Answer Key with Detailed Explanations
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• reactive hypoglycemia? -✓✓occurs postprandially most common in pts with prior
gastric surgery
• ranson criteria -✓✓assess severity of pancreatitis
age >55 yrs
wbc >16,000
glucose >200
LDH >350
AST >250
after 48hrs
hematocirt decrease >10%
bun increase >5
calcium <8
pao2 <60
base deficit >4
fluid sequestration >6
• relative risk equation? -✓✓(a/(a+B)) / (c/(c+d))
• unstable pt with SVT? -✓✓IV access followed by sedation and synchronized
cardioversion
• less than 5 yrs old with fever, rash with bullae, and positive nikolskly? -✓✓staph
scalded syndrome
• triad of chronic pancreatitis? -✓✓diabetes, steatorrhea, and pancreatic
calcifications on CT
• exudative effusions critera?
caused by? -✓✓total pleural fluid prot to prot in serum >0.5
, LDH in pleural fluid to serum >0.6
pleural LDH >2/3 upper limit of normal
caused by leaky blood vessels or impaired lymphatic drainage - lung CA, tb,
pneumonia, trauma, asbestosis
• tx for wilson dz? -✓✓penicillamine
• how to tx akathisia? -✓✓beta blocker or benzo
• osteopenia vs osteoporosis? -✓✓-1 to -2.5 = osteopenia
below -2.5 = osteoporosis
• fever 48 hours postop?
after 5 days? -✓✓phlebitis, UTI, or PNA
wound infxn or surgical space infxn
- dx using CT
• viscerosomatic segment for lower GU/GI ?
transverse colon to rectum, lower ureter to bladder -✓✓T11-T12
• tx gastroschiss? -✓✓immediate fluid resuscitation and urgent surgical
replacement
• most reliable method for preventing febrile transfusion rxns? -✓✓use tleukocyte
washed red blood cells
• preventing cluster headaches med? -✓✓verapamil, prednisone, valproic acid,
topiramate, ergotamine
• complications of adult polycystic kidney disease? -✓✓intracerebral berry
aneurysms, hepatic cysts, thoracic aortic aneurysms
• old person with closed head injury? -✓✓subdural hematoma