Corrections & Updates

This Errata section presents corrections and/or updates to the content of MedStudy products and categorizes them by Internal Medicine or Pediatrics specialities.

Internal Medicine

  • General Internal Medicine: Card Number 166

    Question Side

    Text currently reads:

    Middle-aged, Caucasian, female smoker with h/o of primary ovarian insufficiency complains of pain in her back and presents with:

    Text should read:

    Middle-aged, Caucasian, female smoker with h/o primary ovarian insufficiency complains of pain in her back and presents with:

    Endocrinology: Card Number 103

    Question Side

    Text currently reads:

    ↓FSH, ↑LH, FSH:LH > 2, slightly ↑ testosterone and DHEA

    Text should read:

    ↓FSH, ↑LH, LH:FSH > 2, slightly ↑ testosterone and DHEA

    Answer Side:

    Text currently reads:

    On exam, a Cushing’s case will probably not include the FSH:LH ratio.

    Text should read:

    On exam, a Cushing’s case will probably not include the LH:FSH ratio.

    Gastroenterology: Card Number 127

    Answer Side

    Text currently reads:

    Dx: Clinical ± endoscopy with biopsies if symptoms fail to respond to bid PPIs and in the presence of worrisome symptoms such as odynophagia, GI bleeding, weight loss, and/or anemia ± RUQ U/S to exclude biliary tract disease if nausea and epigastric pain are present.

    Text should read:

    Dx: Clinical ± endoscopy with biopsies if symptoms fail to respond to bid PPIs, or in the presence of worrisome symptoms, such as odynophagia, GI bleeding, weight loss, and/or anemia, ± RUQ U/S to exclude biliary tract disease if nausea and epigastric pain are present.

    Neurology: Card Number 405

    Answer Side

    Text currently reads:

    Remember the 20-30-40 rule for vent assistance: VC < 20 mL/kg, MIP < –30 cm H20, and MEP < 40 cm H20.

    Text should read:

    Remember the 20-30-40 rule for vent assistance: VC < 20 mL/kg, MIP > –30 cm H20, and MEP < 40 cm H20.

  • Please note: The eSyllabus does not contain page numbers.

     Gastroenterology: Page 10, Esophagus — Anatomy > Patient with Ulcerative Esophagitis

    Text currently reads:

    Patient with Ulcerative Esophagitis

    • Start with PPI daily
    • Rescope to assess healing and exclude Barrett esophagitis
    • If persistent esophagitis: Change PPI to bid
    • Indefinite maintenance treatment — Up to 80% recur off meds

    Text should read:

    Patient with Ulcerative Esophagitis

    • Start treatment with PPI twice daily
    • Repeat EGD to assess for healing and to exclude Barrett esophagitis
    • Indefinite maintenance treatment — Up to 80% recur off meds

    Gastroenterology: Page 13, The Stomach > AR 14B

    Text currently reads:

    What is the appropriate management?

    1. Keep NPO to allow ulcer to heal
    2. Continue PPI bid for 8 weeks
    3. Continue PPI bid and check for H. pylori
    4. Refer to surgery for management of ulcer

    Text should read:

    What is the appropriate management?

    1. Keep NPO to allow ulcer to heal.
    2. Continue PPI bid for 8 weeks.
    3. Continue PPI bid, avoid NSAIDs, and check for H. pylori.
    4. Refer to surgery for management of ulcer.

    Gastroenterology: Page 56, Liver > AR 78

    Text currently reads:

    A 25-year-old male with history of IV drug use presents with 2-week history of fatigue, RUQ pain, and yellowing of his eyes. He denies alcohol use.

    Lab Studies:

    WBC 5.0, Hgb 14, AST 1500, ALT 1634, TB 3.2

    RUQ sonogram shows no masses, no gallstones,

    Normal-sized CBD

    Which of the following serologic pattern would confirm the diagnosis?

    1. HAV IgM+, HAV IgG+
    2. HBcAg IgM+, HBsAg+, HBeAg+
    3. HBcAg IgM+, HBsAg–

    Text should read:

    Which of the following serologic patterns would confirm the diagnosis?

    1. HAV IgM+, HAV IgG+
    2. HBcAb IgM+, HBsAg+, HBeAg+
    3. HBcAb IgM+, HBsAg–

     Gastroenterology: page 63, Liver > AR 91

    Text currently reads:

    A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

    Medications at home: nadolol 20 mg daily, spirnolactone 100 mg daily, furosemide 40 mg daily

    Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C) + asterixis, distended abdomen with fluid wave

    Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3

    Diagnostic paracentesis: Cell count 900, 65% PMNs

    Text should read:

    A 66-year-old female with HCV and alcohol-induced cirrhosis is admitted for confusion. She has a known history

    of encephalopathy, history of variceal bleeding s/p EGD with banding × 3, and ascites (on diuretic therapy).

    Medications at home: nadolol 20 mg daily, spironolactone 100 mg daily, furosemide 40 mg daily

    Vitals signs on admission: HR 88, BP 100/55, T 99.2° F (37.3° C)

    + asterixis, distended abdomen with fluid wave

    Labs: WBC 15, Hgb 10.3, Cr 1.2, plts 55, TB 1.3, albumin 3.4

    Diagnostic paracentesis: Cell count 900, 65% PMNs, albumin in ascitic fluid 2.1, total protein in ascitic fluid 2.4

Pediatrics

  • Biostats/Ethics/Safety/QI: Card Number 130, Question Side

    Text currently reads:

    What statistical parameter identifies how well a test rules out those in a population who do not have a given disease?

    Text should read:

    What statistical parameter identifies how well a test rules in those in a population who have a given disease?

     

     

    Neurology: Card Number 823, Question Side

    Text currently reads:

    After a difficult labor, a newborn presents with:

    • A sagging left shoulder
    • A left arm that hangs limp in internal rotation with a pronated wrist
    • Absent biceps tendon reflex
    • Absent triceps tendon reflex
    • Normal sensory examination?

    Text should read:

    After a difficult labor, a newborn presents with:

    • A sagging left shoulder
    • A left arm that hangs limp in internal rotation with a pronated wrist
    • Absent biceps tendon reflex
    • Triceps tendon reflex is present.
    • Normal sensory examination?

     

    Oncology: Card Number 883, Question Side

    Text currently reads:

    What is the most common congenital renal disorder?

    Text should read:

    What is the most common congenital renal tumor?