Pimp Q of the day

[jaywalk81]

gonna start up a new thread of all the pimp qs i have been asked/day ; so one day it may help you guys

1. what are the ddx of basophilic stipling?
2. what are some features you would/may find on a CXR of a patient that would guide you that the pt may have down's sx?
3. what is the male version of turner's sx?

[Ishie1013]

I know those 3! And if it follows along how neuro, immuno, histo, and physio went, I will know them precisely until the end of 4th term, at which point they will be forever lost to me.

[jaywalk81]

post ans if you know, so others may also learn.

[jaywalk81]

4. what are the 2 meds you will most likely need to Rx for PCOS pt?

[jaywalk81]

5. which endocrine abnormality is pretty common in down sx pts?

[Ishie1013]

gonna start up a new thread of all the pimp qs i have been asked/day ; so one day it may help you guys

1. what are the ddx of basophilic stipling?
2. what are some features you would/may find on a CXR of a patient that would guide you that the pt may have down's sx?
3. what is the male version of turner's sx?

1. Pb poisoning would be the biggie. I know there's some others, but we already took that exam!

2. Boot heart which may be associated with tetralogy of Fallot, which often occurs in Down's patients?

3. You mean the mosaic XO/XY form, or you mean Kleinfelter's XXY, or neither?

[Kongakut]

What a cool idea J. Thanks.

Don't know any of these yet....

[jaywalk81]

1. Pb poisoning would be the biggie. I know there's some others, but we already took that exam!

2. Boot heart which may be associated with tetralogy of Fallot, which often occurs in Down's patients?

3. You mean the mosaic XO/XY form, or you mean Kleinfelter's XXY, or neither?

1. too tired to look it up
2. down sx pt usually will only have 11 ribs! so missing the 12th rib on cxr
3. noonan's sx. the male pt looks and present physically like turner's, webbed neck, shield like chest, etc

[jaywalk81]

here are the ddx for basophilic stipling

Thalassemias (stippling may be coarse)
Megaloblastic anemias
Lead and other heavy metal poisoning (stippling is coarse)
Dyserythropoiesis of whatever etiology (stippling usually fine)
Unstable hemoglobinopathies
Liver disease (stippling fine)
Hereditary pyrimidine 5'-nucleotidase deficiency (stippling coarse)

[Ishie1013]

11 ribs! They didn't tell us that! Cool though.

I'm 0 and 0 now. So depressing!

[kananaskis_girl]

4. They only wanted 2 med's jay?? Man, I can think of more than that, were they looking for clomiphene and metformin?

5. Hypothyroidism for the Down's Sx babies.

[lifeAgift]

4. what are the 2 meds you will most likely need to Rx for PCOS pt?


Metformin (glucophage)

and

Birth Control Pills or other Hormon Regulating Treatments

[jaywalk81]

4. They only wanted 2 med's jay?? Man, I can think of more than that, were they looking for clomiphene and metformin?

5. Hypothyroidism for the Down's Sx babies.

yep and yep. but generaally just thyroid problems, could be hyper or hypo

[kananaskis_girl]

my pimp Q of the day....where are the student on-call rooms? of course, there is no actual answer to this one, we think they're on the roof somewhere with the pigeons, lol Hopefully I'll have some decent stuff for you tomorrow jay, then you can be prepped for Ob/Gyn too!

[jaywalk81]

mgment of DKA pt? main/major components of DKA?

[jaywalk81]

3 uses for DDAVP?

[jaywalk81]

ddx for hyperglycemia?

[kananaskis_girl]

3 uses for DDAVP?

oooh, shades of Step I, I love it!

1. Central DI
2. vWD or mild Hemophilia A
3. Bedwetting

I'll let others take their cracks at your other 2, keep 'em coming, this was a great idea!

[Kongakut]

mgment of DKA pt? main/major components of DKA?

management: fluids, electrolytes, insulin (possibly glucose to balance)

main components: ketonuria, gluconuria, excessive thirst, frequent urination, acetone breath, LOA, fatigue

[kananaskis_girl]

management: fluids, electrolytes, insulin (possibly glucose to balance)

main components: ketonuria, gluconuria, excessive thirst, frequent urination, acetone breath, LOA, fatigue

nicely done! one more big thing that you'll see in a lot of DKA pt's is hyperventilation progressing to Kussmaul breathing if the DKA remains untreated, it's compensation for the metabolic acidosis that has developed in the body

[jaywalk81]

main complications of treating/management of DKA pt?

[kananaskis_girl]

throwing some Obs stuff out there...

What are the 3 signs of placental delivery?

[kananaskis_girl]

what are the three drugs that you will most likely need to give a pregnant woman in preterm labour?

[kananaskis_girl]

what are the 4 labour precautions that you must remind every woman of prior to discharging them from the hospital b/c of false labour? And yes, I'm from Canada so I'm going to keep spelling labour in a weird, yet lovable, manner, lol

[CanMark]

oooh, shades of Step I, I love it!

1. Central DI
2. vWD or mild Hemophilia A
3. Bedwetting

I'll let others take their cracks at your other 2, keep 'em coming, this was a great idea!

Word on the USMLE Step 2CK street is that they are rethinking DDAVP for #3.