U World one two mic check

Question 1

non healing, painless, bleeding skin ulcer

Answer 1

suggests squamous cell

Question 2

Bug that causes malaria

Answer 2

plasmodium vivax

Question 3

Jaw claudication

Answer 3

giant cell temporal arteritis

Question 4

giant cell blindness rx

Answer 4

immediate high dose steroid

Question 5

Massive PE findings

Answer 5

hypotension
jvd
new RBB

Question 6

pancreatic calcifications are asc. w/?

Answer 6

chronic pancreatitis from alcoholism

Question 7

tumor lysis syndrome cmp

Answer 7

hyperuricemia, hyperkalemia, hyperphosphatemia

hypocalcemia (gets bound up by phosphate, but it does pill too)

Question 8

Men 2B characteristics

Answer 8

medullary thyroid cancer
pheochromocytoma
marfanoid
mucosal neuromas

Question 9

blood thinners after an MI

Answer 9

aspirin and P2y12 receptor blocker (dual anti plt)

Question 10

P2y12 blockers are?

Answer 10

clopidogrel, ticagrelow

Question 11

Meds to be on after an MI

Answer 11

dual anti plt
beta blocker
ACE/ARB
statin 
aldosterone antagonist (if LV EF < 40% or t2dm)

Question 12

polyarteritis nodosa

Answer 12

type 3 hypersensitivity
necrotizing vasculitis
medium sized arteries- often renal
asc. w/ hep b

Question 13

acid base status of asthma exacerbation

Answer 13

resp alk from hyperventilation

if PaCO2 is normal/ elevated–> very concerning for resp failure

Question 14

what do you do about isoniazid liver tox

Answer 14

nothing if mild, self resolving

Question 15

All pts with MALT should be tested for?

Answer 15

H-Pylori

Question 16

Common variable immunodeficiency

Answer 16

defect in b cells (↓ plasma cells and ↓ immunoglobulins)
can be acquired 20-30s
rx: Ig replacement

Question 17

deficiency or autoantibody vs:

ADAMTS 13

Answer 17

thrombotic thrombocytopenic purpura

plt disorder

Question 18

thrombotic thrombocytopenic purpura s/s

Answer 18

neuro changes
renal failure
hemolytic anemia/ schistocytes

Question 19

rx for thrombocytopenic purpura

Answer 19

emergent plasma exchange

w/o mortality 90%

Question 20

vertebral mets w/ neuro dysfxn work up

Answer 20

immediate glucocorticoid (preserve fxn) –> MRI –> neurosurgery consult

Question 21

first line screening for primary hyperaldosteronism

Answer 21

plasma aldosterone: plasma renin ration

Question 22

Hyperaldosteronism cmp

Answer 22

hypernatremia

hypokalemia

Question 23

rx for TCA OD

Answer 23

sodium bicarb

Question 24

Physostigmine is antidote for _________ OD

Answer 24

anticholinergics- atropine/ diphenhydramine

Question 25

organisms in infectious keratitis from contact lense

Answer 25

gram negatives: serratia, pseudomonas

Question 26

HACEK organisms

Answer 26

bugs that cause infective endocarditis 
H aphrophilus 
A  actinomycetemcomitans
C ardiobacterium homins 
E corrodens
K ingella kingae

Question 27

Rx for PEA

Answer 27

CPR