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MKSAP Board Basics General Internal Medicine Questions With Complete Solutions
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MKSAP Board Basics General Internal Medicine Questions With Complete Solutions
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MKSAP Board Basics General Internal MedicineQuestions With Complete Solutions
__ can cause knee pain that is worse with activity and at night.
The anserine bursa is located medially about 6 cm below the
joint line. Anserine bursitis is common in patients with OA.
Correct Answers Anserine bursitis
__ is caused by thrombi or emboli. Patients are usually elderly
and present with profound and sudden painless vision loss.
Funduscopic examination reveals an afferent pupillary defect
and cherry red fovea that is accentuated by a pale retinal
background.
Treatment may include measures to lower the intraocular
pressure and emergent ophthalmology consultation. Correct
Answers Central retinal artery occlusion (CRAO)
__ is the best imaging modality for complete or partial rotator
cuff tears, although ultrasonography is more cost effective.
Correct Answers MRI
__ may be used to treat women with low sexual desire; however,
its use is limited by side effects. Correct Answers Flibanserin
___ ___ occurs mainly in myopic patients. Symptoms are
floaters, flashes of light (photopsias), and squiggly lines,
followed by a sudden, peripheral visual field defect that
resembles a black curtain and progresses across the entire visual
field. Emergent ophthalmology referral is crucial, as prognosis
,depends on the time to surgical treatment. Correct Answers
Retinal detachment
___ ____ usually occurs in older adults and is characterized by
neurogenic claudication— radiating back pain and lower
extremity numbness— that is exacerbated by walking and spinal
extension but improved by sitting and leaning forward. A wide-
based gait and/or abnormal Romberg test are highly specific
(>90%) for ___ __. MRI establishes the diagnosis. Correct
Answers spinal stenosis
Patients with spinal stenosis treated surgically have greater
improvement in pain and function at 2 years compared with
patients treated nonsurgically.
___ , the most common cause of inferior heel pain, is
characterized by pain that worsens with walking, especially with
the first steps in the morning or after resting, in addition to
localized tenderness along the plantar fascia or the calcaneal
insertion site. Manage with weight loss, rest, and calf/heel
stretching. Correct Answers Plantar fasciitis
___ by varicella-zoster viral infection and characterized by
facial nerve paralysis, sensorineural hearing loss, and vesicular
lesions on and in the ear canal. Correct Answers Ramsay Hunt
syndrome
- tx antiviral agents
___ causes pain localizing to the posterior and superior aspects
of the testicle. Pain onset is subacute and may be accompanied
by dysuria, pyuria, and fever. The scrotum may be edematous
,and erythematous. Pain may decrease with testicular elevation.
Correct Answers Epididymitis
- In men younger than 35 years with epididymitis, treat for
gonorrhea and chlamydial infection (ceftriaxone + doxycycline).
- In men older than 35 years or those engaging in anal
intercourse, treat with ceftriaxone + fluoroquinolone.
___ involves the deposition of extracellular material (drusen) in
the macular region of one or both eyes and may cause
diminished visual acuity. Smoking cessation is imperative.
Progression of advanced ___ may be slowed with the use of zinc
or antioxidants supplements. Correct Answers Dry Age-
Related Macular Degeneration
___ is aggravated by any shoulder movement. Pain owing to
biceps tendinitis is aggravated by lifting and wrist supination.
Correct Answers Glenohumeral joint pain
___ is associated with anterior knee pain and swelling anterior to
the patella and is often caused by trauma or repetitive kneeling.
Perform a joint aspiration to rule out infection if warmth and
erythema are present. Correct Answers Prepatellar bursitis
___ is characterized by ectopic ___ implants, usually in the
pelvis, but they can be found anywhere and cause cyclic
bleeding, such as in the lungs (hemoptysis), CNS (catamenial
headache), and rectum (rectal bleeding during menses)
, Physical examination findings may be normal or may include
abdominal masses and tenderness and abnormalities of the
cervix, uterus, and adnexa. Also look for abnormalities of
uterosacral ligaments on bimanual examination. Correct
Answers Endometriosis
Endometrial
___ is characterized by fluid and inflammation in the middle ear
accompanied by symptoms of infection. Many patients first
present with viral URI symptoms. __ with effusion is
characterized by fluid in the middle ear without signs of
infection. Correct Answers Acute otitis media
___ is characterized by pervasive and excessive anxiety about a
variety of events or activities, restlessness, difficulty
concentrating, irritability, functional impairment, and sleep
disturbance. Patients commonly have a comorbid psychiatric
disorder. Correct Answers Generalized anxiety disorder
___ is characterized by systemic toxicity and evidence of
infection spread beyond the ear canal (mastoid bone, cellulitis)
and is typically found in older adult patients with type 2 diabetes
or patients who are immunocompromised. Most commonly
caused byPseudomonas aeruginosa. Correct Answers
Malignant external otitis
systemic antipseudomonal antibiotics and hospitalization for
malignant external otitis
- IV ciprofloxacin and hospitalization
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