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Quiz Bowl Nov 2023 Flashcards | StudBud
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Quiz Bowl Nov 2023
Quiz Bowl Nov 2023
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1
What is the causative agent of erythrasma?
Corynebacterium minutissimum
Malesezzia furfur
Staphylococcus lugdunensis
Propionibacterium acnes
2
Pt w/fever, sore throat, and chest pain, w/ septic emboli to the lungs and this CT of the neck. Causative organism?
S. aureus
group A streptococcus
Fusobacterium necrophorum
Pseudomonas aeurginosa
3
What is the causative agent of epidemic keratoconjunctivitis?
coxsackievirus
parainfluenza virus
adenovirus
mycoplasma
4
Pt w 3 years raynauds and dysphagia, has these lesions also on trunk and feet. SPEP shows monoclonal protein, BM Bx neg
amyloidosis
scleroderma
scleromyxedema
myeloma
5
Which is not an indication for screening pregnant women for gestational diabetes?
1st Degree Relative w/ DM
Age > 25
Obesity
Primagravida status
6
What is the recommended initial drug therapy for moderate persistent asthma?
PRN SABA
omalizumab
Low dose ICS + LABA
Hi dose ICS + LABA + po steroids
7
This young woman has a hx of three spontaneous pneumothoraces, and has airflow obstruction on PFTs.
Pulmonary alveolar proteinosis (PAP)
Lymphangioleiomyomatosis (LAM)
Pneumocystosis (PCP)
Usual interstitial pneumonitis (UIP)
8
Consuming the wrong portion of this fruit can lead to profound hypoglycemia. It is part of the national dish of Jamaica
mangosteen
ackee fruit
monk fruit
cannabis pods
9
If a patient with this baseline ECG develops A-fib w/ RVR, what is the tx of choice?
diltiazem
cardioversion
digoxin
metoprolol
10
6 yrs after gastric bypass, pt develops severe fasting hypoglycemia with elevated insulin and C-peptide levels. Dx?
insulinoma
exogenous insulin administration
nesidioblastosis
metastatic pancreatic cancer
11
What type of kidney stones are treated with alkalinization of the urine?
uric acid
calcium phosphate
calcium oxylate
struvite
12
Which is not part of Whipple's triad?
Symptoms of hypoglycemia
improved symptoms with glucose administration
palpable abdominal mass
low measured glucose
13
What are the top two risk factors for oral squamous cell cancer, in order?
HPV, Tobacco
HPV, ETOH
Tobacco, ETOH
Tobacco, HPV
14
A pt with Child's B cirrhosis develops hepatocellular carcinoma with 3 tumors each < 2 cm in size. Tx of choice?
liver transplantation
intra-arterial chemotherapy
systemic chemotherapy
radiofrequency ablation
15
The probability of disease in the setting of a positive test is known as:
specificity
diagnostic accuracy
positive predictive value
sensitivity
16
A new drug reduces MI mortality from 3% to 1% . What is the number needed to treat to prevent 1 death?
50
2
98
20
17
This patient presents with dyspnea and chest pain. ECG is shown. She recently returned from a long car trip. Dx?
acute pericarditis
myocardial infarction
pulmonary embolism
unstable angina
18
Your pt with HIV/AIDS develops insidious onset vision loss. Dx?
candida endophthalmitis
retinal Kaposi sarcoma
CMV retinitis
toxoplasma retinitis
19
Your patient has this rash, that fluoresces coral red under UV light. Dx?
psoriasis
lichen planus
Paget's disease
erythrasma
20
Which is the most specific criteria for LVH on ECG?
R wave in V5 or V6 plus S wave in V1 > 35 mm
R wave in V4, V5 or V6 > 26 mm
R wave in aVL > 11 mm
Largest R wave plus largest S wave in precordial leads > 45 mm
21
Which complication of group A strep pharyngitis is not reduced in incidence with antibiotic therapy?
otitis media
glomerulonephritis
peri-tonsillar abscess
rheumatic fever
22
A pt with leukemia develops these skin lesions, biopsy is shown. Dx?
aspergillosis
blastomycosis
candidiasis
fusariosis
23
Your patient with asthma has daily symptoms requiring use of her rescue MDI. FEV1 is 75% pred. What is her severity?
mild persistent
severe persistent
moderate persistent
intermittent
24
Most common mechanism of hypercalcemia in SCC of the lung?
PTHrP production
osteolytic metastases
ectopic PTH production
Vitamin D over production
25
Which medication is not an integrase inhibitor?
bictegravir
elvitegravir
raltegravir
darunavir
26
What therapy has been shown to improve NASH in non-diabetic patients?
Fenofibrate
Vitamin E
Cannabis
Pioglitazone
27
What is your Dx?
hyperoleon
hyphema
endophthalmitis
hypopyon
28
Rank the 3 inheritance patterns of Alport's syndrome from most common to least common.
X Linked, AD, AR
AD, X Linked, AR
X Linked, AR, AD
AR, X Linked, AD
29
What is your diagnosis?
pemphigus
HSV
IgA bullous disease
Behcet's
30
What is the cause of byssinosis?
environmental mold
popcorn flavoring
metal fumes
cotton dust
31
What is the prevalence of SBP in patients with ascites who are admitted with other complications of cirrhosis?
25%
5%
10%
50%
32
A pt with seizures & this birthmark on her face. CT brain reveals cortical atrophy and calcifications. Dx?
tuberous sclerosis
Sturge-Weber syndrome
neurofibromatosis
Angelman syndrome
33
32 y/o w purpura and petechiae. PLT is 15. Remainder of CBC and smear is normal. Spleen is non palpable. Tx of choice
plasmapheresis
IVIG
steroids
Anti-Rh Ig
34
What is this finding, and the expected mortality rate if it is present in a patient with acute pancreatitis?
Grey Turner Sign, 10%
Cullen's Sign, 40%
Cullen's Sign, 10%
Grey Turner Sign, 40%
35
A patient presents with crampy bloody diarrhea with tenesmus. Causative organism?
Enteroaggregative E. coli
Vibrio cholerae
Enterotoxigenic E. coli
Shigella dysenteriae
36
A pt with chronic nausea, abdominal pain, and weight loss has this noted on stool O&P. Dx?
Ascariasis
Diphylobotrium latum
Hookworm
Taenia saginata
37
Which is correct, regarding areas of the lungs involved by progressive massive fibrosis (PMF) and asbestosis?
PMF - lower, asbestosis - upper
PMF - upper, asbestosis - lower
PMF - peripheral, asbestosis - lower
asbestosis - peripheral, PMF - lower
38
Pt w/ lethargy and constipation, found to have Ca of 13.5 and this CXR. Most likely cell type?
Small Cell
Adenocarcinoma
Neuroendocrine
Squamous Cell
39
What underlying disorder led to this finding?
Homocysteinuria
Ehlers Danlos syndrome
Kleinfelter syndrome
Marfan syndrome
40
This pt has developmental delay, skin lesions, and kidney masses suggestive of angiomyolipomas. Dx and inheritance?
NF1, AR
NF1, AD
tuberous sclerosis, AD
tuberous sclerosis, X-linked