9/22

Question 1

MOA of sodium bicarb in TCA

Answer 1

alleviates inhibitory action of TCA, prevents arrythmias

Question 2

two treatments of COPD that hep mortality

Answer 2

stop smoking and oxygen therapy

Question 3

first intervention in suspected spinal cord compression

Answer 3

steroids, then MRI

Question 4

cause of hepatorenal syndrome

Answer 4

release of NO by liver leads to systemic vasodilation and renal hypoperfusion

Question 5

graves disease vs painless thyroiditis

Answer 5

iodine uptake in thyroid, high in graves

Question 6

most specific lab value for hypovolemia

Answer 6

decreased urine sodium (RAAS system conserves sodium)

Question 7

cutaneous blasto

Answer 7

well circumscribed verrucous nodules and plaques that progress to microabsesses

Question 8

JCD EEG

Answer 8

sharp wave complexes

Question 9

anti arrhtymetics for a fib

Answer 9

class IC (flecainide)

Question 10

diclofenac

Answer 10

NSAID

Question 11

abdominal succussion splash diagnosis

Answer 11

gastric obstruction 3 hours after eating

Question 12

what can still be functioning in brain death

Answer 12

spinal cord (deep tendon reflexes can be present)

Question 13

temp value concerning for SBP

Answer 13

above 100

Question 14

good A1c control is most likely to help…

Answer 14

microvascular complications (macro are unclear)

Question 15

best treatment for primary hyperaldo

Answer 15

spironolactone/eplerenone