General Med

Question 1

Top causes of hypokalemia

Answer 1

thiazide and loop diuretics

diarrhea

Question 2

Top causes of hypomagnesemia

Answer 2

thiazide and loop diuretics

chronic ETOH abuse

Question 3

gamma-glutamyl transpeptidase found in…

Answer 3

Only in the liver

Elevated only in liver, biliary tract and pancreatic disorders

Question 4

Alkaline phosphatase found in…

Answer 4

Liver AND bone

Question 5

Rec for pneumonia vaccine

Answer 5

Over the age of 65
Immunocompromised or chronic disease (cardiac, DM, renal, chemo)
Asplenic 
After bone marrow or organ transplant
Nursing home or community living

Question 6

Rec for Herpes zoster vaccine

Answer 6

Over 60

*NOT rec for immunocompromised

Question 7

Serotonin effects on the body

Answer 7

Centrally: modulates attention and behavior

Peripherally: influences intestinal motility, vasoconstriction, uterine contraction, bronchoconstriction

Question 8

Serotonin syndrome manifestations

Answer 8

agitation, delirium, vomiting, diarrhea, sweating

dilated pupils, flushed skin, tachycardia, and fluctuating HTN

Question 9

prevention of endocarditis medication recommendations

Answer 9

dental, upper resp, oral: amoxicillin 30min-1hr before procedure (PCN allergy take clarithromycin, azithromycin, cephalexin)

GI/GU: ampicillin, amoxicillin, or vanc

Question 10

Mononucleosis testing

Answer 10

heterophile agglutination or elevated anti-EBV titer