Practice quiz: CM Quiz 2

Which of the following is not an indication of arthroscopy?

A radiograph that is positive for osteophyte formation, asymmetric narrowing of the joint space, and subchondral bone sclerosis is indicative of which diagnosis?

Which statement is not true about HIV?

What is kaposi sarcoma caused by?

T/F: osteoarthritis presents with abnormal lab findings and normal plain film x-rays.

What brain structure blocks external stimuli from reaching the cortex during sleep?

T/F: HIV viral load is more useful in patient management than CD4 count.

What is the most common etiology of bacterial meningitis in pt < 1 month old?

What is the treatment for narcolepsy?

T/F: Hypotonic fluid, like D5W, should be avoided when treating a pt with a stroke.

Patient presents with hemisensory loss, contralateral homonymous hemianopia and color agnosia. Where was their stroke?

What is the site of entry for meningitis caused by H . influenzae?

In which stage of the sleep cycle do memories consolidate, dreams occur, and we get the most rest?

Which is not a common manifestation or complication of HIV?

What is kernig's sign?

What vaccines can only be given to HIV pts if their CD4 count is > 200?

Indescribable, uncomfortable sensations that make a patient’s limbs move and cause difficulty with sleep initiation is defined as?

Low complement levels can be seen in what disease?

Sphenoidal sinusitis is a predisposing condition for a brain abscess located where?

T/F polymyalgia rheumatica alone can cause blindness?

Which of the following makes the definitive diagnosis of gout?

Which of the following scales can identify daytime sleepiness including symptoms affecting daily life and safety?

Biopsy showing endomysial infiltration of inflammatory infiltrate is characteristic for what dz?

Difficulty sleeping for most days per week for more than 3 weeks in duration is defined as?

Which of the following is the most important primary evaluation in musculoskeletal diseases?

A patient tells you they have been having sleep problems because they have to study all day and are constantly hunched over at their computer since they have 11 exams in three weeks (sounds familiar!). They explain to you their head has been hurting and it feels like there is fullness/pressure like pain. What can you recommend for this patient?

Your patient presents with a sore, swollen knee. You perform an arthrocentesis and note the following values of the synovial fluid: increased volume, clarity is opaque, color is yellow, WBC is 120,000 (normal: <200), 80% PMNs, and the culture is pending. What is your diagnosis?

Which of the following can a chronic lack of sleep lead to?

Which of the following is not seen in an aura relating to a migraine headache?

Which of the following is not a complication of arthroscopy?

Which of the following is not a follow up test for age related disease and complications of HIV and ART?

On synovial fluid analysis, which is the most consistent finding with septic arthritis?

A 30 year old female patient presents with an intense throbbing headache in one area of her head. She tells you she vomited before she arrived at the ED and is currently wearing sunglasses because she can’t tolerate the light in the room. What would you like to give this patient to stop her headache?

In which of the following diseases do you expect to see positive ANA that is 99% sensitive in patients with the condition?

Which of the following is not used in prevention of cluster headache?

Which of the following physical exam findings would show positive signs in tension headache?

Which of the following is TRUE regarding temporal arteritis?

True or false: the difference between TIA and CVA is time to resolution

Which of the following is seen in a CVA in the posterior cerebral artery?

In a patient with a suspected subarachnoid hemorrhage, you order a non-contrast CT. It comes back negative; what is the next step in diagnostics and what are you looking for?

Nuchal rigidity, positive brudzinkis/kernigs, and photophobia are most likely seen in which type of cranial bleed?

Which of the following bacteria is mostly associated with the GI tract and placenta?

Which of the following is NOT true regarding aseptic meningitis?

A 50 y/o patient presents with w fever, photophobia, and headache. He tells you his neck feels stiff and that he feels like he has a cold. On a physical exam you note generalized lymphadenopathy, but no other skin changes. What would you do next?

A 79 y/o female w/ PMH of asthma, PUD, and HTN presents to the ED complaining of blurred vision, headache and pain to the right side of her head when she was brushing her hair. She first noticed her symptoms this morning. On physical exam, patient has reproducible tenderness to the right temporal area of her scalp. You also notice a palpable cord-like structure to the area. Patient’s temperature is 100.1F. What is your next step in managing your patient?

Regarding the prior patient, what are you concerned for?

Which of the following autoimmune rheumatologic disorders is characterized by a multi organ disorder of connective tissue?

All of the following are associated with an increased risk of non-hodgkins lymphoma EXCEPT:

A 35 y/o female patient presents to you complaining of shoulder pain when she brushes her hair in the morning. She also complains of difficulty swallowing her food. On PE, there is muscle weakness. Which of the following is most likely seen in labs that is specific for the presumed diagnosis?

Which of the following is the first line treatment for the prior patient?

A patient presents to you complaining of morning stiffness in both knees that usually lasts over an hour. On PE, they have swan neck deformity and boutonneire’s deformities on their hands. Which of the following is the most specific lab marker of this disease?

Which of the following is not true regarding sleep?

You’re looking at a CSF smear for a patient with suspected bacterial meningitis. You see purple/blue-stained diplococcus under the microscope. What bacteria is causing this patient's infection?

A 24 y/o male with PMH of seasonal allergies and FH of atopy presents to your office complaining of sudden onset of stabbing, right sided pain around the eye that started 30 minutes ago. Patient also complains of right sided runny nose and increased watering of his right eye. Patient is a ½ ppd smoker but denies recreational drug or EtOH use. On PE, patient’s right eye has conjunctival injection and his right eyelid is edematous. Patient appears in severe distress and is agitated. Based on the history and PE for this patient, what is the next step in his care?

Pertaining to the prior patient, what non-pharmaceutical management can you recommend to this patient?

What presents the highest risk of contracting HIV?