Hepatitis
What are the cholestatic liver enzymes?
ALP
GGT
What is the main risk associated with SGLT2i
Euglycemic DKA
What are the two broad categories of Upper GI bleed
Variceal
Non variceal (PUD)
What are 3 broad categories of hemoptysis
Infection
Bronchiectasis
Malignancy
Pulm edema
Vascular
Trauma
What body of water is in the heart of regina surrounded by walking paths and the legislative building
Wascana Lake
Name 3 things that cause hepatocellular liver enzyme rise > 1000
Toxins/Drugs (acetaminophen, cocaine –
associated with ischemic injury)
Viral (Acute Hep A, B, D, or E)
Vascular: Shock, Budd Chiari
Acute stone w/ in 24 hours
Autoimmune hepatitis
Wilson’s (rare)
What is the diagnostic criteria for DKA (4)
Arterial pH is ≤7.3
• bicarbonate ≤15 mmol/L
• anion gap is >12 mmol/L
• +Ketones (serum/urine)
Besides adequate resuscitation, what is the medical management of a suspected variceal bleed (3)
IV PPI (until EGD r/o ulcer)
Octreotide infusion
Ceftriaxone for SBP proph
Name medication that can be used in hemoptysis
•Tranexamic acid nebs (500 mg/5mL TID)
Where do the Regina Roughriders Play?
Mosaic Stadium
What are three causes of Intrahepatic (no biliary dilatation) liver enzyme elevation
Drugs (antibiotics, TPN, estrogens, MTX),
PBC, infections,
cholestasis of pregnancy, infiltrative disease (e.g.
sarcoidosis), congestive hepatopathy
Name 3 side effects of metformin
lactic acidosis
GI upset
vitamin b12 deficiency
Name 3 classes of medications that put you at increased risk of UGIB
NSAIDs
Anticoagulants
Steroids
Define Massive hemoptysis
•100 mL/hr or 500mL/24hr
•Any amount causing hemodynamic instability or hypoxemia
What is the name of the Regina born olympic medalist in snowboarding?
Mark McMorris
What is the diagnostic criteria for Alcoholic hepatitis (2 parts)
Acute onset jaundice within 60 days of heavy alcohol use (>40g/day women & >60g/day men for >6 months); other causes of liver disease/jaundice excluded
AST > 50, AST/ALT > 1.5-2, and both values < 400, Tbili > 51
A patient has an A1c of 13, what would you expect his typical random blood glucose to be
22
(HbA1C x 2) - 4
What Forrest Classification requires endoscopic intervention of ulcer?
1a,b
2a (potentially)
What is the optimal time to perform bronchoscopy to maximize yield
Bronchoscopy best performed within 48 hrs
What was Regina's name before it was re-named by the Queen?
Pile O' Bones
What scores do you use to treat alcoholic hepatitis (exact numbers)
what is the dose / length of treatment
Name 3 contraindications for treatment
1. Maddrey Discriminant Function (MDF) ≥ 32 or MELD > 20
2. Prednisolone 40mg daily x 28 days
3. Uncontrolled infection, uncontrolled GI bleed, AKI
What is the name of the longest acting insulin available, how often is it given?
Awiqli (once a week)
What is a Forrest 3 ulcer, and how long does it require IV PPI post endoscopy?
Trick question:
It is a clean based ulcer (not bleeding)
Does not require IV PPI post endo, can be management with PO
Name 3 Vasculitis causes of hemoptysis
Anti-GBM (Goodpasture’s)
GPA (Granulomatosis with polyang itis)
MPA (Microscopic Polyangiitis)
Lupus (pneumonitis)
Behcet’s
What animal appears on Regina's official city flag?
Buffalo