IME stuff Flashcards Preview

Shelf exams PK Edit > IME stuff > Flashcards

Flashcards in IME stuff Deck (18)
Loading flashcards...
1
Q

tx dx of rhabdo

A

Serum CK >5000
blood with no erythrocyte in sediment
rapid infusion of NS to maintain 300mL / hour urine

2
Q

mechanism in refeeding syndrome

A

phosphorus shift INTO cells (used as energy for new cell growth)

3
Q

medication to pass a kidney stone?

A

alpha blocker (tamsulosin) of ccb

4
Q

should diabetics get yearly flu shots?

A

yess, immunosuppressive effects

5
Q

in a patient with subclinical thyroid, check for…

A

anti TPO titer

6
Q

treatment for hyperosmotic diabetic whatever

A

IV:

  • saline
  • insulin
  • potassium
7
Q

patient with CKD develop metabolic _________ as GFR declines. You can treat this with _______

A

metabolic acidosis

treat with HCO3

8
Q

treatment of chornic metabolic acidosis in CKD patient?

A

NaHCO3

9
Q

value for appropriate urine albumin/cr ration?

A

<30 –> if higher, they have proteinuria, start an ACE

10
Q

most common stone in hyperparathyroidism?

A

calcium PHOSPHATE

but remember most comomn is calcium ox

11
Q

how do you treat onychomycosis

A

oral terbinafine

12
Q

basal cell carcinoma forms on ____________ commonly

A

UPPER LIP

13
Q

criteria for AV valve replacement

A

gradient >40mmHg
jet velocity >4mm/s
diameter <1cm

14
Q

antianginal therapy

A

beta blocker
ccb
sublingual nitrogen

15
Q

addition of spironolactone improves mortality in

A

systolic hf

16
Q

how do you manage cortisol in adrenal insufficiency when patient gets a virus

A

increase hydrocort 3x to avoid adrenal crisis

17
Q

values of glucose for diabetes dx:

  • fasting
  • 2 hr GTT
  • A1c
A

fasting >126
2hr GTT >200
A1c >6.5% (5.7-6.4= prediabetes)

18
Q

symptoms and labs associated with decreased cortisol

A

n/v, abd pain

hyponatremia