GI
The criteria used for initiation of SBP ppx (2)
1- ascites fluid protein level <1.5 g/dl
2- prior history of SBP
the 3 inclusion criteria for ARDS
1- PaO2/FiO2 < 300
2- bilateral infiltrates
3- no clinical evidence of left atrial hypertension
The 4 features of nephrotic syndrome
1- hypoalbuminemia
2- hyperlipidemia
3- edema
4- proteinuria
First line oral agent for treatment of acute bacterial prostatitis
Fluoroquinolones
City Amir was born in
Tehran
The score that predicts mortality in patient with alcoholic hepatitis on steroid therapy
Lille score
the 3 diagnostic criteria for severe AS
1- Vmax > 4 m/s
2- P mean > 40
3- AVA < 1 cm^2
first line tx of HTN in pregnancy
methyldopa and/or labetalol
treatment of bacterial meningitis (unidentified bacteria) in >50 year old patient
1- IV ampicillin
2- CTX
3- IV vancomycin
4- IV steroids
The number of specialists Amir has seen for his biliary colic
2
most common benign liver tumor
focal nodular hyperplasia
The 2 indications for ascending aortic aneurysm repair
1- > 5.5 cm
2- > 0.5 cm/year growth
treatment of severe symptomatic hypermagnesemia
IV calcium
CNS infection that can present with flaccid paralysis, neuropathy, and retinopathy
West Nile Virus
Number of gallstones seen on Amir's Ultrasound
innumerable
The 5 factors used for the Child-Pugh score
1- encepahlpathy severity
2- ascites
3- bilirubin
4- albumin
5- INR
The preferred anticoagulation for the first two trimesters of pregnant patient with a mechanical valve
Warfarin
first line treatment for presentation of pt after unknown ingestion, found to have:
chemistry Na 135, K 4, CO2 9
plasma osmolal gap 15
Fomepizole
Treatment dose for late latent syphilis
Benzathine Penicillin G, 2.4 million units IM qweek for 3 doses
Cuisine that caused Amir's first episode of biliary colic
Indian food
cystic pancreatic neoplasm with the highest risk for malignant transformation
intraductal papillary mucinous neoplasm
3 out of 4 brugada criteria for differentiating VT from SVT with aberrancy
1- positive or negative concordance
2- RS interval > 100 ms in 1 precordial lead
3- Presence of AV dissociation
4- VT morphological criteria met (RBBB or LBBB)
Chemistry Na 134 K 3.0 Cl 105 CO2 19 BUN 21 Cr 1.2
Urine Na 70 Urine Potassium 20 Urine Cl 110
Urine pH 5.4
The cause of this patient's acidosis
type 2 (proximal) Renal Tubular Acidosis
First line treatment for anthrax
Ciprofloxacin or doxycycline
Amir's highest recorded ALT level (can be within 5)
145!