2/11/13

Question 1

What kind of anterior mediastinal mass will produce both β-HCG and AFP? (Be specific!)

Answer 1

non-seminomatous germ cell tumors

Question 2

What does cardiac index (CI) measure?

Answer 2

cardiac output

Question 3

Is the TPR in systolic heart failure increased or decreased?

Answer 3

increased

Question 4

What kind of a drug is metoclopramide, an anti-emetic?

Answer 4

dopamine receptor antagonist

Question 5

What is the emergent treatment of central retinal artery occlusion (CRAO)?

Answer 5

ocular massage and hi-flow O2

Question 6

What is the drug of choice for pts w/ hairy cell leukemia?

Answer 6

Cladribine

Question 7

What is the first-line Tx for autoimmune hemolytic anemia (such as that caused by CLL of NHL)?

Answer 7

prednisone

Question 8

What is the second-line of Tx for autoimmune hemolytic anemia, i.e. if prednisone fails?

Answer 8

splenectomy

Question 9

How do you define neutropenic fever?

Answer 9

single temp >38.3 or sustained temp >38 in a neutropenic pt.

Question 10

What sort of coverage should Abx given for neutropenic fever have?

Answer 10

Gram (-), including Pseudomonas

Question 11

What are 2 good choices for IV Abx in pts. w/ neutropenic fever?

Answer 11

ceftazidime and cefepime (3rd and 4th gen)

Question 12

When do you hear bronchial breath sounds (as opposed to vesicular) in the lungs?

Answer 12

in areas of consolidation

Question 13

What differentiates bronchial breath sounds from vesicular?

Answer 13

louder w/ longer expiratory component

Question 14

What are the characteristic CXR findings of Pneumocystis jiroveci?

Answer 14

Bilateral, diffuse interstitial infiltrates beginning in the perihilar region