Vital FM 2

Question 1

Fever in the returning traveler is what until otherwise proven?

Answer 1

Malaria

Question 2

What subtype of malaria can kill in 24-48 hours?

Answer 2

Falciparum malaria

Question 3

List 5 anti-malarials

Answer 3

Malerone - expensive
Doxycycline - photosensitivity
Mefloquine - Vivid dreams
Primaquine - G6PD
Chloroquine - high resistance

Question 4

What medications do you prescribe for altitude sickness?

Answer 4

Acetazolamide
Dexamethasone
Nifedapine
Sildenafil
Salmeterol

Question 5

Aspirin for primary prevention?

Answer 5

No.

Mixed evidence for stopping it.

Question 6

Who should you screen for Hep C?

List 4

Answer 6

Endemic nation
Incarceration
IVDU
Blood products

Question 7

Who do you screen for AAA?

Answer 7

One time U/S 65-80 for men.

No screening for women.

Question 8

What test do you use to diagnose latent TB?

Answer 8

IGRA

Interfuron gamma release assay

Question 9

What are 4 drugs to treat TB?

Answer 9

Rifampicin
Isoniazid
Pyrazinamide
Ethambutol

Question 10

What test do you offer for patients who have walked on the sand in Africa or south east asia with GI symptoms?

Answer 10

Strongyloides serology

Question 11

Who do you order a strongyloides serology for?

Answer 11

Anybody who walked barefoot in Africa or South East Asia with GI symptoms?

Question 12

What should you screen immigrant women and children for?

Answer 12

Iron deficiency anemia.

Question 13

What complication are you worried about with anti-psychotics?

Answer 13

Neuroleptic malignant syndrome

Question 14

What are 5 symptoms of neuroleptic malignant syndrome

Answer 14

Fever
Autonomic dysregulation (BP, HR, Sweating)
Rigidity
Mental status changes

Send them to the crazy FARM

Question 15

What are 5 non-pharm steps in treating neuroleptic malignant syndrome?

Answer 15

Stop neuroleptic
IV Normal saline
Cooling blankets
Ice packs
DVT prophylaxis

Question 16

What are two drugs to treat neuroleptic malignant syndrome?

Answer 16

Dantrolene

Bromocriptine

Question 17

What are 5 types of atypical pneumonia?

Answer 17

PJP
TB
Mycobacterium avian
Influenza
Toxoplasmosis

Question 18

What are 4 things that affect antibiotic choice?

Answer 18

Allergy
Interactions
COPD Co-treatment
Aspiration coverage

Question 19

What is the most common cause of pneumonia?

Answer 19

S. pneumo

Question 20

When you diagnose hypertension, what other labs should you order?

Answer 20

Lipids
K
Na
Hgb a1C
Urinary albumin
ECG/Beta-hcg

Question 21

Secondary causes of hypertension

Answer 21

Atherosclerotic
Bruits
Catecholamines (pheo)
Drug
Endocrine
Sleep apnea

ABCDEs

Question 22

What are 5 non-pharm treatments for hypertension?

Answer 22

Sodium
Weight
Alcohol
Exercise
Diet
Relaxation

Question 23

What time should patients take their antihypertensives?

Answer 23

Before bed

Question 24

What age do you start measuring pediatric BP?

Answer 24

3

Question 25

What arm do you measure pediatric BP?

Answer 25

Right

Question 26

What do you do when you diagnoses a kid with essential hypertension?

Answer 26

Labs (as per adults) so lipids kidney function diabetes. | ECHO

Question 27

Causes of fever that are not infectious. List 5

Answer 27

``` Pulmonary embolus Stevens-Johnson Cancer Thyroid storm Febrile Neutropenia ```

Question 28

What are the symptoms of Kawasaki Syndrome?

Answer 28

``` Conjunctivitis Rash Adenopathy Strawberry Tongue Hands/Feet - Rash/peeling ``` "CRASH"

Question 29

What is the major complication of Kawasaki disease?

Answer 29

Coronary Artery Aneurysm CRASH call CAA

Question 30

What do you treat Kawasaki disease with?

Answer 30

ASA and IVIG KawASAkI

Question 31

When do you order fasting lipids?

Answer 31

Triglycerides > 4.5

Question 32

What is the first line treatment for hypertrygliceridemia?

Answer 32

Omega-3's.

Question 33

What are three things you ask for in dizziness?

Answer 33

Timing Triggers A thorough Exam TiTrATE

Question 34

What are three physical exam findings for vertigo?

Answer 34

Orthostatic BP GAIT HINTS Dix-hallpike

Question 35

What do you treat an upper GI bleed with?

Answer 35

IV PPI Erythromycin Octreotide

Question 36

What are 5 precipitating disorders for suicide?

Answer 36

``` Drugs/alcohol Access to means Life events New terminal/chronic disease Media ```

Question 37

What are 5 predisposing factors for suicide?

Answer 37

``` Neuropsychiatric disorders Family history Previous attempt Adverse childhood experiences Socioeconomic status ```

Question 38

What are 5 medications for acute mania?

Answer 38

``` Aripiprazole Risperidone Lithium Quetiapine Divalproex ```

Question 39

What are 4 medications for maintenance of bipolarity?

Answer 39

Lamotragine Lithium Quetiapine Divalproex