Deeps BOARD

IM

100

What is the first test/imaging study that should be ordered to diagnose pancreatitis in a patient with acute epigastric abdominal pain that radiates to the back?

{{c1::Serum amylase and lipase}}

200

What is the likely diagnosis in a patient living in a nursing facility that presents with a 2 x 1 cm skin ulcer overlying the sacral region?

{{c1::Pressure (decubitus) ulcer}}

300

Which type of lung cancer is associated with hypercalcemia (ectopic PTHrP production)?

{{c1::Squamous cell carcinoma}}

400

What is the preferred diagnostic study for hemodynamically stable patients with normal renal function and suspected aortic dissection?

{{c1::CT angiography}}

500

Indications for acute dialysis may be remembered with the mnemonic AEIOU:

A - {{c1::Acidosis}}

E - {{c2::severe Electrolyte abnormalities}}

I - {{c3::substance Intoxication}}

O - {{c4::volume Overload}}

U - {{c5::Uremic symptoms}}

PEDS

100

Intussusception is characterized by a ________ sign appearance on ultrasound

bull's-eye (target sign)

200

The diagnosis of sickle cell disease can be confirmed with

{{c1::hemoglobin electrophoresis}}.

300

What is the most common cause of inherited intellectual disability?

Fragile X

400

Prominent J waves on ECG are typically indicative of _______

hypothermia

500

What physical exam maneuvers are used to assess for developmental dysplasia of the hip?

{{c1::Barlow and Ortolani maneuvers}}

OB

100

What is the underlying cause of early decelerations on fetal heart tracing?

{{c1::Fetal head compression}}

200

Placenta ________ is the abnormal attachment of the placenta to the myometrium, without penetrating it

Placenta {{c1::accreta}} is the abnormal attachment of the placenta to the myometrium, without penetrating it

300

What is the most supported theory for the etiology of endometriosis?

{{c1::Retrograde menstruation}}

400

Very elevated levels of ________ is characteristic of menopause

Very elevated levels of {{c1::FSH}} is characteristic of menopause

500

The _______ gland is present on each side of the vaginal canal and produces mucus-like fluid that drains via ducts into the lower vestibule

The {{c1::bartholin}} gland is present on each side of the vaginal canal and produces mucus-like fluid that drains via ducts into the lower vestibule

PSYCH

100

______ is a factitious disorder characterized by a history of multiple hospital admissions and willingness to undergo invasive procedures

{{c1::Munchausen syndrome}} is a factitious disorder characterized by a history of multiple hospital admissions and willingness to undergo invasive procedures

200

What does SIG E CAPS stand for

Major depressive disorder is characterized by at least four "SIG E CAPS" symptoms PLUS a {{c1::depressed mood}} or {{c1::anhedonia}} for ≥ 2 weeks (duration):

S: {{c2::Sleep changes}}

I: {{c2::Interest decreases (anhedonia)}}

G: {{c2::Guilt or feelings of worthlessness}}

E: {{c2::Energy loss or fatigue}} 

C: {{c3::Concentration deficit}}

A: {{c3::Appetite/weight changes}} 

P: {{c3::Psychomotor retardation or agitation}} 

S: {{c3::Suicidality}}  

300

What is the likely diagnosis in a teenage boy that presents after having an episode of unconsciousness followed by drowsiness and headache? The symptoms started and ended quickly. Physical exam is significant for a mild rash around the patient's mouth. Routine toxicology screen is negative.

Inhalant Abuse

400

To be diagnosed with generalized anxiety disorder, patients must exhibit 3/6 of the following symptoms over course of at least 6 months (mnemonic: Worry WARTS)

To be diagnosed with generalized anxiety disorder, patients must exhibit 3/6 of the following symptoms over course of at least 6 months (mnemonic: Worry WARTS)

- W{{c1::ound up (Irritability)}}

- W{{c2::orn out (Fatigue)}}

- A{{c3::bsentminded (Difficulty concentrating)}}

- R{{c4::estlessness}}

- T{{c5::ension in muscle}}

- S{{c6::leep disturbance}}

500

Long-term pharmacologic treatment of alcoholism may include {{c1::naltrexone}} or ____________ , which reduce cravings

Long-term pharmacologic treatment of alcoholism may include {{c1::naltrexone}} or {{c2::acamprosate}}, which reduce cravings

SURGERY

100

What is the initial step in management of dumping syndrome?

What is the initial step in management of dumping syndrome?

{{c1::Dietary modification}}

200

What class of analgesics may contribute to prolonged post-operative ileus? 

What class of analgesics may contribute to prolonged post-operative ileus? 

{{c1::Opiates}}

300

What initial imaging modality is used to diagnose GI perforation?

{{c1::Upright X-ray of chest and abdomen}}

400

Fracture of which wrist bone is often complicated by median nerve compression?

{{c1::Lunate}}

500

What anesthetic is associated with adrenal insufficiency, especially in elderly and critically ill patients?

What anesthetic is associated with adrenal insufficiency, especially in elderly and critically ill patients?

{{c1::Etomidate}}