UW: week 1

Question 1

Triad required for Dx of DKA?

Answer 1

1. glc

Question 2

When can you change to D5 1/2NS in treatment of DKA?

Answer 2

Once glc 200-250

Question 3

When can you change to NPH in Tx of DKA?

Answer 3

Once recovered and taking Po

Question 4

Indications for bicarb in tx of DKA? (3)

Answer 4

pH

Question 5

MC bugs cultured in SBP? (2)

Answer 5

E coli + Klebsiella

Question 6

EEG in absence seizure?

Answer 6

Generalized 3 Hx spike & wave, can be precipitated by hyperventilating during EEG

Question 7

2 differences in atypical absence seizure (vs typical)

Answer 7

1. lasts longer (typical just seconds)

2. slow spike and wave (

Question 8

Key diff btwn absence seizure and complex partial seizure?

Answer 8

Post-ictal w/ CPS, not w/ absence

Question 9

Dactylitis, nail pitting, arthritis worst in DIPs. Dx?

Answer 9

Psoriatic arthritis! Can occur w/o classic skin changes.

Question 10

What confirms Dx of post-op acute mediastinitis?

Answer 10

Surgery revealing pus in the mediastinum

Question 11

Tx of post-op acute mediastinitis? (4)

Answer 11

drainage, surgical debridement, immediate wound closure, prolonged Abx

Question 12

How can you decrease risk of bowel ischemia 2/2 AAA repair?

Answer 12

Check sigmoid colon perfusion s/p IMA graft placement

Question 13

ASx bacteruria in pregnancy- 4 possible Abx choices? When to get repeat UCx?

Answer 13

Nitrofurantoin, amoxicillin, amox-sulbactom, fosfomycin. Repeat UCx in 1 week and again monthly for rest of pregnancy

Question 14

What feature of ASx bacteriuria in pregnancy would qualify you for daily suppressive therapy for rest of preg?

Answer 14

Persistent bacteriuria after 2 or more courses of therapy

Question 15

Describe rash of measles

Answer 15

Blanching, red-brown maculopapular rash w/ cephalocaudal and centrifugal spread

Question 16

6 Cpx of measles (w/ timeline of the 3 neuro ones)

Answer 16

1. OM
2. PNA
3. AGE
4. Encephalitis (w/in days)
5. ADEM (w/in wks)
6. SSPE (w/in yrs)

Question 17

It’s normal to wet the bed until what age?

Answer 17

5 yo (but all the cool kids pee their pants)

Question 18

DDx for T-wave inversion (5)

Answer 18

MI
Myocarditis
Old pericarditis
Myocardial contusion
Digoxin tox

Question 19

Septic arthritis if

Answer 19

Staph, GBS, GNR

Anti-staph (vanc or nafcillin) + either gent or cefotaxime

Question 20

Septic arthritis if >3 mo: name 3 MC bugs and best Abx regimen

Answer 20

Staph, GAS, strep pneumo

Pick 1 of: nafcillin, clindamycin, cefazolin, vanc

Question 21

What’s diagnostic and therapeutic for foreign body aspiration?

Answer 21

Bronch

Question 22

2 PE/CXR findings indicating partial obstruction in foreign body aspiration?

Answer 22

Hyperinflation

Air trapping on expiration

Question 23

3 PE/CXR findings indicating complete obstruction in foreign body aspiration?

Answer 23

Atelectasis
Post-obstructive PNA
Localized bronchiectasis (late)

Question 24

3 GI DO a/w trisomy 21?

Answer 24

Hirschprung
Duodenal atresia
Imperf anus

Question 25

MC congenital heart defect in Edwards synd?

Answer 25

VSD

Question 26

Classic heart defect in Williams synd?

Answer 26

Supravalvular aortic stenosis

Question 27

Name the group of cardiac disorders a/w CATCH-22 syndromes and 3 specific examples

Answer 27

Conotruncal abnormalities: TA, ToF, interrupted aortic arch

Question 28

Natural timeline of neonatal displaced clavicular frx?

Answer 28

Spontaneous healing w/in 7-10d

Question 29

Workup of monosymptomatic enuresis? (2)

Answer 29

UA | Imaging if severe w/ recurrent UTI

Question 30

Tx order for monosymptomatic enuresis?

Answer 30

Behavioral changes > enuresis alarm > desmopressin > TCA

Question 31

6 major components of fetal hydantoin syndrome?

Answer 31

Midface hypoplasma, microcephaly, cleft lip/palate, digital hypoplasia, DD, hirsuitism

Question 32

Bowel Bx showing neutrophilic cryptitis?

Answer 32

IBD

Question 33

What does bowel Bx show in ischemic colitis?

Answer 33

Epithelial necrosis

Question 34

Tx of acute limb ischemia? (3)

Answer 34

STAT IV hep bolus-> hep IFN-> call vasc surg

Question 35

4 determinants of myocardial O2 demand?

Answer 35

Preload Afterload HR Contractility

Question 36

Most important prognostic factor in STEMI?

Answer 36

Time until restored coronary blood flow

Question 37

Abs in primary biliary cirrhosis?

Answer 37

Anti-mitochondrial

Question 38

PBC is characterized by immune-mediated destruction of which type of ducts?

Answer 38

Intrahepatic

Question 39

2 components of tx of dermatitis herpetiformis?

Answer 39

Dapsone + gluten free

Question 40

SSSS: what's the toxin and what does it target?

Answer 40

S aureus-> exfoliative toxin against desmoglein 1

Question 41

2 causes of hypoxemia w/ normal A-a grad, 2 causes of hypoxemia w/ incr A-a grad

Answer 41

Normal: reduced inspired O2 tension, alveolar hypoventilation Incr: Diffusion limitation, shunt, V/Q mismatch

Question 42

Classic triad of ASA tox?

Answer 42

Fever + tinnitus + tachypnea