Deck 1

Question 1

Common reason for readmission?

Answer 1

Lack of home health care

Question 2

Albuterol and insulin do what to potassium?

Answer 2

Decrease drive intracellularly

Question 3

How long to observe in submersion injury?

Answer 3

At least 8 hours

Question 4

Normal PFT?

Answer 4

Over 80 percent

Question 5

When to see an asthma specialist?

Answer 5

3-6 months of no improvement or 2 or more oral steroids a year

Question 6

C diff causes what?

Answer 6

Toxic mega colon

Question 7

Hemolytic Utemic Syndrome

Answer 7

1. AKI
2. Low platelets
3. Hemolytic anemia
   Diarrhea turns bloody

Question 8

Gold standard pyelo

Answer 8

DMSA scan

Question 9

Campylobacter treatment and appearance

Answer 9

Azithromycin and curved rods

Question 10

What bug with pools?

Answer 10

Protozoa cryptospordium

Question 11

Who is prone to gallatones

Answer 11

Sickle cell and TPN

Question 12

NAC to at 4 hours

Answer 12

> 150 mcg/ml or over 159 mg/kg or over 7.5 grams

Question 13

Glanzmann thrombasthenia

Answer 13

Normal platelets number
No clumping isolated

Question 14

Diagnose Lyme

Answer 14

Lyme antibody with reflex western blot

Question 15

Lyme symptoms and tx?

Answer 15

Rash
Viral syndrome
Myocarditis
Arthritis
Bilateral bells
Chronic encephalopathy
Tx doxy

Question 16

Bug in Lyme

Answer 16

Borrelia burgdorferi

Question 17

Anorrxia nervosa- bone loss

Answer 17

Low levels of oxytocin

Question 18

Acute Interstitial Nephritis

Answer 18

Fever, rash, eosinophils in urine

Question 19

Causes of AIN

Answer 19

NSAIDs and abx

Question 20

Acute Tubular Necrosis

Answer 20

Muddy brown urine and RBC casts

Question 21

McCune Albright

Answer 21

Peripheral precocious puberty
Cafe au lait
Fibrous dysplasia

Question 22

Polyglandular Autoimmune Type 1

Answer 22

Hypoparathyroidism
Candies is
Adrenal insufficiency

Question 23

Racism levels

Answer 23

Structural society
Institutional- policy cultural
Interpersonal
Internalized

Question 24

What is IDA associated with?

Answer 24

IBD and celiac

Question 25

G6PD is what?

Answer 25

Acute hemolytic anemia from meds foods or infections

Question 26

Thalassemia ferritin levels

Answer 26

High vs low in IDA

Question 27

Treatment for VWD?

Answer 27

Desmopressin releases VW factor

Question 28

Iron toxicity when tx?

Answer 28

Get level 4-6 hours after ingestion if positive X-ray
> 500 give deferoxamine

Question 29

How to prevent chlamydia vertical transmission?

Answer 29

Mom treat 1000 mg azithromycin

Question 30

Elevated inflammatory markers in febrile infants

Answer 30

PCT > 0.5
Temp > 38.5
ANC > 4000-5000
CRP > 20 mg/L (2 mg/dL0

Question 31

Viral load concerning for perinatal transmission of HIV?

Answer 31

> 1000 copies

Question 32

Fifth disease- slapped cheek disesae-, what is it and what causes it?

Answer 32

Parvovirus

Question 33

Parvovirus can cause what?

Answer 33

Aplastic crisis
No reticulocyte cells

Question 34

HLH

Answer 34

Excessive immune activation = cytokine storm
Macrophages phagocytize host cells = pancytopenia
Cause: familial, infection (EBV)
Labs: cytopenias, elevated Ferritin, elevated TG, low fibrinogen, liver dysfunction
seizures, mental status changes
Tx: supportive, hematopoietic cell transplant

Question 35

Breakdown of Pneumonia Causes
0-3 weeks
3-3 months
1 month-5 years
6-8 years
< 5 years at risk for?

Answer 35

0–3 weeks: GBS
3 weeks to 3 months: C. trachomatis
1 month to 5 years: RSV
6–8 years: M. pneumomnia
< 5 years risk of pneumococcus

Question 36

What is the most common casue of septic hip?

Answer 36

Staph aurerus

Question 37

What age think of Kingella?

Answer 37

< 4 years old

Question 38

WBC in synovial fluids for septic joint

Answer 38

> 50,000 cells

Question 39

Delirium treatment

Answer 39

Antipsychotic
Avoid benzos and antihistamines

Question 40

Anaphylaxis

Answer 40

Is degranulation of mast cells and IgE mediated