End Of Rotation Exam Review

Listen to the episode for the answers!MC site infection for an IV drug userFirst line treatment for Non-sustained ventricular tachycardia (NSVT)MC organism in osteomyelitisDiagnosis of HemophiliaHow is a stress fracture diagnosedHow often does the USPSTF recommend screening for abdominal aortic aneurysmsAt what CHADSVASC score is it recommended to start anti coagulation in patients with afibWhat is the diagnostic study of choice for duodenal ulcersFirst line treatment for cluster headachesAntidote

Listen to the podcast for why each multiple choice answer is right or wrong!1. Which of the following is NOT associated with the presentation of hyperosmolar hyperglycemic state?A. Severe hyperglycemia (>600-2400mg/dl)B. HI serum osmolality >310 mOsm/kgC. Metabolic AcidosisD. UA w/4+ glucoseE. Dehydration with low Serum Na+2. Which of the following qualifies as a diagnosis for Diabetes?A. Fasting plasma glucose of 115B. Random blood glucose of 210 without symptoms of hyperglycemiaC. Hemoglobin

Listen to the podcast for why each multiple choice answer is right or wrong!1. A 21 YO F who is taking OCPs presents to the ED with increasing SOB starting 4 hours ago. On PE she’s tachycardic and has tachypnea at 23 breaths a minute. Her BP is 120/80. She has wheezing to all lung fields and appears to be in moderate distress. Both calves are mildly edematous and somewhat tender. What will you do next?A. CT chest B. Chest x-ray C. Ventilation to perfusion scan D. Pulmonary arteriography E. MRI

Listen to the podcast for why each multiple choice answer is right or wrong!1. A 38-year-old woman has a developed a solid and quite firm thyroid mass that is approximately 1 cm diameter by palpation. She does not have any hoarseness, difficulty breathing or swallowing, or symptoms of thyroid disease. She no history of radiation, cancer, or familial history of thyroid disease. You order a Thyroid panel that includes TSH, Free T3 and T4. What would you do next?A Fine-needle aspiration biopsy of the

Listen to the podcast for why each multiple choice answer is right or wrong!1. A 9 YO boy presents to your clinic with widened pulse pressure, paradoxical splitting of S2 and a continuous machinery-type murmur that is heard best in the 2nd left intercostal space and widely transmitted over the precordium. No cyanosis present. What is the most likely diagnosis?A. Ventricular septal defect.B. Atrial septal defect.C. Coarctation of AortaD. Patent Ductus Arteriosus.2. A 15-year-old man presents after

Listen to the podcast for why each multiple choice answer is right or wrong!#1 A 2 year old boy presents with a 3 day history of rhinorrhea, conjunctivitis, barky cough, and a fever of 102 degrees. On physical examination you appreciate cervical lymphadenopathy, an erythematous throat most likely from the cough, and while you’re inspecting the mouth, you see a number of 1-3 mm white and gray elevations in the back of the cheek. Otherwise he has normal heart and breath sounds. This presentation is