ)GAi/=q@`'@&'/z@?uF@˹ԏ@˹ԏ@0Q(3-Ai.SF@5]}ֱ@'DW7?㔔A@˹ԏ@˹ԏ@ GQ'/1T]Ai-p1'@Ew@&1œ ?5z@˹ԏ@˹ԏ@NQ& A%OAi,M@|Wۉ.@(l|$?!@YB@YB@ưQ%\0FAi*@pu;@1 U?W@ɗ²l@d9@DQ$ohVAi) @ _F@2)Rn?5qn@0yU@F!@ =`Q#ɨ{Ai(ff@M"@1{5NJ?Ȑ2@0yU@F!@CQ"xM`_y@3rMr?|e@F B@F B@r Qb=Ai$zM@(z@2I?T.E@F B@F B@"8 dX\` dQ4MaAjkߝ@!ixo@AiCIUk@@F B@@glQ3Sb#NLAjk1@")2@8|?@캘v@@@nQ24.cjAjkff@#~^@8v?E+@@@ ĀQ1M. xAjk`@#F3c@8_ X4?*jA<@@@1 Q0#4Ajk)%@$3ՠ&@:}tl?aG@@@Q/K9qqAjkH@$&VGZ@:*?Ԕ1M@@@Q.\h= 4?Ajkep@'@2 @?X|1?$@@@Q-6Ai4?ׇ@u@2-?BP6@M@M@tQ,k|Ai349X?ix:@k?٦ٱ@M@M@hpQ+utAi1?!P@$˹I? @M@M@ ĠQ*4WPyAjl;|@M©Nf@/Ӹ0@uD{@ɗ²l@ɗ²l@eQ=8g,v>Ajl`B@Lc@-ʼnv?q5@ɗ²l@ɗ²l@:Q<m_&Ajl=q@|@.ZC/?SA;ۗ@ɗ²l@ɗ²l@+HQ;Ճ`Ajl>ff@gO@7☲0@<@0yU@F!@9PQ:BZAjl@(@9N>ML@8 @0yU@F!@&Q9emVAjl{@yͶZ@958?਌@F B@@QQ8N.6 Ajlz@Lb1@1zB,Y?8>@@@Q7 resEAjkV@'@0w2?Ɯ'@F B@F B@$Q6%-jhRAjkdj@:Դ@7,tXl?> rK@F B@@9PQ5jtAjkTZ@J_@1U8?@F B@F B@# P dX\` dQJ^i;"AjlVv+@n2@A ҂?u6@º@º@wQI7;zAjlU:\@ /nqb@Ha?b.@M@M@QQH"*AjlT;t@ g@"ME?Tۮt@pE@pE@ QG+ AjlRĜ@$Cwr@$8>?`m @pE@pE@&QFɓN2AjlP#@!S'@(3'J? F@º@º@QESʭAjlNƨ@N̆{@GQ@+wC9?ӷ=q@º@º@ bW[^ bQU !K?Aj.@9@9!L2@/X?0@0yU@0yU@ (QT]lAj-PbN@o@3J? $L@X%@X%@PQMI9mAj@$[N@7rH?ΐՅ@@@QL_qAjlY@mo?q.E@YB@YB@b@QYFAj@!@ X:@-و>?᱑|@˹ԏ@˹ԏ@=R QXe.Aj9&@Bӝ@.C9?x8g(@0yU@0yU@#+QW!9\Aj6@BU@/I^,$i?sD@@@When is treatment for hypothyroidism warranted?1) in the presence of antithyroid antibodies
2) if an abnormal lipid profile is present
3) symptomatic hypothyroidism
4) ovulatory and menstrual dysfunction
@3J@oAq/Sy@Aj={@lʰ@lʰAe:6@+@OAq/Sy@ .hh0DXl|  4H\p$8L`tqba 4@ EDqba 4M4qba 4I9θDqba 4EgΑqba 4Hqba 4] Lqba 4Jqba 4j qba 4fgTqba 4?{qba 4@?)qba 4Ba2qba 4D{qba 4E Fqba 4Fbqba 4Hͥjtqba 4K){4qba 4LhVcqba 4Mrqba 4P3Vqba 4Q8jǢqba 4Q7I0/qba 4Rf]aAqba 4Tb9qba 4T8qba 4WQzqba 4Z @qba 4[17X6qba 4]ė qba 4`+aDqba 4d]fqba 4e\#]qba 4}UR,qba 4 ħhqba 4 3Ƃ   4H\p$8L`ti47]PM47]q=b#Nub#Nq=b#Nl{b#NqWhat is the typical treatment of squamous cell ca of the glottis that is T1a (confined to the vocal cord)?radiation therapy, laser excision, or partial vocal cordectomy@*{Ɋ@ feAlNjL'Ah#^\L@@F AAd|䦇+@"dX@IAlNjL' 7ٚ) ka yoq 4AjەAkS What is the gold standard Abx regimen to treat postpartum endometritis?clindamycin and gentamicin, to cover both aerobes and anaerobes from genital tract; also covers beta-lactamase producing anaerobes@K5g?5L߀AkEAk&@*@*Ak;@Cht@ChtAkE3Ėk( G  / %I0/oq 4AbjAi_MzWhat can be seen as a sequelae of acute otitis media?acute mastoiditis@@yx̌+@"i?]\At;_䬫Ai'H's@%X@X%Ac$ߎq@@5*dAt;_䬫J1v6F`9Szm 0#=,dWq~vvi\OB5(\ךCճؾ|義ozڕ ԥ}ڳi󐗿T̑ύ>IJޑ㌻ 쐑Ʈ?đ1uޒߢw褑幐݇<މ<?Ө@伱`4ðb던[ךV0דFƈ&1Í͍h&Ǭ)́HΖ\ϑAÏ\֟Cճ]ĖkߣӞЫFޥı F䀉菪Q: αiE Ȝ,БSۃ]ޑH_˰AߍȪ7Ӟ'`Szm,F 9#0=JWdq~y˰RÏ`ʗ2L1G؆Ƕ7˒恜ΎQ>vɑΡ;}:誶4¦> ॲVઆӇH޹`đ1Ʈ? 쐑ޑ㌻IJ>T̑ύi󐗿ڳԥ}zڕ o義ؾ| ^bz0F^Gm  \AkE?eP? v2Ӡ@@*@WȴQl LAkOl@j~@̷?.[#@pE@pE@=pGk  Ss%Aku/?}=T?k~@@*@?VQjxKSoAkȌz@u#Q@r?⮀@#@˹ԏ@˹ԏ@^Gi  sRiAkn5?? ?o@@*@JC32Ih ]AkH9@H!@?Нj@/)]@d9@VBnGg  jWAk?5L߀? {@@*@bBGQf 347AkbvE@N"}X@c?'8[@@ @xGe  2diAka~?c ?:C@@*@ $Gd  :[ė]Ajw?ՆD?*DN@@կ@ Qc.Aju@A>@*M?4kU@M@Où@hpGb  RĤAjtT?NJo'?y @@կ@&1( D) M  7Rԋoq 4Ah_hAjlXm-What are some medications that can exacerbate psoriasis?NSAIDs, ACEIs, beta blockers@17wp@`'FAlUdAj0s @¾@¾AhjK@1@`mhsAlUd  6`2\. X ̶ %w 4Ak$dZAk$dZ K %w 4Ak!bAk!b 󐗃 %w 4Af1~ffAf1~ff  %w 4Ab6}`BAb6}`B q %w 4Ad)GAd)G P %w 4AdMAdM  %w 4Ahj2*^5Ahj2*^5 օ %w 4Ad|_Ad|_ ޹$ %w 4AdyiAdyi  %w 4Ae Ae  %w 4Af[|Af[|  %w 4Ag[HRAg[HR ӗ %w 4AaDəAaDə  %w 4AfڈT/AfڈT/  %w 4Ah՚ =Ah՚ = ǶG %w 4Ad}*d1Ad}*d1  %w 4Aj:Aj: ڑ %w 4Ahs"Ahs" JJT;gH;f W{ fqba 4neutropenia (bone marrow suppression)b# +-W 4What is the treatment of choice for non-metastatic squamous cell carcinoma?,ׄ 9qV!Pregnant women with subchorionic hematomas are at increased risk for what?1diqWPts admitted for variceal bleeding 2/2 cirrhosis are at greatest risk of what during hospitalization?m2jj&CRNA PCR or p24 antigen test=@K Restless leg syndrome may be a symptom of what medical problem? ĕ5aSC octreotide (inhibits insulin secretion)-K#oy3SUPPORTIVE measuresq4 } ˱]) ?3   `+ė oq 4Aj:GAkRAzHWhat medication can be used to treat restless leg syndrome (in the absence of iron deficiency)? How does it work?pramipexole (dopamine agonst) or ropinirole@fH?٥.vAlOx6Ak*c@<7VN@<7VNAjwM@&n@6nAlOx6x`) Q}  V9oq 4AfڈYXAjl=When is Plavix recommended over ASA for stroke prevention?When pt has PUD or ASA intolerance. Also consider if pt stroked out while on ASA@7☲0@gOArKTQKAi<9@F!@0yUAfY9X@&@RxArKTQK "b("R#_D]-# EDW 4What is the medication typically used in infants who are undergoing opioid withdrawal right after birth?3h G+̹hqba 4osteomalacia and osteoporosispԑ̶?Y LW 4What drugs are recommended for treatment of giardiasis in pregnancy, and in what periods?; Weqqba 4orange discoloration of bodily fluidsw M!Ifjqba 41) ear pain
2) vesicles in the external auditory canal
3) ipsilateral facial paralysis ё !4Wqba 4dantrolene\ܸMI.8W 4In what type of patients do you usually see malignant otitis externa?a!uSdiW 4Pregnant women with subchorionic hematomas are at increased risk for what?2 Eq=b#Nqba 4sodium bicarbonate infusion.Ly aW 4What is one complication of cocaine-induced vasospasm?Ȟ aqba 4ECHOӱӨ] i47]qba 4anxiety Y) s Q=@oq 4AkZ#AkR?}In pts with clinical presentation suspicious of primary HIV infxn with known exposure, and negative ELISA, what other tests can be ordered?RNA PCR or p24 antigen test?{-W?0&CtAk!qAkA@*@*Ak@#N@#NAk!q<褑幐) 1%  .29\koq 4AahĜAj6\)What is one of the side effects of gingko?bleeding (has antiplatelet activity)@/I^,$i@BUAo[Ajǔ@@@Aa֔@@EdAo[ 44Gױ( o} %cjtoq 4Ae 4FAjkSFWhat sort of imaging is recommended to diagnose coarctation of the aorta?MRI of the chest@1U8@J_ApXAj[nT@F B@F BAe^5@$C@EpApX؂o]) '  :OCToq 4AgtjAi-oPSilicosis is associated with what dz, and what should be done about a person with silicosis?A/w TB. Pt should receive PPD yearly.@&1œ @EwAmkVAi~Ӊ1@˹ԏ@˹ԏAgL=?}@ I@&iAmkV WWp8Qj2-# ED  EM88b  9mI9m  *aDMa #.c.4.cj %gPS %cjtjt &MJ[M &I-I? I-υ &.@7uQ/.@} '9PGWPy 'K-wh-  'm`+8q` * ĤRĤ +6 ,O+es resE ,[W۸WFRI۸ ,cNɓN2 -Ejh%-jhR Sbp&;SQy rsĥ޼Ak??RX#*tJ@<7VN@<7VN@1`Gx  :[ė]Ak6v?ՆD? kU@կ@<7VN@dnGw  rsĥ޼Akd ??naQ@կ@<7VN@D QvZ7ĕAAkY?D5@ǂB@S?.l@կ@կ@ĠGu  X AkXƨ?5PpB?ꎴb@@*@ZP Jt]Ak>5?}?H#N?@nA@d9@d9@DXbGs  ReʡAk4?Yc? 6ٱ@@*@XvffQrisħAk?9g @\^?X*@կ@կ@cSGq  FRI۸AkKC?JyV?j?zvT@@*@.XhQpRĤAkz~?NJo'?=ɿ?Z @կ@կ@UMGo  8bAkn?יpV?@@*@Qn}c|Aknff@Yo4g@uͻ?qp@0yU@0yU@Ta^ uuॲ) A X%loq 4Ak%AkP^5What are the recommended Abx for treatment of PID?Use IV Abx:
1) IV ceftriaxone and IV doxycycline OR
2) IV cefoxitin and IV doxycycline
@""_J*?}=TAknAk1T@*@*Aku/@?V@?VAkn >.F^v&~nV AkϿΔN Ak _9RO5  Ak=tA]θv AkKJm#jΑ$ Ak(?~ ^+ As':#4 AsU[G4  Asݩ#>y>^: As߁[4d At;_䬫I0k At,W2jjC Atw\h= 4? Auuh|9u> Aua Au2Ma AvVqVb*[Q AwZNHT4pD AwY<dG-Akvԉu  `Akx t>aU0Aky-| =̹Aky[[%@AkydQChzK VAk̚,#Br|EgAk27Ѯ1 Ak̫  EAkqz AkEyVxߢV0AkPEZ7ĕAVAk)isħ A{5Dsu`j0 As *ub9Ak(?~ ^+`AkKJm#jΑ$HAk=tA]θv0Ak _9RO5 AkϿΔNAkuu+  EAk7L7Ѯ1 >.F^v&~nV AkϿΔN Ak _9RO5  Ak=tA]θv AkKJm#jΑ$ Ak(?~ ^+ As':#4 AsU[G4  Asݩ#>y>^: As߁[4d At;_䬫I0k At,W2jjC Atw\h= 4? Auuh|9u> AuԎa Au2Ma AvVqVb*[Q AwZNHT4pD AwYaU0Aky-| =̹Aky[[%@AkydQChzK VAk̚,#Br|EgAk27Ѯ1 Ak̫  EAkqz AkEyVxߢV0AkPEZ7ĕAVAk)isħ A{5Dsu`j0 As *ub9Ak(?~ ^+`AkKJm#jΑ$HAk=tA]θv0Ak _9RO5 AkϿΔNAkuu+  EAk7L7Ѯ1 >.F^v&~nV AkϿΔN Ak _9RO5  Ak=tA]θv AkKJm#jΑ$ Ak(?~ ^+ As':#4 AsU[G4  Asݩ#>y>^: As߁[4d At;_䬫I0k At,W2jjC Atw\h= 4? Auuh|9u> AuԎa Au2Ma AvVqVb*[Q AwZNHT4pD AwYaU0Aky-| =̹Aky[[%@AkydQChzK VAk̚,#Br|EgAk27Ѯ1 Ak̫  EAkqz AkEyVxߢV0AkPEZ7ĕAVAk)isħ A{5Dsu`j0 As *ub9Ak(?~ ^+`AkKJm#jΑ$HAk=tA]θv0Ak _9RO5 AkϿΔNAkuu+  EAk7L7Ѯ1 /Xp&Oz/H 4k7XhAkz?v0;{q\ @*@*@&6EG  [%@Aku?=i? e8@@*@#^8>   4k7XhAkup?jH@@*@=pG  =@YAkff?0&Ct??3@@*@#SG  ɽAkp9? ?s2@@*@]/G  NF HAks ?5?B?N- {B@@*@Y@  > Ak ?Kڮ?}'@@*G  *yûAk^?֮>b@?MfsK@@*@!CG~  7ùAk*=q?F| s/?%+@@*@+Q} Akx@c#y@@G,"? ?@º@º@CG|  7'ȃAkVE?tg% ? {@@*@*Q{dG-Ak Dڏ\@'g/@C-5-?d`m:@@@nQz :[ė]AkdZ?ՆD?٥.vz܊ @<7VN@<7VN@.gl  4H  \p$8L`teq'eqI%ħh6ħhħh ħhawaakat΢"Mt΢t΢sCt΢424242424Po4Po4Po4Po/S%/S/S[i/SaAAaa a +-- +-d=- a{a aa M2gC 2gC* M2gC \ 2gC SrprSrēr%[% pp3( Ow wzwoq 4AhXAjlU:\What is the most common extrarenal manifestation of APKD?hepatic cysts@Ha@ /nqbAlSYAjh]+@M@MAi_P@BX@,BXAlSYGǬ(  e  aoq 4AdyW[ AkQRWhat study should be obtained in all pts with flash pulmonary edema of unknown origin?ECHO@@MzD@#p 搒AuAkQr@@F BAdz@ @5^0Au  4H\p$ 8L`tu%7X64k7Xh`+ė :[ė]aFr=Urabb9ub9aʠReʡa!lU]lf~0\0Ffaag`xM`<i&^m_&i47] 347q=b#NSb#NLq2) increased LES tone~Y[ǣhVYW 4What should be suspected in a pt with h/o Hashimoto's, who has a rapidly enlarging, firm, thyroid mass? 77>́H) 1)  Yoq 4Af"w =Ah6RA nonresponsive person (r/o coma) responds to cold calorics with proper nystagmus. What does this suggest?psychogenic coma. Infratentorial lesions and metabolic disturbances usually disrupt brainstem reflexes@%77Q@YFAlyAh[cB@F!@0yUAfT@'@FIxAly qqek]V.I%ґu +͚ΔNuqba 4cystic fibrosislɰ70IW 4What demographic groups should be treated by salmonella poisoning, and with what abx?# 'aʠqba 4betamethasone2 E;B 7qba 4CD4 count and HIV viral loadDφĐ iҗ9qba 4villous blunting withiڲ 1ma2qba 4acute pericarditis; occurs 1-4 days after acute transmural MI, characterized by chest pain, worse on positional changes and inspiration; sign includes friction rub. EKG can show ST elevations with PR depressionX2>;92W 4What sort of changes in diet do post-cholecystectomy pts require?ϱ yqba 4clindamycin and gentamicin, to cover both aerobes and anaerobes from genital tract; also covers beta-lactamase producing anaerobes;± WTOFqba 4anticoagulation and oral vasodilatorsF mXCΑqba 4generally good, with 80% chance of full recovery l@lsi̩´1Yc4W 4How long do you wait for undescended testes to descend before considering surgery?Wɞ ҅aҰqba 4synchronized cardioversionҺ X9uW 4The absence of peristaltic waves on the lower 2/3 of esophagus with significant decrease in LES tone is characteristic of what? m+qba 4postvoid Dribbling, Dysuria, and Dyspareunia. Usually occurs from birth trauma or instrumentation of the urethra,t 9=tqba 4retrograde ejaculationM{P{OW 4Hyperreflexia is a sign seen in hypo or hyper calcemia? LLdα޼) Ea   1+ĥaoq 4Aj oAkRxWhat class of drugs can be used to treat Tourette's?dopamine receptor blockers (fluphenazine, pimozide, tetrabenazine)@ϔ?RX#*AlU,Ak('@<7VN@<7VNAjh9@Bl@@^aAlU,:( [y  t΢oq 4Ah<]AkPUVWhat is the screening test of choice for renal artery stenosis?MR angiography@4 [@$˹IAmBQAk+iU@M@MAi_U,j@#|@3|AmBQ u'Xkuf$?arbovirus and enterovirusI9θD  apnea, hypoglycemia, hyperbilirubinemia, cardiac and respiratory compromise. Tx with Hydration and partial exchange transfusionH0Wanticoagulation and oral vasodilatorsE Fanxietyf47]+aortic stenosis 3Ƃ%aortic valve5(_3assessment of gait before and after removal of 30mL of CSF. This is to test for NPHt,v'betamethasone0ʠnQbiopsy, of parotid gland, lung, lacrimal gland, or subcutaneous nodule that's NOT erythema nodosum"%O/Ubleeding (has antiplatelet activity)k9\k=qbreast cancer. (no increase in testicular ca risk)P3VqWcalcium channel blockers; they can be harmful in the setting of MI; continue b-blocker, ACEI, statinsѰbV%cellulitis, with sharp demarcation of affected area, abrupt onset with the presence of systemic sx. Group A Strep is typical causative agentY'u Z]Kϵ,wR,W 4What is the next logical approach to workup of ASCUS?Z3UOS3W 4The use of leukotriene inhibitors has been associated with what dz?Jʱ\u?]4\W 4What antihypertensives can cause acute pancreatitis?|ѱ W,cNqba 4Dumping syndrome. Sx: abd pain, diarrhea,n/v;
Tx: high protein diet, smaller, more frequent meals`%cjtW 4What sort of imaging is recommended to diagnose coarctation of the aorta?Q =9qba 41) active infxn
2) cleared infxn
3) false-positive2 E7Rԋqba 4NSAIDs, ACEIs, beta blockers]aʠW 4Which steroid is used for antenatal steroid therapy for preterm labor? FFMX'm`W 4What is one symptom seen in Meniere's dz that's not seen in BPPV?۰Ȝ * Ĥqba 4serotonin syndrome, potentially lethal condition characterized by fever, diaphoresis, tachycardia, agitation, and muscular rigidity(ۿ* / M2gC qba 4Hiatal hernia: well-known; during wretching, pressure within the hernia is much greater than the rest of the stomach, so it's more likely to tear +b w)|mpostvoid Dribbling, Dysuria, and Dyspareunia. Usually occurs from birth trauma or instrumentation of the urethraV6cpramipexole (dopamine agonst) or ropinirole]ė rYpsychogenic coma. Infratentorial lesions and metabolic disturbances usually disrupt brainstem reflexesTSYJ radiation therapy, laser excision, or partial vocal cordectomy]a1Wradionuclide ventriculography; labelling a patient's red cells with a radioactive tracer and measuring the radioactivity over the anterior chest with a gamma camera.gbo|"9rapidly progressive focal neurological deficits without increased ICP. There is no specific treatment but data shows improvement if HAART is initiatedj rapidly progressive weakness of LE following upper respiratory infection, accompanied by sensory loss and urinary retention[17X6 ^) IQ  =9oq 4Aa$:^5Af<33What does the presence of Anti-HCV antibodies suggest?1) active infxn
2) cleared infxn
3) false-positive
@1q@ xCAlgAfGl@@Ab2L@dX@4&$Alg ""d}~ u%7X64k7Q+̹h=̹Q̸T u̸2y4[%@aaaHNF HQKȃن7'ȃQX%lSs%Q ʓ) _ 5J9oq 4AfbNAjA;dWhat must be monitored in the treatment of severe B12 deficiency?hypokalemia, within the first 48hrs. Newly forming red cells will suck up the K in the blood.@.>mo@ô AoCj6AjY@YB@YBAg?\)@&5@S,9WAoCj6;L) ?  q=b#Noq 4Ad}#VAjk1What is the treatment of choice for TCA toxicity?sodium bicarbonate infusion.@8|@")2Ar_)nAj+@@Ad9@r@9HAr_)n &'?Wo/G_wnV ?v0;4k7Xh?%ϿΔN?cHRO5 ?ڠA]θv?.Ǟ#jΑ$&0?}RC{ ^+&@#rQub9 @G]su`j0`@"P#`1b#@k#xߢ@!IBr|Eg?ڬ!7Ѯ1 ? f3'  E@܄ 3qz ?4, oxߢ0@SZ7ĕA@\^isħ @@˳:8'/qVb*[Q  E @9N>MLBZ @:*K9qq @:}tl#4 @;?Y)G4  @;ŧ߁[4d @;ϒ/VS r I.8 @ @?֐f+y>^: @@MzDŽa @@yx̌+I0k @AiCIUkMa @C"/ˌ$T4pD @C-5-dG-Y7Ѯ1?ݗ[=̹?'g>aU?3"}'  !!Xݠ) k#   *aDoq 4AdyĦffAjkWhat part of the heart does the left anterior descending artery supply?anterior wall of the left ventricle@AiCIUk@!ixoAu2Ai0,@@F BAdz @0bR@7pAu2q¦( Yi  %oq 4AgAAjl?xWhat is one of the things you must think of when you see a pt suddenly become glucose intolerant (hyperglycemic) while on TPN?sepsis@*Z= 7@72AngVFAiUVa@ƴϊ@ƴϊAhP@L@/49`AngVF  6`2\.X ֬´ %w 4AkrEAkrE  %w 4Aa%:HAa%:H 헊ģt %w 4AhAh  %w 4Ak"Ak" ֏ %w 4Aa⫖yAa⫖y Ӈ %w 4Aa!Aa!  %w 4AkAk p %w 4AfTjAfTj ڱ %w 4A`Eb =A`Eb =  %w 4AdxsFAdxsF 3 %w 4Ag2cdZAg2cdZ ƅ %w 4AkQxAkQx  %w 4Ad|7;Ad|7; ű %w 4AanbAanb h %w 4AjBuTAjBuT ٮ %w 4Ak"hAAk"hA  %w 4AdyX1'AdyX1' ΢ %w 4Ah+) [   3 oq 4Ak`RAkPWhat is the treatment regimen for neonatal polycythemia, and how does it present?apnea, hypoglycemia, hyperbilirubinemia, cardiac and respiratory compromise. Tx with Hydration and partial exchange transfusion?ς?}RC{AlHa!%Ak(?~@, Q@, QAkm~@C_@\~AlHa!%Ө( k   i47]oq 4AaDjAkbuWhat is Kava used to treat?anxiety@c@N"}XAmBAj׃z@@Aaff @\`@CAmB aaӞ) q    0aVoq 4AhMAkOlWhat is the drug of choice for treating sclerodermal-related renal crisis?ACEI's. This presents as hypertension that results from angiotensin-induced vasoconstriction@̷@j~AlTfAj3?ʮ@pE@pEAhί+@%g@JAlTf 4H\p $8L`t W 4^<ΑW 4p1W 4_̸TW 4V+b#GW 4WHoyW 4XYEW 4Zm+|EfuW 4ZaAW 4\ 2gC W 4b,m"W 4bLaW 4bYW 4c- a2W 4d=-W 4f=5.)aW 4l{b#NW 4l`iW 4loW 4mĤW 4m>W 4m2jjW 4o) W 4q#qW 4rP3ƂW 4s@zwW 4sCt΢   PTY&ձc -ǣhVYqba 4thyroid lymphomaEUka!lUW 4When is treatment for hypothyroidism warranted?X´ Yc4qba 46 months. After that, it's unlikely they'll descend by themselvesIֶs]6  W 4How should priapism caused by trazodone be treated?] aFrqba 4ACEIs, b/c it lowers intraglomerulua pressure, and reduced proteinuria4If~0W 4What can be used to treat ALS?V̑u 2uW 4What is erysipelas and what bug is the typical causative agent?HV q%3Vqba 4breast cancer. (no increase in testicular ca risk)KԱ/w/ %I0/W 4What can be seen as a sequelae of acute otitis media?  뗀(  e  oq 4Ak,AkX pQWhat is the treatment of choice for high-grade squamous intraepithelial lesions? (CIN II, CIN III, moderate and severe dysplasia, and carcinoma in situ)LEEP@Vju?ePAl 'Ak$N@*@*AkE@dZ @dZ Al 'g) y3  ={oq 4Ah,&AkPOWhat is the treatment of choice for chronic Hep C with mixed cryoglobulinemia?anti-viral agents: interferon and ribavirin@.Q{@kAm9 Ak>lʹx@M@MAi_l33@C@3htAm9  ~T¥ %W 4What is one of the things you must think of when you see a pt suddenly become glucose intolerant (hyperglycemic) while on TPN?What side effect is Kava known to cause?hepatitis, cirrhosis, and liver failure.@:}tl@$3ՠ&As':Aj/}@@Aa?P@Un@@QwAs': \Mݹ1) E3 Ѯoq 4AkƨAkВ+What is the medication of choice to treat cat bites?Augmentin. If Pen allergic, use doxycycline?iS?ڬ!Alp4^Ak2@, Q@, QAkEV@NV@!NVAlp4^伱) Q? +ɽoq 4AkUOAkR7LWhat is the name of the skin lesion caused by pseudomonas?ecthyma gangrenosum - has black necrotic center. This isn't pathognomonic, but its pressence suggests pseudomonas?y? Ak9[@Ak>uMs@*@*Akpb@%@5Ak9[@ nn) K  !Ifjoq 4AbհuAkX&What does the triad of Ramsay Hunt syndrome consist of?1) ear pain
2) vesicles in the external auditory canal
3) ipsilateral facial paralysis
@%ⴚ}@!}VimAn6JAkSEv6?~K@%X&Ac$$إ @2}0@^vAn6J .Xft .Q2diAkP9?c @z?~K@*@*@*p QSs%AkP ?}=T@""_J*?=~@*@*@\ G  LD.AkP٦ff@馦?w؏@@Ị=@5)7LQutAkPUV@$˹I@4 [?aw @M@M@aAQ6AkPj@2-@?M5炪?4@M@M@G   OIAkP/#?Mo?ડF@@Ị=@[ȴQ k|AkPO@k@.Q{?q~K@M@M@ 8Q C`/SAkPw@Ɛua@ YAU?"j@ɗ²l@d9@c!G   #AkO/@n'2 M?བྷRL@@Ị=@jȴQ EQAkOc"@ ?O@40?~#@[@[@|QSAkL^j@ow@0O?ÆA ;G@ɗ²l@ɗ²l@%xQQh|9u>AkL\,@$+v~;@?W?uPB@@@- &pP (Xpxp@0`H8h @Risħ @kuRĤ @GwsRi @;|c   @zL" } @)jOI @E6ra @Vju\ @ϔrsĥ޼ @} X  @fH͕:[ė] @ S 3 @tN.] @z٫2di @馦LD. @4 [ut @?M5炪6 @.Q{k| @ YAUC`/S @f9p18b @!+qba 4CDC guidelines recommend CD4 and viral load testing every 3-4 months, whether or not someone is on HAARTLڑywbxW 4What are some causes of multifocal atrial tachycardia?gƈ -V9qba 4When pt has PUD or ASA intolerance. Also consider if pt stroked out while on ASAX95J9W 4What must be monitored in the treatment of severe B12 deficiency?M {qba 4advanced liver dz with hepatitis C. Should do a RNA PCR SS" ) u- >oq 4AkqJ=qAkQsFHow frequently should HIV pts be monitored? And what is tested for followup?CDC guidelines recommend CD4 and viral load testing every 3-4 months, whether or not someone is on HAART@[wnв?KڮAl'AkB: @*@*Ak @0^6@@^6Al' OO&䀉) y/  9moq 4Aa+7LAjWhat are two of the most common techniques to confirm eradication of H pylori?1) fecal antigen testing
2) urea breath test
Both are conducted 4-12wks after completion of therapy
@7rH@$[NArP&Ajpj@@@AaĜ@Vg@GnArP& Kb o%3KQNF HAkQV?5?B? P?Xw@*@*@] G  sRiAkQ0r? ?L?V@*@;L"R#@(thG   u̸AkQ?ޕ!:?wT[@@Ị=@e7QaAkQ\)@#p 搒@@MzD?']RM@F B@@ɺ`Q> AkQsF?Kڮ@[wnв?Q~q@*@*@94lG    AkQ Ĝ?3"}'?k{@@Ị=@_<G  [%@AkQA?=i?#Uó@*@;L"R#@iQ7'ȃAkQS??tg% @A5n?Կv~@*@*@dnG  3AkQ)@@ S ?afff@@Ị=@*GR]AkQ%ޗ?H#N@tN.?^r@d9@d9 @W QFRI۸AkQ/?JyV?? z@*@*@0pG  aAkQ ?|߹1?̍ @@Ị=@P\) %%) S Y Loq 4Ak$;Ak!7LWhat drugs are recommended for treatment of giardiasis in pregnancy, and in what periods?1st and 3rd trimester: Flagyl
2nd trimester: paromomycin
@?ٽWnyAlO"Aky/P@Ị=@Ị=AkW@]/ @]/ AlO"ÂC͗Ɛj( e #.c.oq 4Aa-@ƨAjkWhat is the treatment of choice for inoperable head and neck cancer?chemoradiotherapy@8v@#~^Ar|,mAjA A@@AaA,c @@C!fAr|,m k  &?Xq 9RkѮ7Ѯ1͚ΔNuϿΔNYc4RO5 3θDA]θvXCΑ#jΑ$3  ^+ i&^m_& i47] 347 q=b#NSb#NL q%   zK AkRr#"?h@@Ị=@YMQ$ 4k7XhAkRXϝ?v0;?r`*g?&v6@*@*@WM-Q# :[ė]AkRA{?٥.v@fH?=MHl@<7VN@<7VN@WT(G"  =̹AkR*"H?ݗ[?`>G@@Ị=@,&I! [%@AkR&7?ݽ|?< +<@;L"R#@;L"R#@=;dQ =@YAkRT?0&Ct?{-W?+An@*@*@aԣG  >aUAkQd9X?'g?K%@@Ị=@ G Obz&BOQ6*yûAkX h?֮>b@@ ̷4 ?Ԝ3p@*@*@)ĘR5 IfjAkX@!}Vim@%ⴚ}?֡A@%X&?~K @S&G4  |LAkW?ٽWny?ܿ@@Ị=@a--I3 8bAkWұ^?p?;G@;L"R#@;L"R#@`J2sRiAkW J?KY?Q-7@;L"R#@;L"R#@)["H1 zK AkStrH?Ƣz??tw @Ị=@Ị=@zSG@Q0jWAkS ?5L߀@K5g? <je@*@*@C"Q/7ùAkS=?F| s/@\?2sK@*@*@YG.  L" }AkS!?K$BB?5?}'@@Ị=@IΗG-  8bAkR3S?יpV? -Akt-?D}@TM?<?w@Ị=@Ị=@@Q=L" }Akt)?K$BB@z?jYr@Ị=@Ị=@;`Q<OIAktա?Mo@)j?tՆ@Ị=@Ị=@4\Q;aAkqQ-?|߹1@E6r?zI@Ị=@Ị=@)PQ:qVb*[QAkqM@+8@@˳:8'/?\#@F B@F B@H9 ^+AkqLt?}RC{?@, Q@, Q@I>>8   ^+Akmƨ?ê ۗ@@, Q@3o<Q7\AkX pQ?eP@Vju?}4Y @*@*@dZ  H ~b*[qba 46 wkst GEg2jjqba 4infection: SBP, UTI, resp, bacteremia; Thus they should be started on Abx, a fluoroquinolone..ۃ ;Fqba 4VATS. It's relatively safe, and offers a definitive dx. FNA and percutaneous needle aspiration is less sensitive and only good if results are positive.- 98 qba 4rapidly progressive focal neurological deficits without increased ICP. There is no specific treatment but data shows improvement if HAART is initiated ImTT 9bqba 4this is usu1Ө]Ci47]W 4What is Kava used to treat?Η Ss=jǢqba 4HCTZo󐗃=D|W 4What is one laboratory difference and test difference between Cushing's syndrome and dz?'/ // %I0/qba 4acute mastoiditis3 GֵaAqba 41) oxygen, morphine, IV Lasix! !abb9qba 4rupture of chordae tendinae: causes include infective endocarditis, papillary muscle rupture 2/2 ischemia, mitral valve rupture 2/2 trauma 44H\p$8L`t9 3-:OCT/1T];B 7ϩS 7=t.={k|>;929x?]4\ 4@ͧa$M {a`BD9KL" }D|rc|H>]ߪy>^:Jb=qb=O_bP]bˌP{OTk5{OQbVh#bVRa9$Xa9`Ss=jǢ {jǢSͭZBZTOF‡FVs4G4 V9Ճ`Y L|L]6  +  44sqWDumping syndrome. Sx: abd pain, diarrhea,n/v;
Tx: high protein diet, smaller, more frequent meals(zNECHO a+Factor V Leiden“-A 5Female; nl breast development; no pubic or axillary hair; no Mullerian structures present (uterus, fallopian tube). The vagina ends in a blind pouch޽;a7Fever, chills, responds to NSAIDs. This is usually a rxn of Ab's to donor leukocytes.j4pHCTZQ8jǢ+HPV DNA testing}UR, O) u .)aoq 4Aa)}OAho 9What drugs are indicated first line treatment of metastatic prostate cancer?1) Leupron (LHRH) -> causes initial surge in LH and FSH, resulting in transient surge of testosterone, and subsequent significant decrease in levels.
2) Give flutamide (antiandrogen) concurrently, to diminish side effects of Leupron
@3 ]l@! fAo|Aho׷c@@AaA)$@'cY$@@SAo| -lp%})-QN [%@Ak̦$?ݽ|@bԶ ?:z@;L"R#@;L"R#@(pQM u̸AkɎ?ޕ!:@H,DC?Jax:@Ị=@Ị=@2lQL 8bAkX?p@f9p1?PW;@;L"R#@;L"R#@ QKRO5 Akȴ?cH@;!?m@, Q@, Q@EQJϿΔNAkWl?%? ?|fB@, Q@, Q@QIK*AkI@>C<@"ӋnyE?=@0yU@F!@" HH  xߢAk)x@k#?I@ɗ²l@/)]@nQG#`1b#Ak{@"P@&0E?ՏN@F B@@ z@QF ub9Ak@#rQ@8?q @F B@F B@)xQEsu`j0Akv@+GP9}@G]?dK4@F B@@N GD  7Ѯ1AkEV?ڬ!?:4 @@, Q@GC  RO5 Akths?cH?-^o@@, Q@ @@oY.SWhat is the prognosis of Erb palsy?^<ΑWhat is the recommended choice of anticoagulation in lone a-fib in <60y/o without structural or functional heart abnormalities?\9em$Y'What is the recommended mode of treatment for primary pulmonary hypertension?CFZ)What is the screening test of choice for family members of someone with APCKD?XzK What is the screening test of choice for renal artery stenosis?sCt΢ mX\_ mQY xߢAk@k#?4, otUNWk@/)]@/)]@GX    EAk,(? f3'?z=-@@, Q@ (QW ^+AkP?}RC{?ς?^\$@, Q@, Q@FaQV#jΑ$Ak?.Ǟ@?>˧?0L y\@, Q@, Q@xQU|LAk!#?ٽWny@?ݎ-@Ị=@Ị=@glRTsRiAkFy?KY@Gw?h>%@;L"R#@;L"R#@pQSA]θvAkט`?ڠ?&QO?\@t@, Q@, Q@&0QR  AkԷ?3"}'@;|c?۹?@Ị=@Ị=@\(QQ zK Akh?Ƣz??u?xH@Ị=@Ị=@'d(QP>aUAkH?'g@q ?f6@Ị=@Ị=@ z`QO=̹Ak\?ݗ[?ܦ?=(@Ị=@Ị=@#?| X\Q`7Ѯ1AkВ+?ڬ!?iS??+^ @, Q@, Q@?|Q_isħAkБ@\^@R?*_p|e@կ@կ@ Q^Z7ĕAAkА?l@S@ia;?ХME@կ@կ@Q]qzAkЏr@܄ 3@!3@?w @Où@^@@Q\Br|EgAkЎ`B@!I@#f)?;` @0yU@F!@TǮQ[RĤAkr?=ɿ@ku?{A;@կ@կ@ QZwh- Akش9@$/lnd@)<?"(N@@fffffg@ Q