ABFM Medicine Exam Study Guide with
Complete Solutions
complexion for someone with carbon monoxide poisoning - Correct Answer flushed
symptoms of carbon monoxide poisoning - Correct Answer SOB, tachypnea, tachycarida, nausea, HA, pulse sats 100%
pathophysiology of cabon monoxide poisoning - Correct Answer all O2 carrying sites on hemoglobin are occupied by CO, which such a high affinity for hemoglobin that O2 cannot displace it
prophylaxis for acute mountain sickness (2) - Correct Answer acetazolamide or dexamethasone started day before travel
hepatitis C screening - Correct Answer 1 time screen for patients born between 1945 and 1965 (B)
5 systemic diseases associated with uveitis - Correct Answer seronegative spondyloarthropathies, sarcoidosis, syphilis, rhemuatoid arthritis, reactive arthritis
why are they called seronegative spondylarthropathies? - Correct Answer RF negative
low carb diet effect on insulin resistance - Correct Answer decreases (!)
hyperbaric oxygen treatment can be used for 2 things - Correct Answer decompression sickness, wounds caused by crush injuries
diabetic foot injuries and hyperbaric oxygen - Correct Answer short term but not long term improvement
CKD definition - Correct Answer GFR < 60 or evidence of kidney damage for 3 months
when to stop metformin in CKD patients - Correct Answer GFR < 30 treatment of symptomatic hyponatremia - Correct Answer hypertonic saline at slow rates (inc by only
1-2 mEq/dL per hour)
pre-op testing for cataract surgery - Correct Answer nothing if patient is in normal state of health
hyponatremia overcorrection - Correct Answer from low to high the pons will die (central pontine demyelinosis)
hypernatremic overcorrection - Correct Answer from high to low your brain will blow (cerebral edema)
weight loss needed for significant improvement of lipids, blood gluocse homeostasis, and CAD risk reduction - Correct Answer 10% for > 1 year
intervention that results in most effective long term weight reduction - Correct Answer bariatric surgery
diagnosis of septic shock requires this - Correct Answer high lactate or hypotension refractory to IV fluids
diagnosis of severe sepsis (3) - Correct Answer (sepsis + organ failure), increase in creatinine >0.5, thrombocytopenia, hyperbilirubinemia
diagnosis of sepsis - Correct Answer 2 SIRS + suspected source of infection
SIRS criteria - Correct Answer temp >38 or <36, HR >90, RR >20 or PaCO2 <32, WBC >12000 or <4000 or bands >10%
seronegative spondyloarthropathies (4) - Correct Answer "PAIR P: psoriatic arthritis, seronegative spondyloarthropathies (4) "PAIR P: psoriatic arthritis
A: ankylosing spondylitis
I: inflammatoy bowel disease
R: reactive arthritis"
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