Define the type of shock and give signs on exam:
--Septic Shock correct answersAKA Distributive shock
--Excess vasodilation and shunting of blood from vital organs to non-vital
--Signs: Inc Cardiac Output, Inc Cap refill, warm skin and Dec SVR
Define the type of shock, common causes and give ...
PNA with thick brown sputum, Inc IgE and Eosinophilia
--What's the cause? correct answersAspergillus fumigatus
Encapsulated yeast that can cause PNA and meningitis correct answersCryptococcus neoformans
budding yeast and hyphae that can cause esophagitis, oral thrush, intertrigo, vaginitis, fungemia and
endocarditis.
--name it! correct answersCandida albicans
Mold that is non-branching hyphae and can present as PNA + sinusitis correct answersMucor indicus
,What diuretic is most assoc with gynecomastia?
--What class of diuretic is it in? correct answersSpironolactone
--K-sparing diuretic - works as aldosterone antagonist and blocks testosterone receptor
HCTZ ADR's:
1 - 2 lytes it lowers
2 - 4 metabolic elevations
3 - Acid / base derangement MC assoc?
4 - Type of allergy to screen for? correct answers1 - a) HYPOnatremia, b) HYPOkalemia
2 - a) HYPERlipidemia, b) HYPERcalcemia, c) HYPERuricemia, d) HYPERglycemia
3 - Metabolic alkalosis
4 - Sulfa
Acetazolamide:
1 - Type of med
2 - Acid / base derangement it can cause
3 - Dec of what electrolyte
4 - Screen for what allergy correct answers1 - Diuretic
2 - Metabolic acidosis
3 - HYPOkalemia
4 - Sulfa
8 y/o boy w/ edema, proteinuria and hyperlipidemia
1 - Think what syndrome
2 - MC caused by what in kids
3 - Tx of Choice? correct answers1 - Nephrotic syndrome
2 - Minimal change disease
3 - Prednisone
, TCA overdose
1 - Signs / sxs (5)
2 - Sodium channel blocking can cause what serious ADR's? correct answers1 - a) dry skin, b) dry mouth,
c) pupillary dilation, d) dec breath sounds, e) piloerection
2 - Cardiac toxicity and Vent arrhythmias
Name the sign seen on esophagram for the GI issue:
--Achalasia correct answers--Inc LES tone that causes narrowing of the GE junction and pre-narrowing
dilation leading to the "BIRD's BEAK" appearance
Name the sign seen on esophagram for the GI issue:
--Esophageal cancer correct answers--Filling defect around the malignancy
Name the sign seen on esophagram for the GI issue:
--Diffuse esophageal spasm correct answers--Corkscrew appearance - due to strong non-peristaltic
contractions of the esophagus
Name the mechanism for each class of antiarrhythmic:
--Class I
--Class II
--Class III
--Class IV correct answers--Class I = interfere w/ Na channels
--Class II = Anti-sympathetic agents
--Class III = Affect the Efflux of K
--Class IV = Affect Ca channels and AV node
What vessel is assoc with STEMI in leads 2, 3, and aVF? correct answersR coronary
What leads will you see STEMI on if the R coronary artery is affected? correct answers2, 3 and aVF
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