2/9/13 b

Question 1

Pt is treated for hemothorax. Then he develops a fever and dyspnea. CT scan reveals a “complex loculated lesion with a thick surrounding peel”. What is the Dx?

Answer 1

complex empyema

Question 2

What is the Tx for a complex, localized empyema with a thick rim?

Answer 2

surgery (decortication[removal of peel] and drainage)

Question 3

What is the Tx for a new, uncomplicated empyema?

Answer 3

streptokinase, Abx, and drainage

Question 4

What is the most important lifestyle intervention for lowerin hypertension?

Answer 4

weight loss

Question 5

The estrogenic effects of tamoxifen put pts at greater risk of what 2 things?

Answer 5

endometrial cancer and venous thrombosis

Question 6

Which cause of pneumonia is associated with hyponatremia?

Answer 6

Legionella

Question 7

What 2 types of Abx are typically used to Tx Legionairre’s disease?

Answer 7

macrolides or quinolones

Question 8

What is the standard Tx for symptomatic premature atrial complexes (PACs)?

Answer 8

β-blockers

Question 9

What is the Tx for asymptomatic PACs?

Answer 9

modify any identifiable risk factors, such as drinking, smoking, caffeine and stress

Question 10

What are the “4 T’s” in the Dx of an anterior mediastinal mass?

Answer 10

Thymoma, Teratoma, Thyroid neoplasm, and Terrible lymphoma

Question 11

Serum levels of what tumor marker are raised in 1/3 of seminomas?

Answer 11

β-HCG

Question 12

Serum levels of what tumor markers are raised in (non-seminomatous) mixed germ cell tumors?

Answer 12

AFP and sometimes β-HCG

Question 13

What valvulopathy tends to present in pregnancy?

Answer 13

mitral stenosis