Yummy!
What is the best initial imaging modalities (with location) if you suspect foreign body ingestion? (3)
Neck, Chest and Abdominal XR
Thrombocyotsis is defined as a PLT count of ___x10^3uL or greater
450
True or False? RSV vaccine is safe to give in pregnancy?
True
True or False? Systemic Sarcoidosis affects males more than females?
False (5:1)
What is another name for Bladder Pain Syndrome?
Interstitial Cystitis
What three objects require urgent/emergent endoscopy if swallowed?
Magnet, Battery, Sharp Objects
What lab test should be ordered initially after an unexpected PC showing thrombocytosis?
Repeat CBC with diff with PBS
What is the most common adverse reaction to vaccines?
Injection site pain and swelling
First Line Treatment for Raynaud's Disease
Dihydropyridine CCB
There is not any. Diagnosis of exclusion
Where is the most common site of foreign body to become lodged?
Proximal esophagus at the cricopharyngeal muscle
Treatment for essential thrombocytosis. (2)
ASA +/- Hydroxurea
What is a serious adverse effect of the COVID vaccine?
Myocarditis/Pericarditis
What are 3 physical exam findings for Systemic Sarcoidosis?
Skin thickening, Hyperpigmentation, Hand edema, Raynauds, dry mouth, joint swelling and pain
What are 3 signs and symptoms of BPS?
Bladder Pain, Dysuria, Frequency, Dyspareunia, pain with bladder filling, urgency, nocturia
Objects greater than ___cm in diameter or ___cm in length are unlikely to clear the duodenum or ileocecal valve
2.5cm; 6cm
If ET is suspected, what lab test should be performed? And what test is used to confirm dx and rule out myeloid neoplasms?
Jak2 Kinase; Bone Marrow Bx
You should give separate MMR and Varicella vaccinations up until the age of 4 to reduce risk of this serious adverse effect?
Febrile Seizures
What annual screenings should be completed for someone with Sarcoidosis (hint lung related)
PAH: TTE, BNP, PFT with DLCO
ILD: High resolution Chest CT q1-3years
What is the first line treatment for BPS? (Provide 2 examples)
Lifestyle and Behavioral Modifications: bladder training, Timed voiding, Diet and fluid management, Pelvic floor PT, CBT, Yoga
If battery ingestion is suspected, what initial mgmt on the way to the hospital? And in the ED? can be performed to help mitigate injury?
10ml honey every 10min x6 doses; Sucralfate 1g q10min x3 doses
What are secondary causes of Thrombocytosis? (Give at least 3)
Asplenia, infection, inflammation, malignancy, medications, iron deficiency
What techniques can reduce pain in neonates when giving a vaccine? (Give 3)
Nonnutritive sucking, breastfeeding, sweet solution, holding, facilitated tucking
What autoantibodies can be seen in someone with Systemic Sarcoidosis? (Name 3 out of 4)
What pharmacotherapy can be used for specific symptoms of BPS?
Azos, NSAIDs, Gaba, Estrogen cream, Elmiron (only FDA approved medication)