2024/2025 with questions and all
correct answer
What TX do we use for kidney stones?
- CORRECT ANSWER Meds:
- Tornado (dilation of ureter and inflammation relief)
-Deluded
-Reglan/Compazine
Benign paroxysmal positional vertigo (BPPV)
- CORRECT ANSWER -One of the most common causes of vertigo
— the sudden sensation that you're spinning or that the inside of your head is spinning.
- causes brief episodes of mild to intense dizziness.
Nystagmus: which one is worse vertical or horizontal?
- CORRECT ANSWER Vertical
*get urgent neuro veal
thyroid storm TX
- CORRECT ANSWER -Symptom management (slow down the TSH production)
-Stop the conversion or T4 and T3 in the periphery
What should do to start a person w hypothyroid and presenting w ACS on synthroid?
- CORRECT ANSWER Start low and go slow as it can elicit fib/nonsterile
Cluster headache treatment
- CORRECT ANSWER High flow O2
*usu. on men; onset night time
What's the difference between Grave's disease and pheochromocytoma?
- CORRECT ANSWER - Get TSH, T3, T4 and methanephrines
Phenol - paroxysmal
Graves is constant, > obesity
, Types of cardiomyopathy
- CORRECT ANSWER
-Hypertrophic
-Dilated
-Restrictive
What's the difference between hypertensive urgency and emergency?
- CORRECT ANSWER TOD
-Reduce the MAP no >20% in 24 hrs.
Difference between provoked and unprovoked DVT/PE?
- CORRECT ANSWER Types of that conditions can the cause DVT:
1) PROVOKED occurs in pts w antecedent (last 3mo) and transient major clinical risk
factor for VTE. i.e.: six, trauma, immobility, pregnancy, hormonal therapy (bop, hormone
replacement)
2) UNPROVOKED occurs in pt. w/o major clinical risk factor for VTE who isn't having
hormonal therapy; OR has active cancer, thrombophilia v family hex of VTE (underlying
risks constant in the pt.)
How can we treat DVT in pregnant females?
- CORRECT ANSWER Pregnant: unfractionated heparin or LMWH
Post-partum: Coumadin
Never Novel agents
Med safety - CORRECT ANSWER Check renal and hepatic consults
The ACNP is admitting a 70-year-old male with new onset atrial fibrillation to the
telemetry floor. What is the most common thyroid abnormality that should be screened
for in this type of patient?
A. Hyperthyroidism
B. Hypopituitarism
C. Sick Thyroid Syndrome
D. Hashimoto's Thyroiditis
- CORRECT ANSWER A. Hyperthyroidism
A 50-year-old Type II DM is admitted to the ED after being found unconscious at home.
Vital signs: RR 38 BP 90/50 HR 125 SPO2 96% on room air. Initial labs: Blood sugar
625 g/ld., K 4.0 me/ld., serum osmolality 370 mom/L, negative serum ketones, Urine
glucose is +4, Urine ketones trace. What is the most likely diagnosis?
A. Hyperglycemia