Rosh Renew

Question 1

Dengue Fever

Answer 1

recent travel to tropical regions
high fever with a biphasic pattern, myalgias, and backache
thrombocytopenia, elevated LFTs and leukopenia
Most commonly caused by Aedes aegypti mosquito
Treatment is supportive

Question 2

Malaria

Answer 2

• fever > 38.5°C (101.4°F) in a traveler
• classic triad fever, thrombocytopenia, and splenomegaly. -Fever is periodic.
• confirmed with blood smear or rapid detection tests.
• Treatment is supportive and targeted towards eradication of the protozoa.

Question 3

Bacterial Meningitis Adult Rx

Answer 3

18 - 50 years: ceftriaxone + vancomycin

> 50 years: ceftriaxone + vancomycin + ampicillin (to cover Listeria)

Question 4

Alcoholic Ketoacidosis

Answer 4

• In alcoholics
• decreased food and liquid ingestion leading to dehydration –> anion gap metabolic acidosis
• Patients require a nutritional source and need glucose or dextrose administration

Question 5

The murmur of hypertrophic cardiomyopathy is accentuated by actions that decrease blood volume in the left ventricle and increase left ventricular outflow obstruction. These actions include:

Answer 5

the Valsalva maneuver or standing.

Question 6

What effect does the Valsalva maneuver have on the murmur associated with aortic stenosis?

Answer 6

It decreases the murmur.

Question 7

What are three organisms responsible for “atypical” pneumonia?

Answer 7

Mycoplasma, Chlamydia, and Legionella.

Question 8

In patients with aortic dissection, what is the recommended blood pressure goal?

Answer 8

systolic blood pressure of 110 mm Hg.

Question 9

What is digoxin used for?

Answer 9

Its positive-inotropic and antidysrhythmic effects, at therapeutic doses, are used in treating atrial fibrillation and congestive heart failure.