Rosh Review Internal Medicine EOR. Exam Questions With Correct Answers
4 views 0 purchase
Course
ROSH
Institution
ROSH
Rosh Review Internal Medicine EOR. Exam
Questions With Correct Answers
Bronchiectasis - answerBronchiectasis is characterized by abnormal, permanent dilation and
destruction of bronchial walls. Multiple etiologies can contribute to the development of
bronchiectasis, including airway obstruction...
Rosh Review Internal Medicine EOR. Exam
Questions With Correct Answers
Bronchiectasis - answer✔Bronchiectasis is characterized by abnormal, permanent dilation and
destruction of bronchial walls. Multiple etiologies can contribute to the development of
bronchiectasis, including airway obstruction, cystic fibrosis (CF), recurrent infections, primary
ciliary dyskinesia, rheumatic and systemic diseases, humoral immunodeficiency, and cigarette
smoking.
Central diabetes insipidus - answer✔ADH deficiency due to hypothalamic or psoterior pituitary
pathology (tumor, trauma, infection, inflammation)
Nephrogenic diabetes insipidus - answer✔Kidneys dont respond correctly to ADH
What is the most common heart valve affected by rheumatic fever? - answer✔Mitral followed by
aortic and tricuspid
Exposure to what metal can predispose individuals to essential tremor? - answer✔Lead
What describes the etiology of jaundice seen with thyroid storm? - answer✔Hepatic tissue
hypoxia due to increased peripheral consumption of oxygen
Why is iodine used to treat thyroid storm - answer✔It inhibits the conversion of T3 and T4 and
inhibits the organification of iodine
WHat is often the presenting feature of aortic stenosis? - answer✔SYncope due to fixed stroke
volume despite vasodilation with a subsequent decline in systolic blood pressure
Austin flint murmur - answer✔diastolic murmur caused by regurgitation on anterior mitral valve
leaflet -> sign of severe aortic regurgitation -> need to replace aortic valve
What is the leading cause of mortality in patients diagnosed with scleroderma? - answer✔Lung
disease: pulmonary hypertension and interstitial pulmonary fibrosis.
Crest syndrome (limited scleroderma) - answer✔C - calcinosis of the fingers
R - Raynaud's
E - Esophageal dysmotility
S - Sclerodactyly
T - Telangiectasia
** Primary hypertension
** Doesn't have joint pain, heart/lung/kidney involvement
What tool is used to estimate probability of death or hospitalization in patients with COPD? -
answer✔The BODE index which used BMI, FEV1, dyspnea, and exercise capacity
Antiphospholipid antibody syndrome - answer✔an acquired autoimmune disorder that causes a
hypercoagulable state. Individuals with this disorder are known to have recurrent venous or
arterial thrombosis at an early age, although not all patients are symptomatic. Any patients with
the following presentations should be tested for antiphospholipid syndrome: history of
thrombosis in the absence of known risk factors, miscarriage (especially if in the late trimester or
recurrent), history of heart murmurs or cardiac valvular vegetations, history of hematologic
abnormalities, and pulmonary hypertension
Treatment for antiphospholipid syndrome that has antithrombotic properties -
answer✔Hydroxychloroquine
What is the mode of genetic transmission for hemophilia B? - answer✔X linked recessive
What does hemophilia prolong? - answer✔PTT
How much of blood volume is typically lost before hypotension is seen in hemorrhagic shock?
(Percentage) - answer✔30-40%
What drug should be avoided in the setting of renal failure (In the context of hypertensive
emergency) - answer✔Nitropursside due to risk of cyanate and thiocyanate toxicity
What is the goal MAP reduction in hypertensive emergency? - answer✔10-20 percent in first
hour and then 5-15% over next 23 hours. MAP reduction >25% may cause end organ ischemia
What is the most common EKG abnormality with pulmonary embolism? - answer✔Sinus tach
What test has the highest sensitivity for lupus? - answer✔Anti nuclear antibody (Best initial
screening tool)
What are the most commonly affected groups (Races) affected by lupus? - answer✔AA
Hispanic
Asian
What test has the highest specificity for lupus? - answer✔Anti-smith
Best test for monitoring lupus nephritis - answer✔Anti double stranded DNA
What mean pulmonary arterial pressure defines pulmonary hypertension? - answer✔Greater than
25 mm Hg at rest or greater than 30 mm Hg during exercise.
HOw many groups of pulmonary hypertension? - answer✔5
3 causes of anion gap metabolic acidosis besides diarrhea - answer✔Renal tubular acidosis
Early renal failure
Carbonic anhydrase inhibitors
What is the recommended starting joule setting for synchronized cardioversion of SVT in an
adult? - answer✔50 joules
True or false: Urinary incontinence in women aged 65 years and older should prompt a workup
for urinary tract infection. - answer✔False
The serum creatine kinase-MB peaks after an acute myocardial infarction in which of the
following time frames? - answer✔16-24 hours
What is the order that the 3 cardio biomarkers peak after an acute infarction? -
answer✔Myoglobin 8-10 hrs
CK-MB 24 hrs
Troponin T and I 24-48 hrs
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Brightstars. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
