Multisystem

Question 1

Normal Intraocular pressure in penetrating ocular injury ?

Answer 1

10-20 mmHg

Question 2

Actinic Keratoses characteristics

Answer 2

Benign precancerous lesions caused by chronic UV radiation

Characterized by tender, rough, poorly circumscribed, erythematous papules with white or yellow scaling.

Question 3

Basal Cell Carcinoma characteristics

Answer 3

(a) waxy translucent papule with overlying telangiectasias with central ulceration,
(b) scar like
(c) erythematous macule or papule with fine scale or superficial erosion often surrounded by telangiectasia.

Question 4

Squamous cell cancer characteristics

Answer 4

occasional tender, erythematous papule, plaque, or nodule with keratotic scale.

Question 5

Melanoma characteristics

Answer 5

irregularly shaped with variations in tan, brown, and gray discoloration.

Question 6

The most common cause of adult onset acromegaly

Answer 6

Pituitary adenoma
s/s
deepening of the voice, weight gain, and acne,

Question 7

Fungal skin infections characteristics

Answer 7

Candidiasis is most common fungal skin organism.
Candida pustules can develop on the backs of bedridden patients and appear as red patches, sometimes with erosion, and peripheral satellite pustules.
Nystatin powder is a topical polyene that is used to treat fungal skin infections.

Question 8

Treatment for stage III/IV pressure ulcers

Answer 8

Alginate a silver impregnated dressing

Question 9

Treatment for Stage II/III ulcers with low to moderate exudate

Answer 9

Foam island and hydrocolloids

Question 10

Type I immediate immunologic reaction

Answer 10

urticarial and angioedema of the skin (wheals).

Question 11

Type II immediate immunologic reaction

Answer 11

initiated by the interaction of drugs plus cytotoxic antibodies causing lysis of cells (platelets and leukocytes), leading to petechial rash.

Question 12

Type III immediate immunologic reaction

Answer 12

delayed, with the development of immune complexes; this reaction may cause urticaria and vasculitis.

Question 13

Type IV immediate immunologic reaction

Answer 13

cell-mediated immune reaction that releases cytokines and cause morbilliform exanthematous reactions associated with SJS.

Question 14

SJS characteristics

Answer 14

Target-like lesions with bulla beginning with the trunk and spreading to the proximal extremities with mucosal involvement are reflective of SJS.

SJS is often associated with sulfonamides

Question 15

Splenic rupture dx

Answer 15

• Positive focused assessment with sonography
  -Elevated WBC
  -Kehr’s sign is a sign of ruptured spleen; pain in the shoulder from irritation of the diaphragm

Question 16

Annual screening test for lung cancer

Answer 16

Low-dose computed tomography of the chest in adults 55-80 years who have a 30 -pack-year smoking history and currently smoke or have quit within the past 15 years.

Question 17

Treatment of symptomatic Bradycardia in a post cardiac transplant patient

Answer 17

Isoproterenol (Isuprel)

Question 18

Symptomatic vs Asymptomatic SIADH treatment

Answer 18

Symptomatic: 3% NS to increase sodium 1-2 mEq/hr
Asymptomatic: NaCl and lasix to increase sodium 0.5-1 mEq/hr

Question 19

Hallmark sign for Ischemic limb injury

Answer 19

Pain at rest and non healing distal ulceration

High risk for amputation

Question 20

Acute Cholangitis s/s

Answer 20

Caused by the obstruction of the common bile duct
-Charcot’s triad: Jaundice, fever and abdominal pain
-Reynold’s pentad: shock and fever
-RUQ pain

Question 21

Rec BP management for African Americans with Hypertension

Answer 21

CCB, Diuretic

EXample:
Amlodipine
Lasix

Hydrochlorothiazide

Question 22

Medication treatment after a NSTEMI

Answer 22

Aspirin
(Enoxaparin) Lovenox or unfractionated Heparin
Clopidogrel

Question 23

Risk factors for Hypothyroidism following subtotal thyroidectomy for Graves Hyperthyroidism

Answer 23

-Lymphocytic infiltration
-Small thyroid remnant
-subsequent iodine exposure

Question 24

CAMRSA treatment

Answer 24

Bactrim
Doxycycline
Clindamycin

Question 25

Which post-op CABG meds would the pt be suspected not adhering to if the get readmitted with SOB

Answer 25

Lovenox (think pulmonary embolism)

Question 26

cardiac tamponade diagnostic test

Answer 26

Echocardiogram

Question 27

Explanation of ablation for Afib

Answer 27

Usually targets the pulmonary veins

Question 28

Clinical progression of transtentorial herniation

Answer 28

Respiratory arrest requiring intubation

Question 29

Superior vena cava syndrome s/s

Answer 29

SOB
Facial swelling
cough
plain chest radiograph shows widened mediastinum