Things I always forget

Question 1

What electrolyte abnormalities do you see in Primary adrenal insufficiency (Addison’s Disease)?

Answer 1

Hyponatremia, Hyperkalemia

Addison eats a lot of Kale

Question 2

Diverticulitis Tx

Answer 2

Metronidazole + Cipro

Question 3

Toxic Megacolon Tx

Answer 3

Metronidazole + Vanco

Question 4

+ anti-SCL 70

+ anti-RNA polymerase III (ARA)

+ anticentromere (ACA)

Answer 4

Scleroderma

Question 5

CREST Syndrome

Answer 5

Calcinosis Cutis

Raynaud’s Phenomenon (1st sign) W,B,R

Esophageal Dysmotility

Sclerodactyly

Telangiectasias

Question 6

Reactive Arthritis Tx

Answer 6

NSAIDS

Question 7

this vasculitis is associated with Hepatitis B

Answer 7

Polyarteritis Nodosa

Question 8

Clinical Manifestations of Polyarteritis Nodosa

Answer 8

1. HTN, renal failure
2. fever myalgias, arthritis
3. neuropathy, mononeuritis multiplex
4. livedo reticularis, purpura

Question 9

Dx for PAN

Answer 9

Increased ESR

Question 10

Definitive Dx for PAN

Answer 10

renal/mesenteric angiography: microaneurysms with abrupt cut off of small arteries (blood vessel Bx)

Question 11

Transient Synovitis CPx, Dx, Tx

Answer 11

limp + hip pain post viral URI

clinical

NSAIDS

Question 12

evening joint stiffness, decreases w/rest, worsens throughout the day & with changes in weather

Answer 12

OA

Question 13

MC radiographic finding in OA

Answer 13

Asymmetric joint space narrowing

Question 14

lytic lesions

Answer 14

multiple myeloma

Question 15

moth eaten bone destruction

Answer 15

osteomyelitis

Question 16

weight bearing joints affected

Answer 16

OA

Question 17

small joints affecred

Answer 17

RA

Question 18

MC site affected by OA

Answer 18

knee

Question 19

MC site affected by RA

Answer 19

hand

Question 20

Unhappy Triad

Answer 20

ACL

MCL

medial meniscus

these three structures are commonly injured when foot is planted, knee is slightly flexed and there is lateral impact

Question 21

what do you never want to do in subacromial impingement?

Answer 21

immobilization, can lead to adhesive capsulitis

Question 22

MC side effect with hydroxycholorquine

Answer 22

impaired night vision

Question 23

falling on tip of shoulder w/arm tucked

Answer 23

ac joint separation

Question 24

Increased JVP + crackles/rales

Answer 24

CHF

Question 25

Increased JVP + normal pulm exam

Answer 25

**Pericardial** (tamponade or constrictive pericarditis)

Question 26

Increased JVP + **decreased breath sounds on pulm exam**

Answer 26

**Tension Pneumothorax**

Question 27

ST depression indicates

Answer 27

**ischemia**

Question 28

ST elevation **Convex down**

Answer 28

**ischemia (MI)**

Question 29

ST elevation **concave**

Answer 29

Usually benign

Question 30

TIMI Risk Stratification (assess risk of death and ischemic events in pts w/ UA or NSTEMI to determine benefit of invasive angio to reduce mortality)

Answer 30

Age **≥ 65y** **≥3 CAD Risk Factors** (FHx, DM, smoking, Inc Chol) **Known CAD** **ASA use in 7 days** **Recent Severe Angina** **Inc. Cardiac Markers** **ST elevation 0.5mm**

Question 31

Score ≥ 3 TIMI

Answer 31

high risk of death, should do invasive angio