Ow My Liver
Peeing Protein
All Backed Up
Hospital Acquired Friends
Miscellaneous
100
What lab can help determine if ALP is from a hepatobiliary source?
GGT
5'-nUCLEOTIDASE
100
What is the argument for using Bumex for Diuresis in Nephrotic Syndrome patients?
Not a Protein Bound Loop Diuretic
100
What is this gentle, bulk forming laxative formed from the Plantago Ovata plant?
Psyllium
100
TRUE OR FALSE
You only need the 3 following criteria to clinch a diagnosis of CAUTI:
- Bacteriuria
- Indwelling catheter for >2 days
- No other identified source of infection
False
100
Which of these forms of insulin is the Shortest lasting?
- NPH
- Detemir (Levemir)
- Lispro (Humalog)
- Glargine (Lantus)
- Degludec (Tresiba)
Lispro
200
An R value >5 indicates what kind of Liver Injury Pattern?
Hepatocellular
200
Why does Vitamin D Deficiency occur in Nephrotic Syndrome?
- Body is dumping Vitamin D Binding Protein
200
What are 2 examples of an Osmotic Laxative?
- Polyethylene Glycol
- Lactulose
- Sorbitol
- MagOH
- Mag Citrate
200
What is the most common Healthcare Associated PATHOGEN?
C. difficile
200
If a patient is on Torsemide 40 daily at home and admitted for ADHF, what dose of Lasix should be given based on the DOSE trial?
Lasix 200
300
What is the common AST:ALT ratio in those with Alcoholic Hepatitis?
2:1 or greater
300
What are the findings of Minimal Change Disease on Light Microscopy?
Normal
300
What is an example of a Stimulant Laxative?
- Senna
- Bisacodyl
300
What is an empiric treatment for VAP?
Empiric treatment should cover:
MRSA (if >10%–20% of isolates are methicillin resistant)
• Vancomycin or linezolid
GNR (including Pseudomonas aeruginosa)
• Cefepime, ceftazidime, piperacillin/tazobactam or meropenem
Consider 2nd agent – aminoglycoside, FQ
• If risk factors, or >10% of gram-negative isolates are resistant to an agent
300
What is the only Oral Inotrope?
Digoxin
400
How many grades of Hepatic Encephalopathy are there?
4
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400
What are the 3 diagnostic criteria for Nephrotic Syndrome?
- Proteinuria > 3.5 g/day or spot urine protein to creatinine ratio > 3-3.5g/g
- Peripheral Edema on Physical Exam
- Hypoalbuminemia
400
What is an example of a Prosecretory Agent used for Constipation?
- Linaclotide (Linzess)
- Plecanatide
- Lubiprostone
400
What Genus is the most common cause of CLABSIs in both Hospital Wards and in ICUs?
Staphylococcus
400
Every CD4% of 7 is equal to a CD4 count of approximately _____.
100
500
What are traditional diagnostic criteria for Acute Liver Failure
•Hepatic Encephalopathy
•AST/ALT elevation
•Increased INR (> 1.5)
500
Which class of Lupus Nephritis is most associated with the nephrotic syndrome?
- Type 5
500
What is an example of a Mu-Opioid antagonist used for Opioid Induced Constipation?
- Methylnaltrexone (Relistor)
- Naloxegol (Movantik)
- Alvimopan (Entereg)
- Naldemidine (symproic)
500
What is first line treatment for initial non severe C. Diff Infection?
Oral Fidaxomicin (IDSA 2021)
Oral Vancomycin (ACG 2021)
500
These are the 3 Evidence based Indications for Albumin Administration
1. During Treatment of SBP
2. Diagnosis and Treatment of Hepatorenal Syndrome
3. After Large Volume Paracentesis