Geri

Question 1

First thing to assess in patients with hyponatremia on lab results

Answer 1

assess for neurological signs and symptoms related to hyponatremia

Question 2

Chronic smoker with hyponatremia, what should you check first to determine cause?

Answer 2

Lung imaging for cancerous tumor

Question 3

Which of the following lab results may explain new onset edema: glucose of 215, TSH of 24, high serum protein (8.6), Serum calcium of 8.9 (wnl), ADH level of 2 (wnl)

Answer 3

TSH of 24

Question 4

Why do old folks have less body water?

Answer 4

Decreased lean muscle mass

Question 5

Lab hyponatremia in a patient with big weight gain, pedal edema

Answer 5

hypervolemic hyponatremia

Question 6

hyponatremia with a history of vomiting, no other major problems

Answer 6

hypovolemic hyponatremia

Question 7

Bad back pain with gross hematuria, radiologist says no stones are seen on KUB film, what now?

Answer 7

needs additional imaging, as uric acid stones are radiolucent

Question 8

Dude’s got a 7mm stone in left ureter, imaging shows “a little hydronephrosis and some perinephric stranding”. Treatment plan?

Answer 8

Urgent urology consult, possible ureter obstruction and pyelonephritis

Question 9

How does aldosterone make us retain water?

Answer 9

retention of sodium in renal tubule

Question 10

Agatston score in coronary calcium scoring is a measurement of. . .

Answer 10

calcified atheromatous plaques

Question 11

I’m an old lady, my tummy has been hurting for 3 days, constantly getting worse, my heartburn drugs don’t help. Whatcha gonna do?

Answer 11

Immediate EKG

Question 12

What is the general outcome of fibrinolytics in old folk with MI?

Answer 12

relative risk reduction in death and improved survival rates

Question 13

CXR in acute chest pain helps to rule out:

Answer 13

pneumonia and pneumothorax

Question 14

Physical exam finding that says chest pain is likely benign and not cardiac

Answer 14

Tenderness on rib cage during physical

Question 15

Spanish Boozy-Mosquitos found that exercise echo. . .

Answer 15

detects wall motion abnormalities before EKG changes appear

Question 16

How do you calculate 10 year major cardiac event risk?

Answer 16

Framingham risk calculator (take a moment to think about someone putting a fancy frame around a canned ham, get it? framing-ham. Humor)

Question 17

Old lady is a diabetic, total cholesterol of 210, treated BP of 150’s / 70’s. What intervention would reduce her cardiac risk the most

Answer 17

adjust her medication to bring down her blood pressure

Question 18

Old dude gets an Echo, what would the radiologist say if he had a previous MI?

Answer 18

wall motion abnormality (the radiologist would also say that if the radiologist was on LSD, or perhaps super duper drunk)

Question 19

Old lady Claire is on enough antihypertensives to make an elephant lightheaded, but she’s still in the 150’s. Whatup with that?

Answer 19

“expected diffuse atherosclerosis”

Question 20

Over 70% of of chronic kidney diseases are the result of diabeetus and . . .

Answer 20

hypertension

Question 21

Old lady frequently pee-pees when she sneezes. Most likely diagnosis?

Answer 21

stress incontinence

Question 22

Rx to help an old dude with functional incontinence

Answer 22

bedside commode

Question 23

Old lady has diabeetus, but her A1c’s have been pretty good. Today her urine protein is 50mg. What’s that called?

Answer 23

microalbuminuria

Question 24

Super important thing when empirically treating UTI

Answer 24

local antibiotic resistance trends

Question 25

Old lady leaks urine when she sneezes or gets up from a chair, her post-void residual in clinic is 200mL. Diagnosis?

Answer 25

urinary retention

Question 26

Diabetic old lady is tired of having to pee so fucking often. Dipstick shows glucose, her fingerstick glucose is 300. Why is she peeing so much?

Answer 26

uncontrolled sugars

Question 27

Old dude has poorly controlled blood pressure, takes his lasix and lisinopril in the AM, takes his metoprolol in the PM. He says he pees a lot at night and snores. Post-void residual is 30 mL. Why’s he peeing so much at night?

Answer 27

atrial natriuretic peptide release due to sleep apnea

Question 28

Old lady takes a bunch of opiates, lately she has urinary urgency, UA is clean. What should you check for?

Answer 28

rule out constipation or stool impaction

Question 29

Old lady has post-void residual of 400 mL, what will help her right now?

Answer 29

CATHETERIZE!

Question 30

Which of the following is an effective osmole: Urea, Ethanol, Ethylene Glycol, Sodium, Triglycerides

Answer 30

Sodium

Question 31

How many boards would the Mongol’s horde if the Mongol hordes got bored?

Answer 31

Enough

Question 32

Ankle-Brachial Index is useful to identify:

Answer 32

peripheral arterial disease

Question 33

Old smoker whines like a little bitch that his legs hurt when he mows the lawn. What’s it called?

Answer 33

claudication

Question 34

Blah blah blah positive Kaposi-Stemmer blah blah blah

Answer 34

lymphedema

Question 35

Old lady had idiopathic DVT, we think she’s better now. What test should we do to determine if she is gonna have another idiopathic DVT?

Answer 35

D-Dimer

Question 36

Fat old lady, complains of swelling, wants lasix, her feet and ankles are not edematous. What she got?

Answer 36

lipedema

Question 37

What is the (debatable) primary target when treating dyslipidemia?

Answer 37

LDL

Question 38

Initial therapeutic approach to treating moderately high lipids

Answer 38

therapeutic lifestyle changes

Question 39

Dude’s got hypertension and hypothyroidism, both being treated. He has no weird risk factors for swellingy stuff, but his feet are swollen. What test should we do?

Answer 39

TSH

Question 40

Poor folk get lymphedema from worms, rich folk get lymphedema from

Answer 40

“malignancy or associated treatments”

Question 41

blah blah unilateral edema blah blah red and painful blah blah positive Ho-man’s sign. What test?

Answer 41

venous doppler