HOSPITAL MEDICINE QUIZ EXAM QUESTIONS AND ANSWERS
When you test (+) for Sars-CoV-2 what DISEASE do you have? - CORRECT ANSWER✅✅COVID-19
what type of virus is sars-cov-2 - CORRECT ANSWER✅✅positive sense single stranded RNA
4 structural spikes (SEMN) - CORRECT ANSWER✅✅spike
envelop
membrane
nucleocapsid
how is covid transmitted? - CORRECT ANSWER✅✅air-borne and droplet
how do we get new variants - CORRECT ANSWER✅✅mutate
RF for severe covid complications - CORRECT ANSWER✅✅obesity
immunocompromised
elderly
DM
cardiac and pulm Hx
smoking
pregnancy
lower socioeconomic
3 phases of covid - CORRECT ANSWER✅✅early --> late--> long covid
Sx of early phase covid - CORRECT ANSWER✅✅viral URI Sx --> h/a and myaglia, cough, loss of taste and
smell
,most specific covid Sx - CORRECT ANSWER✅✅loss of taste and smell
Sx of late phase - CORRECT ANSWER✅✅URI sx PLUS
hypoxia
hypercoagulability
encephalopathy
immune dysregulation
when does organ dysfunction occur with covid? - CORRECT ANSWER✅✅late phase
long covid Sx - CORRECT ANSWER✅✅physical --> cough, congestion, fatigue
Psych --> A/P, PTSD, cognitive difficulties, memory impariment
Dx tests for COVID - CORRECT ANSWER✅✅nucleic acid amplification (PCR)
antigen testing (Rapids)
immunoassay (ELISA)
nucleic acid amplification - CORRECT ANSWER✅✅GOLD standard
does NOT correlate good specificity
antigen testing - CORRECT ANSWER✅✅poor sensitivity and good specificity
immunoassay testing - CORRECT ANSWER✅✅confirms previous disease
H&P general components - CORRECT ANSWER✅✅subjective and objective sections with A/P
whats included in the subjective section of the H&P - CORRECT ANSWER✅✅C/C
HPI
, PMH
PSH
SH
FH
meds
allergies
PMH to ask about - CORRECT ANSWER✅✅HTN
CAD/MI
DM
CVA
CKD
COPD
which family members to ask about? - CORRECT ANSWER✅✅only immediate family members
whats included in the objective section of the H&P - CORRECT ANSWER✅✅physical exam
new labs
new imaging
what type of physical exam is done at admission - CORRECT ANSWER✅✅give entire body a once over
and hone in on areas with specific problems
whats included in the A/P of the H&P - CORRECT ANSWER✅✅C/C
all issues in priority order
include chronic conditions
include VTW prophylaxis
advanced directives
ALWAYS include disposition at the end
When you test (+) for Sars-CoV-2 what DISEASE do you have? - CORRECT ANSWER✅✅COVID-19
what type of virus is sars-cov-2 - CORRECT ANSWER✅✅positive sense single stranded RNA
4 structural spikes (SEMN) - CORRECT ANSWER✅✅spike
envelop
membrane
nucleocapsid
how is covid transmitted? - CORRECT ANSWER✅✅air-borne and droplet
how do we get new variants - CORRECT ANSWER✅✅mutate
RF for severe covid complications - CORRECT ANSWER✅✅obesity
immunocompromised
elderly
DM
cardiac and pulm Hx
smoking
pregnancy
lower socioeconomic
3 phases of covid - CORRECT ANSWER✅✅early --> late--> long covid
Sx of early phase covid - CORRECT ANSWER✅✅viral URI Sx --> h/a and myaglia, cough, loss of taste and
smell
,most specific covid Sx - CORRECT ANSWER✅✅loss of taste and smell
Sx of late phase - CORRECT ANSWER✅✅URI sx PLUS
hypoxia
hypercoagulability
encephalopathy
immune dysregulation
when does organ dysfunction occur with covid? - CORRECT ANSWER✅✅late phase
long covid Sx - CORRECT ANSWER✅✅physical --> cough, congestion, fatigue
Psych --> A/P, PTSD, cognitive difficulties, memory impariment
Dx tests for COVID - CORRECT ANSWER✅✅nucleic acid amplification (PCR)
antigen testing (Rapids)
immunoassay (ELISA)
nucleic acid amplification - CORRECT ANSWER✅✅GOLD standard
does NOT correlate good specificity
antigen testing - CORRECT ANSWER✅✅poor sensitivity and good specificity
immunoassay testing - CORRECT ANSWER✅✅confirms previous disease
H&P general components - CORRECT ANSWER✅✅subjective and objective sections with A/P
whats included in the subjective section of the H&P - CORRECT ANSWER✅✅C/C
HPI
, PMH
PSH
SH
FH
meds
allergies
PMH to ask about - CORRECT ANSWER✅✅HTN
CAD/MI
DM
CVA
CKD
COPD
which family members to ask about? - CORRECT ANSWER✅✅only immediate family members
whats included in the objective section of the H&P - CORRECT ANSWER✅✅physical exam
new labs
new imaging
what type of physical exam is done at admission - CORRECT ANSWER✅✅give entire body a once over
and hone in on areas with specific problems
whats included in the A/P of the H&P - CORRECT ANSWER✅✅C/C
all issues in priority order
include chronic conditions
include VTW prophylaxis
advanced directives
ALWAYS include disposition at the end
