ITE (Internal Medicine)

Question 1

Conventional treatments for ventricular arrhythmias and asystole are often ineffective until core body temperature reaches what?

Answer 1

30 C; 86 F

Question 2

Treatment of high altitude cerebral edema

Answer 2

Dexamethasone (to reduce swelling)

Question 3

Treatment for high altitude pulmonary edema

Answer 3

nifedipine

Question 4

Another vasodilator used as an alternative to nifedipine in high-altitude pulmonary edema

Answer 4

Sildenafil

Question 5

How do you define a complicated parapneumonic effusion?

Answer 5

Pleural Fluid studies: pH <7.2

Glucose <60

Question 6

What is the treatment for an empyema has been show to decrease the radiographic pleural opacity, lower the rate of surgical referral, and decrease hospital stay of patients?

Answer 6

tPA-DNase

Question 7

How do you diagnose ICU-acquired weakness in a critically ill patient?

Answer 7

Medical Research Council Muscle Scale

Question 8

What are the historical and imaging characteristics of Cryptogenic Organizing Pneumonia (COP)?

Answer 8

History: cough, fever, and malaise for 6-8 weeks that DO NOT respond to antibiotics
CXR: patchy opacities
CT Chest: Ground-glass opacities with PERIPHERAL DISTRIBUTION

Question 9

What is the treatment for COP? Pulm

Answer 9

Glucocorticoids

Question 10

How do you treat hemodynamically unstable PE? (ie patient initially on LMWH in hospital but acutely decompensates with evidence of Right heart failure)

Answer 10

rtPA