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56 Cards in this Set
- Front
- Back
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A 55 yo, postmenopausal woman presents for a yearly visit. A 1 cm nodule is palpated in the upper, outer quadrant of her right breast. Her most recent mammogram 6 months ago was negative. Her FHx is significant for her mother and a sister both dx w/ breast cancer in their early to mid-50's. She has HTN and Hypercholesterolemia. What is the most appropriate next step in her management?
a. Repeat mammogram and US now b. Repeat mammogram in 6 months c. Repeat clinical exam in 1 month and refer for mammography if there is an increase in the size of the nodule d. Begin tamoxifen e. Refer her to a surgeon |
a. Repeat mammogram and ultrasound now
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The yearly mammogram in a 65 yo postmenopausal woman shows an irregular area of microcalcification, which has grown in size compared with her mammogram from 2 years ago. She missed her mammogram last year. Physical exam is unrevealing, without lymphadenopathy or any nodularity in the breasts. You refer her to a surgeon. Eventually a 2 cm invasive ductal carcinoma is removed from her left breast. Sentinel LN biopsy shows 2 positive LN and axillary LN dissection indicates 5 more positive LN. The tumor expresses the estrogen receptor. Which of the following interventions would increase her chance of cure?
a. Chemo followed by hormonal therapy b. Radiation therapy c. Total mastectomy d. Hormonal therapy alone e. High dose chemotherapy with stem cell support |
a. Chemotherapy followed by hormonal therapy
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An 18 yo man presents w/ swollen LN in his neck for 2 weeks. He has been treated w/ Abx for 10 days but the LN continues to grow. He has had a 10 lb weight loss in teh past 2 months and is experiencing drenching night sweats. He reports fatigue and inability to play basketball like he used to. He has not been sexually active in the last 1 year. THe next best course of action is:
a. Changing the Abx b. CT scan of the chest c. Refer to a surgeon for LN bx d. Check the HIV status of this patient e. Assure him that he has a self-limiting viral illness |
c. Refer to a surgeon for LN bx
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An 18 yo man presents w/ swollen LN in his neck for 2 weeks. He has been treated w/ Abx for 10 days but the LN continues to grow. He has had a 10 lb weight loss in teh past 2 months and is experiencing drenching night sweats. He reports fatigue and inability to play basketball like he used to. He has not been sexually active in the last 1 year. Eventually he is dx w/ nodular sclerosing hodgkin's disease. His bone marrow Bx is negative and he is found to have disease in both sides of the diaphragm (stage III). Tx of choice in the US is:
a. Chemotherapy w/ the ABVD regimen b. Radiation to all the affected LN c. Surgical resection of all the affected LN d. Tx w/ rituximab e. High dose chemotherapy with stem cell support |
a. Chemotherapy w/ the ABVD regimen
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The most serious long term side effect from the tx of nodular sclerosing Hodgkin's disease is:
a. Congestive Heart Failure b. Peripheral neuropathy c. Myelodysplastic syndrome / acute myelogenous leukemia d. Early myocardial infarction e. Early onset cataract |
c. Myelodysplastic syndrome / acute myelogenous leukemia
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A 55 yo African American man is seen in the ER w/ a 2 day Hx of hematuria, back pain, double vision, and altered mental status. He is an engineer w/ an office-based occupation w/ no exposure to chemicals or radiation. FHx is positive for an uncle with "bone cancer". He smokes 1/2 pack of cigaretts a day but does not drink alcohol. Lab shows an elevated total protein 22, elevated gamma globulings, a serum Cr 2.5 and hemoglobin of 9 g/L. Blood smear shows roulette formation. You suspect:
a. Acute Renal Failure of unknown etiology b. Hyperviscosity syndrome secondary to multiple myeloma c. A genitourinary malignancy d. Drug Toxicity e. Intravascular hemolysis |
b. Hyperviscosity syndrome secondary to multiple myeloma
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A 55 yo African American man is seen in the ER w/ a 2 day Hx of hematuria, back pain, double vision, and altered mental status. He is an engineer w/ an office-based occupation w/ no exposure to chemicals or radiation. FHx is positive for an uncle with "bone cancer". He smokes 1/2 pack of cigaretts a day but does not drink alcohol. Lab shows an elevated total protein 22, elevated gamma globulings, a serum Cr 2.5 and hemoglobin of 9 g/L. Blood smear shows roulette formation. Best Management option at this point is:
a. Plasmapheresis b. Transfusion of RBC c. Hemodialysis d. Broad-spectrum Abx e. Supportive care |
a. Plasmaphoresis
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A 75 yo woman with metastatic breast cancer to her bones presents to the ER b/c she fell down at home after getting up from her chair. Her family states that she has been lethargic, nauseated and notes that she has complained of dizziness and increasing thirst. She is found to be orthostatic on examination. BUN - 42, Total Ca - 12.2, Cr 1.4, Albumin 2.8. What is the most appropriate initial tx?
a. Slow rehydration w/ half normal saline b. IV administration of a bisphosphonate c. Vigorous rehydration w/ Normal Saline d. IV administration of furosemide along with saline rehydration e. IV administration of corticosteroids |
c. Vigorous rehydration w/ NS
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A 50 yo executive undergoes his 1st screening colonoscopy. He has been constipated for 1 year, relieved by laxatives. There has been no blood in his stools. A fungating mass is seen in the sigmoid colon. Subsequent surgery shows a lesion that has penetrated through the muscularis propria. Three regional LN are positive for adenocarcinoma. His best chance for cure would occur with which form of therapy?
a. No further therapy needed b. Adjuvant chemotherapy c. Radiation tx d. Concurrent chemo and radiation therapy e. Immunotherapy |
b. Adjuvant chemo
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A 26 yo black woman is back in your office after the return of her pap screening. It showed a low-grade squamous intraepithelial lesion. There was no inflammation found. She was also found to be HIV negative, a Pap 2 years ago was negative. The most appropriate next step in her tx is:
a. Bx b. Conization c. Cryo- or laser therapy d. Return (4-6 months) for repeat Pap smear e. Hysterectomy |
a. Biopsy
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A 45 yo premenopausal woman who completed adjuvant chemotherpay tx for a stage II, ER/PR + breast cancer. She is presenting for a discussion regarding initiation of hormonal tx w/ tamoxifen. The optimal duration of tx w/ this agent is:
a. 10 years b. 5 years c. 2 years d. Lifetime e. Intermittent tx for 5 years |
b. 5 years
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A 67 yo man w/ a significant smoking hx has had a persistent right upper lobe infiltrate. a CT scan shows a 3 cm solitary lesion w/ irregular borders. A fine needle aspiration shows adenocarcinoma. Appropriate staging workup at this point includes:
a. Bone marrow bx b. PA and Lateral Chest radiographs c. Lymphangiogram d. CT scans of the chest, abdomen and pelvis and a PET scan e. Video-assisted thoracic surgery (VATS) |
d. CT scans of the chest, abdomen and pelvis and a PET scan
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A 48 yo woman, smoker, w/ a Hx of hodgkin's disease at the age of 29 tx w/ chet radiation, has developed a squamous cell carcinoma of the lung. Staging workup shows only a 2.5 cm solitary lesion in the left upper lobe. Her FEV1 and FVC are 70% of the predicted values, respectively. The best tx option for her is:
a. Radiation b. Chemotherpay w/ carboplatin and Taxol c. Lobectomy d. Concurrent chemotherapy and radiation e. Radiation followed by surgery |
c. Lobectomy
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a 60 yo man who is newly diagnosed w/ prostate carcinoma comes to see you. He underwent transrectal ultrasonography w/ a needle bx showing adenocarcinoma. Except for elevated PSA, he is currently asymptomatic. The 1st test to order in staging for his prostate cancer is:
a. Full body plain film xrays b. Bone scan c. CT of head d. CEA level e. Repeat PSA |
b. Bone scan
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a 30 yo man has had difficulty swallowing both solids and liquids over the last 6 months. What is the most likely dx?
a. Esophageal carcinoma b. Achalasia c. Schatzki's rings d. Benign esophageal stricture e. Barrett's Esophagus |
b. Achalasia
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A 52 yo man with a Hx of heartburn was dx w/ carcinoma of the esophagus. What is the most likely cell type of this tumor?
a. Squamous cell b. Oat cell c. Transitional cell d. Adenocarcinoma e. Primary esophageal melanoma |
d. Adenocarcinoma
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An 84 yo woman was found to have an esophageal web (Plummer-Vinson syndrome). which one of the following statements is correct?
a. They are caused by folate deficiency b. they are located in the distal esophagus c. They cause GERD d. Tx includes esophageal bougienage e. They result in elevated iron stores in the blood |
d. Tx includes esophageal bougienage
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A 54 yo obese woman has chronic GERD. Which of the following drugs are known to exacerbate her reflux esophagitis?
a. Chlorpropamide b. Metoclopramide c. Theophylline d. Acetaminophen e. Omeprazole |
c. Theophylline
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A 32 yo man with HIV has pain on swallowing. Which of the following is the most likely cause?
a. Scleroderma b. Esophageal varices c. HSV infection d. Achalasia e. Schatzki's rinks |
c. HSV infection
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A 23 yo woman reports a 2-3 year hx of postprandial lower abd discomfort and bloating w/ no specific food predilection. Physical exam and labs are normal. Celiac Ab were negative. Which of the following statements concerning the most likely diagnosis is correct?
a. Lactase deficiency b. An underlying neuromuscular or hormonal defect is likely w/ viseral hypersensitivity c. An underlying immunologic defect is likely d. The syndome may be a premalignant state e. Incontinence is a common clinical feature |
b. An underlying neuromuscular or hormonal defect is likely w/ viseral hypersensitivity
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A 29 internal medicine resident who had received recombinant hepatitis B most likely had which of the following immunologic markers?
a. Hep B surface Ag (HBsAg) b. Hep B core Ab (anti-HBc) c. Hep Be Ab (anti-HBe) d. Hep B surface Ab (anti-HBs) e. Anti-HBc and anti-Hbs |
d. Hep B surface Ab (anti-HBs)
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A 51 yo man w/ recurrent peptic ulcer disease had a fasting gastrin level of 1000. A presumptive Dx of zollinger-Ellison syndrome was made. Which of the following organs of the tumor associated w/ this syndrome?
a. Stomach b. Duodenum c. LN d. spleen e. pancreas |
e. pancreas
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A 79 yo male smoker with a Hx of CAD and peripheral vascular disease developed bloody diarrhea. No infectious pathogen was identified. Which part of the colon is most volunerable to ischemic insult?
a. Splenic flexure b. cecum c. rectum d. sigmoid colon e. Hepatic flexure |
a. Splenic flexure
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An otherwise healthy 28 yo man has a 4 mo hx of epiastric discomfort and heartburn. Symptoms are usually exacerbated postprandially, especially after eating spicy foods. The pt denites dysphagia, weight loss or decreased appetitie. He does not take any meds. exam is normal except for mild epigastric tenderness. Routine lab work is normal. Which of the following is most appropriate at this time?
a. Barium swallow b. Upper endoscopy c. 24 hour ambulatory esophageal pH monitoring d. Trial of acid suppresive therapy e. Esophageal manometry |
d. Trial of acid suppresive therapy
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A 42 yo IV drug abuser was found to have both hep B and C with chronic elevations of his hepatic transaminases. Which of the following epidemiologic statements is most appropriate?
a. Chronic hepatitis will develop in ~ 30-50% of such pts b. there is a high 1 year mortality rate after active infection c. Vaccine protection is available to protect against both diseases d. The co-existence of HBV and HCV is rare in IV drug abusers e. There is an increased risk for hepatoma |
e. There is an increased risk for hepatoma
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A 32 yo man recently returned from a ski vacation in New England. Nonbloody diarrhea developed toward the latter stages of his trip. Stool samples tested for fecal leukocytes were negative. Which of the following is the most likely diagnosis?
a. shigella infection b. e. coli O157:H7 c. Ulcerative colitis d. Giardia lamblia infection e. Colonic ischemia |
d. Giardia lamblia infection
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A 22 yo woman with changes in her bowel habits was found to have multiple discrete polyps. On FHx, 2 1st degree relatives were noted to have colon cancer. In which of the following conditions are multiple polypoid lesions highly associated w/ malignancy?
a. Ulcerative colitis b. Crohn's disease c. Gardner's syndrome d. Peutz-Jeghers Syndrome e. Juvenile polyposis |
c. Gardner's syndrome
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A 32 yo woman was found to have severe iron deficiency anemia. Upper endoscopy, colonoscopy and video endoscopy were all normal. FHx revealed osteoporosis in her 39 yo brother, which is currently being investigated. Her only GI ssx were those of occasional postprandial abd bloating with episodes of diarrhea, previously dx as IBS. Her mom has a known dx of RA. All labs are normal. What is the most likely Dx
a. Ulcerative colitis b. Crohn's disease c. Lactose intolerance d. Irritable Bowel syndrome e. Celiac disease |
e. celiac disease
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A 32 yo woman was found to have severe iron deficiency anemia. Upper endoscopy, colonoscopy and video endoscopy were all normal. FHx revealed osteoporosis in her 39 yo brother, which is currently being investigated. Her only GI ssx were those of occasional postprandial abd bloating with episodes of diarrhea, previously dx as IBS. Her mom has a known dx of RA. All labs are normal. Which of teh following findings is likely to be found in this pt?
a. Prominent villi on small intestine bx b. 3 g of D-xylose in a 5 hour urine collection c. High carotene level with normal vit A intake d. 4 grams of fat on a 72 hour fecal fat collection e. Negative sudan stain |
b. 3 g of D-xylose in a 5 hour urine collection
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A 22 yo college studnet was found to have RLQ pain, fever, leukocytosis and localization to McBurney's point. On rectal exam, he had RLQ tenderness. The most likely Dx is
a. Diverdiculitis b. Ulcerative colitis c. Appendicitis d. Tubo-ovarian abscess e. Cholecystitis |
c. Appendicitis
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A 52 yo man comes in for routine examination. He feels well, takes no medications and had no Fhx of colorectal cancer. Exam and CBC are normal. He returns with 3 fecal occult stool test cards, with 1 window testing positive for occult blood. What is the appropriate next step in management?
a. Repeat fecal occult blood testing in 3 months b. Double contrast barium enema c. Flexible sigmoidoscopy d. Digital rectal exam e. Colonoscopy |
e. Colonoscopy
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A 48 yo woman was referred to a GI clinic for recurrent nausea with occasional episodes of diarrhea alternating with consitpation. A solid-phase gastric emptying study indicated markedly delayed gastric emptying. The most likely explanation for gastroparesis in this setting is:
a. Cholinergic drug therapy b. Duodenal ulcer c. Diabetes insipidus d. Scleroderma e. Gastric varices |
d. Scleroderma
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A 4th year med student rotating on a radiology elective was presented an xray of the abd, which shoed multiple air-fluid levels w/ dilated loops of small bowel, paucity of air in the colon and no air in the rectum. The radiology attending turned to the student and asked which of the following clinical features would most likley be found in this pt
a. Hypoactive bowel sounds b. pain out of proportion to physical exam c. crampy abd pain that waxes and wanes d. Diarrhea e. A flat, rigid abd |
c. Crampy abd pain that waxes and wanes
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A 50 yo man undergoing screening colonoscopy with no associated ssx was found to have a single small colonic polyp. Inquiring about his risk of cancer, which of the following circumstances indicates the greatest risk for cancer in an individual polyp?
a. when they are of tubular histology b. when they are associated w/ active bleeding c. When they are larger than 2 in diameter d. When they are pedunculated e. When pts are younger than 50 yo |
c. When they are larger than 2 in diameter
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A 56 yo pt w/ advanced alcoholic cirrhosis and known ascites is found to have abdominal pain, fever of 102 and a WBC - 17000 w/ a left shift. Which of teh following statements regarding the primary dx is correct?
a. it is more likely when ascitic fluid total protein exceeds 1 mg/dl b. it develops in the setting of preexisting ascities c. the ascitic polymorphonuclear count is less than 100 cells/mm3 d. it is often associated w/ aspergillosis e. It is associated w/ a perforated viscus |
b. it develops in the setting of preexisting ascities
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A 76 yo man w/ a hx of an acute MI and peripheral vascular idsease is seen in the ER for very severe abd pain, out of proportion to clinical findings. On exam his abd is soft w/ hypoactive bowel sounds. Which of the following is associated w/ the most likely dx?
a. A normal WBC count b. involvement of teh inferior mesenteric artery c. constipation d. a definitive clinical presentation e. Lack of a significant medical history |
d. a definitive clinical presentation
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A 32 yo woman w/ Raynaud's phenomenon has had heartburn and regurgitation for 2 years. What is the most likley mechanism for these symptoms?
a. presence of h. pylori in teh gastric mucosa b. decreased lower esophageal sphincter pressure c. Increased gastric acid secretion d. Decreased peristalsis in the upper 1/3rd of the esophagus e. Esophageal muscular spasm |
b. decreased lower esophageal sphincter pressure
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A 52 yo man developed dysphagia for solids. An upper GI series showed a mass lesion in the distal esophagus. Endoscopy confirmed the presence of adenocarcinoma of teh esophagus. Which of the following is the most important predisposing factor in his ds?
a. achalasia b. Palmoplantar keratosis (tylosis) c. Barrett's esophagus d. Celiac sprue e. Alcohol intake |
c. Barrett's esophagus
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A 38 yo man from Tiwan recently moved to the US and was found to have Hep B on blood tests. Which of the following lab test would most reliably distinguish a chronic healthy carrier state from chronic active hep B disease?
a. HBsAg b. anti-HB c. Serum anti-smooth muscle Ab d. Liver Biopsy e. serum AFP |
d. Liver Biopsy
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A 35 yo man with AIDS with a CD4 count of 150 has had jaundice and fever for 1 month. LFT indicate the following: Total Bili = 3.2, Direct bili = 2.7, Alk phos - elevated 3x the normal, AST and ALT - normal. Liver US shows hepatometagly with normal caliber biliary ducts and liver biopsy indicates granulomatous liver disease. Which of the following is the most likely diagnosis?
a. Polycystic liver disease b. Hep C c. Mycobacterium avium intracellulare d. Sclerosing cholangitis e. Hep B |
c. Mycobacterium avium intracellulare
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Results of hepatitis serology are: + Hep A IgG ab, Neg Hep A IgM Ab, + Hep B surface Ab, Negative Hep B core Ab, Neg Hep C Ab. Which of the following is the most likely Dx?
a. acute Hep A virus B. Acute Hep B virus c. Immunity against Hep C d. Previous vaccination against Hep B virus e. Past exposure to Hep B virus |
d. Previous vaccination against Hep B virus
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A 35 yo man with a Hx of IV drug abuse was found to have chronic fatigue and AST elevated 4 times with an ALT elevated at 5fold normal. Polyarteritis was subsequently diagnosed by vascular biopsy. The most likely Dx is:
a. Hep B b. Hep C c. Hep A d. Hep E e. Hep G |
a. Hep B
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Which of the following is indicative of active viral replication in teh above pt?
a. Hep B DNA level b. Hep C DNA level c. Hep C RNA level d. Hep B RNA level e. Hep C Ab |
d. Hep B RNA level
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The best means to protect his 1st degree relatives in teh absence of any prior evidence of hepatitis would be:
a. Vaccination b. pooled immune globulin (gamma globulin) c. Avoidance of household contact d. Avoidance of shellfish ingestion e. Hepatitis immunoglobulin |
a. Vaccination
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A 12 yo boy is playing in the park near a trash can. He is stung by what he believes is a yellow jacket. He immediately has symptoms of urticaria and wheezing. These symptoms are tx in a local ER. He follows up in his PCP office 1 week later. There is a quesiton of the proper dx of insect allergy. Which of the following findings provides the best evidence of insect sting hypersensitivity?
a. Positive prick or intradermal skin test b. Extensive local reaction lasting 5-7 days c. documented evidence of a systemic allergic reaction d. specific antivenom IgE ab e. Generalized urticaria in this pt |
c. documented evidence of a systemic allergic reaction
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A 25 yo man presents to his PCP office w/ the following symptoms. Clear rhinorrhea, ocular and nasal pruritus, nasal congestion and sneezing. He knows that it is tree pollen season but has alos recently acquired a pet cat for the 1st time. Which of the following tests is most useful in teh dx of the trigger for his allergic rhinitis?
a. Environmental cat challenge b. measurement of total serum igE levels c. peripheral blood smear for Eosinophils d. Immediate hypersensitivity puncture skin test e. stained nasal smear for eosinophils |
d. Immediate Hypersensitivity puncture skin test
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A 4 yo boy in your practice has been having many infections. You suspect that he may have an immune dysfunciton. Quantitative immunoglobulins were sent and were normal. Which of the following immunodeficiency disorders is associated w/ normal IgG levels?
a. X linked agammaglobulinemia (bruton's) b. DiGeorge Syndrome c. Late onset hypogammaglobulinemia d. Ataxia-telangiectasia e. severe combined immunodeficiency |
b. DiGeorge Syndrome
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A 55 yo woman comes into the ER complaining of a hoarse voice that states that, "my mouth feels funny". On hx, she reports that was dx w/ HTN several months ago. After an unsuccessful attempt at lifestyle modification to reduce her blood pressure, her dr started her on some medication a few weeks ago but she can't remember the name. On exam she has swollen lips and periorbital edema, and a definite hoarseness to the voice. What would be the most appropriate next step?
a. discontinue BP meds; Dc to home and advise her to obtain alternate meds from her PCP b. Recommend loratadine and f/u w/ her PCP w/in 1 week to evaluate her ssx c. Albuterol and atrovent nebulizer therapy w/ IV steroids, admit to medicine floor for observation d. Subq epi 0.5 mg 1:1000, IV diphenhydramine, ranitidine and steroids, admit to ICU for possible airway emergency e. none of the above |
d. Subq epi 0.5 mg 1:1000, IV diphenhydramine, ranitidine and steroids, admit to ICU for possible airway emergency
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Which one of the following adverse rxns is mediated by IgG autoantibodies?
a. Insulin resistance b. Anaphylaxis after ingestin of peanuts c. Latex reaction d. Systemic reaction to an insect sting e. Ragweed-induced rhinitis |
a. Insulin resistance
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A 33 yo man has an acute anaphylactic rxn to an IV drug while in the hospital. He is taking a B blocker. Which of the following therapeutic choices may be the most useful in tx resistant hypotension?
a. Subq aqueous epinephrine b. IV terbutaline c. IV glucagon d. IV aminophylline e. IV diphenhydramine |
c. IV glucagon
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A 28 yo woman w/ bronchial asthma is about to start a new job in a health care facility. She hears that health care workers are at a greater risk for developing a latex allergy. she is wondering whether any of her medical conditions make her at a higher risk. Which of the following clinical conditions is most commonly associated w/ latex allergy?
a. bronchial asthma b. fibrosing alveolitis c. Diabetes mellitus d. spina bifida e. inflammatory bowel disease |
d. Spina bifida
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Match the appropriate therapeutic intervention for each pt w/ allergic rhinitis
a. Antigen avoidance/environmental controls b. Immunotherapy against known offending antigens c. Antihistamine preparation d. Topical nasal steroid 34 yo woman w/ severe perennial allergic rhinitis loses 10-15 days of work each year as a result of secondary sinusitis. Immediate skin tests whos significant positive reactions to house dust mite, cladosporium and grass and ragweed pollens. Various medications have been only partially successful in controlling symptoms |
b. Immunotherapy against knwon offending antigens
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Match the appropriate therapeutic intervention for each pt w/ allergic rhinitis
a. Antigen avoidance/environmental controls b. Immunotherapy against known offending antigens c. Antihistamine preparation d. Topical nasal steroid A 20 yo man has mild but persistent year round symptoms of nasal congestion, rhinorrhea, and watery eyes. He has recurrent epistaxis. Immediate skin tests show positive reactions to house dust mite, alternaria and grass and ragweek |
c. Antihistamine preparations
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Match the appropriate therapeutic intervention for each pt w/ allergic rhinitis
a. Antigen avoidance/environmental controls b. Immunotherapy against known offending antigens c. Antihistamine preparation d. Topical nasal steroid A 10 yo girl has rhinorrhea and nasal pruritis after visiting a friend who has a kitten |
a. Antigen avoidance / environmental controls
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Match the appropriate therapeutic intervention for each pt w/ allergic rhinitis
a. Antigen avoidance/environmental controls b. Immunotherapy against known offending antigens c. Antihistamine preparation d. Topical nasal steroid An 8 yo boy regularly experiences moderately severe sneezing spells and watery eyes in May and June, Sept and Oct. and occasionally during Jan - March. Immediate skin tests show positive reactions to alternaria, cladosporium, house dust mite, and grass and ragweed. He has used antihistamines with some persistent symptoms |
d. Topical nasal steroids
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Match the adverse drug rxn w/ the clinical expression
a. Acute arthritis b. acute anaphylaxis c. chronic cough d. bronchospasm e. intersitial nephritis f. photoallergic reaction 12. A 22 yo man who is in good health except for recurrent sinusitis, elects to take 81 mg ASA as anti-thrombosis therapy 13. A 54 yo woman w/ newly diagnosed HTN starts enalapril at an appropriate dose 14. A 34 yo woman is diagnosed w/ a dental infection and is started on PCN. She has a history of a severe allergic reaction to an unknown antibiotic for a STD in college |
12 =. d. Bronchospasm
13 = c . Chronic cough 14 = b acute anaphylaxis |
