5/18/13

Question 1

If a pt is found to be hypothyroid during or after surgery, what needs to be administered first?

Answer 1

corticosteroids

Question 2

What is the gold standard for dx of ischemic colitis?

Answer 2

colonoscopy

Question 3

A chronic alcoholic has constant epigastric pain for years, has recently developed diabetes, and has oily spots on his stool. Dx?

Answer 3

chronic pancreatitis

Question 4

What is the most accurate test for chronic pancreatitis?

Answer 4

secretin stimulation test

Question 5

What is the result of the secretin stimulation test in a healthy person?

Answer 5

release of lg. amts of bicarb rich fluid from the pancreas

Question 6

What kind of a drug are finasteride and dutasteride, which are used to treat bph?

Answer 6

5α-reductase inhibitors

Question 7

What does the 5α-reductase enzyme do?

Answer 7

converts testosterone to the more potent dihydrotestosterone

Question 8

How is carpal tunnel syndrome diagnosed?

Answer 8

clinically and w/ wrist x-ray to rule out other lesions

Question 9

What is the initial treatment for carpal tunnel syndrome?

Answer 9

splinting and NSAIDs

Question 10

What additional diagnostic modality must be employed before proceeding w/ surgery for carpal tunnel syndrome refractory to conservative management?

Answer 10

electromyography and nerve conduction studies

Question 11

What would electromyography (EMG) show in cases of carpal tunnel syndrome?

Answer 11

denervation of the muscles innervated by the median nerve

Question 12

What is the site of choice for IO access in small children?

Answer 12

proximal tibia

Question 13

What are the two preferred routes of fluid/meds administration in adult trauma pts when IV access is not available?

Answer 13

femoral vein and saphenous vein cutdown

Question 14

What is the treatment for acute meniscal tears?

Answer 14

physical therapy and NSAIDs

Question 15

What is the treatment for chronic, symptomatic meniscal tears?

Answer 15

arthroscopic repair

Question 16

In the presence of a normal perfusion pressure, what would most likely cause a hospitalized pt’s urinary output to suddenly drop from normal to zero?

Answer 16

kinked Foley catheter

Question 17

An older pt w/ no Hx of trauma has severe abd pain, nausea, and vomiting, as well as bruising along the flanks. Dx?

Answer 17

acute pancreatitis

Question 18

Why does acute pancreatitis cause the appearance of bruising along the flank (Grey Turner sign)?

Answer 18

blood digested by extravasated pancreatic enzymes tracks around to the back of the abdomen

Question 19

What condition is pneumaturia pathognomonic for?

Answer 19

colovesical fistula

Question 20

What is the cause for a febrile, hemolytic transfusion reaction?

Answer 20

ABO incompatability

Question 21

What is the tx for a febrile, hemolytic transfusion reaction?

Answer 21

IV diuresis, bicarb (to alkalinize urine), and vasopressors if nec.

Question 22

When is an anaphyactic transfusion reaction usu. seen?

Answer 22

IgA deficient recipient

Question 23

What is the pathophysiology of a febrile non-hemolytic transfusion rxn?

Answer 23

recipient attacks donors WBCs

Question 24

What is the tx for a febrile, non-hemolytic transfusion rxn?

Answer 24

stop the transfusion

Question 25

How can hemolytic transfusion rxn be most easily distinguished from non-hemolytic?

Answer 25

drop in hematcrit