2/5/15

Question 0

1st line Tx for pts w/ toxic megacolon 2/2 IBD flare (in the absence of perforation)

Answer 0

corticosteroids

Question 1

Suspect this in a pt. w/ severe IBD in a flare w/ distended, tympanitic abdomen.

Answer 1

toxic megacolon

Question 2

What is required for the Dx of endometriosis?

Answer 2

laparoscopic visualization of endometrial “implants”

Question 3

Narrow and regular QRS complexes and absent P-waves suggest what?

Answer 3

paroxysmal SVT

Question 4

What class of paroxysmal SVT is the most common?

Answer 4

AV-nodal reentrant tachycardia (AVNRT)

Question 5

Why are local anesthetics, such as lidocaine, ineffective in cellulitis?

Answer 5

acidic environment of cellulitis neutralizes local anesthetics, which are basic

Question 6

intrauterine pregnancy is usually not visible on TVUS until beta-hCG is greater than ___ IU/L.

Answer 6

1500

Question 7

name 4 causes of hypomagnesemia.

Answer 7

alcoholism, prolonged NG suction, diarrhea, and diuretics

Question 8

flushing, throbbing headache, palpitations, abd cramps, diarrhea, and oral burning within 10-30 mins of fish ingestion.

Answer 8

scombroid

Question 9

What Sx does pufferfish poisoning cause?

Answer 9

neurological: perioral tingling, weakness, incoordination

Question 10

People exposed to active TB infection should get a PPD at that time. If it is negative they should _______.

Answer 10

get another PPD in 3 mos.

Question 11

why is octreotide given for bleeding esophageal varices?

Answer 11

reduces portal venous pressure

Question 12

Which pt population might develop SBO 2/2 intestinal stricture?

Answer 12

IBD

Question 13

What is Ogilvie’s syndrome

Answer 13

(right) colonic pseudo-obstruction