Board Review Bingo.
B) Acute right ventricular dilation
C) Acute left ventricular dilation
D) Acute left atrial dilation
E) Ventricular arrythmia
What is the most common side effect of ACE inhibitors?
In a study of 2271 patients with a history of colon cancer fecal occult blood testing (FOBT) is done to screen for recurrent colon cancer. One hundred and forty six patients have positive FOBT and 2125 patients have negative FOBT. Colonoscopy is done on all the patients, finding 46 cancers. Twelve patients with positive FOBT have colon cancer and 34 with negative tests have colon cancer. What is the sensitivity for FOBT?
Disease Present Not Present
Cancer No Cancer
A study is done to evaluate mammography as a screening tool for women between the ages of 40 and 45. 11,000 mammograms are obtained . Twenty five women have a positive mammogram and turn out to have breast cancer. One hundred and seventy five women have positive mammograms and do not have cancer. Eight hundred and ninety women have negative mammograms and do not have cancer and ten women with negative mammograms end up having breast cancer. What is the PPV for mammography?
A 27 y.o. female whose brother died of cystic fibrosis is married to a 25 y.o. whose sister (age 16) has cystic fibrosis. What is the risk their first child will have CF?
A 20 yo man is concerned about his risk for developing Huntington’s disease. His father was diagnosed last year at the age of 43. What is the chance he will have inherited the disease from his father?
A 70 yo man is started on hydrochlorathiazide for hypertension. What set of side effects are most consistent for this medication?
A) Diarrhea, hypokalemia
B) Headache, hyperkalemia
C) Gout, hypokalemia
D) Hyperglycemia, diarrhea
E) Erectile dysfunction, headache
A 22 y.o. woman comes to the Urgent Care Clinic for evaluation of dysuria and frequency which has been present for the past 3 days. She has also noticed hematuria. She denies fever or flank pain. Her physical exam in unremarkable.
What would you recommend?
b) Urinalysis and urine culture
c) Urinalysis, urine culture and CBC
d) Urinalysis, urine culture and KUB
e) Urinalysis, urine culture and renal function
A) Increased gut absorption of calcium
B) Increased calcium reabsorption in distal tubule, increased calcium release from bone
C) Decreased calcium resorption in distal tubule
D) Increased calcium release from bone and increased oral intake of calcium
E) Decreased calcium release from bone, increased gut absorption of calcium
B) High level of high density lipoprotein
D) Family history
E) Cigarette smoking
F) High levels of C reactive protein
A) Left gastric artery
B) Common hepatic artery
C) Gastroduodenal artery
D) Splenic arterty
C) Split S2
A 33 year old man comes to clinic for evaluation of elevated blood pressure. He had a blood pressure of 160/100 measured at a health fair 2 months ago. He has since obtained 5 measurements at the fire station : 158/96, 166/100, 154/94, 170/98, and 168/98. He does not smoke. His physical exam is normal except for a BP of 166/104. What do you recommend?
A) Urinalysis, Renal artery duplex
B) Urinalysis, ECG, Basic metabolic panel
C) Renin/Aldosterone ratio, urine catecholamines
D) Urinalysis, Tox screen, ETT
E) No testing at this time
A) Anion gap metabolic acidosis
B) Respiratory alkalosis
C) Non anion gap metabolic acidosis
D) Anion gap metabolic acidosis, metabolic alkalosis
Change anion gap
Change in bicarb
A 46 year old man is evaluated for a one week history of fatigue and nausea. He had the onset of nausea, anorexia and fatigue a week ago. He also developed right upper quadrant pain. He reports no change from his usual diet of fast food (usually hamburgers and fried chicken) until the past week, when he stopped eating out because of profound anorexia. He had been partying with friends 10 days ago and had consumed a large amount of alcohol. He has not had any alcohol use for the past 5 days.
Substance use history-no history of IDU, smokes ½ pack of cigarettes/day stopped this week. Meds: Ranitidine, sertraline. Exam: BP 100/60 T-38.5 P-110 Eyes-icteric sclera Chest-clear cardiac Normal S1S2 no murmur Abd-soft, liver span 24 cm and tender, edge soft, palpable 6 cm below costal margin. Lab: HB 14 HCT 42 WBC 9,000 Bili-3.5 ALT 4300 AST 5400.
Hep A> Hep B > Hep C
A 46 year old man is found to have an elevated ALT test during an insurance examination. Repeat testing of liver tests: ALT-76 AST-60 Bili-.8 Alb-3.8 PT(INR)-1.0. Hepatitis C testing is done and is positive. PMH-Hx MVA with ruptured spleen in 1995 requiring 10 unit blood transfusion. Acute renal failure after MVA requiring six weeks of dialysis. Hx testicular cancer. Hx injection drug use (cocaine) - none since 1987. Sexual history: history of multiple sexual partners (lifetime 15) all women.
Which medication is most likely responsible?
A 29 yo man employed as a hospital custodial worker sustains a needlestick from a 20 gauge needle used for a successful blood draw. The patient the blood was drawn from has HIV (Viral load 60,000), Hepatitis C, and Hepatitis B (Sag +). The custodial worker has never had Hep B vaccine. What is the risk for acquiring infection?
A) HIV > Hep B > Hep C
B) HIV > Hep C > Hep B
C) Hep B > Hep C > HIV
D) Hep B > HIV > Hep C
E) Hep C > HIV > Hep B
F) Hep C > Hep B > HIV
A 33 yo woman comes to clinic for counseling on weight loss. Her height is 1.7 meters and her weight is 80 kg. What is her BMI?
BMI= Body weight in Kg
(Height in meters)2
A 72 y.o. male S/P AVR replacement two years ago for aortic stenosis presents with wide spread bruising on his back/legs and some bruising on the back of both hands. His last INR was three weeks ago and was 3.0. He states he saw an M.D. six days ago for a cough and was put on a medication described as a “white tablet.” His chronic medications include: Coumadin 5 mg qd, Albuterol inhaler 2 puffs 4 times a day and Nortryptiline 25 mg qhs.
What medication was he placed on? stenosis presents with wide spread bruising on his back/legs and some bruising on the back of both hands. His last INR was three weeks ago and was 3.0. He states he saw an M.D. six days ago for a cough and was put on a medication described as a “white tablet.” His chronic medications include: Coumadin 5 mg qd, Albuterol inhaler 2 puffs 4 times a day and Nortryptiline 25 mg qhs.
Most Severe Possible*
Metronidazole * Especially in elderly