Most common type of arthritis seen in psoriatic arthritis? {{Ans-Oligoarticular artheritis Characteristic finding in the fingers of psoriatic arthritis {{Ans- Sausage Digits What is the early finding in allopurinol hypersensitivity syndrome? {{Ans- Eosinophilia What antihypertensive is a good uricouric agent? {{Ans- Losartan Where does pseudogout present on board exams in elderly women? {{Ans- Wrist What antibody suggest sjogrens syndrome {{Ans- SSA What connective tissue disease is assoicated with CREST syndrome? {{Ans- Scleroderma What virus can cause mixed cryoglobulinemia, oligoarthritis, and secondary sjogrens {{Ans- Hepatitis C How do you diagnose low T {{Ans- Signs and Symptoms with two am testosterones < 300> 6 months of life if water is deficient When should you start to think about medications for BMI? {{Ans- > 30 When should you start to think about surgery for BMI? {{Ans- BMI > 40 BMI > 35 with comorbidities What is Marasmus {{Ans- Total calorie malnutrition What is Kwashiorkor? {{Ans- Protein Malnutrition How do you tell the difference between marasmus and kwashiorkor? {{Ans- Kwashiorkor has edema and ascites with normal weight while marasmus has wasting Treatment of both marasmus and kwashiorkor? {{Ans- 1 g protein /kg and 30 kcal/kg enterically Symptoms of B1 deficiency? {{Ans- dry beriberi and wernicke korsakoff syndrome Wet beriberi-high output heart failure What is dry beriberi? {{Ans-Wernicke korsakoff syndrome What is wet Beriberi? {{Ans- High output heart failure Symptoms of B2 deficiency? {{Ans- glossitis, cheilosis, and seborrheic dermatitis Symptoms of B3 deficiency? {{Ans- Pellagra- dermatitis, diarrhea, and dementia Symptoms of B6 deficiency? {{Ans- Peripheral neuropathy, anemia, and seizures Symptoms of Vitamin C deficiency? {{Ans- Scurvy- poor wound healing, easy bruising and bleeding gums Symptoms of biotin deficiency? {{Ans- myalgias, dysethesias, anorexia Symptoms of Vitamin A deficiency? {{Ans-Night blindness, Bitot's spots What are Bitots Spots? {{Ans- Seen in Vitamin A Deficiency, white patches n the Conjunctivae Symptoms of Vitamin E deficiency? {{Ans-Areflexia, peripheral neuropathy What herbals interact with Coumadin? {{Ans- Garlic, Ginger, Gingko, Ginseng What is Garlic powder used for? {{Ans- High Cholesterol What is Ginger root used for? {{Ans- Motion Sickness What is horse chestnut used for? {{Ans- Venous Insufficiency What is Saw Palmetto used for? {{Ans- BPH What percent DEET should travelers use? {{Ans-At least 20% When is Yellow Fever vaccine needed for travel? {{Ans- Sub-Saharan africa, south america Most common bacterial cause of travelers diarrhea? {{Ans- Enterotoxigenic E Coli Why dont we use Bismuth subsalicylate in children? {{Ans- Reye Syndrome Drug of choice for malaria if no resistence? {{Ans- Chloroquine phosphate Drugs of choice for malaria if resistence to Chloroquine {{Ans- Doxycycline or malarone Drug of choice for P vivax malaria? {{Ans- Primaquine What exposures can cause silicosis? {{Ans-Silica mining, sandblasting, masonry What exposures can cause asbestosis? {{Ans- Textiles, shipbuilding, cement, insulation What exposures can cause Toxic organic dust syndrome? {{Ans- Moldy Hay Post Exposure protocol for TB {{Ans-Offer PPD now and then again at 12 weeks. > 5 mm is (+) Post Exposure protocol for Hepatitis A virus? {{Ans- Immune globulin and first dose of Vaccine now Post Exposure protocol for Hepatitis B virus? {{Ans-Offer Immune globulin and start vaccine Post exposure protocol for HIV? {{Ans-start 4 week course of 2 drug regimen within 72 hours of exposure Types of Anthrax {{Ans- Cutaneous Inhalation Pharyngeal and GI How do you diagnose Anthrax? {{Ans- Gram Stain with culture, pcr treatment for cutaneous anthrax? {{Ans- Ciprofloxacin or doxycycline What virus causes small pox? {{Ans- Variola Virus Progression of skin findings in small pox? {{Ans- Red spots on tongue or palpate Papules Vesicles all same Pustules What is the difference between Non alcoholic fatty liver and Non alcoholic steatohepatitis? {{Ans-NASH has ballooning of the cells, inflammation, and fibrosis What inheritance pattern is hemochromatosis? {{Ans- Autosomal recessive What gene mutation is found in hemochromatosis? {{Ans- HFE gene Who should you suspect alpha one anti trypsin deficiency disease in? {{Ans- Early Onset emphysema with elevated liver enzymes Test to look for autoimmune hepatitis? {{Ans- Anti-smooth muscle antibody and elevated IgG Pattern of Inheritance of Wilsons disease? {{Ans- Autosomal recessive What extrahepatic things can cause elevated liver enzymes? {{Ans- Thyroid Disorders and Celiac Sprue What is Scrofula? {{Ans- Tuberculous Lymphadenitis of the cervical lymph nodes What is incidence? {{Ans-Number of new cases What is prevalence? {{Ans- Number of existing cases How do you calculate Sensitivity? {{Ans- A/A+C How do you calculate Specificity? {{Ans- D/B+D