b
A 24 year old female presents to the ER with chest pain. She reports having upper respiratory symptoms for about two weeks before developing chest pain
... [Show More] this morning which has worsened throughout the day. The pain is worse with deep inspiration and laying flat. On cardiac exam there is an audible friction rub. An EKG obtained shows tachycardia with diffuse ST elevation. A CXR and echocardiogram are normal. What is her most likely diagnosis?
a. Acute coronary syndrome
b. Acute pericarditis
c. Bacterial endocarditis
d. Pericardial effusion
e. Pulmonary embolism
e
A 28 year old male presents to the urgent care with shortness of breath. He reports over the last 24 hours he has had right sided chest pain and difficulty catching his breath. His vitals are height 73", weight 180 lbs, temp 98.3, pulse 105, and SpO2 92% on room air. On exam breath sounds are diminished on the right side. What is the most likely diagnosis?
a. Atypical pneumonia
b. Pleurisy
c. Pleural effusion
d. Pulmonary embolism
e. Spontaneous pneumothorax
e
Which of the following is the most common cause of respiratory disease in the preterm infant?
a. Bronchiolitis
b. Bronchiectasis
c. Pneumonia
d. Restrictive airway disorder
e. Respiratory distress syndrome
d
A 48 year old male has a rash. It started about a month ago with a few isolated lesions on his abdomen. He has since developed new lesions on his arms and legs. His main complaint is itching. On exam, you find anular "coin-shaped" sharply demarcated plaques on his trunk and extremities. What is the most likely diagnosis?
a. Erythema multiforme
b. Erythema nodosum
c. Lichen planus
d. Nummular eczema
e. Psoriasis
e
Which of the following is a major Jones criteria for the diagnosis of acute rheumatic fever?
a. Fever
b. Polyarthralgias
c. Prolonged PR interval
d. Elevated erythrocyte sedimentation rate
e. Carditis
d
Which vaccine has significantly reduced the incidence of epiglottitis?
a. DTaP (diptheria, tetanus, and acellular pertussis)
b. PCV13 (pneumococcal conjugate)
c. MMR (measles, mumps, and rubella)
d. Hib (Haemophilus influenza type B)
e. Meningococcal
a
Which of the following drugs is most likely to have an effect on the INR of a patient taking Warfarin?
a. Trimethorpim-Sulfamethoxazole
b. Penicillin G
c. Clindamycin
d. Cefdinir
e. Cephalexin
b
A 1 day old female has excessive secretions, choking, and difficulty feeding. An attempt to pass a catheter ito the stomach is unsuccessful and she is diagnosed with tracheoesophageal fistula. Which congenital abnormality is most commonly associated with this?
a. Diaphragmatic hernia
b. Esophageal atresia
c. Pyloric stenosis
d. Hirschsprung disease
e. Bowel atresia
c
A 42 year old woman with a history of asthma is diagnosed with essential hypertension. Which medication should be avoided?
a. Lisinopril
b. Hydrochlorothiazide
c. Propanolol
d. Amlodipine
e. Losartan
d
A 4 year old female is admitted to the pediatric hospital unit with pneumonia. What is the most likely pathogen causing her pneumonia?
a. Mycoplasma pneumonia
b. Staphylococcus pneumoia
c. Group B streptococcal pneumonia
d. Viral pneumonia
e. Haemophilus influenza
e
A deficiency in which of the following results in night blindness and dry skin?
a. Vitamin C
b. Biotin
c. Vitamin E
d. Riboflavin
e. Vitamin A
d
Which of the following antihypertensive drugs reduces mortality after an MI in patients with heart failure?
a. Hydrochlorothiazide
b. Terazosin
c. Amlodipine
d. Lisinopril
e. Clonidine
c
A 22 year old female with irregular menses is being evaluated for possible polycystic ovarian syndrome (PCOS). Which of the following would confirm the diagnosis in her case?
a. Elevated glucose
b. Hyperinsulinemia
c. Hyperandrogenism
d. Elevated FSH
e. Low TSH
e
A 42 year old woman running a marathon became lightheaded and is transported by medical staff to the ED. IV fluids are started and an electrolyte panel is pending, however she is noted to have a prolonged QT interval o EKG. She suddenly becomes diaphoretic and complains of palpitations. The following rhythm is observed on the monitor:
Which of the following medicatios should be administered?
a. Amiodarone
b. Bicarbonate
c. Epinephrine
d. Lidocaine
e. Magnesium
b
Which of the following is the most common cause of restrictive cardiomyopathy?
a. Alcohol abuse
b. Amyloidosis
c. Aortic stenosis
d. Hypertension
e. Sarcoidosis
e
Which of the following asthma and allergy drugs should be monitored for neuropsychiatric side effects including suicidal ideation?
a. Albuterol
b. Cetirizine (Zyrtec)
c. Famotidine (Allegra)
d. Loratidine (Claritin)
e. Montelukast (Singulair)
a
A 54 year old female is diagnosed with DM II and started on Metformin. Despite this and lifestyle modification, after 6 months her HbA1c is still not at goal. Which of the following would be a contraindication for starting her on Victoza (liraglutide)?
a. Family hx of medullary thyroid carcinoma
b. Family hx of estrogen receptor positive breast cancer
c. Personal hx of chronic kidney disease
d. Personal hx of heart failure
e. Personal hx of medication noncompliance
b
A 32 year old man is diagnosed with peptic ulcer disease via endoscopy. Despite multiple therapies, he has refractory symptoms. A CT of the abdomen and pelvis reveals a 3 cm mass on the pancreas. Which lab value is likely to be significantly elevated in this patient?
a. Cortisol
b. Gastrin
c. Free T4
d. Insulin
e. Testosterone [Show Less]