IM EOR review
1. Hypercalcemia S/S: stones, bones, groans, psychiatric overtones
2. Primary hyperparathyroidism labs: high PTH, high calcium, low phosphate
3. sick sinus syndrome treatment: pacemaker, rate control
4. Constrictive pericarditis findings: thickened pericarditis, JVP, pericardial knock, kussmaul sign, pulsus
paradoxus
5. kussmaul sign: 1. Increase in JVP on inhalation
2. Associated with pericarditis / restrictive cardiomyopathy
6. restrictive cardiomyopathy: disease of myocardium resulting in restricted ven- tricular filling
7. aortic valve stenosis findings: crescendo-decrescendo systolic murmur diminished carotid pulses
paradoxically split s2 narrow pulse
pressure
8. Anterior wall ST elevation: V1-V4
9. Inferior wall ST elevation: II III Avf
10.Lateral wall ST elevation: I avL V5 V6
11.Posterior wall ST elevation: V1-V3, V8 V9
12.Treatment of HAP: cefepime levofloxacin vancomycin
13.Guillain Barre treatment: supportive IVIG or plasmapheresis
14.Guillain Barre PE/Dx: PE-lack of deep tendon reflexes, symmetric weakness (progressive ascending)
Dx-lumbar puncture with increased CSF protein
15.pulmonary fibrosis findings: velcro crackles, clubbing in advanced disease, X ray showing honeycombing
16.Dysrhythmia seen in COPD, and treatment: Multifocal atrial tachycardia
-at least 3 different wave forms
-treat underlying cause plus CCBs
17.Most common cause of secondary hypertension: renal artery stenosis
18.Renal artery stenosis causes: atherosclerosis, fibromuscular d ney transplant ysplasia,
kid-
19.First line medication for HTN in patient with history of MI: bb and ACEin- hibitors
, IM EOR review
20.Can you take ACE inhibitors and ARBs together?: NO
21.hyperkalemia ecg: Peaked T waves, prolonged PR, wide QRS
22.Hyperkalemia treatment: iv calcium gluconate and insulin and glucose
23.frontotemporal dementia patho/MRI findings: pathologic buildup of proteins in frontal and temporal lobes
-MRI shows localized brain atrophy of frontal and temporal lobes
24.frontotemporal dementia symptoms: onset- 40-75years behavior-impulsive,
sexual, child-like
language-aphasia
25.treatment for frontotemporal dementia: Alzheimer's meds are ineffective so avoid!
-may use SSRis and antipsychotics for behavioral disturbances
-fast decline
26.Alzheimer's disease treatment: Donepezil Rivastigmine
memantine
27.superficial thrombophlebitis
-treatment: inflammation of a vein near the surface due to the presence of a blood clot
-warm compresses, NSAIDs
28.transudate pleural effusion: low pleural: serum protein (<.5) low pleural: serum LDH
(<.6)
heart failure, cirrhosis, PE
29.Exudate pleural effusion: increased protein (>.5) increased serum LDH
(>.6)
malignancy, pneumonia, TB, PE, pancreatitis, ect
30.pleural effusion: PE: “fremitus, “breath sounds, dullness to percussion
31.Abdominal Aortic Aneurysm triad: abdominal pain, hypotension, pulsatile abdominal mass
32.AAA surgery indications: symptomatic or diameter >5.5cm or rapid rate of expansion
33.AAA screening: -all men 65-75 who have ever smoked
-abdominal US
34.Prescence of xanthochromia on lumbar puncture indicates: SAH
35.Subarachnoid hemorrhage most common cause: ruptured aneurysm
36.Management of SAH: surgical clipping of aneurysm, supportive treatment, blood pressure management
(labetalol), pain control, and vasospasm prevention (CCB)
nimodipine
, IM EOR review
37.Dx of subarachnoid hemorrhage: 1. CT scan without contrast initial study of choice:
2. Lumbar puncture
38.Hypocalcemia causes: chronic kidney disease hypoparathyroidism,
hypophosphatemia, vitamin d deficiency
39.Hypocalcemia treatment: Calcium gluconate, calcium replacement, address magnesium deficits
40.metabolic syndrome criteria: - Men waist *>40 inches* - women *>35 inches*
- FBG *>100-110*
- BP *>130/80*
- TG *>150*
- HDL <40 (men) - <50 (women)
41.most common location for anal fissure: posterior midline
42.if anal fissures are located laterally suspect: chron disease
43.most common form of bronchogenic carcinoma: adenocarcinoma
44.Ascites management: low sodium diet, diuretics
45.cirrhosis physical exam findings: - Spider angioma
- Gynecomastia
- Splenomegaly
- Terry nails
- Jaundice
- Caput medusae
- Ascites
46.Parkinson's disease pathology: lewy bodies in the substantia nigra and de- creased dopaminergic neurons
47.Parkinson's symptoms: TRAP
Tremor at rest
Rigidity (cogwheeling) Akinesia
(shuffling gate)
Postural instability
caused by dopamine deficiency due to substantia nigra degeneration
48.parkinson's disease treatment: levodopa, amantadine (dopamine precursors) also PT/psych treatments
49.Tricuspid regurgitation murmur: pansystolic murmur louder with inspiration
50.cigarette smoking lowers risk of: ulcerative colitis
1. Hypercalcemia S/S: stones, bones, groans, psychiatric overtones
2. Primary hyperparathyroidism labs: high PTH, high calcium, low phosphate
3. sick sinus syndrome treatment: pacemaker, rate control
4. Constrictive pericarditis findings: thickened pericarditis, JVP, pericardial knock, kussmaul sign, pulsus
paradoxus
5. kussmaul sign: 1. Increase in JVP on inhalation
2. Associated with pericarditis / restrictive cardiomyopathy
6. restrictive cardiomyopathy: disease of myocardium resulting in restricted ven- tricular filling
7. aortic valve stenosis findings: crescendo-decrescendo systolic murmur diminished carotid pulses
paradoxically split s2 narrow pulse
pressure
8. Anterior wall ST elevation: V1-V4
9. Inferior wall ST elevation: II III Avf
10.Lateral wall ST elevation: I avL V5 V6
11.Posterior wall ST elevation: V1-V3, V8 V9
12.Treatment of HAP: cefepime levofloxacin vancomycin
13.Guillain Barre treatment: supportive IVIG or plasmapheresis
14.Guillain Barre PE/Dx: PE-lack of deep tendon reflexes, symmetric weakness (progressive ascending)
Dx-lumbar puncture with increased CSF protein
15.pulmonary fibrosis findings: velcro crackles, clubbing in advanced disease, X ray showing honeycombing
16.Dysrhythmia seen in COPD, and treatment: Multifocal atrial tachycardia
-at least 3 different wave forms
-treat underlying cause plus CCBs
17.Most common cause of secondary hypertension: renal artery stenosis
18.Renal artery stenosis causes: atherosclerosis, fibromuscular d ney transplant ysplasia,
kid-
19.First line medication for HTN in patient with history of MI: bb and ACEin- hibitors
, IM EOR review
20.Can you take ACE inhibitors and ARBs together?: NO
21.hyperkalemia ecg: Peaked T waves, prolonged PR, wide QRS
22.Hyperkalemia treatment: iv calcium gluconate and insulin and glucose
23.frontotemporal dementia patho/MRI findings: pathologic buildup of proteins in frontal and temporal lobes
-MRI shows localized brain atrophy of frontal and temporal lobes
24.frontotemporal dementia symptoms: onset- 40-75years behavior-impulsive,
sexual, child-like
language-aphasia
25.treatment for frontotemporal dementia: Alzheimer's meds are ineffective so avoid!
-may use SSRis and antipsychotics for behavioral disturbances
-fast decline
26.Alzheimer's disease treatment: Donepezil Rivastigmine
memantine
27.superficial thrombophlebitis
-treatment: inflammation of a vein near the surface due to the presence of a blood clot
-warm compresses, NSAIDs
28.transudate pleural effusion: low pleural: serum protein (<.5) low pleural: serum LDH
(<.6)
heart failure, cirrhosis, PE
29.Exudate pleural effusion: increased protein (>.5) increased serum LDH
(>.6)
malignancy, pneumonia, TB, PE, pancreatitis, ect
30.pleural effusion: PE: “fremitus, “breath sounds, dullness to percussion
31.Abdominal Aortic Aneurysm triad: abdominal pain, hypotension, pulsatile abdominal mass
32.AAA surgery indications: symptomatic or diameter >5.5cm or rapid rate of expansion
33.AAA screening: -all men 65-75 who have ever smoked
-abdominal US
34.Prescence of xanthochromia on lumbar puncture indicates: SAH
35.Subarachnoid hemorrhage most common cause: ruptured aneurysm
36.Management of SAH: surgical clipping of aneurysm, supportive treatment, blood pressure management
(labetalol), pain control, and vasospasm prevention (CCB)
nimodipine
, IM EOR review
37.Dx of subarachnoid hemorrhage: 1. CT scan without contrast initial study of choice:
2. Lumbar puncture
38.Hypocalcemia causes: chronic kidney disease hypoparathyroidism,
hypophosphatemia, vitamin d deficiency
39.Hypocalcemia treatment: Calcium gluconate, calcium replacement, address magnesium deficits
40.metabolic syndrome criteria: - Men waist *>40 inches* - women *>35 inches*
- FBG *>100-110*
- BP *>130/80*
- TG *>150*
- HDL <40 (men) - <50 (women)
41.most common location for anal fissure: posterior midline
42.if anal fissures are located laterally suspect: chron disease
43.most common form of bronchogenic carcinoma: adenocarcinoma
44.Ascites management: low sodium diet, diuretics
45.cirrhosis physical exam findings: - Spider angioma
- Gynecomastia
- Splenomegaly
- Terry nails
- Jaundice
- Caput medusae
- Ascites
46.Parkinson's disease pathology: lewy bodies in the substantia nigra and de- creased dopaminergic neurons
47.Parkinson's symptoms: TRAP
Tremor at rest
Rigidity (cogwheeling) Akinesia
(shuffling gate)
Postural instability
caused by dopamine deficiency due to substantia nigra degeneration
48.parkinson's disease treatment: levodopa, amantadine (dopamine precursors) also PT/psych treatments
49.Tricuspid regurgitation murmur: pansystolic murmur louder with inspiration
50.cigarette smoking lowers risk of: ulcerative colitis
