Firecracker

Question 1

What vaccinations are indicated for patients with diabetes Mellitus?

Answer 1

Pneumovax and yearly influenza shots are indicated because of the immunosuppresive effect of diabetes

Question 2

Secondary causes of reduced HDL?

Answer 2

Malnutrition, Gauchers disease, anabolic steroids, beta blockers

Question 3

What 2 antibiotics can be used to treat patients w/crohns disease that do not respond to ASA therapy?

Answer 3

ciprofloxacin and metronidazole

Question 4

When is CABG recommended in the setting of acute MI?

Answer 4

STEMI patients with occlusion of the L main coronary or severe 3 vessel involvement

Question 5

What med is indicated in acute severe UC attack?

Answer 5

high dose corticosteroids

Question 6

How do you perform a needle decompression for a tension pneumothorax?

Answer 6

Placing a needle catheter at the bottom of the second intercostal space at the midclavicular line

Question 7

When in the course of the disease are pts w/UC at greatest risk of developing toxic megacolon?

Answer 7

Early in the course of the disease (within 3 years of dx)

Question 8

To diagnose zenkers?

Answer 8

Barium swallow

Question 9

Most sensitive imaging study for chronic pancreatitis and what does it reveal?

Answer 9

MRCP reveals calcification within the pancreatic ducts

Question 10

How is cholelithiasis discovered in most patients?

Answer 10

Asymptomatic in most patients ~80% and found asymptomatically

Question 11

Spontaneous Pneumothorax direction of trachea?

Answer 11

Trachea deviates towards affected lung d/t decreased pressure from atelectasis

Question 12

Tension Pneumothorax direction of trachea?

Answer 12

Opposite side

Question 13

Surgical procedure for GERD refractory cases?

Answer 13

Nissen Fundoplication (wrapping the gastric fundus around the esophagus to increase sphincter pressure)

Question 14

Testing that should be included as part of diabetic neuropathy?

Answer 14

Should include electrophysiologic testing of nerve function, including the use of nerve conduction velocity (NCV) or electromyography (EMG).

Question 15

At what TIMI score should heparin and angiography be considered?

Answer 15

If TIMI risk score ≥ 3, consider early low molecular weight heparin and angiography.

Question 16

Nitrite in urine reflects the presence of what bacteria?

Answer 16

Enterobacteriaceae (grm (-) bacteria) species

Question 17

In order to diagnose a UTI, how many organisms must be seen in a urine culture if the sample is obtained from a catheter?

Answer 17

Only10^3organisms/mL are needed if the sample is obtained from a catheter.

Question 18

Which antibiotics can be used to treat UTIs in pregnant women?

Answer 18

Nitrofurantoin (most common)
Cephalexin
Amoxicillin-clavulanic acid
Fosfomycin

Question 19

Treatment for swimmers ear

Answer 19

Ofloxacin otic drops

Question 20

When do you place a tympanostomy tube?

Answer 20

For recurrent cases of acute otitis media

Question 21

Complex regional pain syndrome?

Answer 21

Following a traumatic injury nerves become rewired into sympathetic neuronal pathways leading to chronic pain

Question 22

Can pneumothorax present with JVD?

Answer 22

Yes it can. It can compress the SVC leading to a JVD

Question 23

1 cause of chronic pancreatitis

Answer 23

Alcohol

Question 24

Elecrocardiography for a patient with pulm embolism

Answer 24

T wave inversion in anterior leads

Question 25

Modalities that help in the dx of crohn’s?

Answer 25

barium enema and small bowel follow through

Question 26

Finding in hemmorhagic pancreatitis?

Answer 26

Bruising around flank and umbillicus

Question 27

Agents used to tx menieres?

Answer 27

Anticholinergics, Antihistamines, Antiemetics, Benzos

Question 28

Cervical lymphadenopathy findings

Answer 28

Posterior- Mono

Anterior- Strep Phrayngitis

Question 29

Chronic cough must last how long in order to be considered chronic?

Answer 29

> 8 wks