2/14

Question 1

neutropenia ANC <

Answer 1

1500

Question 2

abs for neutropenic fever

Answer 2

g+ and pseudomonas coverage
cefepime, piptazo, meropenem

Question 3

pigmented granular casts-
white cells and casts-
red cells and casts-
renal tubular epithelial cells-

Answer 3

ATN from nephrotoxins
PSGN
acute interstitial nephritis
acute tubular necrosis from ischemia

Question 4

epsilon wave

Answer 4

small, positive deflection at the end of the QRS complex, with a prolonged S-wave upstroke and inverted T waves

arrhythmogenic right ventricular cardiomyopathy -> ICD

Question 5

primary adrenal insufficiency adrenal crisis steroid

Answer 5

hydrocortisone- mineralocorticoid and glucocorticoid

Question 6

manual detorsion

Answer 6

medial to lateral

Question 7

ethylene glycol ingestion - fomepizole (4-methylpyrazole) then…

Answer 7

thiamine and pyridoxine to reduce formation of oxalic acid

Question 8

CSF findings bacterial vs viral meningitis

Answer 8

bacterial- high opening pressure, cell count and protein, low glucose

viral- slightly elevated cell count and protein, normal opening pressure and glucose

Question 9

MUDPILES

Answer 9

methanol
uremia/renal failure
diabetic ketoacidosis
paraldehyde (component of anticonvulsants, hypnotics, and sedatives)/propylene glycol,
isoniazid/iron/ibuprofen
lactic acidosis (common in cardiopulmonary failure, sepsis, alcohol use disorder, ischemic bowekl disease, short bowel syndrome, carbon monoxide, cyanide poisoning, and cancer),
ethylene glycol/ethanol
salicylates