Day 5 - Rapid Review Preview #5

Question 1

Shock: decreased CO, decreased PCWP, decreased SVR

Answer 1

Septic, Anaphylatic, or Neurogenic shock

Question 2

Most common nephritic syndrome

Answer 2

Membranous glomerulonephritis

Question 3

Initial tx for child presenting w/ acute asthma attack

Answer 3

IV steroids (take about 4 hrs to kick in), so Albuterol; if O2 sat

Question 4

Psychotherapy tx phobias, OCD, panic disorders

Answer 4

Cognitive behavioral therapy (CBT)

Question 5

Cause of NRDS

Answer 5

Surfactant deficiency (dipalmitoylphosphatidyl choline)

Question 6

First test for secondary amenorrhea

Answer 6

Beta-HCG

Question 7

Complications of HELLP syndrome

Answer 7

Hemolysis, Elevated LFTs, Low Platelets; Variation of preeclampsia w/ poor prognosis

Question 8

Med dx Myasthenia Gravis

Answer 8

Edrophonium (Tensilon)

Question 9

11yo obese African boy w/ sudden onset of limp: Dx & Imaging study

Answer 9

Slipped capital femoral epiphyses; X-ray A/P & front leg lateral

Question 10

Organisms assoc. cat/dog bites

Answer 10

Pasteurella multocida

Question 11

Polycthemia vera v. Secondary polycythemia

Answer 11

Both have elevated Hb & RBC mass; PCV NOT due to low O2 sat or elevations of EPO (both norm)

Question 12

Tx hepatic encephalopathy

Answer 12

Lactulose; Antibxs (e.g., neomycin to wipe out gut bacteria)

Question 13

Young pt w/ status epilepticus; Her parents refuse tx on religious grounds

Answer 13

Immediate threat to life, so tx & seek court order

Question 14

Percent of data lies within one standard deviation

Answer 14

68%, assuming Normal distribution; 95%; 99.7%

Question 15

Endocrine disorders in which weight loss may completely eliminate need for meds

Answer 15

(1) Type 2 DM (2) PCOS

Question 16

Rash described as dew drops on rose petals

Answer 16

Lesions of primary varicella (chickenpox)

Question 17

Ppx endocarditis regimen

Answer 17

(1) Oral surgery - Amoxicillin b4 & after (2) GI/GU - Ampicillin + Gentamicin b4, Amoxicillin after

Question 18

Cafe au lait spots on skin

Answer 18

NF1

Question 19

Tx mild unconjugated hyperbilirubinemia

Answer 19

Phototherapy; If severe kernicturus, exchange transfusion

Question 20

Number of bacteria needed on clean catch urine to dx UTI

Answer 20

10^5 bacteria per mL