What combination of drugs provides a
Lennox-Gaustaut syndrome is
mortality benefit for African-American
Initial treatment for psoriasis includes high- typically diagnosed in children age <
patients with CHF with LV
potency glucocorticoids or vitamin D 7 with a wide array of seizure types
dysfunction?
derivatives-dẫn xuất (e.g. calcipotriene) accompanied by mental retardation-
thiểu năng
hydralazine + nitrates
What is the likely diagnosis in a
Central cyanosis involves highly Favorable prognostic factors in
patient with chest pain and a new left
vascularized tissues (e.g. lips, mucous schizophrenia include acute onset,
bundle branch block on EKG?
membranes) and is caused by low arterial identifiable precipitant, older age at
O2 saturation onset, and predominantly positive
Acute MI
psychotic symptoms
Nhồi máu cơ tim cấp
Favorable prognostic factors in What type of hearing loss typically
Treatment of uric
schizophrenia include acute onset, occurs with ototoxic antibiotics (e.g.
acid kidney stones involves
identifiable precipitant, older age at onset, aminoglycosides)?
alkalinization of urine (e.g.
and predominantly positive psychotic
potassium bicarbonate)
symptoms Sensorineural hearing loss
What is the likely etiology of urinary
retention-bí tiểu in an elderly male that
What are the current presents with nocturia and problems
What is the recommendations regarding PSA initiating micturition for the past few
recommended treatment for peritonsillar screening in asymptomatic patients? weeks? Straight catheterization of the
abscess? bladder produces 500 mL of urine.
Conroversial; should be determined
incision & drainage and IV antibiotics on a case-by-case basis by the Enlarged prostate (e.g. BPH or
physician and patient prostate carcinoma)
What is the single most important
prognostic consideration in the Which laboratory value, amylase or
Pregnant women with antiphospholipid
treatment of patients with breast lipase, is more sensitive (and useful)
syndrome should receive low-dose aspirin
cancer? for diagnosis of acute pancreatitis?
and LMWH to avoid pregnancy loss related
to arterial and venous thrombosis
Tumor burden (based on TNM Lipase
staging)
PAS-positive material in the lamina What is the likely diagnosis in a
PAS-positive material in the lamina patient with melena and
propria of the small intestine is a
propria of the small intestine is a classic epigastric abdominal pain that is
classic biopsy finding of Whipple's
biopsy finding of Whipple's disease relieved with eating?
disease
Peptic ulcer disease (duodenal ulcer)
, How often should patients with an
Do tumors in the body/tail of the What AST:ALT ratio is indicative of average risk for colon cancer be
pancreas typically present with jaundice? heavy alcohol use? screened if using fecal occult blood
testing?
No >2:1 AST:ALT
Annually
How often should patients with an average
risk for colon cancer be screened if How often should patients with
using flexible sigmoidoscopy with fecal an average risk for colon cancer be Lactose intolerance is characterized
occult blood testing? screened if using colonoscopy? by a positive stool test for reducing
substances (positive or negative)
sigmoidoscopy every 5 years with FOBT Every 10 years
every 3 years
What is the underlying cause of What is the treatment for acute
megaloblastic, macrocytic anemia in an pancreatitis from
Cholesterol emboli may result in GI
alcoholic with normal methylmalonic acid uncorrectable causes (e.g. ischemia,
complications, such as
levels? atheroemboli)?
acute pancreatitis and mesenteric
ischemia
Folate (B9) deficiency analgesics and IV fluids (supportive
care)
Is diarrhea that occurs during
What class of antibiotics is Which diuretics (2) are first-line
fasting/sleeping characteristic of secretory or
associated with pill esophagitis? therapy for cirrhotic ascites?
osmotic diarrhea?
Tetracyclines furosemide and spironolactone
Secretory
What does colonoscopy reveal in a patient Hepatopulmonary Duodenal ulcers are characterized by
with irritable bowel syndrome? syndrome results from pain that improves with
intrapulmonary vascular dilations in eating (improves or worsens)
Normal colonic mucosa the setting of chronic liver disease
Elevated titers of antinuclear Elevated titers of antinuclear
What is the first-line treatment for
antibodies and anti-smooth muscle antibodies and anti-smooth muscle
autoimmune hepatitis?
antibodies-Kháng nhân, kháng cơ antibodies-Kháng nhân, kháng cơ
trơn suggests a diagnosis of autoimmune trơn suggests a diagnosis
Oral glucocorticoids
hepatitis of autoimmune hepatitis
, Cholesterol emboli may result in skin
complications, such as livedo
reticularis-mạng mạch xanh tím
(pictured below) and blue toe
syndrome
What is the most common site of colon What is the first-line treatment for
cancer metastasis? giardiasis?
Liver Metronidazole
Cholesterol emboli may result in skin
complications, such as livedo reticularis-
mạng mạch xanh tím (pictured below) and
blue toe syndrome
Conjugated hyperbilirubinemia Conjugated hyperbilirubinemia with
with predominantly elevated predominantly elevated alkaline
AST/ALT is suggestive of intrinsic phosphatase is suggestive of intra- or
liver disease extra-hepatic cholestasis
, What is the initial management for a Which form of inflammatory bowel
Conjugated
young patient with suspected disease is characterized by transmural
hyperbilirubinemia with normal AST/ALT GERD who has a bitter
and alkaline phosphatase is suggestive of inflammation and non-caseating
taste and substernal chest pain granulomas on biopsy?
inherited bilirubin metabolism disorders
after meals?
Crohn disease
PPI trial
Which form of inflammatory bowel
disease typically spares the rectum?
Which form of inflammatory bowel disease is Crohn disease
characterized by continuous colonic Which form of inflammatory bowel
involvement? disease may present with aphthous
ulcers-loét miệng and perianal skin
Ulcerative colitis tags/fissures-dò hậu môn?
Viêm loét đại tràng
Crohn disease
Lennox-Gaustaut syndrome is
mortality benefit for African-American
Initial treatment for psoriasis includes high- typically diagnosed in children age <
patients with CHF with LV
potency glucocorticoids or vitamin D 7 with a wide array of seizure types
dysfunction?
derivatives-dẫn xuất (e.g. calcipotriene) accompanied by mental retardation-
thiểu năng
hydralazine + nitrates
What is the likely diagnosis in a
Central cyanosis involves highly Favorable prognostic factors in
patient with chest pain and a new left
vascularized tissues (e.g. lips, mucous schizophrenia include acute onset,
bundle branch block on EKG?
membranes) and is caused by low arterial identifiable precipitant, older age at
O2 saturation onset, and predominantly positive
Acute MI
psychotic symptoms
Nhồi máu cơ tim cấp
Favorable prognostic factors in What type of hearing loss typically
Treatment of uric
schizophrenia include acute onset, occurs with ototoxic antibiotics (e.g.
acid kidney stones involves
identifiable precipitant, older age at onset, aminoglycosides)?
alkalinization of urine (e.g.
and predominantly positive psychotic
potassium bicarbonate)
symptoms Sensorineural hearing loss
What is the likely etiology of urinary
retention-bí tiểu in an elderly male that
What are the current presents with nocturia and problems
What is the recommendations regarding PSA initiating micturition for the past few
recommended treatment for peritonsillar screening in asymptomatic patients? weeks? Straight catheterization of the
abscess? bladder produces 500 mL of urine.
Conroversial; should be determined
incision & drainage and IV antibiotics on a case-by-case basis by the Enlarged prostate (e.g. BPH or
physician and patient prostate carcinoma)
What is the single most important
prognostic consideration in the Which laboratory value, amylase or
Pregnant women with antiphospholipid
treatment of patients with breast lipase, is more sensitive (and useful)
syndrome should receive low-dose aspirin
cancer? for diagnosis of acute pancreatitis?
and LMWH to avoid pregnancy loss related
to arterial and venous thrombosis
Tumor burden (based on TNM Lipase
staging)
PAS-positive material in the lamina What is the likely diagnosis in a
PAS-positive material in the lamina patient with melena and
propria of the small intestine is a
propria of the small intestine is a classic epigastric abdominal pain that is
classic biopsy finding of Whipple's
biopsy finding of Whipple's disease relieved with eating?
disease
Peptic ulcer disease (duodenal ulcer)
, How often should patients with an
Do tumors in the body/tail of the What AST:ALT ratio is indicative of average risk for colon cancer be
pancreas typically present with jaundice? heavy alcohol use? screened if using fecal occult blood
testing?
No >2:1 AST:ALT
Annually
How often should patients with an average
risk for colon cancer be screened if How often should patients with
using flexible sigmoidoscopy with fecal an average risk for colon cancer be Lactose intolerance is characterized
occult blood testing? screened if using colonoscopy? by a positive stool test for reducing
substances (positive or negative)
sigmoidoscopy every 5 years with FOBT Every 10 years
every 3 years
What is the underlying cause of What is the treatment for acute
megaloblastic, macrocytic anemia in an pancreatitis from
Cholesterol emboli may result in GI
alcoholic with normal methylmalonic acid uncorrectable causes (e.g. ischemia,
complications, such as
levels? atheroemboli)?
acute pancreatitis and mesenteric
ischemia
Folate (B9) deficiency analgesics and IV fluids (supportive
care)
Is diarrhea that occurs during
What class of antibiotics is Which diuretics (2) are first-line
fasting/sleeping characteristic of secretory or
associated with pill esophagitis? therapy for cirrhotic ascites?
osmotic diarrhea?
Tetracyclines furosemide and spironolactone
Secretory
What does colonoscopy reveal in a patient Hepatopulmonary Duodenal ulcers are characterized by
with irritable bowel syndrome? syndrome results from pain that improves with
intrapulmonary vascular dilations in eating (improves or worsens)
Normal colonic mucosa the setting of chronic liver disease
Elevated titers of antinuclear Elevated titers of antinuclear
What is the first-line treatment for
antibodies and anti-smooth muscle antibodies and anti-smooth muscle
autoimmune hepatitis?
antibodies-Kháng nhân, kháng cơ antibodies-Kháng nhân, kháng cơ
trơn suggests a diagnosis of autoimmune trơn suggests a diagnosis
Oral glucocorticoids
hepatitis of autoimmune hepatitis
, Cholesterol emboli may result in skin
complications, such as livedo
reticularis-mạng mạch xanh tím
(pictured below) and blue toe
syndrome
What is the most common site of colon What is the first-line treatment for
cancer metastasis? giardiasis?
Liver Metronidazole
Cholesterol emboli may result in skin
complications, such as livedo reticularis-
mạng mạch xanh tím (pictured below) and
blue toe syndrome
Conjugated hyperbilirubinemia Conjugated hyperbilirubinemia with
with predominantly elevated predominantly elevated alkaline
AST/ALT is suggestive of intrinsic phosphatase is suggestive of intra- or
liver disease extra-hepatic cholestasis
, What is the initial management for a Which form of inflammatory bowel
Conjugated
young patient with suspected disease is characterized by transmural
hyperbilirubinemia with normal AST/ALT GERD who has a bitter
and alkaline phosphatase is suggestive of inflammation and non-caseating
taste and substernal chest pain granulomas on biopsy?
inherited bilirubin metabolism disorders
after meals?
Crohn disease
PPI trial
Which form of inflammatory bowel
disease typically spares the rectum?
Which form of inflammatory bowel disease is Crohn disease
characterized by continuous colonic Which form of inflammatory bowel
involvement? disease may present with aphthous
ulcers-loét miệng and perianal skin
Ulcerative colitis tags/fissures-dò hậu môn?
Viêm loét đại tràng
Crohn disease
