8/2

Question 1

CKD does what to Ca, phos, and PTH

Answer 1

low Ca (dec 1,25 Vit D -> dec intestinal absorption)
high phos
inc PTH -> over time can cause inc PTH even with rising Ca levels -> will see high PTH and high Ca

Question 2

tx for vulvar lichen sclerosis

Answer 2

topical corticosteroids

Question 3

abx for septic joint

Answer 3

IV vanc

Question 4

diptheria complications + tx

Answer 4

pharyngitis, myocarditis, neuritis > erythromycin vs pen G

Question 5

tx for CF pneumonia

Answer 5

vanc, cefepime, amikacin (MRSA, pseudomonas coverage)

Question 6

tx for aspiration pna (community acquired)

Answer 6

CTX and azithro

Question 7

muddy brown casts on UA

Answer 7

ATN > caused by ischemia, nephrotoxins, or sepsis

Question 8

pre-renal FeNa

Answer 8

<1%

Question 9

tx for toxic megacolon

Answer 9

glucocorticoids and abx if infectious

Question 10

when to give rhogam

Answer 10

28 wks + <72 hrs after delivery

Question 11

tx for strep

Answer 11

10 days oral penicillin to prevent acute rheumatic fever

Question 12

imaging for multiple myeloma

Answer 12

whole body low-dose CT