Aaron: other or ect.

Question 1

Saw Palmetto is used to treat what?

Answer 1

BPH, alternative medicine

Question 2

What is a common Saw Palmetto side effect?

Answer 2

Bleeding and upset stomach

Question 3

What genetic inheritance pattern shows woman only give the disease?

Answer 3

Mitochondrial Pattern

Question 4

What is the most common non surgical nosocomial problem when admitted to the hospital?

Answer 4

Adverse Drug Event

Question 5

What is the antidote of choice for ethylene glycol and methanol?

Answer 5

Fomepizole, inhibits alcohol dehydrogenase

Question 6

What side effect can Kava Kava cause?

Answer 6

Hepatotoxicity and Liver Failure

Question 7

Gingko Bilbo and Ginseng can cause what?

Answer 7

Can cause increase bleeding risk

Question 8

If someone appears with aspiration pneumonia, what is the first round of abxs?

Answer 8

Ceftriaxone and Azithromycin, Clindamycin is not first line for aspiration abx, can cause C. Diff

Question 9

Carboxyhemoglobin will be elevated with what problem?

Methemoglobinemia will be elevated with what problem?

Answer 9

Carboxy: Elevated in house fires, coma, seizure, and MI

Methemo: Elevated in medication administration, dapsone, benzocaine, and aniline dyes

Question 10

Hypercalcemia will cause AMS after what level?

Answer 10

Over 14

Question 11

Hyponatremia will cause AMS after what level?

Answer 11

120-125 and lower

Question 12

BUN will cause AMS after what level?

Answer 12

Over 50, elevated Creatinine and creatinine clearance indicate poor renal function and can cause elevated decrease toxin clearance

Question 13

What is the time table for charcoal intervention?

Answer 13

Less than 4 hours

Question 14

What is the biggest hinderance to helping liver acetaminophen damage?

Answer 14

Length of time to hospital admission

Liver damage does not show up until after 24 hours

Question 15

NAC (N-acetyl cysteine) is most effective if given in what time frame?

Answer 15

Less than 8 hours after ingestion

Question 16

Patient presents with

Headache, confusion, dizziness, nausea, repairing an old house and heating equipment, what is the most likely diagnosis?

Answer 16

Carbon Monoxide poisoning, give supplemental oxygen

Question 17

What are the diagnostic criteria for

Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Chronic bacterial prostatitis

Answer 17

CPP: 20 or more leukocytes in urine plus negative urine culture

CBP: 20 or more leukocytes in urine plus a positive urine culture

Question 18

If a patient has priapism, +lactic acidosis, and aspiration is unsuccessful, what is the next best step?

Answer 18

Phenylephrine injection, decrease blood flow

Question 19

ED and a long history of atherosclerosis risk factors, what is the next best step?

Answer 19

ABI test, look at PAD problems

Question 20

What is the best way to help an HIV positive CNS lymphoma patient?

Answer 20

Increase CD4 count

Question 21

Does cystic fibrosis show up late or early in life?

Does cystic fibrosis usually have gastroenteritis concerns?

Answer 21

Early

No gastroenteritis

Question 22

What is the first line drug for Restless Leg Syndrome?

Answer 22

Gabapentin, not Dopamine agonists

Question 23

What medical condition is associated with Restless Leg Syndrome?

Answer 23

Iron Deficiency Anemia

Question 24

Which drug is a bigger culprit with respect to orthostatic hypertension: ACE inhibitor or Nitroglycerin

Answer 24

Nitroglycerin, ACE (hyperkalemia, CKD, cough, or angioedema)

Question 25

What is the first line and second line drug for PCP intoxication?

Answer 25

1) Benzo

2) Haldolol

Question 26

Does Buspirone help or help decrease smoking cessation?

Can Bupropion be given 2/2 smoking cessation with a patient history of seizure disorder?

Answer 26

No

No

Question 27

80+ years old delirium, acute confused state, what is the drug of choice?

Answer 27

Haldol, not Benzo first

Question 28

First line action for delirium episodes at night?

Answer 28

Strict Routine, especially with Alzheimer’s Disease

Question 29

If a patient has been taking Benzos for a long period of time and stops suddenly, can they withdraw from them?

Answer 29

Yes

Question 30

New onset psychosis and joint pain, no other past medical history?

Answer 30

Think SLE

Question 31

Urine Porphobilinogen elevation can be caused by Acute Intermittent Porphyria, with psychosis. What is the number one complaint?

Answer 31

Abdominal Pain

Question 32

Thiazides
ACE inhibitors and ARBS
NSAIDs
these drugs increase the level of what drug?

Answer 32

Lithium

Question 33

How do you DDX Peritonsillar abscess versus Tonsilitis?

Answer 33

Trismus is only seen in Peritonsillar abscess, Tonsilitis does not have it

Question 34

Sudden conductive hearing loss, what is the next step?

Answer 34

Call ENT urgent, think about steroids

Question 35

Periodic Vertigo more than an hour
Unilateral Hearing
Tinnitus
What am I?

Answer 35

Menierie’s Disease

Question 36

If I increase background noise will that make a patient’s presbycusis worse or better?

Answer 36

Worse

Question 37

Otitis Externa can be treated how?

Malignant Otitis Externa can be treated how?

Answer 37

Topical Antibiotics

IV Ciprofloxacin

Question 38

Ethical Terms

Justice means what?

Answer 38

Equally distribute health care and resources, and provide fair and equitable treatment

Question 39

Ethical Terms

Non-maleficence means what?

Answer 39

Do no harm

Question 40

Ethical Terms

Proportionality means what?

Answer 40

Ensure that methods used to achieve a worthwhile goal are necessary, appropriate, and not excessive

Question 41

Ethical Terms

Autonomy means what?

Answer 41

Protect and facilitate the patient’s informed decision-making process