Questions I got wrong on the Pre-Test Assessment
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| Two medications for treatment of alcohol dependence. Give the contraindications for each of the medications. | show 🗑
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| show | 1. Smoking, 2. Obesity, 3. Alcohol abuse
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| show | Naltrexone is contraindicated in patients receiving or withdrawing from any opioid and in those with liver failure or hepatitis.
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| When should you treat a patient with spinal cord injury for a UTI? | show 🗑
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| show | 1. Aspirin, 2. Phlebotomy, 3. If age greater than 60 or had a prior thromboembolic event, can add hydroxyurea
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| show | Scarlet fever, strep A
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| show | NYHA class II and III, EF=<35% on max med therapy, a life expectancy >1 yr. NYHA IV with reduced life expectancy, so no ICD unless awaiting transplantation or placement of a mechanical circulatory device.
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| show | NYHA class II to IV heart failure, a left ventricular ejection fraction less than or equal to 35% on guideline-directed medical therapy, and a left bundle branch block with QRS duration greater than or equal to 150 msec.
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| show | NYHA functional class II to IV, because it reduces mortality and morbidity
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| Who should not get aldosterone antagonists such as spironolactone and eplerenone? | show 🗑
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| What imaging should always be included in the workup of asymptomatic hematuria? | show 🗑
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| How to treat scleroderma renal crisis? | show 🗑
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| show | Paroxysmal nocturnal hemoglobinuria (PNH). flow cytometry results, which can detect CD55 and CD59 deficiency.
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| What gene is associated with paroxysmal nocturnal hemoglobinuria? | show 🗑
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| Ampicillin causes what type of rash? | show 🗑
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| In patient on morphine with decreased respiratory rate – what did you give them? | show 🗑
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| concave upward ST-segment elevation and PR-segment abnormalities, with elevation in lead aVR and depression in all other leads | show 🗑
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| Three possible first-line treatment for pericarditis | show 🗑
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| show | In patients with pericarditis associated with myocardial infarction, NSAIDs other than aspirin should not be used. These agents can impair myocardial healing and increase the risk of mechanical complications in these patients.
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| show | Colchicine (0.5 to 1.2 mg/d for 3 months), in addition to NSAIDs, is an effective adjunctive therapy for acute pericarditis.
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| Side effects of colchicine | show 🗑
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| Treatment for refractory pericarditis or containdication to NSAIDs | show 🗑
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| show | Malignant hypothermia. Treatment includes prompt discontinuation of the triggering agent, increase in minute ventilation, bicarbonate infusion, correction of hyperkalemia, and dantrolene.
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| show | Neuroleptic malignant syndrome. Use benzodiazepines to treat
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| muscle rigidity and neurologic signs, including tremor, hyperreflexia, and clonus. what is it and how to treat? | show 🗑
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| Radiographic images show a round mass within a pulmonary cavity or cyst what could be and how to treat? | show 🗑
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| show | Invasive aspergillosis
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| Cough productive of thick tan sputum and CT scan showing cavitation in the lungs | show 🗑
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| show | antifungal with mold activity
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| women younger than 35 years of age with anovulatory bleeding - what to do? | show 🗑
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| show | endometrial biopsy should be performed to exclude significant endometrial pathology
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| show | When transvaginal ultrasonography is performed as an initial study and an endometrial thickness of less than or equal to 4 mm is found, endometrial sampling is not required. Endometrial thickness >4 mm should be further evaluated by endometrial sampling.
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| show | ursodeoxycholic acid , liver transplantation
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| show | symptomatic therapy consisting of analgesics, anti-inflammatory medications, and warm or cold compresses for symptom relief
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| How to treat extensive superficial venous thrombophlebitis | show 🗑
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| show | paroxysmal HTN (the sudden onset of severe high blood pressure) associated with throbbing headaches, profuse sweating, nasal stuffiness, flushing of the skin above the level of the lesion, slow heart rate, anxiety, and sometimes by cognitive impairment.
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