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MN654 FINAL EXAM QUE STIONS AND
COMPLETE ANSWERS
Question : Treatment for osteomyelitis?
Correct answer: 6wk atbx. Dx w bone bx. Staph aureus most
common. Empiric cov mssa ang gn- vanc/zosyn. Mssa- cefazolin.
Question : Presentation and diagnostics/ findings for subacute
thyroiditis?
Correct answer: result of a viral infection. The condition often
occurs a few weeks after a viral infection of the ear, sinus, or throat, such as mumps, the flu, or a common cold. most obvious symptom is pain in the neck caused by a swollen and inflamed thyroid gland. Sometimes, the pain can spread (radiate) to the jaw or ears. symptoms of hyperthyroidism.
Question : Treatment for Phalen and Tinel sign?
Correct answer: classic clinical signs of carpal tunnel
syndrome. Treatment includes RICE, Stretching, and surgery.
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Question : Which primary tumor is likely to mets to bone?
Correct answer: Breast, prostate, thyroid, most likely.
Question : What diagnostic is needed to confirm cytomegaly
virus colitis?
Correct answer: See in immunocompromised and HIV.
Diagnosed with endoscopy (sigmoid or colonoscopy) with biopsy. Biopsies from endoscopic procedures should show cells with intranuclear inclusion bodies.
Question : Difference between cholecystitis and ascending
cholangitis?Correct answer: Cholecystitis: Inflammation of the gallbladder caused by gallstones blocking the bile ducts.Symptoms include constant pain in the right upper quadrant, pain that may radiate to the shoulder and interscapular region,
and fever. Ascending cholangitis: A bacterial infection of the
biliary tree. Symptoms include right upper quadrant pain, fever, and jaundice.
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Question : Differential diagnosis for mild leukocytosis,
eosinophilia and elevated ESR?
Correct answer: Asthma, Inflammatory bowel disease.
Question : What infections are associated with lymphoid
malignancy?
Correct answer: Epstein bar virus, HTLV-1, H. pylori, Hep B
& C, and HIV.
Question : How would you diagnose ALL?
Correct answer: Pancytopenia hallmark sign, confirmed with
bone marrow biopsy.
Question : CDIFF treatment?
Correct answer: Oral: Metronidazole or vancomycin (or IV Metronidazole if PO not possible. If caused by ABX, stop it.
Question : Contraindications for live vaccines?
Correct answer: Hiv, chemo, immunocompromised,
pregnancy and known allergic reactions.
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Question : DVT prophylaxis therapy?
Correct answer: Low molecular hep- longer lasting- lovenox.
Unfractionated hep- shorter acting. SCD.
Question : Hypo vs hypernatremia: If they had DI, what would that look like diagnostic wise?
Correct answer: urinary specific gravity of 1.005 or less and a
urinary osmolality of less than 200 mOsm/kg . Random plasma osmolality generally is greater than 287 mOsm/kg.
Question : Which dermatological disorder is most associated
with elevated serum IGE levels?