Board jeopardy

MSK

100

What 5 conditions is carpal tunnel syndrome associated with?

1. Thyroid disease

2. Diabetes

3. pregnancy

4. alcoholism

5. Rheumatoid arthritis

200

Shooting foot pain with numbness, tingling or burning sensation that is provoked by subtalar pronation without tenderness over medial calcaneal tubercle?

Tarsal Tunnel Syndrome 

• The problem is more common in people with chronically swollen feet, including those with arthritis or diabetes.

(mimics plantar fasciitis)

300

What is the most successful treatment of nursmaid's elbow?

Hyperpronation of the forearm (requires fewer attempts)

400

What are the main 3 things to manage vertebral compression fractions in the elderly?

1. Early mobilization to maintain strength and function.

2. Pain management (APAP, calcitonin nasal spray x 4 weeks)

3.DEXA to evaluate for osteoporosis

500

Name the Ottawa Ankle rules

1. Malleolar pain or pain in region of navicular or prox 5th metatarsal 

AND

2. Unable to bear weight 4 steps at exam OR

3. Discrete bone tenderness at posterior margin of malleolus

Respiratory

100

What are your 5 condition in the differential for COPD exacerbation?

1. PNA

2. Penumothorax

3. Pleural effusion

4. PE

5. pulmonary edema

200

How do we know if a COPD patient would benefit from an ICS?

if blood eosinophils >300

300

What are the spirometry findings to diagnose asthma?

FEV1  <80% predicted

TLC is normal to elevated

FRC is usually elevated 

Increase of FEV1 > 12 %  after bronchoconstriction

400

What are the SMART recommendations for asthma management?

Single Maintenance And Reliever Therapy

-ICS/formoterol MDI for maintenance BID and prn for symptoms 

500

What are the main 3 recommendations to manage asthma during pregnancy?

1. Monthly monitoring of symptoms

2. Do not step down treatment (No sotpicng ICS before or during pregnancy

3. treat exacerbations agressively

GI

100

Insidious onset  mild diarrhea and pain with skp lesions?

Crohn's Disease

200

what are the 2 mcc of infectious diarrhea in children in the developed and developing countries?

1. Rotavirus

2. Norovirus

300

This GI cancer is the third mcc of cancer related death in the US

cancer of large intestine

400

Name the 7 alarm feature in dyspepsia

1. unintentional weight loss

2. dysphagia

3. odynophagia

4. unexplained iron def anemia

5. persistent vomiting

6. palpable mass or lymphadenopathy

7. Fmhx of upper GI cancer

500

What are the main 4 risks associated with PPI use?

1. Vit B12 def

2. hypomagnesemia

3. inc risk fo C-diff infection

4. inc risk for CAP

Endocrine

100

How do you adjust meds and monitor pregnant patient with hypothyroidsm?

1. Increase levothyroxine by 30%

2. Check TSH q 4 weeks

200

What is the most likely complication in the first 6 months after  sleeve gastrectomy?

GERD

300

What type of anemia can falsely elevate A1c?

Iron deficiency anemia

400

What type of medications should you start in patients with T2DM and ASCVD, HF  or CKD even if A1C is controlled?

ASVD: SGLT2 inh. (-flozin) or GLP1 agonists (-tide)

HF or CKD: SGLT2 inh. first (if counter indicated use GLP1 ag)

500

What is the best indicator of the ability to heal in a diabetic foot ulcer?

- Patient's pulse