2026-2027 WITH THE UPDATED QUESTIONS AND CORRECT
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elevated AST/ALT, blistering lesions on the dorsum of the hands, severe
hirsuitism is
ANSWERS: porphyria cutanea tarda
opening snap with diastolic rumble at the left 4th IC space is
ANSWERS: tricuspid stenosis
tall jugular venous A wave (atrial contraction) are seen in this murmur
ANSWERS: tricuspid stenosis
,treatment for porphyria cutanea tarda is
ANSWERS: phlebotomy
66 y F is found unconscious at home by her daughter in December. PEx is
noteable for cherry red appearance of the skin.
treat CO poisoning with
ANSWERS: high flow (hyperbaric) oxygen
66 y F is found unconscious at home by her daughter in December. PEx is
noteable for cherry red appearance of the skin.
pathophysiology and O2 delivery associations?
ANSWERS: high flow O2 decreased the 1/2 life of carbon monoxide's binding
with hemoglobin.
classic presentation for CO poisoning on exam
ANSWERS: headache, altered mental status, cherry red lips
classic associations with CO poisoning for the exam
ANSWERS: Winter, space heaters, garage suicide
elevated creatinine 24 hours after getting a CT
scan. likely dx?
ANSWERS: Contrast Induced Nephropathy
,Contrast Induced Nephropathy can be prevented with
ANSWERS: N-acetylcysteine
skin fibrosis after getting a brain
MRI. Dx?
ANSWERS: Nephrogenic Systemic Sclerosis due to Gallolinium exposure
Diabetic medication that should be held before getting a CT scan?
ANSWERS:
Metformin
(lactic
acidosis)
N-acetylcysteine can be used for
ANSWERS: prevention of contrast induced
nephropathy acetaminophen overdose
as a mucolytic in CF
prevention of hemorrhagic cystitis due to cyclophosphamide
DOC for preventing hemorrhagic cystitis due to cyclophosphamide?
ANSWERS: MESNA
, virus that causes hemorrhagic cystitis?
ANSWERS: adenovirus
person from Egypt with hemorrhagic cystitis. likely cause?
ANSWERS: schistosomiasis
common lower extremity S/E associated with Hydralazine and
dihydropyridine CCB's?
ANSWERS: peripheral edema
HIV pt with a 3 day Hx of fever presents with targetoid skin lesions,
lip/mouth ulceraction, and visual imairment. PEx notable for skin sloughing
(8% BSA). nikolsky sign (+). he was placed on allopurinol 10 days ago for
chronic gout.
dx?
ANSWERS:
steven-johnsons syndrome (10% BSA)
HIV pt with a 3 day Hx of fever presents with targetoid skin lesions,
lip/mouth ulceraction, and visual imairment. PEx notable for skin sloughing
(8% BSA). nikolsky sign (+). he was placed on allopurinol 10 days ago for
chronic gout. what if > 30% BSA?
ANSWERS: toxic epidermal necrolysis