15

Question 1

healthcare worker with recurrent different polymicrobial bacteremias

Answer 1

factitious d/o - injecting herself

Question 2

can you drink fruit juice with viral gastro?

Answer 2

apparently not– worsens sxs

Question 3

______ associated with pancreatitis, and causes gastric varices

Answer 3

splenic vein thrombosis

Question 4

do you need to treat asymptomatic bacteriuria if it grew urine clx?

Answer 4

nope- only if pregnant

Question 5

common complication of compartment sydrome

Answer 5

rhabdo

Question 6

treatment for compartment syn

Answer 6

fasciotomy

Question 7

%s of 1st,2nd, and 3rd standard deviations

Answer 7

68, 95, 99.7%

Question 8

primary vs sec vs tertiary vs quaternary prevention

Answer 8

1- before dz
2- initial dz
3- advanced dz
4- limit unnecessary interventions by health system

Question 9

dyspepsia in pat>60 yo diagnostic test

Answer 9

EGD (high risk over 60, don’t just do PPI or hpylori)

Question 10

ureter stones less than ____ can have simple med management and be discharged home (hydrate, alpha blockers, pain control)

Answer 10

10 mm

Question 11

do you give antibiotics for bacterial gastro?

Answer 11

no, only if invasive and culture identified (otherwise can make it worse)

Question 12

most common cause of proteinuria in adolescents

Answer 12

orthostatic proteinuria (worse in standing than supine)- benign

Question 13

test for orthostatic proteinuria

Answer 13

split (day and night) 24 protein urine collection

Question 14

pyelo treatment for pregnant patient

Answer 14

IV ceftriaxone

Question 15

first line prevention med for cluster HA

Answer 15

verapamil

Question 16

first line med for acute cluster HA

Answer 16

100% oxygen by nonrebreather

Question 17

what should you do if exposed to TB?

Answer 17

PPD. If negative, repeat testing in 8-10 weeks

Question 18

saw palmetto is an alternative med to treat

Answer 18

BPH

Question 19

side effect of saw palmetoo

Answer 19

bleeding

Question 20

two most important predictors of prognosis of COPD

Answer 20

age, FEV1

Question 21

meds for acute and secondary prevention of esophageal varices bleed

Answer 21

acute- octreotide

prevent- beta blockers

Question 22

immunocompromised patient with ulcerative skin lesion - necrotic center, yellow-green exudate

Answer 22

echthyma gangrenosum- often due to pseudomonas

Question 23

best test of choice for detecting pneumothorax in acute setting

Answer 23

bedside US

Question 24

treatment for wolf parkinson white

Answer 24

catheter ablation

Question 25

meds to give mother with preterm labor

Answer 25

IM corticosteroids

penicillin

Question 26

rabies prognosis after disease onset

Answer 26

death within weeks

Question 27

diarrhea diseases with high osmotic gap

Answer 27

lactose intolerance and celiac

Question 28

diarrhea dz with high osmotic gap and iron def anemia

Answer 28

celiac

Question 29

GI path of celiac

Answer 29

villous atrophy,
lymphocytic infiltrates,
crypt hyperplasia