9/10

Question 1

major cause of epiglottits

Answer 1

h flu (unvaccinated)

Question 2

exam in PE

Answer 2

loud P2 and high JVP

Question 3

needle shaped crystals in UA

Answer 3

uric acid stones

Question 4

treatment after basic suicide

Answer 4

scope and iv fluids

Question 5

treatment criteria for MI

Answer 5

12 hours since and 90 minutes since arrival

Question 6

liver mass with oral contraceptive

Answer 6

hepatic adenoma

Question 7

most important treatment in diabetic nephropathy

Answer 7

blood pressure control

Question 8

OHS picture

Answer 8

• cant breath - obstruction

- wont breath - decrease drive due to bicarb compensation

Question 9

symptoms of chronic mitral regurg

Answer 9

• displaced apical impulse, holosystolic murmur, third heart sound

Question 10

imaging need in pyelonephritis

Answer 10

no response in 48-72 hours, stones, or unusual urine findings

Question 11

euthyroid sick syndrome

Answer 11

• acute severe illness

- fall in T3, normal T4, TSH

Question 12

testing thyroid in sick patients

Answer 12

not recommended, can be euthyroid sick syndrome

Question 13

pulmonic stenosis

Answer 13

• congenital defect
• wide splitting on inspiration
• ejection click, crescendo- decrescendo murmur

Question 14

diarrhea while sleeing

Answer 14

secretory

Question 15

osmotic vs secretory diarrhea

Answer 15

osmotic - elevated osmotic gap

secretory - reduced osmotic gap (more ions in poop)

Question 16

electrical alterans

Answer 16

varying amplitude of QRS complexes in pericardial tamponade

Question 17

spine involved in RA

Answer 17

cervical spine

Question 18

anemia with tick illness

Answer 18

babesiosis

Question 19

acute severe periorbital pain

Answer 19

cluster headache

Question 20

most effective treatment for cluster headaches

Answer 20

100% oxygen

Question 21

necrotizing otitis media

Answer 21

pseudomonas in diabetics, treat with cipro

Question 22

cancer associated with atrophic gastritis

Answer 22

gastric

Question 23

long term treatment of Graves leads to….

Answer 23

hypothyroidism, long term turn down of thyroid

Question 24

cardiac problem in acromegaly

Answer 24

concentric ventricular hypertrophy