I have a lump on my neck
Baby,
you are too small!
you are too small!
Please check my thyroid
I need Vitamin B12
Vaccinate or not vaccinate?
100
At what duration of the symptoms you will need to start further evaluation of lymphadenopathy?
4 weeks
100
Define the gestational age for moderate-late preterm infant.
32 to 36 6/7 weeks
100
What are you lab values (TSHm T3 and T4) and Radioactive iodine update scan in a patient with Graves disease?
TSH suppressed
T3 and T4 elevated
Diffuse high uptake
100
Which test is the most reasonable, cost effective first step in the work up for suspected vitamin B12 deficiency?
Vitamin B 12 level
100
Name 2 brand names for B component meningitis B vaccine.
Trumenba
Bexsero
200
Which one of the following imaging modalities is preferred for an adult with cervical lymphadenopathy suspicious for malignancy
CT
200
What is the minimum weight for hepatitis B vaccine administration?
2000g
200
When thyroidectomy is the treatment of choice for the patients with the goiter?
Compression symptoms are present
200
Name formulations for vitamin B12 replacement (at least 4)
Oral
IM
Sublingual
Nasal
Subcutaneous
200
Which serogroups are covered by Menveo and MenQuadfi vaccine?
A, C, W and Y
300
Name 4 most common meds causing lymphadenopathy.
Allopurinol, Atenolol, Captopril, Carbamazepine, Hydralazine, Penicillin, Phenytoin, Primidone, Pyrimethamine, Quinidine, Trimethoprim-sulfamethoxazole
300
Name at 5 medical complications of prematurity/
1.Bronchopulmonary dysplasia/Chronic lung disease
2.Cryptorchism
3.Gastroesophageal reflux
4. Necrotizing enterocolitis
5.Retinopathy of prematurity
6. Intraventricular hemorrhage
7. Apnea of prematurity/Bradycardia
8. Inguinal hernia
300
Name 4 groups of pharmacological treatment of hyperthyroidism.
1. Beta blockers (Atenolol and Metoprolol)
2. Corticosteroids (Hydrocortisone and Prednisone)
3. Potassium iodide
4. Thionamides (Methimazole and Propylthiouracil)
300
What medications are associated with Vitamin B12 deficiency?
Metformin
Proton Pump Inhibitors
H2 blockers
300
How does administration of RSV vaccine during the pregnancy improve infant outcome?
Maternal RSV vaccination during the pregnancy leads to fewer infant hospitalizations before the age of 1 with laboratory confirmed RSV disease compared with placebo.
400
Enlarged lymph nodes of which location are highly suggestive of malignancy.
Supraclavicular Lymph Nodes
400
Name the mnemonic helpful for differential diagnosis of lymphadenopathy.
MIAMI
Malignancy
Infectious
Autoimmune
Miscellaneous
Iatrogenic
400
What are the treatment options for the patients with Graves disease?
Radioactive Iodine
Thionamides (Methimazole, Carbimazole, Propyluracil)
Thyroidectomy
400
If Vitamin B12 level was found to be borderline ( 180-350pg/ml (133 to 158pmol/L) what additional test you will need to order?
Methylmalonic acid
400
What is the recommended and preferred age for the Meningitis B vaccine administration?
Recommended age is 16 to 23
Preferred age is 16 to 18
500
Name two most common microorganisms for bacterial lymphadenitis.
Methicillin-susceptible Staph Aureus
Group A Strep
500
What is the most common type of cerebral palsy diagnosed in premature infants?
Spastic diplegia
500
For how long the treatment for Graves disease with Methimazole can safely be given?
Up tp 10 years
500
Name 3 main medication groups for treatment.
Topical Antifungal (Miconazole 2% cream, Ketoconazole 2% cream, Ciclopirox 0.77% gel/cream)
Low Potency Corticosteroids
Calcineurin inhibitors (Pimecrolimus 1% cream, Tacrolimus 0.1% ointment)
500
Recommended dosage of Beyfortus (Nirsevimab), RSV vaccines, for the first RSV season based on weight.
Weight less than 5kg: 50 mg IM
Weight equal or more than 5kg: 100mg IM as a single dose