7-14

Question 1

initial treatment for AFib w/ RVR

Answer 1

• hemo stable: BB, dilt, or dig

- hemo unstable: emergency cardioversion

Question 2

cause of prolonged aPTT that doesn’t correct when mixed w/ nml plasma

Answer 2

antiphospholipid Ab (lupus anticoagulant)

Question 3

next test in pts w/ erythema nodosum

Answer 3

CXR to check for sarcoid

Question 4

JVD, inc P2, R ventricular heave, hepatomegaly, pitting edema, ascites w/ pulm symptoms

Answer 4

cor pulmonale - most commonly caused by COPD

Question 5

RHF, easy bruising, proteinuria

Answer 5

amyloidosis

Question 6

white granular patch over buccal mucosa in pt w/ hx of alc + tobacco use

Answer 6

leukoplakia - precancerous (hyperplasia)

Question 7

progressive PR interval followed by dropped QRS

Answer 7

Mobitz type I

Question 8

RA drug that causes macrocytic anemia

Answer 8

methotrexate - folate def

Question 9

travel to mexico followed by abd syx -> myositis, periorbital edema, eosinophilia, subungual splinter hemorrhages, chemosis

Answer 9

trichinellosis

Question 10

TBI w/ blurring of the gray-white interface

Answer 10

diffuse axonal injury

Question 11

immunocomp pt w/ red macules -> pustules -> punched out gangrenous ulcers

Answer 11

ecthyma gangrenosum (pseudomonas)

Question 12

megaloblastic anemia, glossitis, in pt w/ autoimmune condition

Answer 12

pernicious anemia

Question 13

nml pH/AG w/ plasma glucose >1000

Answer 13

hyperosmolar hyperglycemic state (HHS)

Question 14

initial treatment for hyperosmolar hyperglycemic state

Answer 14

normal saline - b/c severe hyperglycemia induces osmotic diuresis

Question 15

approach to 1st deg AV block w/ nml QRS duration vs prolonged

Answer 15

nml = obs
prolonged = electrophys testing

Question 16

LVH + HTN in a healthy young person

Answer 16

coarctation of the aorta

Question 17

initial tx for stable pt w/ chest pain

Answer 17

aspirin

Question 18

linear esophageal ulcers in HIV pt

Answer 18

CMV

Question 19

immunocomp pt in wisconsin: yeast w/ warty nodules -> microabscesses, cough

Answer 19

blastomycosis