Day 4 - Rapid Review Preview #4

Question 1

Tx cardiogenic shock

Answer 1

Pressor = Dobutamine

Question 2

Systemic disorders causing nephritic syndrome

Answer 2

Diabetes, Lupus, Amyloidosis

Question 3

Hypoxemia w/ pulmonary edema and normal PCWP

Answer 3

ARDS

Question 4

Teenager w/ hx of theft and violence against pets

Answer 4

Conduct disorder

Question 5

Continous machine like murmur

Answer 5

PDA

Question 6

Preeclampsia in first trimester

Answer 6

Hydatidiform mole

Question 7

CSF: SAH

Answer 7

Elevated CSF pressure; RBCs in all 3 tubes; Xanthrochromia (if several days ago)

Question 8

Acid-base disturbance common in pregnant women

Answer 8

Respiratory alkalosis

Question 9

Husband acts that his wife not be told about her recently dx lung CA

Answer 9

Still tell pt, as long as no harm from it

Question 10

Case control study meas. incidence or prevalence

Answer 10

Neither, since it’s only 1 study

Question 11

First line tx GH-secreting pituitary adenoma

Answer 11

Transphenoidal surgical resection

Question 12

Indications for surgical repair of AAA

Answer 12

If greater than 5.5 cm, rapidly enlarging, sx, or ruptured

Question 13

Characteristics of nevus suggestive of melanoma

Answer 13

ABCDE: Asymmetry, Border irregularity, Color variation, Diameter (larger than pencil eraser)

Question 14

Low urine specific gravity w/ high serum osmolality

Answer 14

Diabetes inspidus

Question 15

Tx Afib of unknown duration

Answer 15

Rate control (Beta blockers, CCBs, or Digoxin) & Anticoagulation (Warfarin & Heparin)

Question 16

Lung CA assoc w/ SIADH

Answer 16

Small cell lung cancer

Question 17

Side effects common to atypical antipyschotics

Answer 17

Weight gain & development of Type II DM

Question 18

Most common location for ectopic pregnancy

Answer 18

Ampulla of the fallopian tube

Question 19

Uterine bleeding at 18 weeks, no products expelled, ROM, cervical os open

Answer 19

Inevitable abortion

Question 20

ICU pt wake and alert, cannot move anything but eyes/eyelids

Answer 20

Locked-in syndrome