Core Competencies

Question 1

What is a contraindication for taking sumatriptan (imitrex)?

Answer 1

Intermittent clarification

Question 2

Symptoms of adrenal insufficiency

Answer 2

Hyperpigmentation
Hypoglycemia 
Dehydration
Weight loss
Hypotension 
Tachycardia

Question 3

Symptoms of hypercalcemia

Answer 3

Bone pain
Muscle weakness
Joint pain
Lethargy 
Constipation

Question 4

What happens when the liver is unable to metabolize dextrose

Answer 4

Increased LFTs

Question 5

A decrease diffusing capacity of the lung for DLCO is seen in what?

Answer 5

Anemia

Question 6

Decreased FEV1, FVC, and increased FEV1/FVC is present in what?

Answer 6

Neuromuscular disease

Question 7

Intermittent segments of erosion in the small bowel is consistent with what disease?

Answer 7

Crohn’s

Question 8

Symptoms of SAH

Answer 8

Sudden severe HA photophobia vomiting and focal deficits

Question 9

What type of seizure is usually preceded by an aura

Answer 9

Complex partial seizure

Question 10

What symptoms are necessary to diagnose migraines

Answer 10

Unilateral in location and moderate to severe intensity

Question 11

Simple partial seizure description

Answer 11

No loss of consciousness

Question 12

What cranial nerve is activated in the migraine pathway

Answer 12

Cranial nerve V Trigeminal

Question 13

Adrenal insufficiency treatment

Answer 13

Combo of glucocorticoids and mineralcorticoids

Question 14

How to convert levothyroxine from IV to PO

Answer 14

Double the dose

Question 15

Iron deficiency

Answer 15

Hypochromic microcytic

Question 16

How to distinguish between iron deficiency anemia from anemia of chronic disease?

Answer 16

Ferritin and TIBC

Ferritin in high in ACD

Question 17

Hypochromic

Answer 17

Any type of anemia where the RBC are paler than normal

Question 18

Thalassemia

Answer 18

Microcytic
Hypochromic
Commonly found In Mediterranean populations

Question 19

Test used to diagnose sickle cell anemia

Answer 19

Hemoglobin electrophoresis

Question 20

Sideroblastic anemia diagnosis

Answer 20

Microcytic
Low reticulocyte count
CP and SOB

Question 21

How to correct respiratory acidosis in a ventilated patient

Answer 21

Increase RR
Tidal volume
Or both

Question 22

ACE I slows progression of renal failure in chronic glomerularnephritis by

Answer 22

Protein inhibition

Question 23

What force is known to produce traumatic Adonai injury

Answer 23

Shearing

Question 24

Nociceptor Pain

Answer 24

Aching sharp stinging throbbing

Question 25

Morphine to Fentanyl Ratio

Answer 25

1mg: 20mcg

Question 26

Symptoms of antihistamine toxicity

Answer 26

``` Confusion Hyperthermia Dilated pupils Hypertension Tachycardia ```

Question 27

SIADH characterized by

Answer 27

NA < 130 | Serum osmolality <280

Question 28

Hallmark lab for tumor lysis syndrome

Answer 28

Hypocalcemia

Question 29

Obturator Sign

Answer 29

Pain when the right hip and knee are flexed and right hip internally rotated

Question 30

What type of calcium is not used in TPN

Answer 30

Calcium chloride. Irritating

Question 31

What labs are recommended for TPN use

Answer 31

Weekly LFTs

Question 32

What macronutrient significantly increases the osmolarity of the TPN solution

Answer 32

Dextrose

Question 33

Complication of mitral stenosis

Answer 33

Right sided heart failure

Question 34

With ulcerative colitis you will most likely find what?

Answer 34

Positive pANCA and negative ASCA IgG

Question 35

What is the diagnostics study used to rule out diverticulitis

Answer 35

Barium enema

Question 36

What is a unique treatment for cluster headaches

Answer 36

100% oxygen

Question 37

Cluster headaches are characterized by

Answer 37

``` Nasal drainage Restlessness Excessive tearing Lid drooping Conjunctival retracting ```

Question 38

A life threatening cause of delirium

Answer 38

Hypoxia

Question 39

Adrenal insufficiency labs

Answer 39

Elevated BUN Low sodium High potassium