IM - Dr. High Yield Exam Questions and
Answers A+ Guide
What does CHA2DS2-VASc stand for?
What is it used for? - correct answers✅✅C = CHF/LV dysfn
H = HTN
A2 = Age ≥75yo
D = Diabetes
S2 = Stroke/TIA/Thrombus
V = Vascular Dz
A = Age 65 - 74
S = Sex Female
If you have AFib & have a score 2+ then you start Anticoagulation (Warfarin)
Score <2 = treat w/aspirin
What is the Centor criteria?
How to interpret? - correct answers✅✅- No Cough
- Tonsilar Exudate
- Nodes: tender/swollen ant cervical
- Temp >38C
- Age 3 - 14
>4 treat empirically (w/pen)
2 - 3 do rapid strep
,IM - Dr. High Yield Exam Questions and
Answers A+ Guide
What is the Pound criteria? - correct answers✅✅Migraine Headache
- Pulsatile
- One day duration
- Unilateral
- Nausea
- Debilitating
What is the CURB-65 criteria?
How to interpret? - correct answers✅✅Pneumonia
Confusion
Urea >7
RR >30
BP - sys <90, dia <60
Age ≥ 65
0-1 = low risk, outpt tx
2 = intermediate risk, consider inpt
>2 = high risk, ICU
1st line inpatient PNA Tx?
1st line outpatient typical PNA Tx?
1st line outpatient atypical PNA Tx? - correct answers✅✅Fluoroquinolone
,IM - Dr. High Yield Exam Questions and
Answers A+ Guide
Amoxicillin
Azithromycin
What is the SIRS criteria?
How to interpret? - correct answers✅✅Temp ≥38 or ≤36
HR >90
RR >20 (or PaCO2 <32)
WBC >12000 or <4000
2+ = SIRS
2+ & source discovered = SEPSIS
2+ & source & end organ damage or HypoTN = SEVERE SEPSIS
2+ & source & HypoTN & Not responding to fluids = SEPTIC SHOCK
What is Light's criteria?
Common Causes of Exudate (7)?
, IM - Dr. High Yield Exam Questions and
Answers A+ Guide
Common Causes of Transudate (~4)? - correct answers✅✅Pleural
Effusion
Exudative if:
- Fluid protein >0.5 (pleural/serum)
- Fluid LDH >0.6 (or >2/3 ULN)
Transudative if opposite
Exudate: AI Dz, Esophageal Rupture, Infection, Malignancy, Pancreatitis, Post-
CABG, PE
Transudate: CHF, Constrictive Pericarditis, Hypoalbuminemia (cirrhosis,
nephrotic synd)
What is Well's Criteria?
How to interpret? - correct answers✅✅Pulmonary Embolism
- S&S of DVT (3)
- No Alternative Dx (3)
- HR >100 (1.5)
- Immobile ≥ 3 days or Surg in last 4wk (1.5)
- Previous DVT or PE (1.5)
- Hemoptysis (1)
- Malignancy w/active Tx in last 6mo or palliative care (1)
If the score is 4+ then get a CT angio
COPD
Answers A+ Guide
What does CHA2DS2-VASc stand for?
What is it used for? - correct answers✅✅C = CHF/LV dysfn
H = HTN
A2 = Age ≥75yo
D = Diabetes
S2 = Stroke/TIA/Thrombus
V = Vascular Dz
A = Age 65 - 74
S = Sex Female
If you have AFib & have a score 2+ then you start Anticoagulation (Warfarin)
Score <2 = treat w/aspirin
What is the Centor criteria?
How to interpret? - correct answers✅✅- No Cough
- Tonsilar Exudate
- Nodes: tender/swollen ant cervical
- Temp >38C
- Age 3 - 14
>4 treat empirically (w/pen)
2 - 3 do rapid strep
,IM - Dr. High Yield Exam Questions and
Answers A+ Guide
What is the Pound criteria? - correct answers✅✅Migraine Headache
- Pulsatile
- One day duration
- Unilateral
- Nausea
- Debilitating
What is the CURB-65 criteria?
How to interpret? - correct answers✅✅Pneumonia
Confusion
Urea >7
RR >30
BP - sys <90, dia <60
Age ≥ 65
0-1 = low risk, outpt tx
2 = intermediate risk, consider inpt
>2 = high risk, ICU
1st line inpatient PNA Tx?
1st line outpatient typical PNA Tx?
1st line outpatient atypical PNA Tx? - correct answers✅✅Fluoroquinolone
,IM - Dr. High Yield Exam Questions and
Answers A+ Guide
Amoxicillin
Azithromycin
What is the SIRS criteria?
How to interpret? - correct answers✅✅Temp ≥38 or ≤36
HR >90
RR >20 (or PaCO2 <32)
WBC >12000 or <4000
2+ = SIRS
2+ & source discovered = SEPSIS
2+ & source & end organ damage or HypoTN = SEVERE SEPSIS
2+ & source & HypoTN & Not responding to fluids = SEPTIC SHOCK
What is Light's criteria?
Common Causes of Exudate (7)?
, IM - Dr. High Yield Exam Questions and
Answers A+ Guide
Common Causes of Transudate (~4)? - correct answers✅✅Pleural
Effusion
Exudative if:
- Fluid protein >0.5 (pleural/serum)
- Fluid LDH >0.6 (or >2/3 ULN)
Transudative if opposite
Exudate: AI Dz, Esophageal Rupture, Infection, Malignancy, Pancreatitis, Post-
CABG, PE
Transudate: CHF, Constrictive Pericarditis, Hypoalbuminemia (cirrhosis,
nephrotic synd)
What is Well's Criteria?
How to interpret? - correct answers✅✅Pulmonary Embolism
- S&S of DVT (3)
- No Alternative Dx (3)
- HR >100 (1.5)
- Immobile ≥ 3 days or Surg in last 4wk (1.5)
- Previous DVT or PE (1.5)
- Hemoptysis (1)
- Malignancy w/active Tx in last 6mo or palliative care (1)
If the score is 4+ then get a CT angio
COPD
