Medicine 5

Question 1

Type of fluid to use for pulmonary contusion

Answer 1

Colloids (not crystalloid)

Question 2

Treatment for urethral injury

Answer 2

Suprapubic catheter (not in dwelling)

Question 3

Parkland formula

Answer 3

4 x kg x %body surface area burned

50% first 8 hours,
50% in 16 hours

Question 4

Treatment for ethylene glycol or methanol

Answer 4

Foneizole- prevents breakdown to toxic metabolite

Question 5

Treatment for cyanide

Answer 5

Thiosulfate

Amyl nitrate

Question 6

what disease has positive hydrogen breath test and positive stool for reducing substances?

Answer 6

lactose intolerance

Question 7

does lactose intolerance have high or low stool pH?

Answer 7

low- acidic

Question 8

when to start c-scopes for people with IBD?

Answer 8

8-10 years post diagnosis, and every 1-3 years

Question 9

when to start c scopes if lynch syndrome?

Answer 9

20-25 y/o

every 1-2 years

Question 10

patient with cirrhosis and portal HTN develops pleural effusion. think…

Answer 10

hepatic hydrothorax- small defects in diaphragm (right sided)

Question 11

treatment for hepatic hydrothorax

Answer 11

salt restriction, diuretics

liver transplant

Question 12

diagnosis and treatment of zenker diverticulum

Answer 12

dx: contrast esophogram
tx: surgery

Question 13

most common cause of esophageal rupture

Answer 13

endoscopy

Question 14

diagnosis of esophageal rupture

Answer 14

contrast esophogram

Question 15

first line treatment for uncomplicated vs complicated UTI

Answer 15

uncomplicated: TMP-SMX, nitrofurantoin, fosfomycin
complicated: fluroquinolone

Question 16

primary polydipsia is common in which population

Answer 16

people witih psych conditions

Question 17

woman 35 yo with HTN, palpable bilateral kidney masses, and microhematuria. think…

Answer 17

ADPKD

Question 18

extra-renal complications of ADPKD

Answer 18

berry aneurysm

hepatic cysts*

MVP, AR

diverticula

inguinal hernia

Question 19

urge incontinence due to

Answer 19

overactive detrusor

Question 20

treating urge incontinence

Answer 20

kegels, PFPT

antimuscarinic drug- oxybutynin

Question 21

patient with cirrhosis and end stage liver disease starts to get renal dysfunction. why?

Answer 21

hepatorenal syndrome

cirrhosis –> splanchnic arterial dilation –> decrease vascular resistance –> R-A-A –> renal vasoconstriction and decreased GFR

Question 22

diagnosing kidney stones

Answer 22

US or noncontrast spiral CT

Question 23

what type of acidosis is addison’s dz?

Answer 23

non anion gap metabolic acidosis

Question 24

complication of cocaine that would affect kidneys

Answer 24

rhabodmyolysis