Randoms

Question 1

anion gap

Answer 1

Na - (HCO3 + Cl)

Question 2

fluid replacement formula

Answer 2

4 (10 kg) + 2 (10 kg) + 1 (each kg after)

Question 3

metabolic acidosis compensation

Answer 3

1 Hco3 : 1 pCo2

Question 4

respiratory acidosis compensation

Answer 4

acute 10 Hco3 : 1 pCo2, chronic 10:3

Question 5

metabolic alkalosis compensation

Answer 5

2:1 hco3 : pco2

Question 6

respiratory alkalosis compensation

Answer 6

10:2, 10:5

Question 7

fungal foot infections

Answer 7

oral itraconzaole 12wks, terbinafine 1wk/mo x 3 mo

Question 8

hearing for speech

Answer 8

400-4000 hz

Question 9

acute itp tx

Answer 9

ivig or prednisone

Question 10

chronic itp tx

Answer 10

prednisone, splenectomy, ivig, rhig, plts

Question 11

ttp symptoms

Answer 11

fever, hemolysis, tcp, renal insuff, neuro

Question 12

ttp cause

Answer 12

e coli 0157, hiv, meds

Question 13

ttp-hus tx

Answer 13

plasmapheresis, plasma infusion

Question 14

hus s&s

Answer 14

hemolysis, renal fail, tcp, after diarrheal illness

Question 15

dic causes

Answer 15

malig, leukemia, sepsis, ob, trauma

Question 16

spinothalamic pathway

Answer 16

pain temp

Question 17

dorsal lemniscus

Answer 17

fine touch, proprioception, vibration

Question 18

decussations

Answer 18

pain and temp immediately in sc

propr/vib in medulla

Question 19

normocytic anemia, low retics

Answer 19

aplastic anemia, chronic disease

Question 20

normocytic anemia, high retics

Answer 20

hemolysis, acute blood loss

Question 21

microcytic anemia

Answer 21

heme: iron def, chronic disease, sideroblastic
globin: thalassemia

Question 22

sideroblastic anemia tx

Answer 22

pyridoxone, transfusion, chelation, transplant

Question 23

HbA2 elevated in

Answer 23

B thalassemia (not a)

Question 24

macrocytic anemia

Answer 24

B12, folate def, pernicious, meds, MDS

non-megaloblastic: alcohol, liver, thyroid, mds, mm, aa

Question 25

pernicious anemia

Answer 25

megaloblastic anemia, glossitis, cns change, GI, vitiligo, addisons

Question 26

cml

Answer 26

philadelphia, 9:22

Question 27

child leukemia

Answer 27

ALL

Question 28

adult leukemia

Answer 28

AML

Question 29

most common leukemia

Answer 29

CLL

Question 30

most common Hodgkin lymphoma

Answer 30

classical: nodular sclerosis

Question 31

most common non Hodgkin

Answer 31

diffuse large b cell > follic

Question 32

multiple myeloma s&s

Answer 32

hyperCa, renal failure (light chain neph), anemia, bone disease

Question 33

MM dx

Answer 33

plasmacytosis in BM, end organ disease, M protein in urine/serum (electrophoresis)

Question 34

MM COD

Answer 34

infections

Question 35

autoimmune hepatitis dx

Answer 35

IgG, ana, anti smooth muscle ab

Question 36

psc

Answer 36

males, IBD - UC, alk phos high, large ducts

Question 37

pbc

Answer 37

females, xanthelasma, anti-mitochondrial ab, small ducts, granulomas, tx: ursofalk

Question 38

wilson dx

Answer 38

low ceruloplasmin, kayser-fleischer rings, tx: penicillamine

Question 39

cholangitis triad

Answer 39

ruq pain, fever, obstructive jaundice (hypotension, confusion)