DM, CHF, COPD, GI bleed

Question 1

LDL should be what in patient with DM vs CV dz

Answer 1

DM: <100

CV: <70

Question 2

urine microalbumin: Cr ratio should be

Answer 2

30

30-300: microalbum
>300: macro
>3000: nephrotic syn

Question 3

indications to admit for CHF exacerbation

Answer 3

desat <90%
Dyspnea at rest
ACS, arrythmia
lytes abnl
repeat defib firings
worsening sxs
new HF

Question 4

contraindications to starting BB in CHF

Answer 4

acute

class IV

bradyarrythmias, heart block

Question 5

CXR findings of COPD

Answer 5

increased AP diameter

blebs

cardiomegaly

Question 6

are steroids used in chronic COPD management

Answer 6

rarely

Question 7

how long of prednisone for COPD exacerbation

Answer 7

5 days, then taper off over 2-3 weeks

Question 8

what qualification of SpO2 and PO2 marks criteria for home supp O2?

Answer 8

PO2<55 or sat<88%

or <60 with cor pulmonale

Question 9

who should be screened for alpha 1 anti trypsin?

Answer 9

young people with no risk factors who present with COPD

Question 10

when do you use narcotics in COPD

Answer 10

end stage- “air hunger” - hospice/palliative

Question 11

colors of bile in NG tube to indicate upper vs lower GI bleed

Answer 11

bile- lower
red- upper
clear- idk ask my bff jill

Question 12

gross hematuria causes

Answer 12

bladder cancer
trauma
RCC
ADPKD
nephrolithiasis
hemorrhagic cystitis

Question 13

dysphagia solids–> liquids , think..

Answer 13

malignancy

Question 14

dysphagia solids + liquids, think…

Answer 14

achalasia