4/16/21

Question 1

Treatment of cocaine overdose with malignant hypertension and seizures

Answer 1

IV hydration
IV valium
IV nitroprusside
cooling blanket

Question 2

What blood pressure medication to avoid with cocaine overdose

Answer 2

labtelol (b-blocker)
-this could lead to an unopposed b blockade leading to alpha receptor symptoms causing coronary vasoconstriction and hypertension

Question 3

pregnant lady with history of gestational diabetes with prior pregnancy and obese…what screening related to diabetes do you perform

Answer 3

diabetes screening at first visit

Question 4

Initial testing for postmenopausal bleeding women

Answer 4

endometrial biopsy

transvaginal ultrasound

Question 5

Spinal stenosis symptoms

Answer 5

symmetric pain in both legs
worse with lumbar extension (cannot lay flat)
better with lumbar flexion (sleeps in chair, leans forward with shopping cart)

Question 6

Spinal stenosis (Exam)

Answer 6

loss of lordosis in lumbar spine
decreased range of motion

advanced findings

• • muscle weakness
• • reflex changes

Question 7

Paraneoplastic syndrome

Answer 7

small cell lung cancer and hypercortisolism (ectopic ACTH)
causing:
- elevated BG
- elevated leukocytes
- hypokalemia

Question 8

What is the screening guidelines for lung cancer screening

Answer 8

low dose CT lungs annual

55-80 yrs old with hx of 30 pk year and currently smoke or quit within the last 15 years

Question 9

Risks for bronchogenic carcinoma

Answer 9

smoking

Question 10

findings from bronchogenic carcinoma with SIADH

Answer 10

hyponatremia