Even more GI!

Question 1

If pt w/ pancreatitis has >30% pancreatic necrosis what must be done?

Answer 1

give Abx and biopsy

Question 2

What Abx is best for necrotic poancreas?

Answer 2

Imipenem

Question 3

If pancreatic biopsy shows infection, what do you do next?

Answer 3

debride!

Question 4

tPA can only be given in an ischemic stroke if administered w/in ___ hrs.

Answer 4

3

Question 5

If person w/ ischemic stroke presents after 3 hrs, what do you give them?

Answer 5

aspirin

Question 6

What do you give a person who has an ischemic stroke while on aspirin?

Answer 6

add dipyridamole or switch to clopidogrel

Question 7

In what 2 situation would you give heparin to a pt w/ an ischemic stroke?

Answer 7

A-fib or Basilar artery infarct

Question 8

Why is Ticlopidine always the wrong answer?

Answer 8

neutropenia, TTP

Question 9

If a person under 50 has an ischemic stroke what two types of conditions must be investigated?

Answer 9

vasculitis and hypercoagulability states

Question 10

Does hypo- or hypercalcemia cause seizures?

Answer 10

hypocalcemia (overactivity like carpopedal spasm)

Question 11

Does hypo- or hypernatremia cause seizures?

Answer 11

both!

Question 12

What is the frist drug to give if a pt. is in status epilepticus?

Answer 12

benzo

Question 13

Pt is in status epilepticus and lorazepam didn’t work, what do you give next? If that doesn’t work, what next? What after that?

Answer 13

fosphenytoin
phenobarbitol
general anesthesia

Question 14

What drugs are used for anesthesia induction after 60-90 mins of status epilepticus?

Answer 14

midazolam or propafol

Question 15

Under what limited circumstances would you put a pt w/ a first-time seizure on long-term therapy?

Answer 15

• status epilepticus
• abnormal EEG
• strong fam HX

Question 16

What are 4 characteristic Sx of phenytoin toxicity?

Answer 16

vertical nystagmus, vertigo, ataxia, gingival hyperplasia

Question 17

Warfarin skin necrosis is d/t a deficiency of ______.

Answer 17

Protein C

Question 18

At what age can routine screening mammographies be stopped?

Answer 18

75

Question 19

When can you stop Pap smears?

Answer 19

beyond 65 after 3 consecutaive negative Pap smears

Question 20

If a pt has low risk of coronary artery disease, do you have to check fasting lipids regularly?

Answer 20

no