Step3 5

Question 1

Clinical manifestations of Gastrinoma

Answer 1

Peptic ulcers

Question 2

Clinical manifestations of Insulinoma

Answer 2

Hypoglycemia

Question 3

Clinical manifestations of VIPoma

Answer 3

Secretory diarrhea, hypokalemia, hypochloremia

Question 4

Clinical Manifestations of Glucagonoma

Answer 4

Hyperglycemia

Weight loss

Necrolytic migratory erythema: erythematous scaly rash with central clearing. Also, itchy and painful

Other symptoms: diarrhea, abdominal cramps, flushing

Question 5

Screening lab test for Medullary thyroid cancer

Answer 5

Calcitonin

Question 6

Iron studies in Iron deficiency anemia vs. Alpha and Beta Thalassemia

Answer 6

Iron deficiency:
Low ferritin and low iron
Increased TIBC

Thalassemias:
Normal or elevated

Question 7

MCV in iron def. anemia vs. Alpha and Beta Thalassemia

Answer 7

Low in all

Question 8

RDW in iron def. anemia vs. Alpha and Beta Thalassemia

Answer 8

Elevated in Iron deficiency

Normal in thalasemias

Question 9

Common races that suffer from thalassemia

Answer 9

Indian, Mediterranean, Middle eastern, south east Asia, African

Question 10

Treatment for pityriasis rosea

Answer 10

Topical cream: 80% effective

Ketokonazol
Terninafine
Clotrimazol
Selenium

Severe or resistant
Oral ketokonazol. clotrimazol, fluconazol

Question 11

Tick paralysis clinical presentations

Answer 11

Rapidly progressive gait ataxia with ascending paralysis

4-7 days after tick attachment

Fever is uncommon

Question 12

Treatment for cataplexy with MOA of the drug (3)

Answer 12

Venlafaxine (SNRI)

may add a TCA

Sodium oxybate (salt from hydroxybutyrate) can also help these symptoms but it is rarely used due to abuse potential

Question 13

Presentation and diagnosis of intussusception

Answer 13

Colic pain
Currant jelly stools
Vomiting

Diagnose with air contrast enema

Question 14

Risk factor for pyloric stenosis

Answer 14

First borne
Bottle-fed
Erythromycin or Azitromycin

Question 15

Imaging test for Parkinson’s disease

Answer 15

Striatal dopamine transporter scan (DaTSCAN)

Low Ioflupane intake is diagnostic of the disease.

Question 16

Parkinson disease treatment

Answer 16

C SALAD

COMT inhibitors: entacapone, tocalpone

Seligeline

Amatadine

Levodopa/carvidopa

Anticholinergics: benztropine

Dopamine agonist: bromocriptine, pramipexole, cabergoline

Question 17

Associated condition with Acanthosis nigricans (2)

Answer 17

Insulin resistance

GI Malignancy

Question 18

Skin condition associated with

Insulin resistance

GI Malignancy

Answer 18

Acanthosis nigricans

Question 19

Condition associated with:

Multiple skin tags

Answer 19

Insulin resistance

Pregnancy

Chron’s (perianal)

Question 20

Disease associated with pyoderma gangrenosum

Answer 20

Inflammatory bowel disease

Question 21

Antihypertensive medications that can be used until the day of surgery

Answer 21

ARA II
ACEI
Diuretics

Stop on the day of surgery unless patient is taking it due to heart failure

Question 22

Medication that increased risk for thrombotic events during surgery

Answer 22

Strogen modulators

Tamoxifen, Raloxifen

Stop 4 weeks before surgery

Question 23

Skin condition associated with:

Insulin resistance

Pregnancy

Chron’s (perianal)

Answer 23

Multiple skin tags

Question 24

Condition associated with:

Porphyria cutanea tarda

Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia

Answer 24

Hepatitis C

Question 25

Skin condition associated with: Hep C

Answer 25

Porphyria cutanea tarda Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia

Question 26

Condition associated with: Dermatitis herpetiform

Answer 26

Celiac disease

Question 27

Skin condition associated with: Celiac disease

Answer 27

Dermatitis herpetiform

Question 28

Condition associated with: Severe seborrheic dermatitis

Answer 28

HIV Parkinson

Question 29

Skin condition associated with: HIV Parkinson

Answer 29

Severe seborrheic dermatitis

Question 30

Skin condition associated with HIV

Answer 30

Sudden onset severe psoriasis Recurrent herpes zoster Disseminated molluscum contagiosum Severe seborrheic dermatitis

Question 31

Skin condition associated with GI malignancy

Answer 31

Explosive onset multiple itchy seborrheic keratosis Acanthosis nigricans