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Rosh Review Cum PANCE with 100- correct answers(passed).
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Rosh Review Cum PANCE with 100- correct answers(passed).
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Rosh Review Cum PANCE with100% correct answers(passed)
4 medical treatments of thyroid storm - answer 1 BB
2 PTU
3 Methimazole
4 Iodine
5 Steroids
What is the MOA of steroids in treatment of thyroid storm? - answer
Decreases peripheral conversion of T4 to T3
What are the two causes of amiodarone induced hyperthyroidism - answer
Destructive thyroiditis (majority) and iodine load (400 times daily
requirement).
A 13-year-old boy presents with fever, arthralgias, lymphadenopathy, and
pruritus 7 days after starting phenytoin for a newly diagnosed seizure
disorder. What type of hypersensitivity reaction explains the patient's
symptoms? - answer Type III
What kind of immune reaction is serum sickness? - answer Type III
What kind of immune reaction is type SLE and RA - answer Type III
(Immune complex)
What kind of immune reaction is contact dermatitis - answer Type IV
What kind of immune reaction is autoimmune hemolytic anemia - answer
Type II (Cytotoxic)
,What post-infectious consequence of streptococcal pharyngitis may be
prevented with antibiotic therapy? - answer Acute rheumatic fever
When is IV acyclovir indicated? - answer Patients with refractory disease,
multiple dermatomes, ocular involvement, systemic symptoms, and
immunocompromised individuals
What does a positive Seidel's sign indicate? - answer Globe perforation
What does Seidel's test assess for? - answer Anterior chamber leakage in
the cornea
What is the significance of "cells" and "flare" seen on slit lamp
examination? - answer "Cells" and "flare" represent deep inflammation of
the eye and are typically seen in iritis.
Describe a serious complication of a chalazion. - answer Large chalazia
can press on the cornea causing astigmatism.
What is the ulcerative form of impetigo called that extends into the deep
dermis? - answer Ecthyma.
What age group is retropharyngeal infection most common in? - answer
3-5 years old
A 3-year-old girl presents to the emergency room with fever and
decreased oral intake. Her mother notes several days of nasal congestion,
rhinorrhea, and a sore throat. When she speaks, her mother notes that her
voice sounds different. On physical exam, her temperature is 102.5°F and
she is nontoxic. She has pain moving her neck, and has minimal drooling.
Her oropharyngeal exam is notable for bulging of the posterior pharyngeal
wall. Which of the following is the best initial therapy? - answer
Parenteral antibiotics
A 19-year-old woman presents with pain in her mouth. She underwent an
extraction of an impacted molar 3 days prior to the onset of her pain. Her
, pain had been improving, however, the pain began worsening acutely
today. Which of the following is the most appropriate treatment? - answer
Iodoform gauze packing moistened with oil of clove
What is another name for dry socket - answer alveolar osteitis
What causes dry socket? When does it occur? - answer Occurs 3-4 days
after bone extraction. Pain is related to Loss of clot; exposed bone causes
pain
A 55-year-old woman complains of itchy patches on her wrists for the past
week. She denies new exposures, medication changes, or other areas of
involvement. Physical exam reveals purple, polygonal, papular lesions on
the volar aspect of the wrists. Close inspection reveals tiny, white lines on
the surface of the lesions. What is the best initial treatment for this skin
disorder? - answer Topical fluocinonide (Corticosteroide)
What is the treatment used for refractory lichen planus? - answer
Cyclosporine
Patient presents with thickened, yellow, discolored toenails. First step -
answer Scrapings and KOH
According to rosh, what is "most appropriate management for BPP
Vertigo? - answer Epley maneuver
Name a common broad spectrum antibiotic that can be used empirically in
the treatment of acute mastoiditis until cultures show results. - answer
Vancomycin
Is acantholysis present in pemphigus vulgaris or bullous pemphigoid? -
answer Pemphigus vulgaris
How soon after mononucleosis infection will a heterophile antibody test
result be positive? - answer Up to two weeks
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