1.

One question on Schistosoma picture in first firstaid

4. One question on pt taking antiarrythmic and had some blue-gray discoloration? Amiodarone
5. One question on antiarrythmics.. gave a graph and asked which drug. Disopyramide. (they gave
me a graph like the one on the left). Class 1A-Disopyramide

6. Hardy
7. Weinberg. Recessive freq was 1/900 in population. Wanted the carrier frequency.
8. There were 3 ECG graphs: -One had ST elevations and wanted you to diagnose that MI
-One was wolf Parkinson white
-One was a heart block: (RR intervals were the give away)
9. One picture on Pityriasis Rosea rash
10. Side effect of H1 antihistamine
11. Mechanism of action of Statins: 3 HMG CoA reductase inhibitor
12. Case of a patient with asthma said what will you do to Dx the disease. Bronchoprovocative
stimulation test aka Metacholine (causes brochocontriction) challenge test
13. Had a biostat question on positive and negative skew wanted you to differentiate the two. I
went with the difference in the Range
14. One biostat question on clinical trials. Said they wanted to test a new drug and got males and
females from a college and administered the drug and evaluated them after 6 weeks. I went
with phase1…not sure
15. Kid with a cherry red spot and ‘startle response’. Tay sachs case (hexosaminidase def)
16. PTH graph… High PTH and low Ca (osteomalacia)
17. Graph on pharma (efficacy potency, and the whole nine yards w/ competitive vs non
competitive and partial agonists/antagonists), also therapeutic and lethal and toxic dose, index
18. One question asking which drug is the most potent.. they had a vignette talking about lethal
dose vs toxic dose and gave a chart asked which is most potent..
19. Dermatophyte infection of the scalp. (tinea) Treatment- Terbinafine
20. Mucicarmine stain of Cryptococcus neoformans.. red stain w/ thick capsule
21. Stain of Pneumocytstis Jirovecci and X ray of it side by side same picture in firstaid
22. Xray showing Hilar adenopathy and a lymph node biopsy showing granuloma. Sarcoidosis
23. Duputyrene contracture. 2 cases on this. One was a picture and asked associated condition..
Diabetes (look at the picture so you are familiar) some nodules on palmar surface
24. Other one was describing some bumps on the palmar fascia with the ring finger flexing
25. Question on filiaform larvae (necator) and how will it be transmitted to human. Through skin..
walking barefoot outdoors (on sand)
26. MC cause of septic arthritis in a 4 yr old – Staph aures
27. MC cause of diarrhea in a 12 yr old – rotavirus
28. Case of Bipolar very easy to identify… (fleeting thoughts, lack of sleeping, hypersexual, etc)
29. Defense mechanism: Reaction formation
30. Question on countertransference; case about a physician having a 15 yr old child who abuses
drugs and a 13 yr old pt comes in and doctor feels like slapping her, what is the physician
displaying?
31. Case about a little kid and the parents accidentally fed him alcohol and he hasn’t eaten or
consumed any drink in the past 30 hrs. How is the alcohol affecting glucose metabolism inhibits
gluconeogenesis.
32. Treatment for chrons. Infliximab
33. MC organism in Spontaneous bacterial Peritonitis. E. coli
34. Diaphragmatic hernia (Pluroperitoneal membranes)
35. Hypospadias(Failure of folds)
36. Adrenal medulla is derived from where? Neural crest (enterochromafin cells)
37. Case of a pt with Hx of stroke and is presenting with speaking difficulties and R lowe limb
weakness. Strength 3/5 and 4/5 in R. Upper limb… borderzone involved (Watershed area)
38. Romberg sign (Pt w/ MS and has swaying when eyes are closed) Dorsal column lesion
39. Trendelenburg sign…drooping of hip (Gluteus Medius/Minimus)
40. Hydronephrosis picture and Hx of stone what is complication… I went with atrophy (pressure
symptoms)
41. CMV retinitis: Rx-ValGanciclovir
42. Mechanism of action of Acyclovir: DNA polymerase inhibitor
43. Case about a pt who is about to undergo an operation is injected with succinylcholine and
develops rigidity. Why? Which receptors are involved/causing the problem? Dopamine.
Acetylcholine.
44. Pt with Lesion 2cm lateral to anal orifice where is the lymph drainage. Superficial inguinal
45. CT scan of abdomen.. had a case about a guy with epigastric pain after eating meals.. had a
lesion that was visible and wanted you to identify the structure it was pointing too.. was either
stomach or pancreas.
46. A pt undergoes an adrenalectomy (on right) for a carcinoma which structure is at greatest risk of
compromise? IVC
47. Case about a young fertile female with unilateral pelvic pain. B hcg was –ve. Tubo-ovarian
abscess?
48. Tanner staging!!!! Had 2 questions back to back.. wanted you to identify which stage 1-5.. so
know these (was talking about the breast mound and nipple development with pubic hair
straight vs curly vs dark in color)

49. Biostats question: basically a question about how some researchers wanted to study the disease
prevalence on an island… what kind of study would be best? Cross sectional is what I put, others
were case control, prospective cohort.
50. An optho question about a pt who is diabetic has Hx of Right eye problems floaters in the past
and had an episode where the entire visual field went blank and some flashing with some other
shit along those lines Left eye was normal. Vitreous detachment
51. Surgery to correct PDA can damage what? Recurrent Laryngeal nerve
52. Case on pheochromocytoma: Episodic headaches, palpitations and sweating
53. Nonspecific ST-T wave elevations and diffuse Hypokineses of heart. EF is 20-30% what is the Dx?
I went with Cardiomyopathy
54. Alzhemiers case and wnted treatment.. didn’t ask drug name wanted mechanism of action.. so
you had to know it is Galanatime/Memantine they act on the NMDA receptor having to do with
GLUTAMATE
55. Case about a child who gets a photosensitive rash when he goes outdoors on his face, arms and
legs… said which amino acid is essential in his diet.. Options were Tryptophan (I was thinking
Hartnup) others were tyrosine, phenylalanine, histidine…
56. Few questions on metabolic acidosis/ alkalosis. I had to calculate anion gap for one of them..
RMR the formula and plug it in; Anion gap= Na-(Cl+HCO3)
57. Had a case on breast carcinoma spreading to the axilla lymph node
58. Case about a football player who injured his leg. Had a xray showing the pelvis and said that the
pt cannot abduct and rotate it (Internally I believe cant rmr off the top) and they wanted to
know the artery that was compromised.
59. Pt comes in for acne treatment and is 10 weeks pregnant, which drug is contraindicated.
Isotretinoin
60. Question about delayed type hypersensitivity, which cells would be found. T cells
61. Question about meckels diverticulum
62. Question showing a chest xray of a 1 day old infant, inability to feed and absent breath sounds
on left side of chest. I went with TEF?
63. Another question showing a chest xray of a diaphragmatic hernia. Failure of plueroperitoneal
membranes
64. Klinefelters syndrome. Asked about the hormone levels. So know the different hormones that
will be up and down. Inc LH, FSH Dec Inhibin, Testosterone
65. Restrictive lung diseases. 2 questions on this. One was about the FEV1/FVC ratio > 80%
66. Other was in regards to the residual volume (dec/normal in restrictive)
67. Question about emphysema and the mechanism involved with smoking
68. Basically a case on a pt who had symptoms of asthma 3x a week is currently on a short acting
beta inhaler, albuterol. Wanted to know what will you add next. Corticosteriod, long acting
salmeterol, monoclonal antibody
69. Question on adenosine and its effect on the heart. Vasodilator/inc coronary blood flow
70. Ethics question on a psychiatric pt who doesn’t have any friends and says that other physicians
in the past never cared about her. She invites you to have dinner at her house? What do you
respond with. No
71. Question on Rett syndrome. Key in the question stem was the ‘washing machine’ like hand
motions
72. Case about Absence seizures. Wanted to know its mechanism. I went with some thalamic
synchronized firing.. was thinking about the drug and how it works on the T type calcium
channels (ethosuxsomide) .(they are found in the heart and Thalamus)
73. Some question about hemophilia. Gave you a case about a kid who had dental surgery and had
profuse bleeding after with a maternal Hx of similar problem, prolong bleeding time and inc ptt .
Factor VIII
74. Picture of a pedigree on there it was talking about how each affected person had either died of
renal carcinoma or had hemangioblastoma. What is the cause? VHL
75. Weird case on a pt who has fat malabsorption and diarrhea. They asked an increase in what is
causing the problems? Bile acids
76. Mechanism of action of metformin: inhibits hepatic gluconeogenesis and the action of glucagon
77. Showed an endoscopic view of esophageal varices and asked it is caused by retrograde blood
flow through which vessel. L. Gastric
78. Hepatic liver regeneration is occurring through which cells. You have to know that liver cells can
revert into dividing cells again. Stable cells, enter G1 from G0 again (also lymphocytes)
79. Pt with extensive burns. How is that going to affect inc protein catabolism and inc fluid loss
80. Calorie question. Patient was on 2900 calorie diet gave you the breakdown of how many
percent was from carbs (4)/ fat (9) / protein (4) / alcohol (7) and wanted you to convert into
grams.. so know the conversions
81. Question asking to calculate volume of distribution
82. Renal artery stenosis question.. Abdominal bruit on examination. Know how that affects inc
renin, inc aldosterone levels
83. Nephrogenic diabetes question.. pt was given desmopressin urine did not concentrate after the
test
84. Anatomical snuff box was damaged.. had to know the bone involved. Scaphoid
85. Failure of abduction.. forgot the angles. I think it was supraspinatus
86. Epidural hematoma
87. Some question about a dad playing soccer with his son and has difficulty bearing weight and
walking.. some Achilles tendon issue
88. Question about a woman who has pain during intercourse and some lubrication issues has a
nodule that is palpable… had to diagnose it as a Bartholin gland cyst, wanted you to know the
location. Labia Minora
89. Fragile x genetic question. CGG trinucleotide repeat
90. Mitochondrial inheritance question with the ragged red fibers
91. Some question on T3/T4 and their 2nd messenger response mechanism: histone deacetylase
activity (HDA) (know the levels)
92. Polycythemia question in relation to COPD
93. Know your myeloid leukemias.. know the blast counts and metamyelocytes.. had 3-4 questions
about this stuff
94. Ethics question about a person who comes in with his son. Guy doesn’t speak English but son
does.. what do you do.. I chose the one with arrange a professional interpreter
95. GP IIb/IIIa inhibitor
96. INh and B6 supplementation
97. There was a question in regards to Triage and which category does it fall under. I rmr reading
about it in the updated FA 2017 edition… somewhere under the nonmalificence/ Beneficence
section there’s a bunch listed I think in the last section I believe its in there somewhere easy
question if you know the definitions. “JUSTICE”
98. One long ass vignette about a lady with a UTI gave a huge list of lab reports… asked what
organism is the cause.. Nitrates were positive .. MC is E coli
99. I got a few questions in regards to the baroreceptors and the entire mechanism of how they
work.. make sure you read into that for the conceptual knowledge.. know how the HR, SV,
Central pressures are being affected along with which vessels are vasoconstricting/Vasodilating
they love this entire system.
100. Also know the nerves that are involved
101. One question about circadian rhythm and which nuclei is involved. suprachiasmatic