Floor management 3

Question 1

How to estimate intravascular volume

Answer 1

Mucous membranes
Peripheral edema
UOP

Question 2

another option for encouraging BM

Answer 2

magnesium citrate

Question 3

management of line DVT

Answer 3

warm compress

Question 4

wound dressing ointment

Answer 4

xeroform (petrolatum)

Question 5

classifying severity of c diff

Answer 5

Age greater than 65
AKI
WBC greater than 15
Albumin less than 3

Question 6

vasculitis classificaiton

Answer 6

large – Takayasu + GCA
medium – PAN + kawasaki
small - ANCA positive (MPA, wagerer’s, churg-strauss) + immune complex (anti-GBM), cyroglobulinemia, HSP +
Variable – Behcets

Question 7

other test for uremic encephalopathy

Answer 7

constructional apraxia with diamond drawing

Question 8

what to always consider with creatinine

Answer 8

patient’s weight

Question 9

top 5 causes of CKD

Answer 9

1) diabetes
2) HTN but not in isolation
3) chronic glomerulonephritis
4) interstitial disease
5) polycystic kidney disease

Question 10

what to give to improve diuresis with loops

Answer 10

metolazone

Question 11

lab cutoff for giving epo in ESRD patients

Answer 11

less than 22% TIBC

Question 12

study accomplish trial

Answer 12

…

Question 13

study hope trial

Answer 13

…

Question 14

best initial screening for nephritic syndrome

Answer 14

C3,C4 + urine microscopy

Question 15

interpreting blood and urine culturres

Answer 15

look at when culture becomes positive

Question 16

goal when treating hepatic encephalopathy with lactulose

Answer 16

3 soft BM’s per day

Question 17

evaluating alcohol withdrawal

Answer 17

• need to ask history of withdrawal and gauge severity of withdrawal (kindling effect, brain becomes sensitized to withdrawal seizures)
• stick tongue out, put hands out, ask about hallucinations

Question 18

how to report vital signs

Answer 18

always give range

Question 19

indications for steroids when treating pneumonia

Answer 19

Aspiration pneumonia

CAP

Question 20

unasyn

Answer 20

ampicillin/sulbactam

Question 21

common treatment for aspiration pneumonia

Answer 21

unasyn

Question 22

liver scoring?

Answer 22

…

Question 23

what to order if you don’t believe the creatinine

Answer 23

cystatin C

Question 24

standard steroid course for asthma/COPD exacerbation

Answer 24

5 days of 40 mg red

Question 25

what to know about bacteremia

Answer 25

total days of IV abx

Question 26

steroid equivalent for cortisol

Answer 26

5 prednisone

Question 27

lab to order to assess abscess risk

Answer 27

CRP

Question 28

hep c management

Answer 28

genotype

Question 29

how to monitor response to hep c

Answer 29

transaminitis suggests immunologic clearing of infection

Question 30

relation between obesity and BNP

Answer 30

inverse relationship

Question 31

duonebs

Answer 31

Ipratropium bromide / Albuterol

Question 32

symbicort

Answer 32

Budesonide / Formoterol

Question 33

oliguria definition

Answer 33

less than 30 cc/hr

Question 34

standard fluid resuscitation

Answer 34

2 L

Question 35

fluid losses due to insensible losses

Answer 35

700 cc/day

Question 36

fluid insensible losses with fever

Answer 36

2.5 ml per keg per day

Question 37

pancreatitis fluid adjustment

Answer 37

5-10 ml per kg per hr | titrated to hit of 35-40%

Question 38

what to call SNF's in front of patients

Answer 38

facilities

Question 39

remember when discussing imaging

Answer 39

always pull up for team

Question 40

standard treatment of wernicke's

Answer 40

3 days of thiamine 100 mg

Question 41

what to order for replacing potassium

Answer 41

potassium chloride 20 mEq

Question 42

capacity eval

Answer 42

awareness of 1) condition, 2) risks

Question 43

virus associated with acute liver failure

Answer 43

herpes

Question 44

other exam for hepatic encephalopathy

Answer 44

hold arms up and put hands together

Question 45

use of procalcitonin?

Answer 45

1) elevated suggests high risk for progression to sepsis 2) viral vs. bacterial pneumonia 3) amphetamine overdose

Question 46

indication for bactrim ppx with steroids

Answer 46

40 mg per day for over 1 month

Question 47

other pulmonary toileting option

Answer 47

flutter valve

Question 48

OPAT

Answer 48

outpatient parenteral antibiotic therapy

Question 49

dilution pattern to CBC

Answer 49

all cell lines are proportionally decreased

Question 50

DVT symptoms

Answer 50

Pain, swelling, redness, or warmth of affected area