8/30/21

Question 1

Primary Adrenal Insufficiency (Addison Disease) labs

Answer 1

Labs will show hyponatremia and hyperkalemia

Most commonly caused by autoimmune destruction of the adrenal cortex
Treatment is hydrocortisone

Question 2

What is the treatment for Legionella pneumonia?

Answer 2

Azithromycin or a fluoroquinolone for severe disease.

Question 3

Auer rods are classically seen within the myeloid blasts in patients with _____________

Answer 3

acute myeloid leukemia

Question 4

Howell-Jolly bodies are classically seen inclusion bodies within damaged red blood cells in patients with _________________

Answer 4

decreased function of or absence of the spleen

Question 5

Negri bodies are pathognomonic inclusion bodies within certain nerve cells in patients infected with the ___________

Answer 5

rabies virus

Question 6

__________ are classically seen within the myeloid blasts in patients with acute myeloid leukemia

Answer 6

Auer rods

Question 7

_____________ diagnosis is made by lymph node biopsy showing Reed-Sternberg cells

Answer 7

Hodgkin Lymphoma

Question 8

____________ are classically seen inclusion bodies within damaged red blood cells in patients with decreased function of or absence of the spleen.

Answer 8

Howell-Jolly bodies

Question 9

Hodgkin Lymphoma diagnosis is made by lymph node biopsy showing _______________

Answer 9

Reed-Sternberg cells

Question 10

______________ are pathognomonic inclusion bodies within certain nerve cells in patients infected with the rabies virus.

Answer 10

Negri bodies

Question 11

Active external rewarming should result in an increase of core temperature of at least _______ per hour

Answer 11

2°C per hour

Question 12

Active internal rewarming measures

Answer 12

• IV of warmed crystalloid (40 to 42°C)
• irrigation of the peritoneum or the thorax with warmed isotonic crystalloid
• extracorporeal blood rewarming.

Question 13

What are two ECG findings that can be seen in hypothermia?

Answer 13

J-waves of Osborn and shivering artifact.

Question 14

What electrocardiogram finding is associated with macrolide antibiotic use?

Answer 14

QT interval prolongation

ex: errythromycin

Question 15

Repetitive vomiting acid base disturbance

Answer 15

hypochloremic metabolic alkalosis from loss of stomach acid.

Question 16

Basophilic stippling is classically associated with ___________

Answer 16

lead poisoning.

Question 17

What classic radiographic finding is associated with lead poisoning in children?

Answer 17

Lead lines, which are radiodensities in the distal metaphyseal plate.

Question 18

_____________ is due to a shift in vaginal flora from the normal Lactobacillus to a polymicrobial group resulting in an elevated pH from 4.5 to as high as 7.

Answer 18

Bacterial vaginosis

Question 19

Which method of nursemaid’s elbow reduction has the highest first-attempt success rate?

Answer 19

Hyperpronation has a higher first-attempt reduction success rate and may be less painful than the supination/flexion method.

Hyperpronation method - apply pressure to the radial head and hyperpronating the forearm

Question 20

Nursemaid Elbow (Radial Head Subluxation) treatment is

Answer 20

Hyperpronation method - apply pressure to the radial head and hyperpronating the forearm

Supination/flexion method - supinate and fully flex the elbow while applying pressure to the radial head and pulling with gentle traction