Go For the Glory Quiz: MS, Charcot Foot, Rx Errors, Sores, Obesity and Exercise

February 21, 2013

MS sex ratio, Charcot neuroarthropathy, antibiotic error, obesity and exercise.

QUESTION 1:

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Multiple sclerosis shares a number of interesting features with many other immune-mediated diseases, including a pronounced sex ratio. A host of environmental factors are also proposed to influence MS risk.

QUESTION 2:



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Charcot neuroarthropathy is often misdiagnosed or overlooked because the initial signs often are subtle and can be misinterpreted. The consequences can be devastating, including ulceration, infection, loss of mobility and limb, and premature death.

QUESTION 3:

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A 5-month-old boy (weight, 7 kg) presented with otitis media. The patient was given a prescription for amoxicillin/clavulanic acid (Augmentin®, 250 mg/5 mL; 330 mg PO bid x 7 days). After 1 day of taking this medication, he started having frequent diarrhea.

QUESTION 4:

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An elderly woman who resides in a nursing home has a pressure sore on her left heel a few days. She has hypertension and coronary arterial disease. Vital signs are normal. Both feet feel cool and are of equal temperature. She has weak but palpable distal pulses on the good foot, but her distal pulses on the left side are not palpable. There are unilateral petechiae on the dorsum of the left foot.

QUESTION 5:

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Obesity is the root cause of our current epidemic of metabolic syndrome, hypertension, and diabetes mellitus.

ANSWER KEY:



Question 1. Answer: b

Question 2. Answer: b

Question 3. Answer: c

Question 4. Answer: a

Question 5. Answer: a