Rosh Review Internal Medicine Exam
2024|Questions and 100% Correct
Answers| Latest Update
if patient is stage 1/2 how much sodium can they have? - ANSWER under 3 g
if patient is stage 3/4 how much sodium can they have? - ANSWER under 2 g
what is CHADSVAS score in a-fib? - ANSWER chf 1
htn 1
age>75 2
dm 1
stroke 2
vascular dz 1
age 65-74 1
sex F 1
what score means anticoagulation in a-fib? - ANSWER >2
hear a mid-late diastolic rumble with opening snap while patient is in left lateral decubitus
position - ANSWER mitral stenosis
what symptom may mitral stenosis present with? what dz is it associated with? - ANSWER
exertional dyspnea
rheumatic disease
how long does unstable angina usually last? - ANSWER > 10 min
,what can high triglycerides cause? - ANSWER pancreatitis
don't give BB in who - ANSWER asthma/copd
what is major criteria for jones? - ANSWER carditis
arthritis
chorea
subq nodules
erythema marginatum
what is minor criteria for jones? - ANSWER fever
polyarthragia
high esr
prolonged PR
what is considered + jones criteria? - ANSWER 2 major or 1 major and 2 minor
how to treat v tach - ANSWER Stable, sustained: Amiodarone, Lidocaine, Procainamide
Unstable WITH PULSE: Synchronized cardioversion
VT without pulse: DEFIB
what is first test to do for PAD or peripheral vascular disease - ANSWER ABI
, older pt presents with syncope, angina, and dyspnea what valve issue m/c? how to treat?
- ANSWER aortic stenosis
aortic valve replacement with biosynthetic valves
mid-systolic murmur. heard best at apex and radiated to axilla - ANSWER mitral regurgitation
peripheral edema, JVD, hypotension, pericardial knock, kussmaul breathing, thickened
pericardium? Pt has hx of radiation txt. - ANSWER constrictive pericarditis
how to treat constrictive pericarditis - ANSWER nsaids if stable, pericardiectomy if unstable
hx of MI and HTN what to give? - ANSWER BB + ACE
delta wave, wide QRS, short PR interval - ANSWER wpw
pt presenting with symptoms of heart failure after recent viral illness? TXT? - ANSWER
myocarditis
furosemide, ace, BB
prolonged PR interval, no dropped Ps - ANSWER first degree heart block, no txt
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