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ABIM Rote Memorization + First Aid High Yield correctly answered
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ABIM Rote Memorization + First Aid High Yield correctly answered
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ABIM Rote Memorization + First Aid HighYield
Flow-Volume loop - correct answer ✔✔intrathoracic is on exhalation 2/2 compression of airway from
increased intrathoracic pressure
extrathoracic (vocal cord paralysis)
HF ascites - correct answer ✔✔high total protein
( cirrhotics don't make it and nephrotics lose it)
IE - correct answer ✔✔
AMD - correct answer ✔✔- chronic oxidative damage
- dry AMD: difficulty reading and night driving
- wet AMD: metamorphopsia 2/2 subretinal hemorrhage
- Rx: smoking cessation daily vitamin and zinc
-- wet : VEGF inhib and laser photocoagulation
acute dystonia - correct answer ✔✔retrocollis (neck extension)
anticholinergics (benztropine, trihexyphenidyl, diphenhydramine)
early idiopathic Parkinson's - correct answer ✔✔- uncommon under 40
- non-motor: daytime somnolence, mood disturbance, anosmia, and constipation
- REM sleep behavior disorder (15-47%)
TRALI - correct answer ✔✔
Fat Embolism Syndrome - correct answer ✔✔1-3% with 1 long bone fracture
,33% with bilateral femur fractures
- acute neurological abnormalities, hypoxemia and petichial rash
Gout bullshit - correct answer ✔✔
tPA odds & ends - correct answer ✔✔BP < 180/105 in 1st 24hr (less than 185/110 before tPA)
- avoid ASA in 1st 24hr after
- NPO for 1st 24hr
- wait 24hr to start IV heparin
CEA - correct answer ✔✔in 1-2 weeks post stroke
- 4-6 weeks in large strokes with edema
Milrinone - correct answer ✔✔really only for symptoms
- increased hypotension, arrhythmias and non-statistically significant increase in in-hospital and 60-day
mortality
Insomnia - correct answer ✔✔
Sebhorrheic Dermatitis - correct answer ✔✔PD
HIV CD4 less than 400 cell/mcL
Aortic Valve replacement - correct answer ✔✔> 40 mm Hg
< 1 cm2
Myopathies - correct answer ✔✔PT/OT and reduce steroids
- rhabdo typically 5k or above
Pneumococcal pneumonia - correct answer ✔✔Blood Cultures
,ABx
CT
LP
TLS - correct answer ✔✔allopurinol takes 3-4 days to take full effect
urine floow of 80-100ml per hour
rhinitis medicamentosa - correct answer ✔✔OTC nasal decongestants
tachyphylaxis
- limit to 5 days
- benzalkonium chloride preservative irritates
Pyoderma Gangrenosum - correct answer ✔✔Pathergy (trauma = wound)
IBD
rapid response to steroids
diagnosis of exclusion
biopsy results are nonspecific
unexplained hypoK and Met ALk - correct answer ✔✔surreptitious vomiting or diuretic use
Atrophic gastritis - correct answer ✔✔metaplastic atrophic gastritis
- environmental v. autoimmune
-- enviromental carcinogens or Hpi changes in antrum
--AMAG- AD more common in women prone to pernicious anemia; increase in gastric carcinoid tumors
- high gastrin levels from achlorhydria
AIHA - correct answer ✔✔80% in SLE 2/2 warm agglutinin
spherocytosis
, Pure Red Cell Aplasia - correct answer ✔✔low to zero retics
idiopathic mostly
2/2 drugs, thymoma or Parvo B19
Autoimmune antibodies - correct answer ✔✔
MCTD - correct answer ✔✔rare GN, psychosis or Sz
Carbidopa-levodopa - correct answer ✔✔50% have motor fluctuations after 5 years
Dystonia- painful; common and spontaneous early in disease
- Morning "" feet 2/2 to low dopa levels
ring enhancing lesion - correct answer ✔✔- mets do not causes restriction on DWI on MRI
- abscess homogenous restricted diffusion
- first steroids
- ppx AED 1 week post craniotomy with taper
- whole brain rads for multifocal disease
Time Zone Shift - correct answer ✔✔jet lag
westward travel causes less disruption than eastward
GPA - correct answer ✔✔Tissue biopsy from active site of disease (kidney)
negative ANCA does not exclude
GN pauci-immune segmental necrotizing GN
- Lung generally requires VATS
- nasal biopsy has low yield
Pradaxa - correct answer ✔✔Direct Thrombin Inhibitor
dabigatran
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