world 7/30

Question 1

most important thing for uncomplicated rib fracture

Answer 1

adequate pain control so they breathe. and don’t get PNA

Question 2

where are thymomas

Answer 2

ANTERIOR MEDIATINUM

Question 3

where are bronchogenic cysts

Answer 3

MIDDLE mediustinum, all weird neurogenic stuff posterior

Question 4

labs for tertiary hyperparathyroid

Answer 4

parathyroid ⬆️ ⬆️ ⬆️
ca⬆️
phos⬆️

Question 5

what causes tertiary hyperparathyroid

Answer 5

CKD ➡️ hypoCa➡️ parathyroidstim and eventual hyperplasia➡️ increased Ca, Phos, and so much hyperparathyroid

Question 6

why might someone with an AV fistula get high output HF

Answer 6

increased cardiac preload, due to decreased SVR

Question 7

what nephrotic syndrome has the most renal vein thrombosis

Answer 7

membranous

Question 8

besides v tach and s1q3t3 what other egg finding can a PE cause

Answer 8

fib from heart strain

Question 9

what to check with low Ca and high PTH without clear cause.

Answer 9

Vit D

if not that look for inflamed organs, tumor lysis syndrome or pseudrohyperparathyroidism

Question 10

tx for acute adrenal crisis

Answer 10

hydrocortisone or dexamethasone and aggressive volume replacement

Question 11

prostate adenocarcinoma risk factors

Answer 11

Age >40
African American
Family History

Question 12

when to do x-ray for scathed fracture

Answer 12

7-10 days so you can see it

Question 13

after PSC dx what other test do you do

Answer 13

colonoscopy bc they probs have ibd

Question 14

in what situation can patient’s with otosclerosis hear better

Answer 14

if there is some background noise, any conductive hearing loss has this

Question 15

calcinurin inhibitor(taco, cyclosporine) SE

Answer 15

nephrotoxic,

HTN, neurotoxic-tremor, impaired glucose control

Question 16

mychophenolate SE

Answer 16

GI probs and bone marrow suppression

Question 17

wiskot aldrich characteristics

Answer 17

eczema recurrent infections microthrombocytopenia

Question 18

tx for simple renal cyst

Answer 18

leave that bad boy if he doesn’t look like cancer

Question 19

what RF is most strongly associated with aortic aneurysm progression

Answer 19

active smoking

Question 20

TTP tx

Answer 20

plasma exchange

Question 21

CIN 3 post cervical ionization what are screening recs

Answer 21

pap testing with HPV contesting 1 and 2 years post procedure

Question 22

obese lady irregular and then no period normal prolactin, ash and FSH dx?

Answer 22

an ovulation from extra estrogen in the fat

Question 23

most common short interpret interval (6-18 months)

Answer 23

maternal anemia
PPROM
Preterm delivery
low birth weight

Question 24

postmetapausal women with endometrial cells on

pap testing next step

Answer 24

ill biopsyendometr

Question 25

which antidepressant can cause dose dependent hypertension

Answer 25

venlafaxine

Question 26

true or false severe mitral regurg has s4

Answer 26

false s3 is heard when it causes heart failure

Question 27

how does sub scapular nerve entrapment present

Answer 27

shoulder pain, weakness on abduction and external rotation

Question 28

might patient’s who abuse laxatives have dark brown mucosa in colon

Answer 28

Mg in laxatives

Question 29

electrolyte abnormalities VIPOMA

Answer 29

hypoK, hypoCl ,

will report tea colored stool

Question 30

topical therapy choices for angle closure glaucoma

Answer 30

timolol, pilocarpine, apraclonidine

Question 31

systemic therapy for angle closure glaucoma

Answer 31

acetazolamide or manitol, laser iridotomy

Question 32

where are VIPoma’s usually located

Answer 32

pancreatic tail

Question 33

carcinoid sx and location

Answer 33

flushing diarrhea, bronchospasm.

small intestine

Question 34

what eye thing can trihexphenidyl cause

Answer 34

angle closure glaucoma bc it’s an anticholinergic

Question 35

selegiline class and SE

Answer 35

MAO B inhibitor, HA, dizziness and nausea.