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ABIM - Exam

Things I got wrong #4

QuestionAnswer
Surgical evacuation is clinically indicated for which hematomas Surgical evacuation is clinically indicated for hematomas located in the cerebellum, particularly those with a diameter greater than 3 cm.
When to use an intraventricular catheter An intraventricular catheter, used to measure intracranial pressure and divert cerebrospinal fluid, is indicated if her level of alertness declines, esp if accompanied by a Glasgow coma scale less than 8 and the concomitant presence of hydrocephalus.
Which antihypertensive to use in a patient who has gout? Which medication not to use? ARB because it has a urate lowering effect. Do not use hydrochlorothiazide because it increases uric acid.
ambulatory blood-pressure that counts as hypertension 135/85
Blood pressure goal for diabetics 140/90
What pressure goal for age 60 and above 150/90
What blood pressure goal for pregnant women? 160/105
What blood pressure goal for a patient with intracerebral hemorrhage? 130/80 in the outpatient setting; 140/90 if intraventricular extension and cerebral edema
blood pressure goal for a brain aneurysm 140/90
What should you do for a patient with membranous glomerulonephropathy with albumin 2.5g or less? prophylactic anticoagulation is frequently given to patients with MG with a serum albumin level of ≤2.8 g/dL because of higher risk for thromboembolism
Where do you see Palmer erythema pregnant patients and cirrhosis
How to treat pyoderma gangrenosum? prednisolone (bad for diabetics) and cyclosporine (bad for hypertension and kidney disease) were equally efficacious treatments
Dalfampridine improve lower extremity function and walking speed and endurance, don't use in pts with kidney disease or those with h/o seizure disorder
MS pt with leg spasticity- how to treat Baclofen - improve lower extremity function and walking speed and endurance, don't use in pts with kidney disease or those with h/o seizure disorder
Patients with Sjögren syndrome have up to a 44-fold higher risk of developing Patients with Sjögren syndrome have up to a 44-fold higher risk of developing lymphoma, the most common being diffuse B-cell and mucosa-associated lymphoid tissue (MALT) lymphomas.
Created by: christinapham