WE4 mock SB (-4) Flashcards
WE4 blocks (70-74, F1-4) Missing blocks 70-74, F1(half)
why does met acidosis occur in the setting of sepsis?
decr O2 to tissues –> incr anaerobic metab –> incr LA –> met acidosis
RTA type leads to what type of met acidosis?
non-anion gap met acidosis
what s/s of lactic acidosis 2/2 sepsis will you not see in RTA type 2?
- fever
- low BP
- incr HR
- crackles
new onset CHF (DOE + paroxysmal nocturnal dysp + pulm edema + LE edema) after URI. what is the likely dx = ?
dilated cardiomyopathy 2/2 myocarditis
young age + acute HF + CP + arrhythmia. dx = ?
HF 2/2 myocarditis
what virus commonly causes myocarditis in developed nations?
coxsackie B
which is more common pancreatic or GB ca?
pancreatic Ca
which is more likely to present w/ jaundice, pancreatic ca or GB ca?
pancreatic Ca
pt presents w/ jaundice + wt loss + vague abd discomfort + incr ALP. suspected dx = ?
pancreatic Ca
what labs suggest cholestatic cause of jaundice?
incr ALP + incr bili
how does Fe OD present?
- abd pain
- dark green diarrhea
- hematemesis
- shock
- liver necrosis
what diagnostic findings are expected w/ Fe OD?
- anion gap met acidosis
- incr s Fe
- radiopaque pills on xray
why are stools/emesis green/black in Fe OD?
Fe tablet disintegration
what sequela may be seen several weeks after Fe OD?
SBO 2/2 GI scarring
how does acetominophen OD present?
- n/v
- hepatotoxicity
what GI s/s are uncommon in acetominophen OD?
GI bleeding
what GI s/s is expected w/ TCA OD?
GI dysmotility
pt presents w/ back pain + subacute illness w/ intermittent F + xray showing pulm (cavitary lesion) and bone (vertebral collapse) involvement. dx = ?
systemic TB
what immunosuppressed states incr the risk for latent TB reactivation?
- CKD
- DM
- HIV
- hematologic malig
- chronic immunosuppression med use
how does skeletal TB present?
- spondylitis (back pain +/-vertebral collapse on xray)
- arthritis
- osteomyelitis
how do you distinguish mult myeloma from subacute disseminated TB infx?
mult myeloma won’t have subacute F or pulm infiltrates
what types of injury generally cause medial menisal tear vs MCL tear?
- medial meniscal tear 2/2 twisting during strenuous activity or on uneven ground
- MCL tear 2/2 blow to the lateral knee
how does meniscal tear present?
- joint line tenderness
- slow onset effusion
- sensation of instability
- locking/catching w/ rot and ext while under load
how do ACL tears typically present?
rapid onset hemarthrosis w/in min –> hrs of injury