Pretest questions

Question 1

Best symptoms that characterize myxedema coma

Answer 1

Lethargy/ coma and Hypothermia

Question 2

DKA treatment initially starts with

Answer 2

2L of fluid bolus + 10 units Insulin IV then insulin drip of 0.1 U/kg/hr

Question 3

Normal fluid deficit in DKA

Answer 3

5-10L

Question 4

Hyperadrenergic state
AMS
large goiter

Answer 4

Thyroid storm

Question 5

Treatment of Thryroid storm

Answer 5

Dantrolene followed by beta blockers + PTU + Iodine (Iodine must be given after PTU)

Question 6

Hyperglycemic Hyperosmolar Nonketotic Coma criteria

Answer 6

glu > 600
Plasma Osm > 350
Dehydration
AMS

Question 7

Which type of diabetes is hyperglycemic hyperosmolar non ketotic coma common in

Answer 7

T2DM

Question 8

Treatment of Hyperglycemic Hyperosmolar Non ketosis

Answer 8

Fluid bolus then 10 units of regular insulin

Question 9

Electrolyte abnormality least likely to cause seizures

Answer 9

Hypokalemia

Question 10

Ssx of Hypokalemia

Answer 10

muscle weakness

flat T waves and u waves