Pt comes in with intense thirst, fatigue, polyuria and u/a confirms a low specific gravity. What test would confirm a diagnosis of DI and what would you treat them with?
A. Glucose suppression and give Octreotide
B. Vasopressin challenge test and desmopre

Patient with a new onset and severe presentation of waxy adherent scale with mild erythema should have what done?
A. Mytrex cream and F/U in 2 weeks
B. Fungal culture and full body skin exam
C. Ketoconazole and F/U in 2 weeks
D. Neurological History & E

Fracture through epiphysis &physis is classified as a salter harris type:
A. I
B. II
C. III
D. IV

22 y/o male has had a feeling of emptiness and lost some friends because he could not control his anger. He has an unstable self-image and sometimes will attempt self mutilation. He is:
A. Narcissistic
B. Avoidant
C. Borderline
D. Anti Social

A one time use catheter straight "in and out" is known as:
A. Coude
B. Robinson
C. Foley
D. Balloon

Pt comes in with bloody diarrhea, lower abdominal cramps and fecal urgency. Labs come back P-ANCA positive and colonoscopy reveals extent of ulcerative colitis. What is first line tx:
A. Asacol
B. Corticosteroid
C. Remicaid
D. lactase supplementation

Pt with recent kidney transplant comes in with dome shaped papule on the face. DX is most likely:
A. Squamous cell skin cancer
B. Hypertrophic Actinic Keratosis
C.Basal Cell Carcinoma
D. Hemangioma

Pt comes in with a u/a positive of bence jones proteins and xray showed punch out lesions giving a diagnosis of:
A. Ewings
B. Multiple Myeloma
C. Osteosarcoma
D. Chondrosarcoma

24 y/o women comes in with complaints of palpitations, sweating, chest pain, and sensations of smothering. She is:
A. Having a Panic Disorder
B. Having a heart attack
C. Having a panic attack

On EKG there are ______ electrodes and _______leads.
A. 10, 12
B. 12, 10
C. 12, 12
D. 10, 10

Pt presents with pus in the pleural space and a positive gram stain. The pH is <7.20, what is the next tx:
A. Cytoxan
B. Pulse steroids
C. Abx and plasmapharesis
D. IV abx and tube thoracostomy

pt comes in with salmon colored lesion on trunk with a Christmas tree distribution. Ddx:
A. Pityriasis Rosea
B. Bullous Pemphigoid
C. Scabies
D. Keratosis Pilaris

Diabetic pt comes in with fibrous nodules over the palm and a fixed flexed deformity of MP/PIPJ:
A. Swan neck
B. Boutinerres
C. Trigger finger
D. Dupuytren’s Contracture

Pt has been feeling restless and easily fatigued. She also has some muscle tension and sleep disturbances. She is diagnosed with:
A. Generalized Anxiety disorder
B. PTSD
C. OCD
D. Acute distress disorder

When taking a culture to evaluate for infection or sepsis one must:
A. Draw blood from one site with adequate amount in aerobic and anaerobic bottles.
B. Draw blood from 2 different sites, 15 minutes apart.
C. Draw blood from one site and document.
D. D

32 y/o smoker comes in with diffuse alveolar hemorrhage and progressive glomerulonephritis. GoodPastures is confirmed via renal bipsy and anti-GBM antibody testing. What is the tx?
A. Abx with f/u 2 weeks
B. high dose pulse steroids and plasmapharesis
C.

Patient with Hep C virus comes in with inflammatory cutaneous reaction that is planar, pruritic, anf purple. Dx:
A. Vitiligo
B. Lichen Planus
C. Acanthsosi Nigracans
D. Scabies

18 y/o female with wrinkles on skin from tight jeans complains of burning on the lateral border of the thigh, she has:
A. Strain of hip
B. Snapping ITB
C.Lateral Femoral Cutaneous Nerve Syndrome
D. Inflammatory Osteoarthritis

12 y/o Pt. comes in fidgeting in her seat. She is often forgetful and has difficulty in following instruction. What other aspect would make her a candidate for ADHD?
A. Sits often at the playground in reflection
B. Blurts out answers before questions are

Technique for venipuncture include all of the following except:
A. Apply tourniquet 3-4 inches above site for no longer than 2 minutes
B. Insert it slowly
C. Do not bend the arm
D. Do not recap the needle

These are most useful for patients with allergy and exercise-induced forms of asthma and should be used along with beta-2-agonists:
A. Anticholinergics
B. Corticosteroids
C. Leukotriene Antagonists
D. Bronchodilators

Urticaria is defined as chronic when pt has it for:
A. > 4 weeks
B. > 6 weeks
C. > 8 weeks
D. >2 months

Pt with a history of running a lot comes in with point tender pain near the knee that gets better with rest. She has:
A. Shin splint
B. Stress fracture
C. Patellofemoral pain
D. Meniscal tear

Autism patients often have the best prognosis if:
A. IQs greater than 80 and communicative language by age 10-13.
B. IQs greater than 80 and communicative language by age 5-7.
C. IQs greater than 70 and communicative language by age 5-7.
D. IQs greater

All of the following are indications for NGT placement except:
A.Lavage
B. Ileus treatment
C. Feeding
D. Zenker divericulum