Spring and Fall

Question 1

Rotavirus vaccine

Answer 1

Live

contraindicated in hx of intussusception

Question 2

Most common cause of spontaneous cerebral hemorrhage in elederly

Answer 2

cerebral amyloid

Question 3

antiemetic dopamine antagonists

Answer 3

metoclopramide
promethazine
prochlorperazine

can cause EPS s/e

Question 4

Hydroxyzine moa

Answer 4

antihistamine

antiemetic properties

Question 5

Prego w/ hx of genital HSV rx

Answer 5

prophylactic acyclovir starting at 36 weeks

if there is an outbreak at delievery time, do a C/S

Question 6

acid base effects of increased aldosterone

Answer 6

↓ H and K (lost to urine)
–>
Serum alkalosis

Question 7

Edrophonium test

Answer 7

• bed side MG test
• edrophonium = acetylcholinesterase inhibitor
• ↑ ACH –> ↑ strength

*also be sure to check for thymoma in MG

Question 8

3 DDX requirements for acute liver failure

Answer 8

1- ↑ ALT/ AST
2- Hepatic Encephalopathy
3- Synthetic dysfunction (INR > 1.5)

Question 9

Methimazole

Answer 9

↓ thyroid hormone production by inhibiting thyroid peroxidase

s/e: agranulocytosis, aplastic anemia, teratogenic

Question 10

Rhogam

Answer 10

Anti-D immune globulin

good for:
mom w/ Rh -
and
negative AB vs D

given at 28-32
repeated post delivery is=f baby if Rh +

Question 11

Rx for stable pt w/ Wide QRS tachycardia

Answer 11

amiodarone
procainamide
sotalol
lidocaine

Question 12

Rx for stable pt w/ paroxysmal SVT

Answer 12

narrow QRS

carotid sinus massage

Question 13

Women under 25 clam and gon screening intervals

Answer 13

performed annually

Question 14

BMP in tumor lysis syndrome

Answer 14

• Hyperuricemia
• Hyperkalemia
• Hyperphosphatemia
• HYPOcalcemia (Ca spills but binds ↑ phos)