Dancing Queen

Question 1

classic cxr of blunt force aortic injury

Answer 1

left side hemothorax

wide mediastinum

Question 2

What does squatting do? cardio

Answer 2

increased venous return

increased afterload

Question 3

what is best rx for htn in obesity

Answer 3

wt loss

dash diet good

moderate etoh, quit smoking, excersize ok

Question 4

rx for acute decompenstaed heart failure

Answer 4

o2/ vent if needed
aggressive IV diruesis
+/- vasodilater

never BB in acute decomp heart failure

Question 5

rx for stable v tach

Answer 5

wide qrs
regular
amiodarone

unstable–> shock

Question 6

Dobutamine

Answer 6

stimulates B1

used in sever HF w/ LV dysfunction

inc contraction, improved EF, decreased end LV diastolic volume–> s/s improvement

Question 7

s/s highly suggestive of congenital syphilis

Answer 7

snuffles- copios runny nose

maculopapular rash –> desquamates/ bullous

Question 8

doxazosin

Answer 8

alpha blocker

Question 9

prostitis rx

Answer 9

tmp-smx or flouoquiolone for 4-6 weeks

Question 10

1st line rx for BPH

Answer 10

1- alpha blocker (rapid effects)

5-alpha- reductase is slow

Question 11

Painless testicle mass w/ suspicious US for cancer. Rx?

Answer 11

orchectomy

NO, NONE, DO NOT biopsy

Question 12

zollinger ellison syndrome

Answer 12

gastrin producing tumor

multiple ulcers, ulcers past duodenum, and diarrhea refractory to rx

Question 13

tropical sprue

Answer 13

chronic diarrhea after 1 month + in tropical area

Question 14

folate vs b12 def labs?

Answer 14

Folate- normal methymalonic acid

b12- HIGH methymalonic acid

Question 15

Cancer in H Pylori

Answer 15

MALT lymphoma

Question 16

Path of GBS

Answer 16

segmental nerve demylination

t cell/ mac invasion

Question 17

TEN vs stevens johnson

Answer 17

TEN >30%

SJS <10%

Question 18

Pyogenic granuloma

Answer 18

benign vascular tumor

usually face/ mouth after minor trauma

Question 19

rx for anticholinergic syndrome

Answer 19

phyostigmine- cholinesterase inhbitor

Question 20

CMV retinitis s/s

Answer 20

blurred vision
floaters
flashing lights

Question 21

vesicular eruption of cornea

Answer 21

herpes zoster opthalmicus

Question 22

corneal lesion w/ pain and discharge

Answer 22

herpes simplex keratitis

Question 23

Hep B and Hep C kidney problem

Answer 23

membranoproliferative glomerulonephritis

Question 24

HIV, herios, obesity kidney problem

Answer 24

FSGS

Question 25

solicylate intoxication RX

Answer 25

alk ua w/ sodium bicarbn

Question 26

theophylline does what?

Answer 26

broncodilator