Rosh 22

Question 1

Where is histoplasmosis typically found in the United States?

Answer 1

The Mississippi and Ohio river valleys in bird and bat droppings.

Question 2

Where is Coccidioidomycosis typically found in the United States?

Answer 2

southwest United States

Question 3

The maximum dose of lidocaine with epinephrine that can be injected into the peripheral tissues is ______

Answer 3

5-7 mg/kg

Question 4

Threatened abortion

Answer 4

vaginal bleeding with closed internal os

Rh-negative women: RhoGAM

Question 5

Inevitable abortion

Answer 5

Inevitable: vaginal bleeding with open os

Rh-negative women: RhoGAM

Question 6

incomplete abortion

Answer 6

Incomplete: partial passage of products of conception

Rh-negative women: RhoGAM

Question 7

complete abortion

Answer 7

complete passage of products of conception

Rh-negative women: RhoGAM

Question 8

missed abortion

Answer 8

Missed: fetal death < 20 weeks without POC passage

Rh-negative women: RhoGAM

Question 9

Primary adrenal insufficiency (Addison’s disease) electrolyte findings

Answer 9

hyponatremia, hypoglycemia, and hyperkalemia

Treatment is hydrocortisone

Question 10

What lab marker helps to distinguish primary from secondary adrenal insufficiency?

Answer 10

An elevated ACTH level in a patient with adrenal insufficiency is consistent with primary adrenal insufficiency.

Question 11

Hyperkalemia ECG

Answer 11

ECG will show peaked T waves, prolonged PR, wide QRS

Question 12

hat type of hypersensitivity reaction is the immediate development of urticaria after an ingestion?

Answer 12

Type I.