U world heaven

Question 1

Psittacosis

Answer 1

transmitted by birds

fever, dry cough, HA

Question 2

Sign of constrictive pericarditis on CXR

Answer 2

pericardial calcifications

Question 3

Winters formula

Answer 3

PaCO2= 1.5(HCo3) + 8 (+/- 2)

if predicted Co2 matches actual Co2 –> good compensation in metabolic acidosis

Question 4

Pt complains of pounding heart when laying on their left side

Answer 4

Aortic regurg

brings enlarged LA towards the chest

Question 5

Bronchiectasis

Answer 5

bronchial thickening and dilation from recurrent infection
large amount of sputum
diagnosis by chest ct

Question 6

Beta blocker OD rx

Answer 6

glucagon

Question 7

CD4 forMAC

Answer 7

under 50

s/s high fever, wt loss, cough, diarrhea

Question 8

CD4 for cyptosporidim

Answer 8

under 180

very common cause fo infectious diarrhea

Question 9

In a competent person, when can you treat against their will

Answer 9

you can go against their will if their illness presents a significant risk to public health (ex meningococcal meningitis)

Question 10

Skin lesion that dimples when pinched

Answer 10

dermatofibroma

Question 11

Colon biopsy shows mucosal inflammation and crypt abscesses

Answer 11

Ulcerative colitis

Question 12

NSAID induced asthma is acs. w?

Answer 12

nasal polyp

Question 13

Anti-coag for pts with renal failure?

Answer 13

Unfractionated heparin

Question 14

Drug induced interstitial nephritis

Answer 14

hematuria, sterile pyuria, WBC casts

penicillins, cephalosporins, sulfas

Question 15

Low serum C3 is pathognomonic for?

Answer 15

post strep glomerulonephritis

Question 16

Risk factors for c-diff

Answer 16

abx
age > 65
gastric acid suppression

Question 17

what is winters paco2 does not equal actual paco2

Answer 17

then there is a mixed process

Question 18

Tachycardia mediated cardiomyopathy

Answer 18

persistent tachycardia (Afib, a flutter, rvr) –> dilated cardiomyopathy

rx: rate and rhythm control- potentially reversible

Question 19

rx for symptomatic macroprolactinoma

Answer 19

cabergoline

bromocriptine

Question 20

How can you prevent acute ATN from imaging contrast?

Answer 20

adequate hydration

Question 21

________ can occur as a complication from aortic dissection, and has hypotension, tachycardia, and JVD

Answer 21

cardiac tamponade

Question 22

HIV retinitis

Answer 22

CMV= painless, hemorrhagic 
HSV= painful, pale

Question 23

Malaira symptoms

Answer 23

cyclical fever
NVD
anemia
thrombocytopenia

*very common cause of fever in travelers

Question 24

Dengue fever

Answer 24

leukopenia, eye pain, rash, myalgias, fever, HA

mosquito borne

Question 25

hypocalcemia work up

Answer 25

PTH
↑= vitamin d deficiency, CKD

↓ = parathyroid surgery, autoimmune

Question 26

SVT

Answer 26

refers to any tachycardia above the bundle of HIS

*Has narrow QRS (120)

sinus tach, atrial tach, atrial flutter, a fin, AVRVR

Question 27

Best test for unstable pt with aorticdisection

Answer 27

transesophageal echo

Question 28

rx for antiphospholipid syndrome in pregos

Answer 28

LMWH

s/s: false positive VDLR, ↑ PTT, thrombocytopenia

Question 29

s/s of CMV retinitis

Answer 29

blurred vision
floaters
flashing lights
may cause retinal detachment