1. best test to confirm HSP
    biopsy of skin or kidney-leukocytoclastic vasculitis
  2. low TSH in a hospitalized patient, next step to see if it is ESS vs hyperthyroidism
    • t3 level
    • which is low in ESSĀ 
    • and High in Hyperthyroidism
  3. lateral or anterior anal fissure, next step
    non healing posterior fissure, next step
    rule out crowns for both
  4. 3 ways of stopping uremic dysfunction of pot
    • ddavp
    • conjugated estrogen
    • cryoprecipitate which is costly and has side effect of fluid overload
  5. primary biliary cirrhosis can do what to bones?
  6. when does optic neuropathy occur with linezolid
    4 weeks
  7. linezolid can cause what
    • neuropathy
    • thrombocytopenia
    • lactic acidosis
    • optic neuropathy
  8. what meds cause drug induced neuropathy
    • ethambutol
    • sildenafil
    • linezolid
    • bevacizumab
    • infliximab
    • amiodarone
  9. empty sella syndrome is often seen in what condition
    empty sella syndrome
  10. suspecting idiopathic intracranial hypertension, LP would show what
    opening pressure >250
  11. mechanical aortic valve, thromboprophylaxis is?
    mechanical mitral valve, thromboprophylaxis is what
    • warfarin +asa
    • warfarin +asa
  12. goal for aortic mechanical valve?
    with high risk?
    mitral mechanical valve?
    • 2-3
    • 2.5-3.5

    mitral valve is always 2.5-3.5
  13. pt with suspected statin myopathy, next step
    check TSH
  14. when do you screen HIV or immunocompromised patients for cervical cancer?
    at the time of diagnosis
  15. when can you stop cervical screening in someone at 65
    • 3 consecutive neg pap smearĀ 
    • or
    • 2 pap smears +HPV that was negative within 5 years of when you want to stop
  16. rx for prolactinomas
    carbergoline or bromocriptine
  17. what suggests bilateral renal artery stenosis
    increase in cr clearance by more than 30% after starting ACEI

    severe hypertension and recurrent flash pulmonary edema
  18. what asymmetry of kidneys is significant
  19. when do you check for secondary causes for constipation
    • late acute onset
    • alarm features
  20. what should be checked prior to starting statins
    • CMP
    • TSH
    • CK
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