Refusal of Care
Antibiotics
Pharmacology
Lower Limbs
Lungs
100
True or False? An unconscious 85 yo female is brought to the ED with a CNS bleed with requiring emergent craniotomy and evacuation.
The surgeons must speak to the health care proxy prior to proceeding with surgery.
What is false?
100
This antibiotic is associated with serotonin syndrome
What is linezolid?
Bonus unscored question: What drugs interact with linezolid to potentially cause serotonin syndrome?
Bonus unscored question: What drugs interact with linezolid to potentially cause serotonin syndrome?
100
The cohort in which the NICE-SUGAR trial demonstrated higher 90-day mortality
What is the INTENSIVE glycemic control arm?
Bonus nonscored question: What was the the glycemic target for the CONVENTIONAL glycemic control arm?
100
Triad of factors leading to foot ulcers
What are deformity, neuropathy, and trauma?
100
Two causes of a lymphocytic-predominant pleural effusion
What is TB, lymphoma, other malignancy, sarcoidosis, chronic rheumatoid pleurisy, yellow nail syndrome, OR chylothorax?
200
True or false? Psychiatrists are solely responsible for making an assessment of decision-making capacity
What is false?
200
One difference between meropenem and ertepenem
What is:
ertepenem is once-daily
ertepenem is once-daily
OR
ertepenem does not cover pseudomonas
200
Based on the results of the RABBIT-2 trial, patients receiving which insulin management strategy was more likely to achieve desired blood glucose targets?
What is basal-bolus?
200
Two key elements in the treatment of diabetic foot ulcers
What is:
1) debridement
2) treatment of infection
3) saline moisture
4) offloading
5) arterial revascularization, if indicated
1) debridement
2) treatment of infection
3) saline moisture
4) offloading
5) arterial revascularization, if indicated
200
An infectious cause of a pleural effusion that results in a higher than usual pH
What is a parapneumonic effusion due to Proteus mirabilis?
300
Difference between "capacity" and "competency"
Competency is a legal declaration. Capacity is determined medically.
300
This antibiotic covers gram positives, MRSA, and VRE but cannot be used to treat pneumonia.
What is daptomycin?
Bonus unscored question:
In what respiratory infection DOES daptomycin show benefit?
300
Anti factor Xa levels should be drawn this many hours after a SQ dose of enoxaparin
What is 4 hours? (4-6 hours is acceptable)
300
This form of redness can be cured by raising the leg for 15 seconds
What is the dependent rubor of lymphedema?
300
Risk factor for re-expansion pulmonary edema after thoracentesis
What is younger age OR larger volume (possibly) OR duration of lung collapse?
400
Type of guardianship that grants authority over financial matters
What is conservatorship?
400
This cephalosporin covers MRSA, gram positives, and gram negatives but does not cover pseudomonas.
What is ceftaroline (a 5th generation cephalosporin)?
400
The dose of heparin would you use for DVT prophylaxis for a
45 year old female admitted to your service for Crohn’s flare. Her BMI is 44, baseline PTT is normal.
What is 7,500 units SC TID?
400
What is lipodermatosclerosis?
400
One cause of black pleural effusions
What is aspergillus niger OR Rhizopus oryzae OR malignant melanoma?
500
Two types of treatments requiring a Rogers guardianship to administer
What is:
antipsychotic medication
sterilization
abortion
electroconvulsive therapy
psychosurgery
removal of artificial maintenance of nutrition or hydration?
500
Name 6 antibiotics that cover anaerobes
What are piperacillin-tazobactam, ampicillin-sulbactam, metronidazole, clindamycin, carbepenems, and moxifloxacin?
500
The timing in which a vanco level should be drawn, assuming a patient is at steady state.
AND
The type of body weight that should be used to calculate a vancomycin dose.
What is immediately prior to the next dose AND actual body weight?
500
Patients with pain this form of redness report that it improves significantly while applying ice to it
What is erythromelalgia?
Bonus unscored question: Name one cause of secondary erythromelalgia?
500
Name all three criteria for distinguishing transudative and exudative pleural effusions
What is:
Light's -
pleural:serum LDH>0.6
pleural:serum protein>0.5
pleural LDH>2/3 of ULN LDH
OR
pleural LDH>0.45 ULN LDH
pleural cholesterol>45
pleural protein>2.9
Light's -
pleural:serum LDH>0.6
pleural:serum protein>0.5
pleural LDH>2/3 of ULN LDH
OR
pleural LDH>0.45 ULN LDH
pleural cholesterol>45
pleural protein>2.9