qs

Question 1

complication of parvo b19 in sickle cell

Answer 1

aplastic crisis

Question 2

tx flail chest assn significant injury or unstable vitals

Answer 2

intubation early

Question 3

complications with subx and parasternal approach paracentesis

Answer 3

RA injury vs intermal mamary A and ptx

Question 4

NNT

Answer 4

1/ARR

Question 5

what med reduces renal failure and mortality in patients with SBP

Answer 5

albumin

Question 6

which hernias are prone to strangulation

Answer 6

femoral and spengelian- MCC is indirect inguinak in men and women (mc women)

Question 7

most pathognmonic finding for sarcoid

Answer 7

lupus pernio- violaceas raised plaques and nodeuls on cheeks nos and eyes

Question 8

risk fators pre E

Answer 8

<18 >40, nulliparious, twin, obestiy, htn, dm

Question 9

mechanism of nitrazine paper

Answer 9

vaginal fluid acidic, amniotic alklaine, nitrazine turns to blue pH >6.5, fluid also will FERN on a slide

Question 10

endpoint of eye irrigation

Answer 10

ph 7.0-7.2

Question 11

ppx for pertussis

Answer 11

Z pack

Question 12

halflife of carboxyhb when on HF via NRB

Answer 12

90 minutes

Question 13

tick RMSF

Answer 13

dermacentor

Question 14

first line HTN AA

Answer 14

HCTZ

Question 15

first line htn non AA and/or CKD

Answer 15

ACE/ARB

Question 16

mc presenting sx bladder injury? what study

Answer 16

gross hematuria, retrograde cysto or CT cysto

Question 17

tx breastfeeding jaundice

Answer 17

conintue BF

Question 18

tx erysipelas

Answer 18

can be malar rash, tx IV cef

Question 19

hallmakr of organic confusion

Answer 19

visual hallucination

Question 20

nerve injured in kids with supracondylar fx

Answer 20

median N

Question 21

what lab has high PPV for Biliary cause of pancreatiits

Answer 21

ALT

Question 22

when to Tx ITP? what meds

Answer 22

< 50k and active bleeding, IVIG steroids, < 20 k add platelets

Question 23

diseases that require N95`

Answer 23

measles, varicella, TB

Question 24

ehrliciosis - tick, locaiton, sxs, labs, tx

Answer 24

deer an dlone star, midwest/SE, leukopenia, TCP, elevated transaminase, fever RUQ pain, tx doxy/rifampin

Question 25

tx travellers diarrhea in pregnant women and children

Answer 25

azithro

Question 26

sxs ttp

Answer 26

CNS abn, renal patholgy, fever, anemia, TCP - tx plasmapheresis

Question 27

treatment of pulmnary HTN

Answer 27

hypotensive- early vasopresosrs- norepi- also supplementa O2, maintain coronary perfusion, dec RV afterload

Question 28

tx recurrent reynauds

Answer 28

nifedipine or amplodipine

Question 29

causes of TR

Answer 29

mcc pulm HTN causing RV and atrial dilatation, or structural like ebstein anomaly or endocarditis

Question 30

complication of acute hepatitis occuring 6-12 weeks later

Answer 30

aplastic anemia

Question 31

treatment of HTN Crisis in pheo and MAOI

Answer 31

phentolamine, use phenoxybenazmine for management and pre op

Question 32

tx in TLS to prevent renal failure

Answer 32

needs to tx Uric acid build up with allopurinol or rasburicase

Question 33

mcc rectal bleeding adults

Answer 33

hemorrhoids

Question 34

tx with tylnol OD presenting 8-24 hours after ingetstion

Answer 34

start NAC while awaiting level b/c NAC most effective in first 8 hours

Question 35

HIV and chronic watery diarrhea? white lesions on tongue tha cannot be scraped? intracranial lesions? neuro deficits and non-enhancing white matter lesions, dark puruple skin/mouth nodules

Answer 35

cryoptsporidium, hairy leukoplakie EBV, toxo (mc cNS not on ppx)/cns lymphoma, PML JC virus, kaposi,

Question 36

reversible causes of dementia

Answer 36

depresison, hypothyroid, b12 def, HIV, neurosypylis, OSA

Question 37

effect of HBO on CO poinsoning

Answer 37

dec neurologic seqwuelaue

Question 38

dementia plus visual hallucinations

Answer 38

lewy body

Question 39

n injury fibular head fx

Answer 39

peroneal n- deep peroneal sensation between first and second toe- extneson of toe, dorsifelxion of foot

Question 40

trousseau sign

Answer 40

tender migratory thrombophelbiits that acconpanbies cancer like pancreatic ca