Exam (elaborations)
PAEA Internal Medicine EOR (Latest) Exam 2024!!
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PAEA Internal Medicine EOR (Latest) Exam 2024!!
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Name: Score:726 Multiple choice questions
Term 1 of 726
Diagnosis of acute pancreatitis
Surgery, control hypertension, analgesics
hyperventilation, sepsis, asthma, PE, DKA, infection, stroke, toxins, lung dz
Tx: pain control, CO2 rebreathing
Lucid Interval
MMA
Biconvex
May be relieved by burr hole
CT scan, Elevated Lipase, Ranson's Criteria
Term 2 of 726
Treatment of generalized convulsive, simple partial and complex partial seizures is what?
Bullous myringitis and cold agglutinins
Loratadine, Fexofenadine
Ct Scan, Elevated Lipase, Ranson's Criteria
Carbamazepine, Phenytoin, Valproic Acid
,Term 3 of 726
Septic Shock:
related to autoimmune destruction of insulin-producing cells in the pancreas, leading to
hyperglycemia and ketoacidosis.
Defined as ↓ elasticity of myocardium leading to impaired diastolic filling
without significant systolic dysfunction
related to allergic reactions triggered by food or medication, which cause airway
constriction and respiratory Distress.
∙Related to endotoxins released by bacteria, which cause vascular pooling,
diminished venous return, and reduced CO.
Term 4 of 726
Neurogenic Shock:
Hx: classic triad: dyspnea, Wheeze, Cough (esp at night)
Physical exam: prolonged expiration with wheezing, hyperresonance.
∙Failure of the sympathetic nervous system to maintain adequate vascular tone.
∙Usually caused by spinal cord injury or severe head injury.
Supportive (oxygen, vaccinations, rehab)
Steroids for chronic alveolitis in silicosis
Smoking cessation (especially for asbestosis)
■ ↓ intake of offending agents. Antacids, sucralfate, H2 blockers, and/or PPIs may help.
■ Triple therapy (amoxicillin, clarithromycin, omeprazole) to treat H. pylori infection.
■ Give prophylactic H2 blockers or PPIs to patients at risk for stress ulcers (e.g., ICU
patients).
,Term 5 of 726
Aortic aneurysm workup and treatment
-Chronic bronchitis is a clinical diagnosis: chronic cough productive of sputum for at least 3
months per year for at least 2 consecutive years.
-Emphysema is a pathologic diagnosis: permanent enlargement of air spaces distal to
terminal bronchioles due to destruction of alveolar walls
IVIG or plasmapheresis, may need intubation. Hospitalized pt with close monitoring.
Recovery is slow but approximately 60% make full recovery within 1 year.
Mineral precipitation in collection system, Abrupt & sharp, Flank to groin pain, Writhing
pain, N/V, diaphoresis
DDx: Cholecystitis, splenic rupture, appendicitis, torsed gonad, shingles, trauma,
diverticulitis, pyelonephritis
IV, fluids, pain control (ketorolac)
UA: expect hematuria, causion pyuria
Non-contrast CT vs US
+/- CBC, BMP
Urology follow up, Tamsulosin, Opiate, Strainer
High suspicion(non-urgent, urgent, emergent)
US vs CT, 2 large bore IV's, Type and Cross 6-10 units PRBC, BP control, don't over
resuscitate
Surgical Consult- 3.5-4 cm needs consult and further work up
, Term 6 of 726
Second Generation Antihistamines:
Primary sclerosing cholangitis, colon CA, toxic mega colon
-smoking actually decreases risk
Barium studies: stovepipe sign (loss of haustralmarkings
colonoscopy: uniform inflammation (sandpaper appearance)
positive pANCA
∙Certrizine: (Zyrtec)
∙Desloratadine (Clarinex)
∙Fexofenadine (Allegra)
∙Levocertirizine (Xyzal)
∙Loratadine (Claritin)
Severe constant boring pain that radiates to back, relived when leaning
forward
N/V/Fever common
Term 7 of 726
Diagnosis of Prerenal failure
urine Na >30, 15:1 Bun/cr ratio, urine specific gravity <1.015
urine Na <20, 20:1 BUN/Cr ratio, urine specific gravity >1.020
urine Na >50, 10:1 Bun/cr ratio, urine specific gravity <1.010
urine Na <10, 30:1 Bun/cr ratio, urine specific gravity >1.030
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