PCCM
What is the appropriate O2 saturation target for someone with COPD?
88-92
A patient has ST elevations in leads II, III, and aVF. What coronary artery is involved
RCA
Someone develops jaundice and dark urine after taking bactrim. what is this diagnosis?
G6PD deficiency
What test should be done in someone with progressive GERD and unintentional weight loss
upper endoscopy
A traveler develops rice water diarrhea wihtout fever. what organism is causing this?
vibrio cholerae
A bird breeder develops chronic cough, dyspnea, diffuse GGOs. What is the most likely diagnosis
hypersensitivity pneumonitis
What medication should be administered in SVT unrelieved by valsalva?
adenosine
What hematologic complication is very common in people with APML?
DIC
What test should be used to confirm eradications of h pylori (2 tests)?
urea breath test or stool antigen test
What 2 antibiotics can be used in VRE?
linezolid, daptomycin
What test should be performed to liberate someone from the ventilator?
rapid shallow breathing index
A patient with afib and mechanical valve needs AC. What anticoagulation should be used?
warfarin
What is the immediate treatment for neutropenic fever?
antipseudomonal- cefepime or zosyn
What is the diagnosis in someone who has abdominal pain, ascites, hepatomegaly and hepatic vein thrombosis?
Budd Chiari Syndrome
What organism causes painless necrotic skin lesions and bacteremia in neutropenic patients?
pseudomonas aeruginosa
What vasopressor is added to norepinephrine in someone with increasing pressor requirements
vasopressin
What valve pathology is most likely in someone with a holosystolic murmur at the apex that becomes louder with hand grip?
mitral regurgiation
dexamethasone
What malignancy risk is increased in people with primary sclerosing cholangitis?
cholangiocarcinoma
What antibiotic class is preferred in ESBL infections
carbapenems
A patient who receives topical benzocaine develops cyanosis. What is the diagnosis and how is it treated
methemoglobinemia, treated with methylene blue
How does squatting and the valsalva maneuver affect the murmur of hypertrophic obstructive cardiomyopathy
squatting decreases it, valsalva increases it
What mutation is seen in CML?
BCR-ABL mutation
A patient has painless jaundice, diffuse pancreatic enlargement, elevated IgG4 and biliary strictures. What is the diagnosis?
autoimmune pancreatitis
What illness should you suspect in a hiker with fever, severe headache, thombocytopenia, and rash on wrist and ankles?
Rocky Mountain Spotted Fever