MKSAP

Question 1

Botulinum Toxicity Time Frame and Presenting Stx (4Ds)

Answer 1

Diplopia, Dysphagia, Dysarthria, Dysphonia.. 12-36hrs following ingestion

Question 2

Additional Assessment of AS prior to intervention should include…

Answer 2

CT vs MR Angiography if ascending aorta not fully visualized on TTE

Question 3

GOLD criteria for COPD Severity

Answer 3

FEV1/FVC <0.7
-FEV1>80:mild
-50-79: moderate
-30-49: severe
-<30: very severe

Question 4

NAGMA Causes and eval

Answer 4

Renal Loss HCO3, GI loss HCO3, Failed Kidney Excretion… Perform Urine Anion Gap

-UAG=(Urine Sodium +Urine Potassium)-Urine Chloride

*NeGUTive value suggestive of GI loss

Question 5

Internal Hemorrhoid Grading/Tx

Answer 5

Grade 1: Do not prolapse(lifestyle)
Grade 2: Prolapse but reduce spontaneously (Lifestyle–Banding)
Grade 3: Prolapse and require manual reduction (banding?)
Grade 4: Non-reducible (hemorrhoidectomy)

Question 6

Ultrasound findings of CKD… (size)

Answer 6

Small (<10cm) and cortical echogenicity

Question 7

Disease associated with anti–U1-ribonucleoprotein (RNP) antibodies

Answer 7

MCTD (Mixed Connective Tissue Disease)

Question 8

Hemolytic Anemia characterized by positive DAT for anti-complement, negative for IgG

Answer 8

Cold Agglutinin Disease (IgM directed towards erythrocytes with subsequent complement fixation and extra-vascular hemolysis) (M. Pneumoniae)

Question 9

Bicarb should be repleted in CKD when falling below what level?

Answer 9

22mEq/L

Question 10

Skin findings in medium vessel vasculitis

Answer 10

Subcutaneous nodules, Necrosis/Skin Ulcers, Livedo Reticularis

Question 11

ABI normal values range

Answer 11

0.9-1.4

0.4-0.9 have typical claudication symtpoms
<0.4 is severe PAD (ischemic rest pain, gangrene, ulceration)
>1.40 is indicative of severely calcified non-compressible vessels

Question 12

ICP immediate treatment

Answer 12

Elevate HOB to 30 degrees
Infuse Mannitol/Hyper-tonic Saline
Dexamethasone if Peri-tumoral edema
Hyperventilation

Question 13

Induction Agent for Mild Chrons disease w/Ileocecal involvement

Answer 13

Controlled Release Budesonide

Question 14

Stool Osmotic Gap

Answer 14

290 – (2 × [stool sodium + stool potassium])… Levels greater than 100 are suggestive of unmeasured osmotically active substance (lactose, fructose, sorbitol which is found in sugar free gum)

Question 15

Lung Nodule less than 6mm do not need follow up surveillance.. Lung mass Size?

Answer 15

True. Lung mass is defined as greater than 3cm

Question 16

Alteplase for ischemic stroke. Time frame and BP requirement

Answer 16

3-4.5hrs from symptom onset. BP needs to be les than 185/110mmHg