click below
click below
Normal Size Small Size show me how
ABIM - Exam
Things I got wrong #4
Question | Answer |
---|---|
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. |