Intralesional glucocorticoid :
Used in Conditions like as follows :
-Gout in Renal Failure
......... commonly used to prevent ischemic hypoxia brain injury out of hospital cardiac arrest?
Brain tumor with estrogen receptors?
The hallmark of prolonged seizure and what the sequelae?
5 minutes...cortical laminar necrosis
Baby becomes floppy after family traveled to .............. or ................... or ......................?
California, Utah, Pennsylvania have been reported
BB, Primidone, topiramate, Deep brain stimulation or thalamotomy if all else fails
those are Treat for what?
1st line treatment in pseudotumor cerebri ?.
Rx: Acetazolamide ----> 1st line---> inhibit choroid plexus carbonic anhydrase↓ CSF and IH. Add
furosemide in pts with continued symptoms
Symptoms refractory to medical therapy or those
with progressive vision loss----> surgical intervention with optic nerve sheath decompression or
lumboperitoneal shunting is recommended.
Short-term use of corticosteroids or serial lumbar
puncture (LP) can serve as bridging therapy for patients awaiting definitive surgical treatment ---> not
recommended as primary intervention due to side effects
Subjective restlessness in a patient on antipsychotics...dx and RX?
Which artery is affected by Wallenberg syndrome?
We Add Dexamethasone in meningitis caused by what Bacterial infection?
Streptococcus pneumoniae and Haemophilus influenzae
MS symptoms last for how long Vs TIA symptoms?
For days and week vs less than 24 hours
In GBS what is the deep tendon reflex would be?
Dec or absent
Which Cranial nerve is responsible for Flavor perception?
cranial nerve VII
DTR that been seen in cyanide toxicity vs Magnesium Toxicity?
hyper vs hypo
Lyme meningitis is bacterial meningitis so what is WBC predominant?
we Dx brain death clinically what is the criteria to Dx it?
absent cortical and brain stem functions. but, the spinal cord may still be functioning; therefore, deep tendon reflexes may be present.
Pulsus Tardus Parvus where do you see them?
What is the BB that is CI in prolonged QT syndrome?
MCC of erectile dysfunction post-infarction Patient ?
What causes the loss of the normal Right axis deviation in infants?
Quincke pulse where to see it ?
what is the EKG looks like in Cardiac tamponade?
1 - Exam that elicits pain for Tennis elbow?
Pain with resisted wrist extension and passive flexion
2 - Exam that elicits pain for Golfer's elbow?
Pain with resisted wrist flexion And with passive extension of the wrist
3 - Exam for De Quervain's tenosynovitis?
passive stretching of affected tendons ( passive ulnar deviation of the wrist ) by grasping flexed thumb into the palm with fingers elicits pain. (Finkelstein's test )
4 - Tendons affected in De Quervain's tenosynovitis?
Abductor Pollicious Longus and Extensor Pollicious Brevis
5 - Tendon affected/degenerated in tennis elbow?
Extensor Carpi Radialis Brevis
6 - What is Smith's Fx ? how did it happen?
Distal Radius Fx after falling on Flexed wrist, with anterior displacement of the distal part of the radius
7 - What is Colle's Fx? How did it happen?
distal radius Fx with posterior displacement of the distal part of radius and after fall on an outstretched hand
8 - Prophylaxis for Pseudo-gout ?
9 - MCC of Osteomyelitis in SCD pt?
10 - Give 2 Orthopedic Conditions that are Negative Initially on X-ray.?
Scaphoid Fx and AVN
11 - MC location of Osteomyetlis in adults vs. Children?
vertebral body in adults Vs metaphysis of long bones in children
12 - Indication for X-ray in Low Back Pain?
Osteoprosis / compression Fx
A Spondylitis ( i.e Insidious onset, nocturnal, Pain better with movement )
13 - Indication For MRI in Low Back Pain Pt?
Sensory/ motor deficits
Cauda equina syndrome " urine retention Saddle anesthesia" Suspected epidural abscess /infection (e.g fever IV abuse concurrent infection, hemodialysis )
Abnormal initial X-Ray too
14 - Indication for CT scan in Low Back Pt?
Same Indication For MRI if Pt not able to do MRI
15 - We check what before hydroxychloroquine sulfate? how often do we check that?
baseline ophthalmic exam @ time of start Rx, then annually after 5 years
16 - Pain of Trochanteric bursitis elicited by?
Sleeping / Pressure on the affected Lateral side and Ext rotation and Resisted abduction
17 - MCC of Back pain?
Lumbosacral muscle strain
18 - Confirmatory test for carpal tunnel syndrome?
Nerve conduction study
19 - Exam to Dx Cong Hip Dysplasia?
Barlow and Ortolani
ultrasound after 2 weeks (not before) till 6 months, after six months we can do Xray.
20 - What maneuver to do to treat dislocation of the radial head?
Supination with Flexion Or hyperpronation of the elbow joint
21 - What Joints Spared in Rheumatoid Arthritis?
DIP and Sacroiliac lumbar, thoracic vertebrae
22 - What is Pathergy where to see it?
pustular skin lesions secondary to minor trauma
Behçet disease, Crohn's disease
23 - Skin finding in Reactive Arthritis?
Keratoderma blennorrhagicum & Circinate balanitis
24 - Risk F for Pseudogout ( associated with what Diseases )?
hemochromatosis and hyperparathyroidism hypothyroidism and DM and Wilson
25 - Risk F for torticollis ?
Risk factors Related to crowding in the uterus :
Multiple gestations, breach Position Oligohydrominous
26 - What Conditions/disease Related to intrauterine Position?
Metatarsal Adductus, Congenital Muscular torticollis CHD, and Club foot
27 - Neer test for?
Rotator cuff tendinopathy
28 - Pseudothrombophlibitis has been seen in?
bakers cyst rupture
29 - Hypertension Treatment in Pt with gout?
30 - Which stress fracture needs to be treated with surgery?
Anterior tibial, 5th metatarsal
31 - Shin splints vs. tibial stress Fx?
shin splints are anterior leg pain in overweight pt who walk or run.
stress Fx is seen in underweight Pt and has localized pain.
32 - 2 cases we have to examine the neck before Anesthesia?
Rheumatoid Arthritis, Down Syndrome
33 - Rx of gout in Renal F Patient?
34 - What is the most common stress fracture?
2nd metatarsal " March Fx "
35 - Which stress fracture needs to be treated with surgery?
Anterior tibial, 5th metatarsal
36 - Risk F for AVN?
Caisson disease "decompression sickness"
SLE,, steroid, antiphospholipid Antibodies syndrome "APLAS", alcohol,
37 - Nerve compressed in CTS Vs TTS?
Median N Vs Tibila N
38 - Staph Aureus tend to Affect Epiphysis T/F?
39 - Osteosarcoma Vs Ewing sarcoma Arise from?
Metaphysis vs diaphysis
40 - MCC of Acute prepatellar bursitis is?
41 - Anterior Ischemic Optic Neuropathy seen As A SE of Viagra? T/F
F we see it in GCA
42 - Drugs to avoid in myasthenia vs drugs to avoid in gout?
Aminoglycosides, BBs, Azithromycin, quinolones,
Thiazides and Aspirin.
43 - What is the site where giant cell tumors in the bone arises from?
44 - What is Monteggia Fx ?
proximal 1/3 ulnar fracture with associated radial head dislocation/instability
45 - What is Galeazzi Fx ?
distal 1/3 radius shaft fx AND
associated distal radioulnar joint (DRUJ) injury
46 - What are the malignancy associated with dermatomyositis?
Ovarian, colon, pancreas lung stomach
47 - Medications Causing Drug-induced SLE with negative Anti histone?
Minocycline, Statin, Propylthiouracil
48 - What is the most accurate test to diagnose Sarcoidosis?
lymph node biopsy
49 - What is the treatment for renal osteodystrophy?
low phosphate diet, phosphate binders like sevelamer ( ca carbonate).Ca and vit D
50 - We provide CBT as Rx for Fibromyalgia T/F?
1. Which one is not a clinical presentation in Guillain Barre Syndrome?
Weakness and paresthesias
2. CSF with an increased level of proteins +/- pleocytosis, and diffuse demyelination in nerve conduction studies are seen in:
Amyotrophic Lateral Sclerosis
3. 40 yo man comes to the ED with progressive weakness and paresthesias in his legs, later in his arms over the last few days. In the Physical Exam is seen: SO2 90% (FiO2 21%), slightly dyspneic, lungs clear to auscultation bilaterally, Strength 3/5 in LE bilateral, 4/5 UE bilateral, areflexia in LE bilateral. The patient refers to an episode of diarrhea 3 weeks ago. What is the best initial step?:
O2+ monitor Peak Inspiratory Pressure and Vital capacity
Nerve conduction studies
4. 60 yo man presents with progressive swallowing impairment over the last 15 days, associated with weight loss. Also refers to weakness in his right hand later in his left hand that appeared 2 months ago. Denies pain, fever, night sweats, changes in bowel movements, urinary incontinence, paresthesias, tingling. PE fasciculations in tongue, weakness in UE and LE bilateral, atrophy in LE bilateral, Babinski + bilateral. Which of the following delay disease progression?
5. In the previous case, this medical condition is characterized for the following, except:
It is a progressive degenerative disease of both upper and lower motor neurons.
Associated with recent Campylobacter jejuni infection.
Paresthesias and autonomic dysregulation
B and C