june 3

Question 1

identifying the most common themes behind multiple error events =

Answer 1

common cause analysis

Question 2

identifying all underlying reasons why a particular error occurred =

Answer 2

root cause analysis

Question 3

where is vibrio vulnificus found?

Answer 3

marine environments

Question 4

what are the manifestations of vibrio vulnificus?

Answer 4

• food borne illness

- skin infections

Question 5

onset of vibrio vulnificus skin infection?

Answer 5

rapid (<12 hours)

Question 6

presentation of vibrio vulnificus skin infection?

Answer 6

rapidbly progressive cellulitis with bullae, necrotizing fascitis
-sepsis

Question 7

who is at increased risk of vibrio vulnificus skin infection?

Answer 7

people with underlying liver disease

Question 8

treatment of vibrio vulnificus skin infection?

Answer 8

IV ceftriaxone + doxycycline

Question 9

can pulmonary contusion cause significant hypoxia?

Answer 9

yes

Question 10

a sinus tract formation following a fracture is strongly suggestive of…

Answer 10

chronic osteomyelitis

Question 11

clinical features of chronic osteomyelitis?

Answer 11

• persistant pain, swelling, chronic wound
• sinus tract formation
• non-union

Question 12

management in a non-unioned fracture with chronic osteomyelitis?

Answer 12

• surgical debridement and bone biopsy

- surgical fixation AFTER clearance of infection

Question 13

a large hepatic cyst with daughter cysts (septations) is caused by..

Answer 13

echinochocus

Question 14

how do you treat a small echinocochus cyst? (<5 cm)

Answer 14

albendozole

Question 15

how do you treat a large echinochoccus cyst (>5cm)

Answer 15

percutaneous therapy or surgery

Question 16

pain with ejaculation is characteristic of..

Answer 16

prostatitis

Question 17

thyroid hormone levels in EARLY euthyroid sick syndrome?

Answer 17

low T3, normal T4, normal TSH

Question 18

thyroid hormone levels in PROLONGED euthryoid sick syndorme?

Answer 18

low T3, low T4, low TSH

Question 19

should you replace thyroid hormone in a patient with euthyroid sick syndome?

Answer 19

no - makes no difference in outcomes

Question 20

pymomyositis =

Answer 20

muscle abscess

Question 21

presentation of zinc deficiency?

Answer 21

• alopecia
• pustular rash
• hypogonadism
• impaired wound healing
• impaired taste
• immune dysfunction

Question 22

impaired taste is characteristic of which vitamin deficiency?

Answer 22

zinc

Question 23

chromium deficiency leads to…

Answer 23

impaired glucose control in diabetes

Question 24

which type of antibiotics should be avoided in patients with aortic aneurysms?

Answer 24

fluroquinolones

Question 25

why are flouroquinolones avoided in patients with aortic aneurysms?

Answer 25

they promote collagen degradation increasing risk of rupture

Question 26

XRAY findings of diffuse alveolar hemorhage?

Answer 26

diffuse pulmonary opacities

Question 27

how can crack cocaine induce diffuse alveolar hemorhage?

Answer 27

• scorching hot smoke goes into lungs
• induces vasosparm
• direct cellular toxicity

Question 28

management of diffuse alveolar hemorhage secondary to crack cocaine use?

Answer 28

supportive

Question 29

toxic megacolon with peritonitis management?

Answer 29

laparatomy

Question 30

a magenetic gait (as if feet are stuck to the ground) is characteristic of…

Answer 30

normal presure hydrocephalus

Question 31

cause of normal pressure hydrocephalus?

Answer 31

reduced reabsorption of CSF by arachnoid granulatoins (may be from previous scarring)

Question 32

why may a patient with gastric cancer have hepatomegaly?

Answer 32

from metastasis to the liver