General Medical

Question 1

With a DKA pt you would anticipate their potassium level to be ________

Answer 1

Low

Question 2

DKA is primary a problem with

Answer 2

1. They don’t make insulin
2. Don’t make enough insulin
3. Resistant to insulin

Question 3

DI =

Answer 3

Inadequate ADH production

Question 4

DI is caused by ______

Answer 4

Head Injuries

Dilantin

Question 5

Best treatment for DI

Answer 5

Aggressive fluid admin with DDAVP

Question 6

The lab study associated most with DI is _____

Answer 6

Urinary Hypo-Osmolatity

Question 7

The most common type of DI is

Answer 7

Central Neurogenic

Question 8

The lab study associated most with SIADH is _____

Answer 8

hyponatremia (dilutional)

Question 9

Do Not drop blood sugars more the ________/hour

Answer 9

100

Question 10

With HHNK the problem is too much _______ compared to their ________ production

Answer 10

1. Sugar

2. Insulin

Question 11

DI Treatement:

Answer 11

1. Fluids (Aggressive)
2. Vasopressin (ADH)
3. dDAVP

Question 12

Causes of SIADH

Answer 12

1. Oat Cell Carcinoma
2. Viral Pneumonia/TB
3. Head Injury

Question 13

SIADH Treatment:

Answer 13

1. Fluid Restriction

2. Diuresis (loop diuretics)

Question 14

Graves Disease (Thyroid Storm) Presentation:

Answer 14

1. Dramatic Weight Loss
2. CP/SOB
3. Fever
4. Tremors/Nervousness
5. Marked Tachycardia (AF common)

Question 15

Any young female who is otherwise healthy who presents marked tachycardia (Afib) think _________

Answer 15

Graves Disease

Question 16

Graves Disease Treatment

Answer 16

1. Fluids
2. Oxygen
3. Decadron
4. Control Temp (Avoid ASA)
5. Do Not give meds to control rate

Question 17

Myxedma Coma/Hypothyroid Presentation :

Answer 17

1. Primarily Women
2. Almost exclusively over age 60
3. > 90% of case in winter
4. Fatigue and Weight Gain
5. Cold Intolerance, Deep Voice, Coarse Hair
6. Officially myxedema coma when change in LOC

Question 18

Myxedma Coma/Hypothyroid Treatment:

Answer 18

1. Supporative

2. IV Levothyroxine

Question 19

Cullens, Alcoholism, LUQ pain =

Answer 19

Pancreatitis=sepsis=ARDS

Question 20

Coarse muscle flapping is a telltale sign of ______

Answer 20

Hepatic Encephalopathy

Question 21

Kehrs sign = problem with _______

Answer 21

Spleen

Question 22

Murphy’s sign = problems with _____

Answer 22

Gallbladder

Question 23

Classic sign of acute MI is _________

Answer 23

Levine’s Sign

Question 24

Pancreatitis Causes

Answer 24

1. ETOH Abuse
2. Biliary Stone
3. Steriods and ATB
4. Infection

Question 25

Pancreatitis Common Lab Value

Answer 25

Low CA

Question 26

Pancreatitis, Sepsis ARDS

Answer 26

They go together

Question 27

Pancreatitis Progression

Answer 27

Sepsis
ARDS
MODS
DIC
DEAD

Question 28

Hepatic Encephalophy Treatments

Answer 28

1. NPO
2. Evacuate the Gut
3. Replace Potassium

Question 29

Brudzinki’s

Answer 29

Meningitis -Neck

Question 30

Grey-Turner’s

Answer 30

Pancreatitis- Flank and Groin Bruising