General Medical

Question 1

Diabetes Mellitus

Answer 1

Impaired ability to synthesize glucose

Question 2

Myxedema Coma

Answer 2

Low thyroid, results from chronically untreated hypothyroidism

Question 3

Thyroid Storm

Answer 3

Critical Hyperthyroidism

Consider any any septic-appearing patients without infection

Question 4

Adrenal Insufficiency

Answer 4

Addison’s Disease
Addisonian crisis

Question 5

Cushing Syndrome

Answer 5

Too much cortisol production by adrenals

Question 6

Pheochromocytoma

Answer 6

Catecholamine secreting tumor
-May present with hypertensive crisis

Question 7

Diabetes Insipidus

Answer 7

Insufficient Antidiuretic hormone
-Lack of anti-pee hormone

Question 8

SIADH

Answer 8

Too much diuretic hormone

Question 9

Types of ARF (Acute Renal Failure)

Answer 9

Prerenal
-Hypoperfusion of kidneys
Intrarenal
-Kidney disease
-Rhabdo
-Toxicity (ibuprofen ex..)
Postrenal
-Obstruction

Question 10

Rhabdomyolysis

Answer 10

Excessive muscle breakdown

Elevated CK
-Mild; 1,000-5,000
-Moderate: 5,000-15,000
-Severe: >15,0000

Question 11

Kehr’s sign

Answer 11

Referred pain (from spleen) to left shoulder

Question 12

Sepsis Bundle

Answer 12

30mL/kg
-LR preferred
-MAP goal >65mmHg
Early pressers
-Levophed, Epi, Vasopressin, Penelephrine
Antibiotics

Question 13

Normal temperature

Answer 13

37.6/98.6

Question 14

Mild hypothermia

Answer 14

32-36 (decreasing heart rate)

Question 15

Moderate hypothermia

Answer 15

29-32 (loss of shivering, ALOC)

Question 16

Severe hypothermia

Answer 16

20-28 ( coma, VF common)

Question 17

Two major causes of heat loss?

Answer 17

Radiation and evaporation

Question 18

Thermoregulation ceases at?

Answer 18

28 degrees

Question 19

Order to assess the abdomen

Answer 19

Inspect
Auscultation
Palpation
Percussion

Question 20

Neonatal

Answer 20

Maintains the PDA open = prostaglandin (PGE1)
Closed the PDA = indomethacin
and long-term use of high oxygen delivery
32 weeks or less in gestation = surfactant
Common cause of seizures = hypoglycemia < 40 mg/dL and hypoxia
Scaphoid abdomen = diaphragmatic hernia managed with orogastric tube and PP

Question 21

Malfeasance

Answer 21

Act of commission

Administering the wrong medication

Question 22

Nonfeasance

Answer 22

Act of omission

Failure to follow a procedure