test 3

Question 1

abx for appendicitis

Answer 1

a. Ampicillin/sulbactam 3gm IV (peds 75 mg/kg IV)
b. Piperacillin/tazobactam 4.5 gm IV (peds 100 mg/kg IV)
c. Cefoxitin 2 gm IV (peds 40 mg/kg IV)
d. Metronidazole 500 mg IV plus ciprofloxacin 400 mg IV

Question 2

CT w/ IV contrast is the test, but is not necessary if the diagnosis may be made clinically

Answer 2

acute pancreatitis

Question 3

pancreatitis admission criteria

Answer 3

1. first bout of acute pancreatitis,
2. biliary pancreatitis,
3. patients needing frequent IV pain medication,
4. not tolerating oral intake because of vomiting or increasing pain,
5. persistent abnormal vital signs,
6. signs of organ insufficiency (inc. creatinine, increased LFTs, lactate won’t go down w/ organ insufficiency)

Question 4

what is the MC cause of intestinal ischemia?

Answer 4

ischemic colitis

Question 5

MC sites of stones?

Answer 5

1. ureteropelvic junction
2. pelvic brim
3. ureterovesical junction