Lupus 1
DPLD
Epilepsy
AFIB WITH RVR
The New CAP guidelines you may or may not have read...
100

Antibody panel expected for drug induced lupus

ANA and anti-histone


100

First line imaging for suspected DPLD

High Res CT

100

Key pathophysiologic term for what constitutes a seizure.

Hypersynchronization of neurons.

100
First assumption regarding a patient presenting with Afib with RVR?

That the RVR is a physiologic response to an underlying insult.

100
Most strongly recommended clinical prediction tool for CAP?

PSI

200

A post partum complication for SLE patients with anti-Ro/La antibodies (or for their children)

Congenital 3rd degree heart block. 


200
Treatment for smoking associated DPLD

Stop Smoking


200

Most simple definition of epilepsy?

Two unprovoked seizures, more than 24 hours apart

200

First line treatment for Afib with RVR causing hemodynamic compromise?

Cardioversion
200

ABX Recommended for empiric treatment of outpatient CAP in healthy Adults?

Amox 1g TID or Doxy 100mg BID or A macrolide

300

Diagnosis of Lupus by SLICC criteria (Number needed)

4/11 (1 clinical and one immunologic or lupus nephritis with +ana or DSDNA)

300

Treatment of hypersensitivity pneumonitis (two)

Removal of stimuli +/- steroids.
300

AED to be avoided in young women for fear of pregnancy/teratogenicity related concerns?

Depakote

300

First line drug treatment following optimization of reversible factors with RVR that persists?

Esmolol

300

Treatment of CAP in outpatient adults with comorbidities?

(Augmentin  or a cephalosporin) and a macrolide or monotherapy with a respiratory FQ.

400

How many classifications are there within lupus nephritis?

6


400

Centrilobular micronodules on CT in a smoker

Respiratory bronchiolitis associated ILD

400

Cause of death not understood in epileptic patients? `

Sudden Unexplained Death in Epilepsy.

400

Percentage risk of stroke for holding anticoagulation over short term (What is important to understand about anticoagulation for afib in the hospital).

That stroke risk is measured in years, not days.

400

Two conditions in which addition of anaerobic coverage would be recommended for aspiration pneumonia?

Lung abscess or empyema

500

Major eye side effect of plaquenil?

Retinopathy

500

UIP on HRCT with restrictive pattern PFTs and reduced DLCO

IPF

500

Diagnostic consideration and diagnosis modality indicated if patient has not returned to a neurocognitive baseline within 15-30 minutes of a first seizure.

Non convulsive status epilepticus

500

Category of structural heart disease in which diltiazem is generally avoided due to negative ionotropic effects? 

HFrEF

500

Should adults in the inpatient setting who test positive for influenza receive antibacterial therapy?

We recommend that standard antibacterial treatment be initially prescribed for adults with clinical and radiographic evidence of CAP who test positive for influenza in the inpatient and outpatient settings

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