ROSH Review Internal Medicine Part
2|Questions Solved with 100% Correct
Verified Answers
Central pontine myelinolysis
Focal central demyelination of pons (anterior brain stem) due to rapid IV correction
of hyponatremia, often in malnourised patients (alcoholics, those with liver disease)
special labs for polymylagia rheumatica
elevated ESR and CRP
concomitant anemia also usually present
in DKA is bicarb elevated or decreased
LOW : bicarb usually < 15
remember ROME - so if acidotic they go in SAME direction
varencline
chantix aid in smoking cessation
In addition to routine clinical monitoring of side effects, what screening is recommended
for patients taking hydroxychloroquine?
Annual eye exam for toxic retinopathy.
45yo woman. Vital signs include a BP of 120/82 mm Hg, HR of 80 bpm, RR of 20/minute, T of
98.6°F, and SpO2 of 98% on room air. Physical examination findings include a regular rate and
rhythm with lungs clear to auscultation. On exam, the patient has suprapubic and pelvic floor
tenderness with no pelvic organ prolapse. Urinalysis is negative for pyuria, leukocyte
esterase, and nitrites. Urine culture is negative. The patient’s postvoid residual urine is 40
mL. Cystoscopy is performed and shows reddened lesions on the bladder mucosa with
attached fibrin deposits. MC manifestation?
ABladder pain with hematuria
BFrequent voiding to avoid incontinence
CPostvoid dribbling of urine
DRelief of bladder discomfort with voiding
DRelief of bladder discomfort with voiding
, Interstitial cystitis, which is also called bladder pain syndrome, is diagnosed and defined by
the following clinical criteria: an unpleasant sensation (pain, pressure, or discomfort) that is
perceived to be related to the urinary bladderand causes symptoms associated with the lower
urinary tract that lasts for > 6 weeks in the absence of infection or other identifiable causes.
what is interstitial cystitis
Interstitial cystitis, which is also called bladder pain syndrome, is diagnosed and defined by
the following clinical criteria: an unpleasant sensation (pain, pressure, or discomfort) that is
perceived to be related to the urinary bladderand causes symptoms associated with the lower
urinary tract that lasts for > 6 weeks in the absence of infection or other identifiable causes.
'Bronchial dilation with lack of tapering and the signet ring sign"`on CT
bronchiectasis
pt with hx of respiratory tract infections presents with Sx: cough with large amounts of
mucopurulent, foul-smelling sputum - top Dx
bronchiectasis -
Question: Which class of antidepressants may provide benefit in diarrhea-
predominant irritable bowel syndrome due to their anticholinergic properties?
Answer: Tricyclic antidepressants.
Which pathogen is the causative organism of lyme disease
borrelia burgdorferi
Question: Which medication is the best choice for treatment of Lyme disease in a 6-year-
old patient?
amoxicillin
txt for epididymitis
For individuals < 35 years old or if gonorrhea or chlamydia is suspected, treatment includes a
one-time dose of ceftriaxone 500 mg IM plus doxycycline 100 mg PO twice daily for 10 days.
For individuals > 35 years old or if E. coli or other enteric pathogens are suspected,
treatment includes levofloxacin 500 mg daily for 10 days.
eval of solitary thyroid nodule
1st line tx for postherpetic neuralgia
gabapentin or pregabalin
clinical manifestations of varicoceles
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