INTERNAL MEDICINE EXAMS VERIFIED QUESTIONS AND
CORRECT ANSWERS
- painless jaundice
- pruritus
- associated weight loss
- CA19-9 elevated
- ANSWERS-Cholangiocarcinoma
- primary sclerosing cholangitis
- ulcerative colitis
- intrahepatic bile duct stones
- liver fluke infections
"_____ is the itch that rashes"
- ANSWERS-Atopic Dermatitis (Eczema)
Flexural areas in adult
Tx: Stop scratching -- Hydroxyzine or Benadryl
"Wet" the skin with emollients
mild/moderate: topical pimecrolimus or tacrolimus and emollients
severe: topical glucocorticoids + topical pimecrolimus or tacrolimus and emollients
"Wisk thorough the EXIT"-
Eczema
X-linked
Immune deficiency
,Thrombocytopenia
- ANSWERS-Wiskott-Aldrich syndrome
Low IgM, elevated IgA, IgE
Rx- BM transplant
>60yo, Autoimmune disorder
Pruritic bullae on erythematous base;
axilla, medial thigh and groin, abdomen, forearm flexor surface, or lower legs."
- ANSWERS-Bullous pemphigoid
Systemic prednisone + azathioprine
IV immunoglobulins
plasmapheresis if needed
1 non-villous adenoma <10mm,
low-grade dysplasia.
when should follow C-scope be done?
- ANSWERS-5-10 years
1. Hypotension and muffled heart sounds
2. Pulsus paradoxus
3. JVD with no collapse during diastole
- ANSWERS-pericardial tamponade
CT or MRI are better than echo, and
can see small pockets of fluid
Surgery if:
traumatic hemopericadium,
,post surgical effusion,
bacteria or TB suspected as cause
24yo with heavy menses and epistaxis.
Normal PT, PTT, CBC.
- ANSWERS-von Willebrands disease
next step is PFA100/bleeding time
3 extra-intestinal manifestations that have
NO effect on IBD severity?
- ANSWERS-Primary sclerosing cholangitis
Axial Arthropathy
Uveitis
3-10 adenomas
adenoma > 10mm
Any villous adenoma
Any adenoma with high grade dysplasia
When to repeat C-scope?
- ANSWERS-3 years
40F with DM: leg rash.
Scaly erosions, sclerosis, and
slight bronze-orange pigmentation
- ANSWERS-Stasis Dermatitis
hemoglobin deposits cause pigmentation
topical glucocorticoids (short term)
for secondary infections, topical antibiotics (Mupirocin)
, 70yo LLQ pain,
fever and leukocytosis.
Diagnosed with diverticulitis and
treated with Cipro and Flagyl.
What follow up test must be done?
- ANSWERS-Flex sig/C-scope in 4-8 weeks after acute condition resolves
as sigmoid CA can present similarly to diverticulitis
70yo pancytopenic
Ret count 0.4%.
Basophilic stippling and dimorphic population.
What is next step? What is likely dx?
- ANSWERS-Bone marrow bx
(HYPERcellular, ringed sideroblasts, dysplastic cells)
Myelodysplasia
Usually in elderly (may only have one or two dysplasias)
A patient presents with itching of the back and sides of her scalp. There is a current outbreak of
head lice in her classroom, but you can't see any nits with the naked eye. You pull out your ____
_____ to see them, because any nits in the hair will fluoresce under special lighting.
- ANSWERS-Wood's Lamp
Tx: permethrin
malathione
A patient taking an antibiotic for an infection has developed painful lesions on his hands and
face.
target-like lesion
(papule with vesicles and bullae in the center)
Fever and weakness.
- ANSWERS-Erythema multiforme due to drug reaction
CORRECT ANSWERS
- painless jaundice
- pruritus
- associated weight loss
- CA19-9 elevated
- ANSWERS-Cholangiocarcinoma
- primary sclerosing cholangitis
- ulcerative colitis
- intrahepatic bile duct stones
- liver fluke infections
"_____ is the itch that rashes"
- ANSWERS-Atopic Dermatitis (Eczema)
Flexural areas in adult
Tx: Stop scratching -- Hydroxyzine or Benadryl
"Wet" the skin with emollients
mild/moderate: topical pimecrolimus or tacrolimus and emollients
severe: topical glucocorticoids + topical pimecrolimus or tacrolimus and emollients
"Wisk thorough the EXIT"-
Eczema
X-linked
Immune deficiency
,Thrombocytopenia
- ANSWERS-Wiskott-Aldrich syndrome
Low IgM, elevated IgA, IgE
Rx- BM transplant
>60yo, Autoimmune disorder
Pruritic bullae on erythematous base;
axilla, medial thigh and groin, abdomen, forearm flexor surface, or lower legs."
- ANSWERS-Bullous pemphigoid
Systemic prednisone + azathioprine
IV immunoglobulins
plasmapheresis if needed
1 non-villous adenoma <10mm,
low-grade dysplasia.
when should follow C-scope be done?
- ANSWERS-5-10 years
1. Hypotension and muffled heart sounds
2. Pulsus paradoxus
3. JVD with no collapse during diastole
- ANSWERS-pericardial tamponade
CT or MRI are better than echo, and
can see small pockets of fluid
Surgery if:
traumatic hemopericadium,
,post surgical effusion,
bacteria or TB suspected as cause
24yo with heavy menses and epistaxis.
Normal PT, PTT, CBC.
- ANSWERS-von Willebrands disease
next step is PFA100/bleeding time
3 extra-intestinal manifestations that have
NO effect on IBD severity?
- ANSWERS-Primary sclerosing cholangitis
Axial Arthropathy
Uveitis
3-10 adenomas
adenoma > 10mm
Any villous adenoma
Any adenoma with high grade dysplasia
When to repeat C-scope?
- ANSWERS-3 years
40F with DM: leg rash.
Scaly erosions, sclerosis, and
slight bronze-orange pigmentation
- ANSWERS-Stasis Dermatitis
hemoglobin deposits cause pigmentation
topical glucocorticoids (short term)
for secondary infections, topical antibiotics (Mupirocin)
, 70yo LLQ pain,
fever and leukocytosis.
Diagnosed with diverticulitis and
treated with Cipro and Flagyl.
What follow up test must be done?
- ANSWERS-Flex sig/C-scope in 4-8 weeks after acute condition resolves
as sigmoid CA can present similarly to diverticulitis
70yo pancytopenic
Ret count 0.4%.
Basophilic stippling and dimorphic population.
What is next step? What is likely dx?
- ANSWERS-Bone marrow bx
(HYPERcellular, ringed sideroblasts, dysplastic cells)
Myelodysplasia
Usually in elderly (may only have one or two dysplasias)
A patient presents with itching of the back and sides of her scalp. There is a current outbreak of
head lice in her classroom, but you can't see any nits with the naked eye. You pull out your ____
_____ to see them, because any nits in the hair will fluoresce under special lighting.
- ANSWERS-Wood's Lamp
Tx: permethrin
malathione
A patient taking an antibiotic for an infection has developed painful lesions on his hands and
face.
target-like lesion
(papule with vesicles and bullae in the center)
Fever and weakness.
- ANSWERS-Erythema multiforme due to drug reaction
