UWSA

Question 1

feared complication of TPN

Answer 1

central line infection

Question 2

painless ulcer with black center

Answer 2

ecthyma gangrenosum= pseudomonas

Question 3

viral infections effects on heart

Answer 3

pericarditis–> tamponade

myocarditis–> dilated cardiomyopathy

Question 4

ACTH is what type of hormone

Answer 4

polypeptide

Question 5

pleural effusion mainly of lymphocytes

Answer 5

TB pleural effusion

Question 6

pleural effusion neutrophils and thick

Answer 6

Empyema– bacterial

Question 7

MCC intra-cranial tumor in adults

Answer 7

metastasis

Question 8

how does inserting a needle for a pneumothorax treat it?

Answer 8

INCREASES venous return

Question 9

adult with episodes of unresponsiveness and blank staring—-> AFTER these episodes cannot lift foot

Answer 9

TODD’S PARALYSIS– secondary to complex partial seizure (With automatisms)

Question 10

don’t forget labs in CKD

Answer 10

decrease calcium
increase iP
increase PTH—-> parathyroid hyperplasia

Question 11

exercise and diabetic

Answer 11

PROBABLY ON INSULIN– thus decrease insulin dose

Question 12

septic shock–>

Answer 12

decrease oxygen– lactic acidosis

Question 13

intense warmth at night and cough=

Answer 13

SNEAKY presentation of TB

night sweats= intense warmth at night

Question 14

most nb prognostic factor for astrocytoma

Answer 14

ATYPIA

Question 15

decrease Hb
decrease platelets
increase WCC (mature lymphocytes_

Answer 15

CLL

Question 16

tx of BPPV

Answer 16

• head positioning techniques

- epley

Question 17

Tx cholestasis in pancreatic carcinoma

Answer 17

STENT

Question 18

normal vaginal pH

Answer 18

3.8-4.2

CANDIDA VAGINOSIS

Question 19

is it okay to use physical restraints on patients if acting dangerously?

Answer 19

YES YES YES YES

Question 20

pulmonary embolus pressures

Answer 20

increase RA and RV pressure

increase gradient between PCWP and pulmonary artery

Question 21

monocular joint
fever
predisposing joint disease

Answer 21

SEPTIC ARTHRITIS

Question 22

MGMT PRESSURE ULCERS

Answer 22

PILLOWS!

Question 23

decrease pain in ACS

Answer 23

NITRATES– you know this… venodilator

Question 24

corkscrew duodenum on barium=

Answer 24

volvulus

Question 25

PC:

• child with sore throat
• difficulty swallowing
• oral vesicles
• runny nose
• cough

Answer 25

VIRAL VIRAL VIRAL VIRAL SORE THROAT– despite the ulcers–

supportive mgmt

Question 26

ovalomacrocyte and decrease segmentation of neutrophils

Answer 26

MDS

Question 27

if TEE is not an option for AD,

Answer 27

CT

Question 28

depression after drug binge=

Answer 28

COCAINE CRASH

Question 29

long term cocaine use disorder tx

Answer 29

PSYCHOTHERAPY, 12-step individual tx

Question 30

can you use triptans and ergotamine together?

Answer 30

NOOOO, must separate by 24hours

Question 31

increase platelets post…

Answer 31

SPLENECTOMY, since no spleen to remove old platelets

Question 32

beta blockers for the heart=

Answer 32

Metoprolol
Bisoprolol
Carvedilol

Question 33

hypothyroidism can present as…

Answer 33

GALACTORRHEA

Question 34

Prego woman given tocolytic—> pulmonary edema

Answer 34

obvi beta blockers, since always have that potential

Question 35

tx: familial hyperplipidemia

Answer 35

FIBRATES

Question 36

when okay to give steroids to prego woman

Answer 36

24-34 weeks

Question 37

sudden syncope without prodrome

Answer 37

TdP= ventricular arrhythmia