GI GU Endocrine/Heme

Question 1

What is target BGL

Answer 1

140-180 mg/dL
Basal/bolus insulin

Question 2

Hypercalcemia is associated with

Answer 2

Hypokalemia
Hypophosphatemia

Question 3

Kehrs sign is associated with

Answer 3

Ruptured spleen or diaphragm irritation

Question 4

What is contraindicated in thyroid storm?

Answer 4

ASA
Increases free thyroxine levels

Question 5

Bruising around the umbilicus

Answer 5

Cullen sign r/t pancreatitis

Question 6

Levo or Neo infiltrating the site

Answer 6

Antidote Phentolamine (Regitine)

Question 7

SIADH Labs
Urinary sodium
BUN
Serum Osmolality
Sodium

Answer 7

Too much ADH: water absorption

Urinary sodium: >40 meq/L
BUN: <10 mg/dL
S.O <280 mg/dL
Sodium <134 meq/L

Question 8

Hepatic failure and severe dehydration can affect which electrolyte

Answer 8

decrease potassium so give replacements

Question 9

Tumor Lysis Syndrome

Answer 9

Hyperkalemia
Hyperphosphatemia
Hyperuricemia
Hypocalcemia

Acute leukemia/Burkitt lymphoma

Question 10

With a gastrectomy, dumping syndrome is high risk of

Answer 10

rebound hypoglycemia

Question 11

HHS lab levels

Answer 11

INC BUN/Creat

Inc serum osmolality >320 mOsm/kg

Question 12

Miller-Abbot Tube

Answer 12

decompress small bowel, connect to LIWS

Question 13

DI

Answer 13

DC serum ADH
serum osmolality >300 mOsm/kg
sodium >145 mEq/L

Question 14

Thyroid storm/Graves dz s/s

Answer 14

Low/undetectable TSH
High fever
Delirium
GI/ cardiac dysrhythmia

Question 15

upper GI bleed labs

Answer 15

elevated sodium and BUN

Question 16

Anastomotic leak

Answer 16

s/p bowel resection
leaky stomach contents
- radiology

Question 17

ITP Treatment

Answer 17

Immunoglobulin and methylprednisolone

Question 18

Fulimant hepatitis, acute hepatic failure

Answer 18

Hyponatremia
Hyperglycemia
Hyperreflexia

Question 19

What triggers myxedema coma

Answer 19

antidepressant meds, infx

Hypoglycemia protocol
Passive rewarming

Question 20

DIC LABS

Answer 20

DC : PLT

INC: FSP, PTT, PT

Question 21

High risk of pericardial effusion is related to

Answer 21

Malignancies after chemo
Restless, anxiety, dull chest pain, distant/muffled heart sounds, non productive cough, nausea, vomiting

Question 22

Whipple post op after day 10 risk factor

Answer 22

Pancreatic leak: gastric-duodenal artery blowout related to hemorrhage

– Angiography and stent/embolization of artery

Question 23

Cortisol at what time

Answer 23

ACTH <100 @ 9 am

chronic - cortisol level is low