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Quiz Bowl: Round One Flashcards | StudBud
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Quiz Bowl: Round One
Quiz Bowl: Round One
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1
WOTF valvular abnormalities is most commonly associated with Graham Steell murmur? (High pitched early diastolic @ LSB)
Tricuspid Regurgitation
Pulmonary Regurgitation
Tricuspid Stenosis
Aortic Regurgitation
2
35 yr old IV drug user has chronic hepatitis C with an increased viral load. Which is the management of choice?
Pegylated alpha-2 interferon + ribavirin
Interferon beta 1
Adeofir
Adenovirus + lemivudine
3
Which of the following is the most common benign ovarian neoplasm?
Dermoid cystic teratomas
Serous cystoadenoma
Struma ovarii
Fibroadenoma
4
Which of the following tests are used to distinguish between the different causes of Cushing’s syndrome?
ACTH stimulation test
CRH stimulation test
High dose dexamethasone suppression test and ACTH levels
Low dose dexamethasone suppression test and ACTH levels
5
Which of the following EKG findings would most likely be seen in a patient with severe bronchitis?
Depth of the S wave in lead V1 + height of R wave in V6 >35mm
Positive QRS complex in Lead I, negative QRS complex in lead aVF
Negative QRS complex in Lead I, positive QRS in lead aVF
Electric alternans
6
Pt presents with T wave flattening and prominent U waves on ECG. Which of the following meds is most likely responsible?
Furosemide
Losartan
Spironolactone
Enalapril
7
54 yo woman is believed to be in menopause. Which of the following lab values are most consistent with menopause?
Decreased estrogen, increased LH, decreased FSH
Increased estrogen, decreased LH, increased FSH
Decreased estrogen, increased LH, increased FSH
Decreased estrogen, decreased LH, decreased FSH
8
Patient with leukostasis due to AML being managed via chemo. IV fluids + which is best if tumor lysis syndrome develops?
Hydroxyurea
Imatinib
Allopurinol
Deferoxamine
9
Which of the following medications is first line for the long term management of schizophrenia?
Olanzapine (Zyprexa)
Lithium (Lithobid)
Fluoxetine (Prozac)
Clomipramine (Anafranil)
10
34 yo F presents with soft, shallow, painful ulcerations in groin surrounded by small papules. No vesicles; organism?
Lactobacilli
Neisseria gonorrhea
Haemophilus ducreyi
Herpes Simplex Virus
11
Which of the following best describes the pathophysiology of psoriasis?
Type I IgE hypersensitivity reaction of the dermis and subcutaneous tissue
Malassezia furfur overgrowth
Keratin hyperplasia in stratum basale and spinosum due to T-cell activation
Type II hypersensitivity reaction in the basement membrane
12
Which of the following is most commonly associated with DeQuervain’s (subacute) thyroiditis?
Positive thyroid peroxidase antibodies
Increased erythrocyte sedimentation rate
Positive thyroid stimulating antibodies
Positive thyroglobulin antibodies
13
32 yo male is found to have stage I nonseminomatous germ cell tumor. Which of the following is the management of choice?
Debulking chemotherapy with orchiectomy and post surgical radiation
Orchiectomy followed by radiation
Orchiopexy with retroperitoneal lymph node dissection
Orchiectomy with retroperitoneal lymph node dissection
14
Which of the following is the most common hematological malignancy seen in children?
Chronic myelogenous leukemia
Multiple myeloma
Acute lymphocytic leukemia
Acute myelogenous leukemia
15
Which of the following is used in the management of patients with moderate Type 1 Von Willebrand disease?
Aspirin
Hydroxyurea
Desmopressin
Plasmapheresis
16
Which of the following is NOT classically associated with chronic primary adrenocortical insufficiency?
Metabolic alkalosis
Isovolemic hypotonic hyponatremia
Hyperkalemia
Hypoglycemia
17
Which of the following is an adverse reaction of Lansoprazole?
Abortifacient due to the induction of uterine contractions
Macrocytic Anemia
Tardive Dyskinesia
Induction of the cytochrome P450 syndrome
18
Progression of which of the following disorders is slowed by Vitamin C, E and Zinc?
Retinal detachment
Glaucoma
Pinguecula
Macular degeneration
19
Which of the following labs is most consistent with alcohol hepatitis?
Increased ALT >1000
Increased AST: increased ALT >2:1
Increased ALT and increased AST <500
Increased ALT >1000 with positive smooth muscle antibodies
20
Which of the following is classically the first sign of a tetanus infection?
Trismus
Pain and parasthesias at the site of inoculation
Annular expanding rash with central clearing at site of inoculation
Increased muscle rigidity
21
What is the first line medical management of hypertrophic cardiomyopathy?
Digoxin
Lisinopril
Furosemide
Propranolol
22
Which of the following is decreased in patients with Hemophilia A?
Factor S
Factor VIII
Factor IX
Factor C
23
Which of the following most accurately describes a pilonidal cyst?
A cyst that contains more than 1 germ cell layer
A cyst containing soft, cheese like material
An abscess of the apocrine sweat glands
An abscess of the gluteal cleft
24
63 yo F with a hx of bronchiectasis develops an increased cough with increased sputum. Mycobacterium avium is suspected.
Doxycycline
Vancomycin plus Ceftriaxone
Nafcillin plus Gentamicin
Clarithromycin plus ethambutol
