Derm
what is known as the rash that itches
atopic dermatitis
19 yo man presents w an earache. + for pain with pinna pulling and white debris noted in the EAC. The TM is not visible due to edema and erythema. What is the tx of choice?
a. po amoxicillin
b. ophth ciprofloxin
c. po dexamethasone
d. po azithromycin
B
A pt presents to the ED after a bar fight. His left eye is + for blood in the anterior chamber. What is the dx?
hyphema
Which of the following would be the pathophys of an exudative pleural effusion?
a. cirrhosis
b. chf
c. renal failure
d. pna
D
what is the most common pituitary tumor
prolactinoma
cauliflower shaped lesions on the penile shaft are the result of what std?
a. human papillomavirus
b. syphillis
c. herpes simplex virus
d. chlamydia
A
A 7yo girl presents with friable white plaques on the corner of her mouth that are easily scraped off. A KOH prep shows budding yeast and pseudohyphae. What is the first line tx?
nystatin swish
47 yo female presents with red swollen eyelids that flake, and tearing red eyes. Which of the following is a risk factor for this condition?
a. diabetes
b. recent abx use
c. rosacea
d. recent strep pharyngitis infection
C
A pt presents to the ED after a car accident with marked tachycardia, hypotension, and trachea deviation. You note hyperresonance to percussion, unequal resp expansion, and decreased breath sounds. What is the first line tx?
fine needle aspiration then chest tube placement
what result would you expect to see from a water deprivation test on a pt with central vs nephro DI
central diluted urine that becomes concentrated when ADH is added. Nephro diluted urine that remains dilted after the addition of ADH
A 15yo male presents with comedones and scattered pustules across his face. He is already using topical clindamycin and benzoyl peroxide, what should be added to the tx?
oral tetracycline
A 3 yo boy is brought to the ED via ambulance with difficulty breathing. Inspiratory stridor and a barking cough are noted. The pt is in severe respiratory distress, what is the first line pharmacological intervention?
a. IV dexamethasone
b. IV Amoxicillin
c. Racemic epinephrine
d. PO acyclovir
C
A pt presents with unilateral painful vision loss and redness. Upon examination you note unilateral pupil constriction and ciliary injection. A slit lamp shows inflamatory cells and flare. What is the first line tx?
topical corticosteroids
What cxr sign is most indicative of asbestos pneumoconiosis?
a. pleural plaques in lower lobes
b. small nodules in upper lung
c. eggshell calcifications of hilar and mediastinal nodes
d. hilar lymphadenopathy
A
medullary
pt presents with tense blisters with a - nikolosky sign. Pt states it began as pruritic vesicles and got worse. What is the first line tx of choice?
PO prednisone
What is the most common pathogen of bacterial sinusitis and first line tx?
S. pneumoniae and augmentin
A 35yo patient presents with ocular pain with eom, proptosis, and unilateral vision changes. You diagnose the pt with orbital cellulitis and admit the pt to the hospital. What info from the hpi would indicate the mc cause of the orbital cellulitis?
prior ethmoid sinus infection
A pt presents with pleuritic chest pain, dyspnea, tachycardia, and a nonproductive cough. What is the best choice for diagnostics?
spiral CT w contrast
pt presents with high bp, hypoK, and metabolic alkalosis. An oral Na loading test reveals increased urine aldosterone. What is the first line tx assuming the cause of the hyperaldosteronism is the most common cause?
spironolactone and excision
a pt develops pale umbilicated vesicles spreading across his face, what is the causative agent?
poxvirus
A 65 yo woman presents with a cheif complaint of episodic vertigo and hearing loss upon rolling over in bed. What is the tx?
Epley maneuver
a pt presents with n/v and complains of severe headache behind her eyes accompanied with brief blindness and tinnitus. An MRI is negative for any masses. What is this pt likely suffering from?
pseudotumor cerebri
A 53yo male HIV positive man presents with fever, weight loss, dyspnea on exertion, and a nonproductive cough. Labs indicate a increased LDH and a cxr shows diffuse biateral infiltrates. What is the appropriate tx?
bactim and prednisone
A patient presents with hypotn, hyper k, n/v. A cosyntropin test reveals no change in cortisol levels. What is the first line tx?
hydrocortisone and fludrocortisone