14/2

Question 1

hormone profile

• primary hyperPTH
• secondary hyperPTH
• tertiary hyperPTH

Answer 1

primary hyperPTH - elevated PTH, elevated Ca, low phosphate
secondary - elevated PTH, normal or low Ca, elevated phosphate, low vit D
tertiary - PTH elevated, calcium normal or high, phosphate low or normal, vit D low or nromal, elevated ALP

Question 2

ASA classification

• I
• II
• III
• IV
• V
• VI

Answer 2

I - normal
II - mild e.g. smoker, social drinker, pregnancy, BMI 30-40, well controlled DM, HTN, mild lung disease
III - mod to severe e.g. disease poorly controlled DM, COPD, BMI>40 etc
IV - MI , CVD, severe valve dysfunction
V - AAA ruptured, massive trauma, IC bleed
VI - brain dead

Question 3

anticoag - stroke and AF

Answer 3

two weeks after

Question 4

drugs causing lung fibrosis

Answer 4

methotrexate

bleomycin

Question 5

____ + ___ = bone marrow suppression

Answer 5

methotrexate and trimethoprim

Question 6

criteria for c.diff

• mild
• mod
• severe
• life-threatening

Answer 6

mild - normal WCC
mod - WCC<15, 3-5 loose stools/day
severe - WCC>15, temp >38.5, colitis
life-threat - hypotension, toxic meggacolon, ct severe disease, partial or complete ileus

Question 7

skull xray - hyperPTH

Answer 7

pepperpot skull