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Mucopurulent discharge

muCopurulent is Chlamydia

Common side effect of metronidazole?

Disulfiram like reaction (drinking on a metro will make you puke!)

How does pnumoccal sepsis present in sicklers?

variably, can be vague abdominal discomfort or pneumonia, etc.

Why may you get a bump in Cr from BPH? What test should you do to confirm?

Hydronephrosis-do an abdominal U/S

Hepatolenticular degeneration

Wilsons disease!

Trastuzumab (herceptin) should be preced by what test?

Echo due to its cardiotoxicity

Theophyline toxicity

flu like symptoms with arrhythmias.

Often exacerbated with use of cipro or erythromycin.

Complication of post term pregnancy?

Oligohydramnios - they are there too long and drink it all up!

Alternative treatmet for penicillin if allergic for syphilis?

Doxycycline or azithromycin

Most common cause of eleavated isolated alk phos in elderly?


What do red cells look like in autoimmune hemolytic anemai?

spherocytes! Have positive combs and no family history.

How does aldosterone affect H+?

Increases sodium in exchange for H and K so lowers H (makes you alkalotic) and a subsequent high HCO3

What infection causes constitutional symptoms and angioma-like skin lesions that bleed with biopsy?


Where does prostate cancer start enlarging? BPH?

Cancer - back/peripheral

BPH - central

What type of imaging do you do for retroperitoneal trauma?

Contrast CT

What is the cause of primary dysmennorrhea?

Too much prostaglandin

Erythematous pustules with eosinophils on biopsy in a new born?

Erythema toxicum (benign)

Most common glomerulopathy in Hodgkins disease? Carcinoma?

Hodgkin - Minimal change
Membranous - carcinoma

Sensitivity, specificity, PPV and NPV in a two by two table

Sen - A/A+C
Spec - D/D+B

Test on the left, Disease on the top

Most common cancer to metastasize to the head?

Melanoma! Goes to the melon! (Can be YEARS later!)

What type of hypersensitivity is poison Ivy?

Type IV

Best treatment for fibrmuscular dysplasia?

Renal artery angioplasty and stent placement

What neurotransmitter is responsible for restless leg syndrome?

dopamine (levels are low)

Which are risk factors for osteoporosis? Vegetarian, caffeine, alcohol, smoking

Alcohol and smoking

First thing to do after diagnosing SLE?

Renal biopsy!

What to do for asymptomatic hyperparathyroidism?

If <50 or abnormal lab values of significance, do surgical neck exploration!

How do you know severity of toxicity in TCA overdose?

Degree of QT prolongation

Persistent ST elevation after an MI

Ventricular aneurysm

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