4/12

Question 1

fluids for hypernatremia > 145

Answer 1

dextrose 5%

recommend decrease by 0.5 meq/L/hr, w/ max 8-10 in 24 hrs

Question 2

tx superficial burns

Answer 2

vaseline, aloe

Question 3

tx partial thickness

Answer 3

silver sulfadiazine or hydrocolloids

Question 4

tx post-burn pruritis

Answer 4

cetirizine and topical doxepin

Question 5

temp related dyasthesias

Answer 5

ciguatera toxin

Question 6

cancer bone pain tx

Answer 6

opioids +/- NSAIDs +/- bisphosphonates

Question 7

opioid for renal failure

Answer 7

hydromorphone (dilaudid)

Question 8

candida tx

Answer 8

nystatin, fluconazole or clotrimazole if you think other stuff in there too (think intertrigo)

Question 9

legg-calve-perthes

Answer 9

idiopathic avascular necrosis in age 3-12 (median 7)

Question 10

avascular necrosis gold standard dx

Answer 10

MRI

Question 11

inpt vs outpt diverticulitis

Answer 11

any microperfs have to be inpt

Question 12

tetanus tx

Answer 12

Ig, metronidazole, benzos for muscle spasm, morphine/BB for autosomal

Question 13

essential tremor tx

Answer 13

propranolol or primidone

Question 14

holosystolic machinery hum

Answer 14

PDA

Question 15

honeycombing

Answer 15

think idiopathic pulm fibrosis

Question 16

fibrosis in upper lobes

Answer 16

pleuropulonary fibroelastosis`\

Question 17

tx pulm fibrosis

Answer 17

pirfenidone or nintedanib

Question 18

brown recluse bite

Answer 18

painful erythematous papule/plaque with central pallor

Question 19

unstable heart block tx

Answer 19

atropine

Question 20

croup tx

Answer 20

always dexamethasone

+ racemic epi if stridor

Question 21

things that raise CA-125

Answer 21

ovarian cancer
endometriosis
fibroids

Question 22

opening snap, diastolic rumble

Answer 22

tricuspid stenosis

Question 23

topical BCC tx

Answer 23

imiquomod

Question 24

midsystolic murmur w/ RBBB

Answer 24

think ASD

Question 25

histoplasmosis tx

Answer 25

nothing if < 4 weeks
itraconazole if > 4 week
severe get amphotericin then itra

Question 26

anti-Jo

Answer 26

think polymyositis, but also get a CXR to check for antisynthetase syndrome ILD

Question 27

abx that can cause hyperkalemia

Answer 27

bactrim

Question 28

PE tx

Answer 28

unstable (hTN, RV enlargement): thrombolytics

stable: heparin (unfractionated if renal issues)

Question 29

prognosis reactive arthritis

Answer 29

most have spontaneous remission in 6 - 12 mo

Question 30

tx atrial tachycardia

Answer 30

amiodarone (could be dilt, but usually a little hypotensive)

Question 31

lupus antibodies

Answer 31

antidsDNA, anti smith

Question 32

scleroderma limited vs diffuse

Answer 32

limited is CREST and usually has anti-centromere

diffuse with anti-scl-70

Question 33

scleroderma limited vs diffuse

Answer 33

limited is CREST and usually has anti-centromere

diffuse with anti-scl (antitopoisomerase)

Question 34

ronchi that clear with cough

Answer 34

bronchitis

Question 35

AVNRT tx

Answer 35

vagal or adenosine

Question 36

who gets a CT scan for lung cancer screening

Answer 36

50 - 80
20 pack years
quit < 15 yrs ago

Question 37

MVP complications

Answer 37

MR

TIA/stroke

Question 38

LBB EKG changes

Answer 38

wide qrs
wide R in I
negative QS/RS in V1

Question 39

pneumomediastinum tx

Answer 39

supportive

Question 40

DKA tx

Answer 40

K > 5.2: insulin
K 5.1 - 3.3: insulin, NS + K
K < 3.3 : NS + K till 3.3