Things I Dont Remember

Question 1

Associations with A fib?

Answer 1

pericarditis, mitral valve dz, Thyroid dz

Question 2

Treatment for Afib:
Stable?
How long do you need to anticoagulate after CV?

Answer 2

Cardio version

3 weeks

Question 3

Which second degree will you often have more Bradycardia?

Answer 3

Type 2, pacemaker

Question 4

How do you treat long QT?

Answer 4

Beta blocker then pacemaker or ICD

Question 5

What are the class 1 antiarthymics?

Answer 5

Sodium channel blockers

Procainamide
Lidocaine
Flecainide

Question 6

Class 3 antiarythmics?

Answer 6

Potassium channel blockers

Amiodarone and Sotalol

Question 7

What can you not give amniodarone with ?

Answer 7

Simvastatin, dig and coumadin

Question 8

Initial monotherapy for HTN?

Black pts?

Answer 8

Thiazides, Ace- for nephropathy or heart failure, CCB

Black pts- thiazides or CCB

Question 9

ACE can cause what electrolyte disturbance?

Answer 9

Hyperkallemia

Question 10

Which coronary artery only has to be 50% closed to warrant a stent?

Answer 10

Left main coronary artery

Question 11

What will you get more on EKG with vasospastic angina?

Big risk factor?

Answer 11

St elevation

Smoking

Question 12

Which areas of the EKG are associated with the following arteries:
LAD?
Circumflex?
RCA?

Answer 12

Septal and anterior
Lateral
Inferior

Question 13

When is tactile fremitus increased?

Decreased?

Answer 13

Pneumonia or tumor

Effusion/pneumothorax

Question 14

What is the normal FEV1?

Answer 14

80% or more

Question 15

Asthma dx severity?

Answer 15

Look at medcomics

Question 16

Which additional medicine is good for exercise induced asthma?

Answer 16

Mast cell stabilizers

Question 17

What is the main symptoms for emphysema?

Answer 17

Exertional dyspnea

Question 18

What is the pathophysiology behind chronic bronchitis?

Answer 18

Excessive mucus secretion in the bronchial tree

Question 19

First line medication for COPD?

Answer 19

Anticholinergics. The tropiums
Albuterol

O2

Question 20

COPD with acute exacerbation?

Complicated?

Answer 20

Doxy, Bactrim or macrolide

Levoquin

Question 21

What kind SE with tamiflu should you watch out for?

Answer 21

Neurological

Question 22

Community Acquired pneumonia outpatient?
Inpatient - non-ICU?
Inpatient - ICU?

Answer 22

1. Azithro, Doxy
2. Flouroquinolone
3. Azithro, FQ plus Beta Lactam

Question 23

Clamydia pneumo?

Answer 23

Tetracycline

Question 24

Hospital Acquired Pneumonia has to occur when to be considered HAP?

Most common bugs? 2

Answer 24

More than after 48 hours of hospital admission

Staph, Pseudmonas

Question 25

Klebsiella pneumonia TX?

Answer 25

One of the penems

Question 26

Legionella?

Answer 26

Macrolides, levo

Question 27

Association and TX:

Aspergillosis?
Histoplasmosis?
Coccidiomycosis?
CMV?
Cryptococcosis?

Answer 27

1. Waterfowl, any antifungal
2. Bird or bat droppings, Amphotericin B
3. Fluconazole, valley fever dz, New Mexico
4. Retinitis, HIV CD4 50, ganciclovir
5. Opportunistic in AIDS, IV Amph B

Question 28

Rabbit exposure dz? 3

Answer 28

Tularemia
Francisella
Tularensis

Question 29

What will ARDS ABG show?

Answer 29

Respiratory acidosis

Question 30

What are the silicosis associations?

Answer 30

Playground powder, talcum powder, gymnast/athletic powder

Question 31

Pneumoconiosis associated with what job?

Answer 31

Coal miner

Question 32

Initial test for pulmonary embolism?

Answer 32

Helical CT

Question 33

TX of PE?

Answer 33

Heparin then warfarin

Question 34

Interstitial lung dz is associated with which CT findings?

Answer 34

Honeycomb lung, biopsy, steroids

Question 35

Association with sarcoidosis? 8

Answer 35

Erythema no do sum
Parotid enlargement
HSM
LAD
Arthritis
Cardiomyopathy
Uveitis
Renal stones

Question 36

Good pastures dz TX?

Answer 36

Plasmapheresis and corticosteroids

Question 37

Classic triad for wegener’s granulomatosis? 3

Lab?
TX?

Answer 37

Upper respiratory vasculitis
Lower respiratory vasculitis
Glomerulonephritis

+ANcA
Cyclophosphamide

Question 38

What is associated with a popcorn lesion?

Answer 38

Hamartoma, MC cause of all benign lung tumors

Question 39

Where are these lung cancers found:

1. Adeno?
2. Squamous?
3. Small cell?
4. Large cell?
5. Carcinoid?

Answer 39

1. Peripheral- amylase
2. Central- hypercalcemia
3. SIADH and paraneoplastic
4. Central or peripheral
5. Central

Question 40

Treatment for carcinoid syndrome?

Answer 40

Octreotide