random9

Question 1

how do you determine whether pt w/ community acquired PNA can be outpt, inpt, or ICU treated?

Answer 1

"CURB-65"
Confusion
Uremia (BUN >20)
Respirations >30
BP 65yo

Question 2

Oupt med treatments for healthy pt w/ community acquired PNA?

Answer 2

Macrolide (ie azithromycin, clarithromycin,etc) or doxy

Question 3

Inpt med treatments for community acquired PNA?

Answer 3

Fluoroquinolone
OR
Beta-lactam + macrolide (ie azithromycin, etc)

Question 4

Outpt med treatments for community acquired PNA pt w/ comorbid conditions (ie DM, malignancy, etc)?

Answer 4

Fluoroquinolone
OR
Beta-lactam + Macrolide

Question 5

ICU med treatment for pt w/ community acquired PNA?

Answer 5

IV beta-lactam + macrolide
OR
Betalactam+ fluoroquinolone

Question 6

dry cough and malaise 2mo w/ bilateral hilar adenopathy - think?

Answer 6

sarcoidosis

Question 7

sarcoidosis due to?

Answer 7

noncaseating granulomatous inflammation

Question 8

acute unilateral lymphadenitis in children - think what braod category causes?

Answer 8

bacterial infx

Question 9

top 2 most common causes of acute unilateral lymphadenitis in kids?

Answer 9

• Staph a.

- Strep pyogenes (group A)

Question 10

Anterior cerebral artery stroke clinical findings

Answer 10

• contralateral motor and/or sensory deficits more pronounced in lower extremities
• Urinary incontinence
• gait dyspraxia
• abulia (lack of will or initiative) and/or emotional disturbances
• primitive reflexes (babinski, grasp, suck, etc)

Question 11

pt w/ R sided weakness worse in lower extremity, urinary incontinence, and pos babinski w/ full visual fields – what vessel stroke?

Answer 11

ant. cerebral artery

Question 12

unilateral motor impairment w/ no visual field, sensory, or cortical (ie urinary incontinance) deficits - where is stroke?

Answer 12

lacunar infact at post. limb of internal capsule

Question 13

contralateral motor and sensory deficits more pronounced in face or upper limb w/ homonymous hemianopia and aphasia - what vessel stroke?

Answer 13

middle cerebral artery stroke on Dominant lobe (bc aphasia)

*non dominant would have hemineglect or anosognosia

Question 14

middle cerebral artery occlusion findings?

Answer 14

• contralateral somatosensory and motor deficit more pronounced in face and upper extremity
• conjugate eye deviation toward side of infarct
• homonymous hemianopia
• aphasia (dominant lobe) or hemineglect (non-dominant)

Question 15

internal carotid artery supplies where in the brain?

Answer 15

anterior vasculature (inc ant and middle cerebral arteries)

Question 16

occlusion of internal carotid artery findings?

Answer 16

contralateral impairments

• hemiplegia
• sensory
• visual
• language
• spacial

Question 17

posterior cerebral artery stroke characterized by?

Answer 17

• homonymous hemianopia
• alexia w/o agraphia (dominent lobe; can’t read but can write)
• visual hallucinations
• sensory symp
• 3rd nerve palsy w/ paresis of vert and horizontal eye movements
• contralateral motor deficits